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Articles 2131 - 2160 of 113926
Full-Text Articles in Arts and Humanities
How Dentists Can Remain Advisors Of Merit To Their Patients, Daniel L. Orr Ii, Dds, Ms (Anesth), Phd, Jd, Md, Facd (Nevada Section Chair)
How Dentists Can Remain Advisors Of Merit To Their Patients, Daniel L. Orr Ii, Dds, Ms (Anesth), Phd, Jd, Md, Facd (Nevada Section Chair)
Journal of the American College of Dentists
This article examines how members of the dental profession can sustain their longstanding reputation as trusted advisors amid declining public confidence in major institutions. Grounded in ethical principles, informed consent, and professional self-regulation, dentistry has historically ranked among the most trusted professions. The discussion explores challenges to credibility, including media scrutiny, concerns about anesthesia safety, controversial treatment hesitancy, and debates over community water fluoridation. Emphasizing the concept of the “advisor of merit,” the author argues that continued trust depends on truthful communication, transparency about risks, respect for patient autonomy, and freedom from conflicts of interest in clinical and public health …
Catholic Solidarity In American Jesuit Education Through The Radical Kinship Of Fr. Greg Boyle: A Conceptual Analysis, Sajit U. Kabadi
Catholic Solidarity In American Jesuit Education Through The Radical Kinship Of Fr. Greg Boyle: A Conceptual Analysis, Sajit U. Kabadi
Journal of Catholic Education
This is a conceptual analysis that examines how American Jesuit secondary education can pursue greater Catholic solidarity in a polarized world through a framework of radical kinship, as espoused by Fr. Greg Boyle. Boyle is the founder of Homeboy Industries, the world’s largest gang rehabilitation program, in the city of Los Angeles. The purpose of this conceptual analysis is to delve deeper into Boyle’s conceptual framework of radical kinship in the context of American Jesuit secondary education. This conceptual analysis will use Catholic Social Teaching, Biblical references, and the values of the Jesuit mission.
Critical Feminist Editorial Praxis: My Tenure As The First Journal Editor Of Color Of Communication Monographs, Srivi Ramasubramanian
Critical Feminist Editorial Praxis: My Tenure As The First Journal Editor Of Color Of Communication Monographs, Srivi Ramasubramanian
Media Studies - All Scholarship
In this essay I theorize about Critical Feminist Editorial Praxis, which envisions journal editing as a site for scholar-activism. I use the term activism because to counter the hegemonic whiteness and coloniality of Communication knowledge requires active efforts to go against the taken-for-granted processes and practices. Journal editing is a significant location for interventions because this is often where we learn what is considered cutting-edge scholarship within our discipline. This significance is especially clear when the journal in question is a flagship publication of a leading professional organization. As I end my tenure as the first editor of color of …
We’Re The Aunties Now: Intersections Of Mourning Practices, Intergenerational Trauma, And Matrilineal Responsibility In Oneida Life, Marena Bridges
We’Re The Aunties Now: Intersections Of Mourning Practices, Intergenerational Trauma, And Matrilineal Responsibility In Oneida Life, Marena Bridges
Antioch University Dissertations & Theses
This dissertation examines how Oneida and broader Haudenosaunee mourning practices, as I have lived and understood them, shape grief, healing, and matrilineal responsibility in my family. Using Indigenous autoethnography and storywork, I first present a crafted narrative, then return to that narrative through reflexive thematic analysis. The analysis identifies patterned meanings in how grief is structured, shared, and carried across closely stacked deaths in the maternal line. Mourning practices function as community infrastructure that organizes time, redistributes labor, transmits knowledge, and sustains continuing bonds with the dead. At the same time, repeated loss produces a form of matriarchal ascension, concentrating …
Interpersonal Reckoning: The Liminal Space Between Rupture And Repair In Counselor Education, Phoenix E. Rosewood
Interpersonal Reckoning: The Liminal Space Between Rupture And Repair In Counselor Education, Phoenix E. Rosewood
Antioch University Dissertations & Theses
The purpose of this study is to understand and explore the phenomenon of the rupture, reckoning, and when possible, the repair process with racial, ethnic, and cultural (REC) microaggressions in counselor education. Participants (n = 14) included counselor educators who had either enacted a REC microaggression and attempted repair, or had been the recipient of an REC rupture and a meaningful attempt at repair. This study utilized a thematic analysis as a methodological framework in interpreting the data with the perspective of borderlands theory, critical embodied phenomenology, relational cultural theory and relational neuroscience analytical frameworks to account for and explain …
Acceptability, Usability, And Clinical Integration Of A Clinic-Based Digital Game For Hpv Education: Qualitative Perspectives From Adolescents, Parents, And Healthcare Providers, Elizabeth Reifsnider, Satya Subedi, Nouran Ghonaim, Megan Whaley, Angela Chia-Chen Chen
Acceptability, Usability, And Clinical Integration Of A Clinic-Based Digital Game For Hpv Education: Qualitative Perspectives From Adolescents, Parents, And Healthcare Providers, Elizabeth Reifsnider, Satya Subedi, Nouran Ghonaim, Megan Whaley, Angela Chia-Chen Chen
Ellmer School of Nursing Faculty Publications
Background/Objectives: HPV vaccination is safe, effective, and recommended at ages 11–12, yet uptake remains suboptimal. Serious video games may offer an innovative strategy to deliver brief, engaging education during clinic visits. This qualitative paper, embedded within a mixed-methods study, examined adolescents’, parents’, and healthcare providers’ (HCPs’) perceptions of the acceptability, usability, and perceived clinical applicability of HPV Detective, a tablet-based digital game designed to provide HPV-related education to parent–child dyads during pediatric clinic wait times. Methods: Eight adolescent–parent dyads (N = 16) and three HCPs from university-affiliated pediatric clinics participated in 30–60-min semi-structured Zoom interviews. Interviews were audio-recorded, transcribed, and …
Beyond The Brotherhood: Exploring Communal Leadership In Masculinity Contest Cultures, Scott A. Metzler
Beyond The Brotherhood: Exploring Communal Leadership In Masculinity Contest Cultures, Scott A. Metzler
Antioch University Dissertations & Theses
This phenomenological study explores the lived experiences of formal and informal leaders who exercise communal leadership, characterized by collaboration, inclusion, and relational focus, within the masculinity contest cultures of law enforcement and the fire service, where strength, competition, and hierarchical leadership often rule the day. Through in-depth qualitative interviews with 19 participants across the United States, this research investigates how and why leaders choose to challenge organizational norms, how they perceive the effects of their decisions on themselves and others, and how they navigate the tensions and contradictions between communal leadership and hypermasculine cultural expectations. The findings reveal that leaders …
Feeling Seen By Being Heard: A Constructivist Critical Incident Study Of The Listening Experiences Of Ciswomen Of Color For The Development Of An Inclusive Listening Praxis For Leaders, Christina Zhong-Wen Chang
Feeling Seen By Being Heard: A Constructivist Critical Incident Study Of The Listening Experiences Of Ciswomen Of Color For The Development Of An Inclusive Listening Praxis For Leaders, Christina Zhong-Wen Chang
Antioch University Dissertations & Theses
This study examines how listening shapes inclusive workplaces by exploring the listening experiences of 23 professional cisgender women of color working in predominantly white institutional spaces. Although listening is a fundamental part of communication, it is frequently undervalued and overlooked in leadership literature. Using the constructivist critical incident technique (CCIT) methodology, the research analyzed 88 significant moments when participants felt distinctly heard or unheard by leaders. Findings reveal that listening operated as a relational practice signaling respect, affirmation of voice, and anchoring leadership in accountability, while enabling leaders to engage perspectives beyond their own. Four listening types emerged: Listening Withheld, …
Righteous Defenders And Evil Challengers: The Morally Polarized Battle For Books On Reddit, Erika Casburn
Righteous Defenders And Evil Challengers: The Morally Polarized Battle For Books On Reddit, Erika Casburn
Antioch University Dissertations & Theses
The issue of book bans has moved to the forefront of public and political debate over the past few years. Anti-censorship advocates who defend against these challenges have yet to be studied. The purpose of this study was to examine the beliefs and worldviews as expressed by those defenders in a public forum—Reddit. Data in the form of Reddit threads was collected from subreddits belonging to states that have seen the greatest number of book challenges. This data was subjected to discourse analysis, first manually, then by qualitative analysis software (MAXQDA). Analysis revealed that defenders spent a majority of discursive …
Navigating Financial Futures: A Case Study Of A Targeted Financial Literacy Program For African American College Students, Michael L. James
Navigating Financial Futures: A Case Study Of A Targeted Financial Literacy Program For African American College Students, Michael L. James
Antioch University Dissertations & Theses
This dissertation presents a qualitative analysis of a targeted financial literacy program designed for African American college students. The dissertation examined how African American college students describe and make meaning of their participation in a targeted financial literacy program, particularly in relation to the program’s structure, content, and delivery. Despite growing interest in financial literacy education, interventions that acknowledge the persistent wealth gap and systemic financial inequities faced by African Americans remain underexplored. Employing a case study research method within a program understanding framework, this study investigated a program at Historically Black Colleges and Universities (HBCUs). Findings reveal that the …
The Lived Experience Of Tenders Of Community Grief Rituals, Margaret Y. Wilson
The Lived Experience Of Tenders Of Community Grief Rituals, Margaret Y. Wilson
Antioch University Dissertations & Theses
The purpose of this research study is to gain an understanding of the lived experience of tenders of community grief rituals, and how tenders make meaning of their experiences. This study utilized photo elicitation and a reflexive thematic analysis. Participants (N = 11) provided one to three photographs that captured their experience of grief and/or tending grief rituals. The results identified 10 themes supported by subthemes: (a) Grief Tender Wisdom About the Nature of Grief, (b) Life’s Many Experiences are Sources of Grief, (c) The Multifaceted Impacts of Grief-Body, Anger, Compassion, Empathy, Resilience, Gratitude, Joy, and Love, (d) The Nuances …
The Use Of Mindfulness In Empirically Supported Treatments In Psychology, Timothy Stewart
The Use Of Mindfulness In Empirically Supported Treatments In Psychology, Timothy Stewart
Antioch University Dissertations & Theses
After gaining popularity in the United States of America (USA) in the 1960s and 1970s, Buddhist mindfulness was introduced to clinical psychology and investigated for its potential psychological healing effects. In the years since, mindfulness has been widely used in empirically supported treatments (ESTs) in clinical psychology in the USA to treat a wide variety of psychological conditions and disorders. This dissertation examines and compares conceptualizations and implicit understandings of mindfulness in early (Theravāda) Buddhism and in ESTs in clinical psychology in the USA. Through textual narrative analysis of two Buddhist sutta and 10 clinical psychology journal articles, this study …
Do You See What I Hear?: The Effects Of Musical Harmony On Cultural Perception And Recognition, Marvin Martin Williams
Do You See What I Hear?: The Effects Of Musical Harmony On Cultural Perception And Recognition, Marvin Martin Williams
Antioch University Dissertations & Theses
This study explores whether listeners can identify the differences in harmonic progressions in a musical composition, and, if so, whether those differences can elicit a cultural or social perception of the origins of the music. By investigating how audiences respond to variations in harmony, specifically traditional versus altered harmonic treatments, the research offers a framework for music producers, educators, healthcare providers, and other cultural gatekeepers to better understand and engage with audiences on an empathetic and meaningful level. The underlying hypothesis posits that harmony in music does more than evoke emotion but may inform a cultural interpretation, thus presenting an …
The Phenomenon Of Church Growth Through Authenticity: How African American Gen Z Christians Are Sharing The Gospel Of Jesus Christ Without The Program Structure Of The Black Baptist Church, Devin E. West
Antioch University Dissertations & Theses
This dissertation examines the perspectives of Black Generation Z Christians regarding factors within the Black Baptist church that may limit their full engagement. In this study, the Black Baptist church refers to congregations with predominantly Black membership led by Black pastors. Generation Z, born between 1997 and 2012, is forming its religious identity within a rapidly changing cultural and institutional environment. Historically, the Black Church has served as a central institution in African American communities, functioning as a place of worship as well as a source of social support, leadership development, identity formation, and justice advocacy (Lincoln & Mamiya, 1990). …
Approaching Social Cohesion And Social Progress From A Systems Perspective: A Mixed Methods Analysis Of The Canadian Multiculturalism Act, Melissa Kimmel
Approaching Social Cohesion And Social Progress From A Systems Perspective: A Mixed Methods Analysis Of The Canadian Multiculturalism Act, Melissa Kimmel
Antioch University Dissertations & Theses
Social cohesion plays an important role in supporting stable, equitable, and resilient societies. Growing social division and polarization have weakened collective trust and challenged progress in many nations. Understanding how social cohesion can be strengthened has become increasingly important as societies face rising inequality, political partisanship, and declining institutional legitimacy. This study examines how social cohesion can function as a systemic driver of social progress through the example of Canada’s Multiculturalism Act. The Act provides a lens for understanding how national policy can serve as a way to strengthen inclusion, equality, and belonging within diverse societies. This study utilizes a …
Weaving Leadership: A Participatory Narrative Inquiry Into Alaska Native Women’S' Relational And Intersectional Leadership, Aleesha Ikayuk Towns-Bain
Weaving Leadership: A Participatory Narrative Inquiry Into Alaska Native Women’S' Relational And Intersectional Leadership, Aleesha Ikayuk Towns-Bain
Antioch University Dissertations & Theses
Alaska Native women have long supported their families, Tribes, and communities through leadership that is relational, adaptive, and rooted in Indigenous cultural values. In recent years, Alaska Native women have assumed significant leadership roles within a diverse range of Western sectors—including government, business, higher education, and nonprofits—while maintaining roles as critical culture holders and community builders. Despite their contributions, the leadership experiences of these women are poorly understood in both leadership practice and scholarship. The purpose of this research project was to explore how Alaska Native women make meaning of their leadership experiences through Indigenous relational values and at the …
The Efficacy Of International Conflict Feminism In Postconflict Peacebuilding: Learning From The Lived Experiences Of Liberian Women Through A Decolonial Lens, Kristen N. Mcnutt
The Efficacy Of International Conflict Feminism In Postconflict Peacebuilding: Learning From The Lived Experiences Of Liberian Women Through A Decolonial Lens, Kristen N. Mcnutt
Antioch University Dissertations & Theses
Focusing on Liberia, this study investigates the efficacy of governance feminism (GF) and international conflict feminism (ICF) in postconflict liberal peacebuilding, specifically analyzing United Nations Security Council Resolution 1325 and the Women, Peace, and Security (WPS) agenda to reveal critical gaps between policy narratives and the lived realities of Liberian women. Grounded in decolonial feminism and the coloniality of gender and peace frameworks, the research integrates ideographic narrative analysis of UN Women and Liberian government policy reports, a day-in-the-life study with 13 Liberian women, and surveys and interviews with multilevel actors across international organizations, government, and grassroots organizations, guided by …
She Leads: A Phenomenological Study Of Women's Leadership Experiences In Nonprofit Organizations, Trisha W. Lee
She Leads: A Phenomenological Study Of Women's Leadership Experiences In Nonprofit Organizations, Trisha W. Lee
Antioch University Dissertations & Theses
Women comprise a significant portion of the nonprofit sector workforce but are underrepresented in leadership, particularly among executives in larger revenue nonprofit organizations (NPOs). This phenomenological study explored the lived experiences of women who led large, local NPOs (those with annual revenues between $1 million and $5 million) in Ohio. Addressing a gap in understanding the intersection of gender and leadership in large revenue NPOs, this research compared women who were founders of their NPOs with women who ascended to leadership in established organizations. Did founding one’s own NPO provide an advantage in leading it once it grew? How did …
Against Audiepistemic Injustice: Claiming Deaf Futurity, Pamela R. Conley
Against Audiepistemic Injustice: Claiming Deaf Futurity, Pamela R. Conley
Antioch University Dissertations & Theses
This dissertation proposes a new theoretical framework: Audiepistemic Injustice (AEI). Expanding upon existing theories of epistemic injustice (EI), I identify AEI as the systemic marginalization and dismissal of deaf ways of knowing. AEI is a multidimensional phenomenon rooted in the nineteenth century, when auditory and linguistic biases became codified across education, law, and literature. This interdisciplinary study interrogates three nineteenth-century literary narratives as primary case studies to examine AEI: (1) Ivan Turgenev’s “Mumu,” (2) Guy de Maupassant’s “The Deaf Mute,” and (3) Abigail Bradley Hyde’s “The Deaf and Dumb Child: A True Narrative.” I synthesize these literary works with legal …
Digital Griots Playing Lottery Tickets: A Study Of Hip Hop And Social Transformation In Ghana's #Fixthecountry Movement, Jaime M. Kowlessar
Digital Griots Playing Lottery Tickets: A Study Of Hip Hop And Social Transformation In Ghana's #Fixthecountry Movement, Jaime M. Kowlessar
Antioch University Dissertations & Theses
On June 28, 2021, activist Ibrahim Mohammed (Macho Kaaka) was murdered in Ejura, Ghana, after using social media to criticize government failures. When protesters demanding justice were shot by security forces, politically engaged Ghanaian hip hop artists refused silence, contributing to Ghana’s #FixTheCountry movement—the nation’s largest youth mobilization in a generation. Yet scholarly debates about how hip hop contributes to social change remain unresolved, divided between those celebrating its activist potential and those critiquing its limitations. This dissertation introduces the lottery ticket theory as an alternative framework for understanding cultural activism’s relationship to political transformation. Rather than asking whether hip …
From Margin To Mandate: Examining Community Development Strategies That Support Black Lgbtq+ Youth Experiencing Homelessness, Martel Okonji
From Margin To Mandate: Examining Community Development Strategies That Support Black Lgbtq+ Youth Experiencing Homelessness, Martel Okonji
Antioch University Dissertations & Theses
Black LGBTQ+ transitional-aged youth (TAY) experiencing homelessness navigate intersecting systems of marginalization that shape their access to safety and stability. While community development organizations play a critical role in addressing these inequities, limited research examines how these strategies are implemented. This study explored how a community development organization supports Black LGBTQ+ TAY experiencing homelessness. Using a qualitative single case study design, data was collected through semi-structured interviews with leadership, staff, and youth, and analyzed using thematic analysis. Grounded in community development theory and ethical leadership, the study examined how organizational practices shape outcomes. Findings revealed an affirming, relational approach centered …
Hospitality As A Philosophy Of Care, Freddy Clark
Hospitality As A Philosophy Of Care, Freddy Clark
Antioch University Dissertations & Theses
This study examines hospitality as a philosophy of care and a practice of social justice, particularly within marginalized communities. While hospitality is often understood as a gesture of kindness or a function of the service industry, this research reframes it as an ethical and relational practice grounded in human dignity, mutuality, and community formation. It explores how hospitality extends beyond transactional exchanges to become a transformative expression of care that challenges exclusion and affirms belonging. Drawing on interdisciplinary frameworks, the study integrates biblical narratives, including the Good Samaritan and Matthew 25:35–40, philosophical perspectives from Emmanuel Levinas and Jacques Derrida, and …
Good News For The Poor And More: Reclaiming Martin Luther King, Jr.'S Radical Gospel Of Economic Justice In Pursuit Of The Beloved Community, Lester A. Mccorn
Good News For The Poor And More: Reclaiming Martin Luther King, Jr.'S Radical Gospel Of Economic Justice In Pursuit Of The Beloved Community, Lester A. Mccorn
Antioch University Dissertations & Theses
This dissertation, Good News for the Poor and More: Reclaiming Martin Luther King Jr.’s Radical Gospel of Economic Justice in Pursuit of the Beloved Community, argues that Martin Luther King Jr.—one of the most transformational American leaders of the 20th century—should be best understood as a central figure within the Black Social Gospel tradition whose rhetoric constitutes a sustained socio-political and theological critique of economic injustice. Moving beyond interpretations that limit King to racial integration and civil rights, this study demonstrates that his preaching confronts the structural realities of poverty, racial capitalism, and militarism as interrelated forms of systemic …
Gvsu Undergraduate And Graduate Catalog 2026-2027, Grand Valley State University
Gvsu Undergraduate And Graduate Catalog 2026-2027, Grand Valley State University
Course Catalogs, 1963 - Current
Grand Valley State University 2026-2027 undergraduate and graduate course catalog. Course catalogs are published annually to provide students with information and guidance for enrollment.
Envisioning The Role Of Community-Owned Stores & Aligning Federal Food Policies: A Participatory Approach To Food Security And Food Sovereignty In Sambaa K’E, Denendeh (Northwest Territories, Canada), Narayan Subramoniam
Theses and Dissertations (Comprehensive)
Northern Indigenous communities have relied on traditional food systems for meaningful, nutritious diets since time immemorial. But many Indigenous communities in remote northern regions of Canada still face disproportionately elevated levels of food insecurity due to climate change radically altering the availability for traditional foods, colonial food policies imposing Western diets, and the high costs of transporting store-bought foods. Extreme weather events such as wildfires further isolate fly-in remote communities increasing both the costs of transporting store-bought foods and the difficulties of harvesting traditional foods. There are many examples of community-based initiatives for supporting traditional and locally grown foods, however, …
Cultivating Diversity In Sustainable Food Systems: Black Farming And Lived Experience In Rural Southern Ontario, Kadeem Jerofy Morgan-Adamson Mr.
Cultivating Diversity In Sustainable Food Systems: Black Farming And Lived Experience In Rural Southern Ontario, Kadeem Jerofy Morgan-Adamson Mr.
Theses and Dissertations (Comprehensive)
This research examines the lived experiences of Black food growers in rural Southern Ontario to understand how their perspectives challenge dominant narratives of rurality and inform broader discussions on food sovereignty in Canada. Grounded in postcolonial theory, the study highlights how historical dispossession and persistent inequities shape the access of Black communities to land and resources. Using a mixed-methods approach that includes surveys, semi-structured interviews, and reflexive journaling within a community-based research framework, the study documents the barriers Black food growers face. These include limited land access, insufficient funding, inadequate training pathways, and experiences of racial isolation in rural contexts. …
“My Voice Is Trauma, My Voice Is Healing:” A Feminist, Trauma-Informed Embodied Study On The Impact Of Gender-Based Violence In Classical Music Communities, Sarah Pearson
Theses and Dissertations (Comprehensive)
This Social Work doctoral dissertation explores the impact of gender-based violence (GBV) in classical music communities on survivor-artists. This is an intersectional feminist, trauma-informed, embodied study that draws on these three theoretical concepts to conceive of classical music as an institution of both colonial patriarchal power and a site of spirituality and meaning-making. The issue of systemic GBV in the performing arts has been a focus of headline news and sensational celebrity stories in the last decade following the MeToo hashtag and is slowly gaining some attention in academic research.
For this qualitative study, the sample consisted of 14 participants …
The Un-Bridged Pipeline: Leading And Preparing Women Of Color To Senior-Level Higher Education Administration, Jacqueline D. Slater
The Un-Bridged Pipeline: Leading And Preparing Women Of Color To Senior-Level Higher Education Administration, Jacqueline D. Slater
UNF Graduate Theses and Dissertations
Despite increased educational attainment among Black women, representation in senior‑level leadership positions within higher education remains limited. This qualitative study examines the experiences of Black women who serve or have served in senior‑level academic administrative roles and explores how those experiences inform guidance, preparation, and decision‑making for future Black women leaders. The study focuses on practical barriers, workplace realities, and strategies that shape leadership entry, advancement, and retention.
Using a descriptive case study design, five Black women with professional experience as presidents, provosts, vice provosts, and academic deans participated in semi‑structured interviews lasting 45 to 75 minutes. Purposeful sampling ensured …
“How Far Do These Roots Go Down”: An Exploration Of Latinx And Latina Fans On Representation In Disney's Encanto, Noemi Nunez
“How Far Do These Roots Go Down”: An Exploration Of Latinx And Latina Fans On Representation In Disney's Encanto, Noemi Nunez
Graduate Studies Theses and Dissertations 2026
In this dissertation, I examine how Latinx and Latina audiences engaged with and interpreted Disney’s 2021 Encanto, an animated film celebrated for its representation of Colombian and broader Latinx culture. While scholarship on Latinx representation in media has expanded, less attention has been given to how Latinx audiences themselves respond to narratives that are meant to represent them, particularly within fan studies. Focusing on both a broader Latinx fan community and first-generation Latinas in the United States, this project explores how audiences negotiate representation and recognition using Encanto as a media text that centered a Latinx story. Drawing from …
Community Resilience Drives Change, Andrew Thomas Solt
Community Resilience Drives Change, Andrew Thomas Solt
Graduate Theses, Dissertations, and Problem Reports (ETD)
The opioid crisis has impacted many Americans. From 1999 to 2023, approximately 800,000 people have died due to opioid overdose (CDC, 2025). What began as overprescriptions of painkillers has quickly evolved into a complex social health issue that is now further worsened by stronger synthetic drugs like fentanyl. Fentanyl and fentanyl analogs (synthetic opioids that are very similar chemically to fentanyl) are often found in illegal drug supplies and in counterfeit pills (CDC, 2025). Thus, individuals who might have been initially overprescribed painkillers might now be pushed towards illegally produced drugs that are significantly more potent than what they were …