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Eating Disorder Symptoms In Transgender Adults: The Impact Of Gender Dysphoria And Minority Stress On Eating Disorder Symptomatology, Elliott Botelho Jan 2023

Eating Disorder Symptoms In Transgender Adults: The Impact Of Gender Dysphoria And Minority Stress On Eating Disorder Symptomatology, Elliott Botelho

All ETDs from UAB

Background: Transgender individuals experience more mental health challenges than their cisgender counterparts, and a growing area of research suggests that transgender in-dividuals are at increased risk of eating disorder symptoms. The Gender Minority Stress and Resilience model may help explain this health disparity in eating disorder symptoms. The model theorizes that this disproportionate mental health burden, such as eating disor-der symptoms, may arise from the stresses of belonging to a minoritized group. Another factor that may account for eating disorder disparities is gender dysphoria, a distressing and clinically significant state many transgender individuals experience when their physi-cal appearance is incongruent …

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Indicators Of The Social Environment And Cognition In An Older Population Of Puerto Rican Adults, Erin E. Ballard Jan 2023

Indicators Of The Social Environment And Cognition In An Older Population Of Puerto Rican Adults, Erin E. Ballard

All ETDs from UAB

Isolation and other indicators of poor social environment have been associated with a higher risk of cognitive decline. Overall evidence for this association is mixed, with most studies being conducted in Western, educated, industrialized, rich, and democratic (aka “WEIRD”) societies. Religiosity may moderate this relationship between less robust social environments and cognition by buffering the negative effects of stress. The primary aim of this study is to assess the relationship between indicators of the social environment and psychological distress (depressive symptoms) and cognitive decline in a population-based sample of older Puerto Rican adults (n=3,557) across two time-points. Social environment included …

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Rural Healthcare Disparities In Preschool Children Referred For An Autism Spectrum Disorder Evaluation, Zachary Enos Arnold Jan 2023

Rural Healthcare Disparities In Preschool Children Referred For An Autism Spectrum Disorder Evaluation, Zachary Enos Arnold

All ETDs from UAB

Disparities in healthcare are widespread in rural communities, and families with a preschooler with suspected autism spectrum disorder (ASD) might be especially impacted by a dearth of services. By exploring the information gathered from ASD diagnostic visits, the goal of the current study was to inform future research that aims to address access to quality care in the communities that need assistance the most. It was hypothesized that increasing rurality would worsen the following metrics: barriers to care (e.g., social disadvantage & pediatrician availability), clinical evaluation outcomes (e.g., age of diagnosis, language functioning, adaptive functioning, ASD severity), and access to …

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The Impact Of Socioeconomic Status On Pain Severity And Functioning In A Pediatric Rheumatic Pain Population, Tolulope Adetayo Jan 2023

The Impact Of Socioeconomic Status On Pain Severity And Functioning In A Pediatric Rheumatic Pain Population, Tolulope Adetayo

All ETDs from UAB

Background: Low socioeconomic status (SES) may exacerbate pain and impede functioning in children with chronic widespread pain. SES can be categorized as objective or subjective and assessed at individual, family, and neighborhood levels. However, most studies do not assess SES this comprehensively, thus, the true impact of SES on child health is likely unknown. The proposed study examined the unique and interactive effects of different measures of SES on pain severity and functioning in children with rheumatic conditions including juvenile idiopathic arthritis (JIA), juvenile primary fibromyalgia syndrome (JPFS), and non-specific musculoskeletal pain (NSMP). Methods: 88 children (32 JIA, 31 JPFS, …

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Analyzing Cannabinoid Stability In Different Conditions And Validating Novel Cannabinoids For Oral Fluid Analysis, Cody Paseur Jan 2023

Analyzing Cannabinoid Stability In Different Conditions And Validating Novel Cannabinoids For Oral Fluid Analysis, Cody Paseur

All ETDs from UAB

Oral fluid (OF) drug testing has been expanded to laboratory evidentiary confirmation testing in driving under the influence (DUI) cases. OF samples are collected by officers at the roadside using collection devices such as the Quantisal® device. Tetrahydrocannabinol (Δ9-THC) was the most prevalent drug in Alabama DUI casework in 2022. Δ9-THC remains a Schedule I drug in Alabama and federally. Current validated targets in cannabinoid oral fluid testing include Δ9-THC, Δ8-THC, 9R-Δ10-THC, 9S-Δ10-THC 11-hydroxy-Δ9-THC (THC-OH), 11-nor-9-carboxy-Δ9-THC (THC-OOH), cannabigerol (CBG), cannabidiol (CBD), and cannabinol (CBN). Due to the 2018 Farm Bill, cannabinoids derived from hemp with a Δ9-THC concentration less than …

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Dietary Adherence During Weight Loss And Attendance To Weight Management Support Are Independently Related To Weight Gain, Emily Pounds Jan 2023

Dietary Adherence During Weight Loss And Attendance To Weight Management Support Are Independently Related To Weight Gain, Emily Pounds

All ETDs from UAB

Although people can lose weight by restricting calories and increasing energy ex-penditure, only a small percentage are successful at maintaining the loss. PURPOSE: Therefore, the purpose of this study is to identify factors that may predict who is more likely to gain weight and visceral fat back after weight loss, and to evaluate the efficacy of a weight maintenance support group (EatRight) during 12 months of weight mainte-nance. METHODS: Subjects (n=85) were healthy, overweight [body mass index (BMI) 27–30 kg/m2, mean weight 77.6 kg] premenopausal women (age 34). Data were collect-ed at baseline, immediately after weight loss, and 1-year post-weight …

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Adaptive Behavior And Clinical Characteristics Of Children Referred For An Autism Spectrum Disorder Evaluation, Brianna Stein Jan 2023

Adaptive Behavior And Clinical Characteristics Of Children Referred For An Autism Spectrum Disorder Evaluation, Brianna Stein

All ETDs from UAB

The current study aimed to identify patterns of adaptive functioning in autistic children. Additionally, this study assessed predictors of adaptive functioning by examining whether cognitive ability predicted adaptive functioning in children with and without ASD and exploring whether expressive and receptive language predicted adaptive behavior and whether those relationships were moderated by an ASD diagnosis. Participants included 196 children who were evaluated for ASD at a tertiary care clinic. In this sample, 89 participants (45%) were diagnosed with ASD, 143 (73%) were male, and the average age was 6.63 years old (SD= 3.08). Profile analysis was used to evaluate the …

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"Generous And Self-Devoted Being": Grief Psychology And Mary Shelley's Frankenstein, Madison Hogg Jan 2023

"Generous And Self-Devoted Being": Grief Psychology And Mary Shelley's Frankenstein, Madison Hogg

All ETDs from UAB

Scholarly discussion of the character Victor Frankenstein in Mary Shelley's Frankenstein generally determines his fatal flaw to be an overly ambitious nature, deter-mining a denouncement of ambition as the novel's core moral aim. However, Franken-stein's experience of and avoidance of grief shapes his actions. Exploring how modern understandings from the field of grief psychology reflect Shelley's description of Frankenstein's inner life and experiences, the novel can be treated as a metaphor for grief and grieving. A grief-informed reading of the novel brings many of the novel's main themes—connection versus isolation, belonging, and empathy—into sharper relief than ambition-focused readings, casting more …

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A Colorblind Approach To Silencing African American Voices Through The Banning Of Critical Race Theory, Mia J. Freeman Jan 2023

A Colorblind Approach To Silencing African American Voices Through The Banning Of Critical Race Theory, Mia J. Freeman

All ETDs from UAB

This thesis focused on addressing the framing of criticisms of Toni Morrison's Beloved in the state of Virginia through the context of African American Criticism and Critical Race Theory. The methodology undertaken addresses the central research question, How might African American Criticism and Critical Race Theory provide a theoretical framework for responding to recent criticisms about Beloved? The researcher approached Beloved by historicizing select passages from the novel and situating those passages and the realities they reflect in the context of criticisms waged by parents and politicians. The thesis also explained how tenets of African American Criticism and Critical Race …

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Reframing The Study Of Peace Through The Lens Of Complex Adaptive Systems, Nick Mauro Jan 2023

Reframing The Study Of Peace Through The Lens Of Complex Adaptive Systems, Nick Mauro

All ETDs from UAB

Many researchers studying peace have posited that peace is a system. Although this approach has recently included steps to address complexity, current models have not sufficiently integrated their approach with complex adaptive systems to produce functionally dynamic models. Rather, current models describe peace systems as teleological and linear, which creates closed systems that do not incorporate feedback from the environment and, therefore, do not identify adaptive processes. Furthermore, these models reflect the state of a system, an arrangement of constituent parts in specific contexts, rather than capturing the complexity that is necessary for describing a dynamic system. To address these …

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Successful Aging Among Midlife Black Women: A Latent Class Analysis, Joshua Christian Julian Lewis Jan 2023

Successful Aging Among Midlife Black Women: A Latent Class Analysis, Joshua Christian Julian Lewis

All ETDs from UAB

Successful aging (SA), as outlined by Rowe and Khan, with its objective focus on disease and disability avoidance, maintaining high physical and cognitive function, and sustaining engagement in social and productive activities, was meant to be a benchmark for assessing health and aging. However, given its rigid criteria virtually no one “ages successfully” despite being in otherwise relatively good health. The assumption of unsuccessful aging in populations who experience a higher prevalence of chronic disease, illness, disability, and other health disparities, is implicit in the SA framework outlined by Rowe and Khan and would preclude many Black women from being …

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Family Members' Education And Cognitive Functioning Among Older Adults: Investigating The Mediating Role Of Health Behaviors, Lu Tian Jan 2023

Family Members' Education And Cognitive Functioning Among Older Adults: Investigating The Mediating Role Of Health Behaviors, Lu Tian

All ETDs from UAB

Despite a well-established relationship between education and cognitive performance in later life, few studies have considered the effects of educational attainment of the family. The education of one's parents can help prevent cognitive decline, as parents (G1) with more education can transfer more health knowledge, teach health literacy, and cultivate healthy lifestyles. This downward spillover between parental education (G1) and older adults’ (G2) cognitive health is well documented. For the downstream effect, attention is often given to maternal education rather than paternal education. Another line of research examined intergenerational transmissions from children (G3) to parents (G2), finding that having well-educated …

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Nero's Eastern Policy And The Peace Of Rhandeia, Henry Smith Jan 2023

Nero's Eastern Policy And The Peace Of Rhandeia, Henry Smith

All ETDs from UAB

This thesis will argue that Corbulo’s campaigns in Armenia and the subsequent Peace of Rhandeia were reflective of a longstanding foreign policy which had been adopted in the aftermath of the ambush at Teutoburg Forest and continued under Augustus’ successors. Nearly every aspect of the campaign, from the composition of the army, to the strategy employed by Corbulo, was an expression of the post-Augustan shift from expansion to defense. In place of conquest, the maintenance of prestige and the projection of power became the primary objectives of the Roman emperors, including Nero. The war in Armenia was fought to maintain …

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Characterizing A Unique Oprm1 Expressing Neuronal Population In The Rat Nucleus Accumbens, Emma Andraka Jan 2023

Characterizing A Unique Oprm1 Expressing Neuronal Population In The Rat Nucleus Accumbens, Emma Andraka

All ETDs from UAB

Opioid-related overdose deaths have increased drastically in the past three decades, and especially since the beginning of the COVID-19 pandemic, due to the addictive, analgesic, and euphoric properties of the drugs. To produce these effects, opioids bind to the mu opioid receptor (MOR) in GABAergic neurons. The MOR is encoded by the Oprm1 gene and is expressed in multiple brain regions that regulate reward and motivation, such as the nucleus accumbens (NAc). Previous studies of Oprm1 knockdown in medium spiny neurons (MSNs) of the mouse NAc have shown that these neuronal populations are involved in reinforcing reward-context pairing as well …

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Examination Of The Bidirectional Relationship Between Anhedonia And Vaporized Cannabis Use In Adolescents: A Longitudinal Cohort Analysis, Cynthia Estrella Ortiz Jan 2023

Examination Of The Bidirectional Relationship Between Anhedonia And Vaporized Cannabis Use In Adolescents: A Longitudinal Cohort Analysis, Cynthia Estrella Ortiz

All ETDs from UAB

Cannabis is the most commonly used illicit substance in the United States, and the prevalence of cannabis use has increased in recent years following changes in. One method that has become increasingly popular among adolescents is vaporized cannabis. Current research appears to be contradictory, whereas some studies indicate that vaporized cannabis use can boost mood, other investigations have indicated that vaporized cannabis use is associated with an increase in depressive symptoms. A limited number of research studies have also identified a relationship between cannabis use and anhedonia, however, this relationship is unclear, particularly among adolescents. Due to the reported adverse …

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Increasing Naloxone Access For Persons Who Use Opioids: An Online Recruitment And Training Approach To Opioid Overdose Education And Naloxone Distribution, Michelle L. Sisson Jan 2023

Increasing Naloxone Access For Persons Who Use Opioids: An Online Recruitment And Training Approach To Opioid Overdose Education And Naloxone Distribution, Michelle L. Sisson

All ETDs from UAB

Drug overdose is the primary cause of accidental death in the United States, with a majority of those fatalities involving opioids. Annual rates of fatal opioid overdoses have exponentially increased over the past two decades, leading to the declaration of the current opioid epidemic. The severity of the epidemic has increased due to an upsurge in the use of heroin, synthetic opioids (e.g., fentanyl), and the lacing of other substances with synthetic opioids. As such, federal agencies have made recommendations aimed at combating fatal opioid overdose including the enhancement of naloxone distribution. Administration of naloxone has been expanded from emergency …

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Uncovering The Mental World Of Children: Attachment Quality, Mentalization, And Children’S Drawings, Holly Rosen Jan 2023

Uncovering The Mental World Of Children: Attachment Quality, Mentalization, And Children’S Drawings, Holly Rosen

Selected Full Text Dissertations, 2011-

Although we have long been aware of the widespread benefits of drawing for children (Goodenough, 1926), there is much to learn from a clinical perspective about children’s attachment patterns and mentalization capacities in analyzing their drawings. The present study utilized archival data to uncover trends associated with children’s drawing characteristics, attachment qualities, and mentalization capacities. This study further explored the extent to which mentalization mediates the relationship between attachment quality and Formal Elements (FE) scores as well as the relationship between attachment quality and Content scores of children’s drawings. Two samples of 5–12-year-old children and their caregivers were recruited: one …

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Is The Relationship Between Adverse Childhood Experiences And Adult Belief In Paranormality Moderated By Locus Of Control?, Michelle Alessia Cardone M.S., M.A. Jan 2023

Is The Relationship Between Adverse Childhood Experiences And Adult Belief In Paranormality Moderated By Locus Of Control?, Michelle Alessia Cardone M.S., M.A.

Selected Full Text Dissertations, 2011-

Research has established a relationship between adverse childhood experiences (ACEs) and belief in paranormal phenomena (Lawrence et al., 1994). In the present study, I sought to replicate this finding in more detail by examining seven dimensions of paranormality. Further, the current study investigated whether locus of control moderated the relationship between ACEs and paranormal belief. I hypothesized that ACEs positively correlated with paranormal belief. Further, I hypothesized that the relationship between ACEs and paranormal belief would be moderated by locus of control, such that, the stronger the internal locus of control, the weaker the relationship between ACEs and paranormal belief. …

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The Effect Of A Discrete Higher Education Student Success Program On Feelings Of A Sense Of Belonging, Alexandra Sophia Cruz Jan 2023

The Effect Of A Discrete Higher Education Student Success Program On Feelings Of A Sense Of Belonging, Alexandra Sophia Cruz

Selected Full Text Dissertations, 2011-

This mixed methods case study examined how a student success program at a private four-year college in the eastern region of the United States may enhance student success and students’ associated feelings of a sense of belonging. Results and findings add to the overall student success literature and may benefit other institutions in higher education through viewing sense of belonging as a gateway to retaining students. The researcher used an explanatory sequential mixed method design that involved collecting quantitative data first through a University Belonging Questionnaire (UBQ) and then explaining the quantitative results through in-depth qualitative data acquired through zoom …

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An Exploration Of Ell Teachers’ Conception Of Metacognition And Its Use In Elementary School Classrooms, Arete Galanis Jan 2023

An Exploration Of Ell Teachers’ Conception Of Metacognition And Its Use In Elementary School Classrooms, Arete Galanis

Selected Full Text Dissertations, 2011-

Metacognitive instruction and pedagogy have been linked to self-aware, independent, and successful learning. A particular student population that may benefit from a focus on metacognitive instruction are English Language Learners (ELL). This Q methodology study uses a mixed methods approach to examine the dominant viewpoints, beliefs, and opinions of ELL teachers on metacognition, metacognitive instruction, and pedagogy. Data were analyzed from 25 suburban New York public school ELL teachers located in Nassau and Suffolk counties concerning their beliefs regarding the metacognition, metacognitive instruction, and pedagogy. In addition, demographics, and exposure to metacognition as a topic were assessed using a baseline …

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Shared Screens: A Qualitative Study Of Therapist Self-Disclosure Over Telehealth, Nathan Fordsham M.S. Jan 2023

Shared Screens: A Qualitative Study Of Therapist Self-Disclosure Over Telehealth, Nathan Fordsham M.S.

Selected Full Text Dissertations, 2011-

The following qualitative study explored how psychodynamic clinicians approach and use self-disclosure with patients over telehealth platforms. There is an abundance of research on therapist self-disclosure, with discussion of this topic dating back as early as Freud (1912) and Ferenczi (1933), and since spanning the spectrum of theoretical orientation and practice. There is some literature on psychotherapy over telehealth, with a recent surge in research as a response to the COVID-19 pandemic. There is less research on psychodynamic therapy or psychoanalysis over telehealth (Wolson, 2021), and to the author’s knowledge, no research on therapist self-disclosure and telehealth. This study aimed …

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The Perceptions Of Teachers Regarding Mindfulness Training As A Means To Foster Growth And Academic Success In The Classroom, Brian T. Nolan Jan 2023

The Perceptions Of Teachers Regarding Mindfulness Training As A Means To Foster Growth And Academic Success In The Classroom, Brian T. Nolan

Selected Full Text Dissertations, 2011-

Mindfulness-based training of educators in our schools is a necessary skill for the success of young children. As a professional educator and a parent of three children, my interest is in exploring this topic and uncovering the why behind student executive functioning skills and the mindfulness-based strategies incorporated into their learning capabilities. As a necessity to learning, students benefit from having self-regulatory abilities in order to tackle the inherent stressors and adversities of their evolving lives. Our schools have steadily become centers of learning in which students are taught fundamental strategies to benefit their scholastic journey. Teachers and school staff …

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Guidance And Support For One-To-One Paraprofessionals: A Multiple Regression Analysis, Amanda A. Agurkis Jan 2023

Guidance And Support For One-To-One Paraprofessionals: A Multiple Regression Analysis, Amanda A. Agurkis

Selected Full Text Dissertations, 2011-

Research has focused on methods to support, train, and prepare one-to-one paraprofessionals from perspectives of administrators and teachers. This quantitative study extended research by investigating perspectives of one-to-one paraprofessionals on preparation, support, communication, feedback, and involvement in planning. These variables were investigated using 20 statements on a Likert-scale survey. Demographic information of participants include age, gender, age level of student, passage of the Assessment of Teaching Assistant Skills (ATAS), years of experience in education, type of class student is in, and professional preparation were surveyed as well. A convenience sample of 50 participants responded to the survey. Pearson’s correlation coefficients …

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Does Perceived Emotional Invalidation Moderate The Relation Between Occupational Stress And Mental Health Outcomes In Law Enforcement Officers?, Sahar Jaafar M.S.; M.A. Jan 2023

Does Perceived Emotional Invalidation Moderate The Relation Between Occupational Stress And Mental Health Outcomes In Law Enforcement Officers?, Sahar Jaafar M.S.; M.A.

Selected Full Text Dissertations, 2011-

Police officers are exposed to operational stressors while on duty, including child abuse, domestic violence, car crashes, and homicides (Jetelina et al., 2020). Repeated exposure to these stressors is associated with the development of mental illness (Jetelina et al., 2020). Organizational stressors, including lack of support/validation, demand, job pressure, administrative/organizational pressure, and long working hours, may be an even greater source of stress for police officers (Purba & Demou, 2019). Exposure to such organizational stressors can result in psychological distress, burnout, and suicidal ideation (Purba & Demou, 2019). However, there is a dearth of research on invalidation and the role …

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Heaven Education: Utilizing Mixed Methods To Analyze Why Gifted Education Is Culturally Relevant For Chinese Americans, Julie M. Milner Jan 2023

Heaven Education: Utilizing Mixed Methods To Analyze Why Gifted Education Is Culturally Relevant For Chinese Americans, Julie M. Milner

Selected Full Text Dissertations, 2011-

This mixed methods study examined why gifted education is culturally relevant to Chinese Americans and why parents desire gifted education for their children. At a time when accelerated learning is at odds with equity ideals, parents from the communities comprising the Asian umbrella have mobilized to fight to keep these academic opportunities for their children. These parents have been labeled as ‘white adjacent’ in order to shut them down as ‘racists’ when they speak out. The large number of Asian students in accelerated education has led to the accusation of them being ‘resource hoarders’. Even gifted education scholars have used …

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Psychologists' Experiences Providing Cognitive-Behavioral Therapy (Cbt) To Children Via Telehealth, Carly Apar M.S. Jan 2023

Psychologists' Experiences Providing Cognitive-Behavioral Therapy (Cbt) To Children Via Telehealth, Carly Apar M.S.

Selected Full Text Dissertations, 2011-

Due to COVID-19, psychologists were forced to rapidly transition to telehealth. While about 1% of American Psychological Association (APA) clinicians used telehealth for most clients pre-pandemic, 92% used telehealth post-pandemic onset (APA, 2020). However, research has not yet thoroughly assessed psychologists’ experiences providing child teletherapy. This study fills that gap by exploring psychologists’ experiences providing virtual child cognitive-behavioral therapy (CBT). This study is important for teletherapy’s potential use for children lacking access to care. Eighteen clinical psychologists who provided CBT to children (ages 7-12) were recruited by sending a flyer to the researcher’s graduate program’s alumni and training sites, child …

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Transgender Family Transitions: A Sibling Perspective, Mariessa Robles M.S. Jan 2023

Transgender Family Transitions: A Sibling Perspective, Mariessa Robles M.S.

Selected Full Text Dissertations, 2011-

As more families are seeking professional help to navigate issues surrounding gender, there is a growing need for clinicians who can assist in the family transition that accompanies an individual’s gender transition process (Coolhart, Ritenour, & Grodzinski, 2018). While family therapy literature is currently expanding to address families with a transgender member, existing psychological thought mostly centers therapeutic focus on the identified transgender individuals and their parents, neglecting the roles and experiences of siblings in this process (Blumer, Green, Knowles, & Williams, 2012). The purpose of this qualitative study was to explore the experiences of those who had a sibling …

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Faculty Perceptions And Beliefs About Utilizing Social Media As A Teaching Tool In Higher Education: A Q Methodology Study, April Robinson Jan 2023

Faculty Perceptions And Beliefs About Utilizing Social Media As A Teaching Tool In Higher Education: A Q Methodology Study, April Robinson

Selected Full Text Dissertations, 2011-

The purpose of this study was to examine college faculty’s perceptions, beliefs, and attitudes concerning the use of social media as a teaching and learning tool, and to determine possible factors that may influence their perceptions, beliefs, and attitudes about social media use in the classroom. For this purpose, Q Methodology which is a mixed-methods approach was used to study the subjectivity of the participant’s perceptions and beliefs objectively. Q methodology systematically can reveal the shared perceptions and beliefs of college faculty. Data were analyzed from 19 teaching faculty in Long Island, New York. This study identified and examined the …

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Spilling The Tea, Memoir Of A Future's Past: A Scholarly Personal Narrative, Dominique Jerome Hector Jan 2023

Spilling The Tea, Memoir Of A Future's Past: A Scholarly Personal Narrative, Dominique Jerome Hector

All ETDs from UAB

Lesbian, Gay, Bisexual, Transgender, and Questioning (LGBTQ) individuals and topics have been at the precipice of media coverage and policy decisions for decades. With the passage of same sex marriage by the Supreme Court in 2015, this ushered in a new era of unearthing narratives that are unique to LGBTQ+ identities. Although this is a huge advancement for this population here within the United States, scholars have posited how these identities intersecting with other social constructs such as race, gender, socioeconomic status, and social justice have reimaged how LGBTQ+ identities are viewed and treated in the country. Although there is …

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Physical Activity And Related Social Cognitive Theory Constructs By Major Depression Status In Persons With Multiple Sclerosis, Catherine Danielle Jones Jan 2023

Physical Activity And Related Social Cognitive Theory Constructs By Major Depression Status In Persons With Multiple Sclerosis, Catherine Danielle Jones

All ETDs from UAB

Major depressive disorder (MDD) is highly prevalent among the 1 million per-sons living with multiple sclerosis (MS) in the United States. The prevalence of MDD is nearly 1.7 times higher in persons with MS than in the general population. MDD is associated with negative outcomes in MS, including worse neuropsychological functioning, lower quality of life (QOL), and worse disability. Higher levels of physical activity (PA) are associated with lower depressive symptoms in MS and participation in moderate to vigorous physical activity (MVPA) has been recommended for managing depression se-verity in the general population. However, the rates, patterns, and behavioral correlates …

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