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Articles 21841 - 21870 of 796824
Full-Text Articles in Entire DC Network
The Role Of The Coach In Student-Athlete Engagement, Christina Cobb
The Role Of The Coach In Student-Athlete Engagement, Christina Cobb
Electronic Theses & Dissertations (2024 - present)
Student engagement has long been recognized as a key indicator of student success in higher education, but limited research has examined engagement within the context of intercollegiate athletics. This qualitative case study explored how college coaches influence student-athlete engagement and how student-athletes utilize athletic department support services designed to promote engagement practices. Guided by Kuh et al.’s (2006) theory of student engagement, this study examined engagement through the lens of time and effort invested in educationally purposeful activities and the institutional environments that support or constrain participation.
Participants included six student-athletes, four coaches, and two athletic department administrators at a …
Examining Ketamine's Differential Impact On Posttraumatic Stress Disorder Symptoms Using The Ptsd Checklist For Dsm-5, Samantha G. Gomez
Examining Ketamine's Differential Impact On Posttraumatic Stress Disorder Symptoms Using The Ptsd Checklist For Dsm-5, Samantha G. Gomez
Electronic Theses & Dissertations (2024 - present)
Posttraumatic stress disorder (PTSD) can be a debilitating and chronic condition. Current gold standard treatments are effective but face high dropout rates. Ketamine therapy is a promising and alternative treatment for those struggling with PTSD symptoms. Prior research has indicated significant reductions in overall PTSD symptoms. However, research regarding symptom-specific changes following ketamine therapy is limited. The present study aimed to extend previous work by MacConnel and colleagues (2025) regarding significant decreases in total PTSD Checklist for DSM-5 (PCL-5) scores following ketamine treatment at an outpatient ketamine center, as well as examine potential symptom-specific changes. A final sample of 142 …
Initial Development Of Contextualized Social-Emotional Learning Assessment Tool For The Indonesian School, Nisrina Nurika Agustin
Initial Development Of Contextualized Social-Emotional Learning Assessment Tool For The Indonesian School, Nisrina Nurika Agustin
Electronic Theses & Dissertations (2024 - present)
As social-emotional learning (SEL) becomes increasingly integrated into the Indonesian national curriculum, a significant gap remains regarding culturally grounded tools to measure student progress. Current assessments often rely on Western-centric frameworks that prioritize individualistic traits over the collectivist values—such as communal harmony and the 5S tradition—prevalent in Indonesian schools. This study aimed to develop and provide initial item generation for a localized SEL assessment tool for primary school students (Grades 1–3). Utilizing a Deductive Qualitative Analysis (DQA) design, the research drew upon the CASEL framework for structural alignment while employing inductive methods to ensure cultural relevance. Data were collected through …
Rethinking Theories Of Political Discourse: The Limitations Of The Deliberative-Agonistic Split, Connor Moran
Rethinking Theories Of Political Discourse: The Limitations Of The Deliberative-Agonistic Split, Connor Moran
Electronic Theses & Dissertations (2024 - present)
What are “theories of political discourse,” why do they matter to political theory, and where do current ones fall short? This dissertation mines the existing resources availed by contemporary democratic theory in order to respond to the discursive challenge of “pernicious polarization,” particularly in the United States. The most comprehensive and influential theories of political discourse today have been furnished by the almost 40-year debate between deliberative democracy and agonism, both of which offer normative models centered on ameliorating the quality of political discourse.
The key finding of the dissertation is that the foundational works of the deliberative-agonistic split lack …
Academic Satisfaction Of Graduate Students In Mental Health Professions: Mediating Roles Of Burnout And Engagement, Yu Ying Li
Electronic Theses & Dissertations (2024 - present)
Academic satisfaction for students is as critical to their retention and well-being as job satisfaction for working adults; however, it has received limited empirical attention particularly among graduate students in mental health-related programs. One of the barriers to mental health trainees’ satisfaction with their academic training is burnout. The current study evaluated the applicability of Study Demands-Resources (SD-R) framework (Lesener et al., 2020) to trainees. Specifically, this study examined the relations between study demands (i.e., perceived stress), study resources (i.e., supervisory alliance and social support), student burnout, student engagement, and academic satisfaction. It also tested if student burnout and engagement …
Understanding Support And Success: A Cross-Group Analysis Of Student Support Services And Nontraditional Graduate Student Experience, Erica Shudt
Electronic Theses & Dissertations (2024 - present)
This study explored how nontraditional graduate students perceive their experiences with student support services within a Research 1, public university. The purpose of this study was to understand how these services impact their overall academic experience. Findings from semi-structured interviews with nontraditional graduate students and student support staff using a qualitative approach revealed four themes. These themes included (1) a shared emphasis on connection and belonging, (2) flexibility as a foundation for support and success, (3) individualized student-centered support, and (4) the acknowledgement of nontraditional student support identity. Both groups identify that meaningful support is within relationships with faculty and …
German Science, American Manufacturing: Ethnic Capital, Transnational Technology, And Corporate Development At Bausch & Lomb, 1853–1953, George L. Grobe Iv
German Science, American Manufacturing: Ethnic Capital, Transnational Technology, And Corporate Development At Bausch & Lomb, 1853–1953, George L. Grobe Iv
Electronic Theses & Dissertations (2024 - present)
This dissertation examines the first century of the Bausch & Lomb Optical Company, founded in Rochester, NY in 1853 by German immigrants John Jacob Bausch and Henry Lomb. It argues the firm’s success was driven by leveraging of management’s German ethnic identity as “ethnic capital” to access resources like financial liquidity, immigrant labor, and technical expertise. These resources allowed for the transformation of the firm from a small optical retail shop into a major manufacturer of advanced optical instruments. However, as later generations of the family Americanized, the ability of the firm to leverage ethnic capital eroded until breaking completely …
Becoming-With The Earth: Contemplative Practice As A Critical Onto-Epistemic Resource For Planetary Belonging, Care, And World-Making, Megan M. Fowler
Becoming-With The Earth: Contemplative Practice As A Critical Onto-Epistemic Resource For Planetary Belonging, Care, And World-Making, Megan M. Fowler
Electronic Theses & Dissertations (2024 - present)
In an era of accelerating planetary crisis, social work is called to reimagine its theories, methods, and practices beyond anthropocentric frameworks that separate human wellbeing from the health of the Earth and its resplendent living systems. Working in the space of transformative eco-social work, a growing chorus of voices contends that eco-centric responses require broadening the scope of health, welfare, justice, and care to extend beyond the human, to include the more-than-human world upon which all life intimately depends—understandings resonant with Indigenous and other relational knowledge systems long marginalized by colonialist-capitalist-modernity. Drawing from eco-feminist, eco-queer, decolonial, and post-anthropocentric lineages of …
A Moderated Mediation Analysis Of Mental Health Literacy, Personal Stigma, And Gender On Help-Seeking Intentions In College Students, Anna M. Gentile
A Moderated Mediation Analysis Of Mental Health Literacy, Personal Stigma, And Gender On Help-Seeking Intentions In College Students, Anna M. Gentile
Electronic Theses & Dissertations (2024 - present)
Although many college students experience mental health challenges, help-seeking rates remain disproportionately low relative to reported need (Abelson et al., 2022). Identifying factors that facilitate help-seeking is critical for improving access to mental health support in this population. Prior research has identified mental health literacy as a significant predictor of help-seeking behavior and intentions among college students (Gorczynski et al., 2017; Smith & Shochet, 2011), whereas personal stigma, which is defined as a person’s negative attitude towards people with mental health concerns (Griffiths et al., 2006), has been consistently associated with reduced help-seeking (Abelson et al., 2022). Grounded in the …
Perceptions Of Psilocybin-Assisted Psychotherapy And Standard Interventions For Nicotine Cessation, Philip Kamilar-Britt
Perceptions Of Psilocybin-Assisted Psychotherapy And Standard Interventions For Nicotine Cessation, Philip Kamilar-Britt
Electronic Theses & Dissertations (2024 - present)
Clinical trials suggest potential therapeutic utility of psilocybin-assisted psychotherapy (PAP) for nicotine cessation. In response to promising outcomes, research into PAP for nicotine dependence is growing. However, attitudes towards PAP among the general public, especially daily nicotine users, remains understudied. To address this knowledge gap, we recruited daily nicotine users (N=534) to complete an anonymous online survey with questions on demographics, nicotine use, prior history with psychedelics, and attitudes towards PAP and standard interventions for nicotine cessation. As hypothesized, daily nicotine users were more familiar with standard interventions and rated them more favorably than PAP. Despite differences in treatment attitudes, …
From Written Curriculum To Classroom Practice: Teacher Supplementation In The Teaching Of American Slavery In Florida And New York, Matthew T. Maloof
From Written Curriculum To Classroom Practice: Teacher Supplementation In The Teaching Of American Slavery In Florida And New York, Matthew T. Maloof
Electronic Theses & Dissertations (2024 - present)
This study examined how K–12 public school teachers in Florida and New York perceived the adequacy of curriculum standards and instructional materials for teaching American slavery, how they responded when those materials were perceived as limited, and how the standards and materials aligned with Shuster’s (2018) Ten Key Concepts for Teaching American slavery. Using a qualitative multi-method design, the study combined qualitative survey research with document analysis. Teachers’ open-ended survey responses were analyzed through a Modified Grounded Theory approach, while curriculum standards and instructional materials were analyzed in relation to Shuster’s framework. The final sample included 41 teachers, including 20 …
Psychometric Assessment Of The Facilitative Systemic Intervention Skills Rating System– Spanish Version, Sarah J. Crosky
Psychometric Assessment Of The Facilitative Systemic Intervention Skills Rating System– Spanish Version, Sarah J. Crosky
Electronic Theses & Dissertations (2024 - present)
Despite the growing understanding of therapist factors in client outcomes, there remains limited understanding of the skills that distinguish effective family therapists. The aim of the present study was to assess the interrater reliabilities and factorial structure of a Spanish version of the Facilitative Systemic Intervention Skills (FSIS; Jones et al., 2023a), an observational rating system for evaluating the skillfulness of family therapists in delivering systemic interventions. The FSIS includes eight empirically and theoretically informed systemic therapy skills (Inclusiveness, Empathy for Relational Difficulties, Responsiveness to Safety Concerns, Collaborative Stance, Conceptualizing Family Problems Systemically, Responsiveness to Disparate Goals, Focus on Family …
Adverse Childhood Experiences And Intellectual Disabilities: A Population-Based Comparison, Sarah Hurst, Astrida S. Kaugars
Adverse Childhood Experiences And Intellectual Disabilities: A Population-Based Comparison, Sarah Hurst, Astrida S. Kaugars
Modern Psychological Studies
Childhood is a critical time for development, and negative experiences during this period may have lasting consequences. Children with intellectual disabilities (ID) are at greater risk for adverse childhood experiences (ACEs) than children without ID. Using data from the 2022 National Survey of Children’s Health (U.S. Census Bureau), we assessed the frequency of ACEs reported based on IDs. Participants were caregivers of 528 children currently diagnosed with an ID and a random sample of 528 children selected from the remaining 49,755 respondents without an ID. As hypothesized, parents of children with ID reported a statistically significant greater number of total …
The Relationship Between Helicopter Parenting And Child Depression And Anxiety: A Literature Review, Leah Wong
The Relationship Between Helicopter Parenting And Child Depression And Anxiety: A Literature Review, Leah Wong
Modern Psychological Studies
Child and adolescent mental health have been a subject of increasing concern. Likewise, an emerging pattern of childrearing, known as helicopter parenting, has been gaining attention for its association with negative outcomes. This literature review investigates the relationship between helicopter parenting and children’s depressive and anxious symptoms. The review applies various theories, including parenting styles and self-determination, alongside considerations of early childhood experiences and cultural differences in childrearing. It draws on the current body of research regarding the impacts of such concepts to examine connections between helicopter parenting and child psychopathology. Overall, this literature review found that helicopter parenting impedes …
Digitization Of The Switching Stroop Task, Keagan Duster, Delia Mozqueda-Fuhrmeister, Kesten Anderson, Molly Conway, John Piaszynski, Aaron Winder, Conor Courtney, Kanchna Ramchandran
Digitization Of The Switching Stroop Task, Keagan Duster, Delia Mozqueda-Fuhrmeister, Kesten Anderson, Molly Conway, John Piaszynski, Aaron Winder, Conor Courtney, Kanchna Ramchandran
Modern Psychological Studies
The Switching Stroop (SS) task is a modification of the neuropsychological assessment, the Color Word Interference (CWI) task, which measures inhibition of pre-potent response. Both tests measure the ability to select and match appropriate responses to a cued dimension (instruction) of a stimulus. However, the SS additionally incorporates the ability to adapt to consecutive conflicting stimuli (the construct of dynamic adjustments of control). By integrating with existing commercial software for administering remote neuropsychological tests, we were able to digitize a previously published version of the SS, enhancing user friendliness and functionality. This electronic version of the SS provides a plethora …
Comorbidity Between Ptsd And Eds: Occurrence, Mutual Facilitation, And Integrated Treatment, Ava Avolio
Comorbidity Between Ptsd And Eds: Occurrence, Mutual Facilitation, And Integrated Treatment, Ava Avolio
Modern Psychological Studies
This article reviews literature related to comorbid post-traumatic stress disorder (PTSD) and eating disorders (ED). Meta-analysis estimates that about one in five people who present with PTSD are also diagnosed with a comorbid eating disorder and about one in four people who present with an eating disorder are diagnosed with comorbid PTSD. However, despite the widespread occurrence, an integrated evidence-based treatment has yet to be established. Preliminary research proposes multiple theories for comorbidity rates. Some propose stress-induced glutamatergic dysfunction may facilitate both disorders, while others contend disordered eating behaviors are maladaptive coping mechanisms for negative affect. Regardless of the underlying …
Parenting For Autonomy: New Insights Into Warmth, Leniency, And Emotion Regulation, Elizabeth O. Arroyo, Ana Paula M. Constantino, Dolly P. Rojo
Parenting For Autonomy: New Insights Into Warmth, Leniency, And Emotion Regulation, Elizabeth O. Arroyo, Ana Paula M. Constantino, Dolly P. Rojo
Modern Psychological Studies
Past parenting research has focused on Maccoby and Martin's (1983) two parenting qualities, Warmth and Demandingness. We know that these can affect several children's outcomes, including academic achievements (e.g., Pinquart, 2016) and self-esteem (Pinquart & Gerke, 2019). Still, we know less about the impacts of parental qualities on children’s autonomy, and even less about the impact that qualities of more modern parenting styles (e.g., emphasis on promotion of emotional regulation skills) might have on children’s outcomes. Our study explores the associations of parent’s Warmth, Demandingness, leniency, and promotion of emotional regulation skills on children’s autonomy. We predicted that parental Warmth, …
Foreign-National Families, Education, And Parenting: Unpacking The Influence Of Cultural Transitions On Child-Rearing And Expectations, Yuqi Zhang
Theses and Dissertations
This qualitative study examines how highly skilled foreign-national parents navigate parenting and educational decision-making within the context of cultural transition in the United States. While existing research on foreign-national parenting has largely focused on socioeconomically disadvantaged populations, less is known about families who possess substantial educational and professional capital. Despite these advantages, these parents encounter unique challenges related to institutional navigation, identity negotiation, and social constraints. Guided by Bronfenbrenner’s bioecological theory, Coleman’s social capital theory, Berry’s acculturation framework, and Yosso’s community cultural wealth model, this study explores how cultural background and migration experiences shape highly skilled foreign-national families’ parenting beliefs …
Psychometric Evaluation Of The Treatment Integrity Instrument For Elementary School Classrooms - Observer Report: Preliminary Evidence For Construct And Discriminative Validity, Cristian J. Rivera Nales
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
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 …
The Ethereal Being That Is Me, And Maybe You, Hwiy Chang
The Ethereal Being That Is Me, And Maybe You, Hwiy Chang
Theses and Dissertations
The Ethereal Being That Is Me, and Maybe You is a 23-minute video collection of short stories accompanied by an installation at the Institute for Contemporary Art at Virginia Commonwealth University. This thesis explores the work’s creation as a visual and narrative meditation on self-transformation, drawing from personal experiences in therapy and philosophical texts including Carl Jung’s concept of the unconscious. The paper examines how each story represents a distinct stage of transformation—from recognizing patterns to confronting setbacks to reshaping internal dialogue—and how watercolor’s fluid, unpredictable nature serves as a visual metaphor for the process of change. The installation component …
There Is A Puddle In Stonehenge, Nathaniel Newcomb
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 …
Examining Mental Healthcare Underutilization Among Latino Immigrants: Healthcare Providers’ And Community Health Workers' Perspectives, Geovani Muñoz
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 …
Algorhythm: Commodification Of Hobbies On Social Media Platforms, Fariha Ahmed
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 …
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
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 …
Mediator: Ornament As A Visual Language Of The Transcendent, Selma Fejzullaj
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 …
Not Just Cheap Labor: A Critical Mixed Methods Assessment Of Working Learner Supervision To Advance Equitable Work-Integrated Learning, Jonathan D. Fuller
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 …
Examining Youth Ethnic Identity And Parental Familismo As Protective Factors Against Bicultural Stress And Internalizing Symptoms In Latino Youth, Daniella Olivares
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 …
Proof Of Recovery: A Model To Enhance Data Integrity In Data Management Systems, Gustaf Barkstrom
Proof Of Recovery: A Model To Enhance Data Integrity In Data Management Systems, Gustaf Barkstrom
Theses and Dissertations
Businesses lose millions of dollars every year when they can’t restore data from backups. Research shows that Disaster Recovery Plan (DRP) testing is not conducted frequently enough, nor are records maintained that demonstrate full data recovery from backups. This work introduces a design science artifact called PRTOK that aims to increase DRP testing. The design science artifact is a software solution that integrates with Data Management Systems (DMS)
such as iRODS and DSpace, and can work with formats such as HDF5 and BagIt. Proof-of- recovery records, or tokens, are recorded in a replicated, resilient, and indelible proof-of- authority blockchain data …
Managing Identity, Claiming Expertise, And Emotional Labor: A Constructivist Grounded Theory Of The Experience Of People With Serious Mental Illnesses In Primary Care, Jeffrey Ciak
Theses and Dissertations
People with serious mental illnesses (SMI) die 15 to 20 years before their peers without mental illness primarily due to chronic physical health conditions. Preventative care and treatment for chronic physical health conditions primarily occurs through primary care, but the experience of people with SMI in primary care is understudied. This constructivist grounded theory dissertation explored the experiences of people with SMI in primary care. Theoretical sampling resulted in 19 participants who were adults with SMI and long-term anti-psychotic use. Data was collected through one-to-two-hour long intensive interviews. The analytical process occurred concurrently with data collection. The abductive analytical process …