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Articles 1 - 30 of 43
Full-Text Articles in Medicine and Health Sciences
The Lived Experiences Of 911 Dispatchers With Compassion Fatigue: An Interpretive Phenomenology, Angela Johnson
The Lived Experiences Of 911 Dispatchers With Compassion Fatigue: An Interpretive Phenomenology, Angela Johnson
Counseling & Human Services Theses & Dissertations
911 dispatchers are the “first” first responders in an emergency and play an intrinsic role in the public safety continuum. 911 dispatchers are exposed to daily and cumulative stress from the repeated empathic engagement of those they serve, and from shift work, staffing shortages, and inability to make mistakes. However, there is a dearth of peer reviewed literature on 911 dispatchers and compassion fatigue (CF). CF is described as the emotional and physical exhaustion experienced due to the constant exposure to the trauma of others. CF symptomology in 911 dispatchers has far reaching implications for not only the citizens …
Providing Family Centered Care Within Pediatric Integrated Care Settings, Emily D. Bebber
Providing Family Centered Care Within Pediatric Integrated Care Settings, Emily D. Bebber
Counseling & Human Services Theses & Dissertations
Parent engagement remains critical to pediatric care. Both pediatric medical and mental health care remains dependent upon parent/guardian engagement to support successful outcomes for children and adolescents. Efforts to enhance Family Centered Care (FCC) has been spotlighted within pediatric care since the 1950s and the inclusion of counselors within integrated behavior health (IBH) teams ushers a need for an evolved understanding of the implementation of FCC, including parent/guardian engagement across professional roles. Using an explanatory mixed-method design, I examined team implementation of Family Centered Care (FCC) among different provider types (e.g., physicians, nurses, licensed mental health providers, social workers, technicians) …
Counselor Perceived Competence Diagnosing Disorders From Dsm-5 Diagnostic Categories Survey Results And The Development And Validation Of Scores On The Diagnostic Self-Efficacy Scale, Erin Elizabeth Woods
Counselor Perceived Competence Diagnosing Disorders From Dsm-5 Diagnostic Categories Survey Results And The Development And Validation Of Scores On The Diagnostic Self-Efficacy Scale, Erin Elizabeth Woods
Counseling & Human Services Theses & Dissertations
This dissertation focused on the diagnostic self-efficacy of mental health counselors. The diagnosis of mental health disorders serves a wide array of functions in the counseling field including communication, treatment planning, and third-party reimbursement. Self-efficacy, or one’s belief in their own ability to accomplish a task, is considered a factor in successful task completion. The literature lacked information about which mental health disorders counselors are most confident diagnosing and an instrument which measured the self-efficacy of counselors specific to the diagnostic process. The MEASURE approach was employed to create the Diagnostic Self-Efficacy Scale and validate scores on this instrument with …
Mental Health Counselors’ Perceptions Of Professional Identity As Correctional Counselors In An Integrated Behavioral Health Care Setting, Jeanel L. Franklin
Mental Health Counselors’ Perceptions Of Professional Identity As Correctional Counselors In An Integrated Behavioral Health Care Setting, Jeanel L. Franklin
Counseling & Human Services Theses & Dissertations
This study explores the professional identity of clinical mental health counselors employed as correctional counselors in an integrated behavioral health (IBH) setting. Previous research has documented the attitudes, perceptions, and experiences of mental health counselors working in IBH as well as their experiences engaging in interprofessional collaboration. However, researchers have yet to explore how clinical mental health counselors in correctional settings perceive their professional identity and what aspects of their professional roles impact their identity development. This study utilized an interpretive phenomenological approach (IPA) to describe, understand, and interpret the meaning of four correctional counselors’ perceptions of their professional identities …
An Investigation Of Healthcare Professionals’ Perspectives On The Tasks Of Mental Health Counselors In Hospital Settings, Suelle Micallef Marmara
An Investigation Of Healthcare Professionals’ Perspectives On The Tasks Of Mental Health Counselors In Hospital Settings, Suelle Micallef Marmara
Counseling & Human Services Theses & Dissertations
With the global mental health implications reported by the spread of COVID 19 (Javed et al., 2020) and the amplified mental health illnesses reported by the State of Mental Health in America (Reinert et al., 2021), there is an increased need to address psychological and emotional health along with physical health. Mental Health Counselors (MHCs) can be the next professional body to support the multidisciplinary teams within hospital settings to complement holistic care focusing on physical and emotional well-being. Researchers have demonstrated addressing the psychological needs of patients from their first admissions to the hospital has significant positive implications on …
Complex Thought For Complex Work: Preparing Cognitively Complex Counselors For Work In Diverse Settings, Alexandra C. Gantt
Complex Thought For Complex Work: Preparing Cognitively Complex Counselors For Work In Diverse Settings, Alexandra C. Gantt
Counseling & Human Services Theses & Dissertations
Counselor education researchers have explored the need for high levels of cognitive complexity (CC) in mental health counselors due to its relationship with high quality counseling skills and counselor ways of being (e.g., Castillo, 2018; McAuliffe & Lovell, 2006; Ridley et al., 2011; Welfare & Borders, 2010b). In these studies, researchers have called for continued study of means of enhancing CC in counselors in training (CITs) through andragogical efforts (e.g., Castillo, 2018; Duys & Hedstrom, 2000; Welfare & Borders, 2010a). However, we do not have an understanding of minimally acceptable CC for graduating CITs. In this study, I explored counselor …
The Impact Of A Crisis Intervention Team Program On Psychiatric Boarding, Kurtis Hooks
The Impact Of A Crisis Intervention Team Program On Psychiatric Boarding, Kurtis Hooks
Counseling & Human Services Theses & Dissertations
Psychiatric boarding is the phenomenon of housing individuals in emergency departments while awaiting access to mental health services in the community. The expansion of psychiatric boarding is attributed to continued deinstitutionalization and under-resourcing of mental health services. Psychiatric boarding is also associated with deleterious outcomes for individuals in need of access to behavioral health services, facilities. There is limited research on programmatic efforts to reduce psychiatric boarding as it pertains to Crisis Intervention Team programs colocated in medical settings. Crisis Intervention Team (CIT) programs are community-based, multi-stakeholder partnerships that include dedicated assessment centers crisis response and referral. This study utilized …
Site Supervisors' Perspectives On Supervision Of Counselor Trainees In Integrated Behavioral Health (Ibh) Settings: A Q Methodology Approach, Yeşim Giresunlu
Site Supervisors' Perspectives On Supervision Of Counselor Trainees In Integrated Behavioral Health (Ibh) Settings: A Q Methodology Approach, Yeşim Giresunlu
Counseling & Human Services Theses & Dissertations
Integrated Behavioral Health (IBH) is an integrated care approach where primary care and mental health providers work together to address the medical and behavioral health needs of the patients, or clients (Unützer et al., 2012). An increasing number of clinical mental health counselors are providing services in IBH settings and experiencing challenges with navigating unique aspects of their work in these complex systems. Clinical supervision in these settings appears as a critical resource for mental health counselor trainees (supervisees). However, we have very limited knowledge on clinical supervision provided to supervisees at IBH settings. An exploration of site supervisors’ supervision …
Incivility Of Coworker Behaviors And Minority Firefighters’ Belongingness In The Workplace, Alyssa Reiter
Incivility Of Coworker Behaviors And Minority Firefighters’ Belongingness In The Workplace, Alyssa Reiter
Counseling & Human Services Theses & Dissertations
Research with firefighters continues to indicate that this population is particularly vulnerable to development of mental health conditions as a result of their professional roles (International Association of Firefighters [IAFF], 2019; Stanley et al., 2017; Substance Abuse and Mental Health Services Administration [SAMHSA], 2018) and minority firefighters may be at heightened risk as a result of their experiences within the fire service. An answer to this concern may lie in the exploration of belonging and uncivil behaviors, as research has demonstrated that belonging in the workplace serves to reduce mental health symptoms and enhance an individual’s ability to cope with …
Initial Development Of The Escala De Fortaleza En Jóvenes Para Padres, David Moran
Initial Development Of The Escala De Fortaleza En Jóvenes Para Padres, David Moran
Counseling & Human Services Theses & Dissertations
National statistics indicate substantial mental health and academic challenges experienced by a sizable proportion of Hispanic children and adolescents in American school settings. School counselors can provide culturally responsive supports to this population and would benefit from contextually grounded, ecologically valid assessments that focus on the positive development of Hispanic children and adolescents. To address this instrumentation gap, this study sought to develop initial items for the Escala de Fortaleza en Jóvenes para Padres in both English and Spanish. A qualitative approach was implemented to explore the perceptions of Hispanic parents/caregivers of their child or adolescent’s resiliency. Eight Hispanic parents …
A Meta-Analysis Of Group Treatment Outcomes For Veterans With Substance Use Disorders, Robert “Tony” Dice
A Meta-Analysis Of Group Treatment Outcomes For Veterans With Substance Use Disorders, Robert “Tony” Dice
Counseling & Human Services Theses & Dissertations
Group therapy is commonly used in the treatment of substance use disorders (SUD). Many studies exist related to the efficacy of group interventions for veterans with SUDs. A meta-analysis and systematic review of the literature addressing the use of group therapy, specifically psychoeducational groups, cognitive behavioral therapy (CBT) groups and support groups, in the treatment of SUDs with veterans was conducted. The following questions guided the research: What are viable treatment outcomes for psychoeducational, CBT, and support groups of veterans with SUDs? and What are the measures that capture outcomes related to psychoeducational, CBT, and support groups of veterans with …
Group Treatment Effectiveness For Substance Use Disorders: Abstinence Vs. Harm Reduction, Jill D. Parramore
Group Treatment Effectiveness For Substance Use Disorders: Abstinence Vs. Harm Reduction, Jill D. Parramore
Counseling & Human Services Theses & Dissertations
The purpose of this systematic review and meta-analysis was to compare group treatment effectiveness for substance use disorders within the U.S. across treatment philosophies as it relates to the primary research question, Is there a significant difference of group treatment effectiveness between Abstinence and Harm Reduction treatment philosophies? It was hypothesized that group treatment will remain an effective intervention to treat substance use disorders between treatment philosophies and that no significant differences exist between-group comparisons. The aim of this study is to provide evidence of treatment effectiveness that will ultimately improve treatment outcomes for substance use disorders, provide guidance for …
Minority Counselor Multicultural Competence In The Current Sociopolitical Climate, Kathleen Brown
Minority Counselor Multicultural Competence In The Current Sociopolitical Climate, Kathleen Brown
Counseling & Human Services Theses & Dissertations
A key component of professional orientation in the field of mental health is the ability to provide counseling that is culturally competent. Counselor preparatory education, ethical codes, professional organizations and regulating bodies recognize cultural competence as a cornerstone of clinical practice. It is especially important during a time in which cultural and racial minorities combat a tumultuous sociopolitical climate. American society has seen an exponential rise in anxiety, depression, and helplessness secondary to the 2016 Presidential Election. For minority counselors, providing multiculturally competent counseling in the face of extreme oppression, and during a period of apparent resurgence in overt systemic …
Investigating The Impact Of The Fava Well-Being Protocol On Perceived Stress And Psychological Well-Being With At-Promise High School Students, Renee L. Fensom
Investigating The Impact Of The Fava Well-Being Protocol On Perceived Stress And Psychological Well-Being With At-Promise High School Students, Renee L. Fensom
Counseling & Human Services Theses & Dissertations
An elevation in stress levels can be caused by many contributing factors, which can ultimately interfere with the learning of young people. Fortunately, an increase in well being can help promote resilience, creating a buffer to stress. Therefore, the current study investigated the influence of a positive psychology intervention aimed at lowering perceived stress and increasing well-being among at-promise students. The theoretical framework for this study was based on Ryff’s Model of Psychological Well-Being (PWB). The specific intervention used was the Well-being Therapy School Protocol developed by Fava and associates, based off of Carol Ryff’s Model of PWB (Fava, 2016). …
Mental Health Counselors' Perceptions On Preparedness In Integrated Behavioral Healthcare In Underserved Areas, Kyulee Park
Mental Health Counselors' Perceptions On Preparedness In Integrated Behavioral Healthcare In Underserved Areas, Kyulee Park
Counseling & Human Services Theses & Dissertations
Integration of behavioral and primary healthcare (IBH) has been increasingly suggested as a model approach in serving historically marginalized populations, including rural, Healthcare Provider Shortage (HPSA), and Medically Underserved (MUA) communities (Coleman & Patrick, 1976; Wong et al., 2019). However, there is no evidence-based practices in interprofessional education and training for professional mental health counselors to serve as competent practitioners in integrated behavioral healthcare. This study examined the gap in interprofessional and counselor education literature by identifying the lived experiences and perceptions of mental health professionals in integrated settings and assessed the need areas in current counselor education. A phenomenological …
Intersectional Identities And Microaggressions: The Experience Of Transgender Females, Cory Daniel Gerwe
Intersectional Identities And Microaggressions: The Experience Of Transgender Females, Cory Daniel Gerwe
Counseling & Human Services Theses & Dissertations
Historically, attention given to privileged LGBT minorities such as white LGBT individuals, renders those who experience multiple minority identities as unacknowledged. There is a scarcity of research exploring the intersectional experiences of transgender individuals and how these experiences impact their mental health and well-being. For that reason, the intent of this study was to learn more about transgender females who hold additional minority statuses, their transition experiences, their circumstances, and the nature of their social environment. Specifically, I investigated trans female experiences of transitioning with a specific focus on the intersection of gender identity, race, socioeconomic status (SES), and age. …
Reshaping Counselor Education: The Identification Of Influential Factors On Multisystemic Therapy, T'Airra C. Belcher
Reshaping Counselor Education: The Identification Of Influential Factors On Multisystemic Therapy, T'Airra C. Belcher
Counseling & Human Services Theses & Dissertations
Multisystemic therapy (MST) is a form of behavioral health treatment for adolescents which has been identified as one of the leading effective forms of treatment for children and adolescents with severe behavioral and mental health disorders. Since its creation, there have been countless studies exploring if this form of treatment works with a different population in a variety of locations. Additionally, there have been studies which determined that MST is just as effective as or even less effective than other treatment modalities. This dissertation explored the specific aspects of MST and what leads to its effectiveness. A meta-analysis and case …
The Effects Of Supervisory Style And Supervisory Working Alliance On Supervisee Disclosure In Supervision: A Moderated Mediation Analysis, Chi Li
Counseling & Human Services Theses & Dissertations
Supervisee disclosure in supervision is considered as a critical factor influencing the effectiveness of supervision (Spence et al., 2014). Despite previous researchers’ efforts to understand the concept (e.g., Knox, 2015; Yourman & Farber, 1996), a consensus over the definition for what is considered as supervisee disclosure is missing, posing threats to the construct validity of existing supervisee disclosure measures (e.g., Gunn & Pistole, 2012; Mehr, Ladany, & Caskie; 2015). Therefore, based on a summative definition (e.g., Ladany et al., 1996; Hess et al., 2008; Walsh, Gillespie, Greer & Eanes, 2003), Li and Kemer (under review) developed and provided initial validation …
Exploring The Variant Experiences Through Which Racial/Ethnic Minorities Select Art Therapy As A Career, Mary Ritchie Roberts
Exploring The Variant Experiences Through Which Racial/Ethnic Minorities Select Art Therapy As A Career, Mary Ritchie Roberts
Counseling & Human Services Theses & Dissertations
This study implemented a phenomenological approach to the inquiry of the career decisions of racial/ethnic minorities leading to selection of art therapy as a career. Gottfredson’s Career Theory was used to design interview questions to elicit the perspectives of ten racial/ethnic minority members about their career choice of art therapy. This study used post-intentional phenomenological qualitative coding of data to understand the decisions and contributing factors to racial/ethnic minorities selecting a career in art therapy. The findings suggest factors including: personal characteristics, interests, personal and professional beliefs, cultural beliefs, influential people, social contexts, experiences, and encounters contributed to racial/ethnic minority …
The Relationship Between Childhood Adversity And Adult Relationship Health For Economically Marginalized, Racially And Ethnically Diverse Individuals, Sandy-Ann M. Griffith
The Relationship Between Childhood Adversity And Adult Relationship Health For Economically Marginalized, Racially And Ethnically Diverse Individuals, Sandy-Ann M. Griffith
Counseling & Human Services Theses & Dissertations
Childhood adversity is prevalent and significantly influences an individual’s life. Adverse Childhood Experiences (ACEs) are linked to chronic physical and mental health issues, as well as maladaptive and abusive patterns of behavior in adult relationships such as unhealthy problem-solving strategies, poor ability at conflict resolution, and intimate partner violence (IPV). The current study explored the relationship between ACEs and adult relationship health outcomes. Controlling for the effect of average individual yearly income on adult relationship health, the extent to which demographic factors (i.e., gender, race and ethnicity, and children status) moderate the relationship between ACEs and adult relationship health and …
Personality, Motivation, And Internet Gaming Disorder: Understanding The Addiction, Kristy L. Carlisle
Personality, Motivation, And Internet Gaming Disorder: Understanding The Addiction, Kristy L. Carlisle
Counseling & Human Services Theses & Dissertations
This dissertation examined the relationships among personality traits, motivation for play, and Internet gaming disorder in a diverse sample of Internet gamers, using a group correlational design and path analysis. The researcher sampled participants who self-identify as Internet gamers by posting invitations to participate in the study on Internet forums, as well as by accessing the gaming population at Pokémon Go hotspots. The study used valid and reliable instruments: The Ten-Item Internet Gaming Disorder Test (IGD-10), the abbreviated form of the Big Five Inventory (BFI-10), and the Motivation to Play Online Games Questionnaire (MPOGQ). Data analysis included descriptive statistics related …
Exploring The Relationship Between Depression And Resilience In Survivors Of Childhood Trauma, Marquis A. Norton
Exploring The Relationship Between Depression And Resilience In Survivors Of Childhood Trauma, Marquis A. Norton
Counseling & Human Services Theses & Dissertations
Although experiences of trauma are common, reactions vary due to a host of biopsychosocial and cultural factors that influence the individual reaction to the trauma (Nakai et al., 2015). One such factor is resiliency, the capability to adapt in adverse environmental circumstances (Basim & Cetin, 2011). This study used hierarchical multiple regression to examine the relationships between childhood trauma, recent experiences of depression, and resilience in adult university students. This study also examined the possible moderating effects on depression by resilience. Participants completed the Childhood Trauma Questionnaire, Connor-Davidson Resilience scale, and PROMIS Depression survey. Small significant relationships were found for …
Understanding The Experiences Of Women With Anorexia Nervosa Who Complete An Exposure Therapy Protocol In A Naturalistic Setting, Gina B. Polychronopoulos
Understanding The Experiences Of Women With Anorexia Nervosa Who Complete An Exposure Therapy Protocol In A Naturalistic Setting, Gina B. Polychronopoulos
Counseling & Human Services Theses & Dissertations
Anorexia Nervosa (AN) is a serious mental health concern in the United States, with the highest mortality rate of all mental disorders. Females comprise the vast majority of people with AN, although the number of males with the condition is rising. Anorexia Nervosa has a high relapse rate and is often enduring, which makes it challenging to treat successfully; therefore, the mental health profession is in need of innovative therapeutic approaches. Exposure therapy has a growing evidence base for the treatment of eating disorders, including AN; however, there are very few studies that explore body image/mirror exposure specifically in patients …
Establishing The Psychometric Properties Of The Understanding Mental Health Scale: A Dissertation Study, Michael Thomas Kalkbrenner
Establishing The Psychometric Properties Of The Understanding Mental Health Scale: A Dissertation Study, Michael Thomas Kalkbrenner
Counseling & Human Services Theses & Dissertations
The purpose of this dissertation study was to validate the Understanding Mental Health Scale (UMHS). The UMHS is a 50-item questionnaire that was designed to measure college students’ awareness of mental health issues. To test the psychometric properties of the UHMS, a principal axis factor (PAF) analysis with an oblique rotation was conducted using an existing data set of 350 college students. Results revealed a two-factor structure underlying college students’ understanding of mental health issues. The factors were named risk-factor awareness (familiarity with warning signs of mental health issues) and resource awareness (knowledge of resources for mental health issues). A …
An Exploratory Factor Analysis Examining Experiences And Perceptions Of Campus Safety For International Students, Sonia H. Ramrakhiani
An Exploratory Factor Analysis Examining Experiences And Perceptions Of Campus Safety For International Students, Sonia H. Ramrakhiani
Counseling & Human Services Theses & Dissertations
Although international students make up a significant percentage of the college population and contribute to higher education institutions in multiple ways, a lack of attention is paid to their safety needs. This dissertation examined the experiences and perceptions of campus safety among international college/university students in the United States. The researcher sampled participants from different institutions around the country, who self-identified as international students. A researcher-developed 53-item Likert scale questionnaire, International Students’ Safety Questionnaire (ISSQ), was administered to the sample. Findings from the exploratory factor analysis (EFA) provided evidence for the four-factor solution for the 26-item ISSQ accounting for 48.65% …
The Relationship Between Counselors' Multicultural Counseling Competence And Poverty Beliefs, Madeline Elizabeth Clark
The Relationship Between Counselors' Multicultural Counseling Competence And Poverty Beliefs, Madeline Elizabeth Clark
Counseling & Human Services Theses & Dissertations
The relationship between increased levels of poverty and decreased levels of psychological wellbeing and overall wellness is well documented. Although poverty clearly impacts mental health and wellness, little research in counseling has been conducted exploring the poverty attitudes of counselors. This study explored the relationship between professional counselors’ multicultural counseling competence (MCC), poverty beliefs, and select demographic factors (i.e. counseling specialty, gender, age, ethnocultural identity, poverty counseling experience, and personal poverty experience). Data were collected using survey-based methods from professional counselors of all specialties. Results of a hierarchical linear regression indicate that increased MCC, adjusted for select demographic factors, is …
Examining Changes In College Counseling Clients’ Symptomology And Severity Over An Eight Year Span, Caroline Lee Bertolet
Examining Changes In College Counseling Clients’ Symptomology And Severity Over An Eight Year Span, Caroline Lee Bertolet
Counseling & Human Services Theses & Dissertations
The current college counseling literature has conflicting findings regarding the extent to which the severity of mental health symptoms has increased for college students. Some researchers claim that over time student’s mental health symptoms have become more complex rather than more severe. This study examined archival data to analyze both the severity and complexity of symptoms in an eight year time span. The study also examined how disruptiveness and treatment demand have changed over the eight year period. The data were analyzed using multiple regression. The results of the study supported perspectives found in the current literature indicating little increase …
A Phenomenological Investigation Of Wellness And Wellness Promotion In Counselor Education Programs, Brett Kyle Gleason
A Phenomenological Investigation Of Wellness And Wellness Promotion In Counselor Education Programs, Brett Kyle Gleason
Counseling & Human Services Theses & Dissertations
This phenomenological investigation explored the lived wellness experiences and perceptions of wellness promotion of doctoral level counseling trainees enrolled in CACREP-accredited programs. Participants included a national heterogeneous sample of 12 doctoral level counselor trainees currently enrolled in CACREP-accredited counseling programs. Semi-structured individual interviews were conducted to provide a textural-structural description of doctoral students' lived wellness experiences and perceptions of wellness promotion while enrolled in a CACREP-accredited counseling program. Three structural codes includingcomponents of wellness, program culture, and recommendations were identified along with 13 textural codes throughout participant interviews. The findings of this study provide insight into wellness …
An Exploration Of Health Providers' Responses To Intimate Partner Violence (Ipv) In Malaysia, Kee Pau
An Exploration Of Health Providers' Responses To Intimate Partner Violence (Ipv) In Malaysia, Kee Pau
Counseling & Human Services Theses & Dissertations
This grounded theory study aimed to examine factors that influence Malaysian health providers' attitudes, knowledge, and responses to IPV survivors, including health providers' perceptions of IPV, factors that influenced the ways they work with IPV survivors, factors they perceived toward influencing IPV survivors' help-seeking behaviors, and their recommendations for improving IPV training. Seventeen (N = 17) participants were recruited using snowball sampling and theoretical sampling was utilized to ensure the data was saturated. The results found nine superordinate themes that highlights health providers' perceptions of IPV in general, conceptualization of IPV, institutional factors, health providers' personal factors, sociocultural factors, …
College Health And Mental Health Outcomes On Student Success, Daniel Joseph St. John
College Health And Mental Health Outcomes On Student Success, Daniel Joseph St. John
Counseling & Human Services Theses & Dissertations
This study explores the relationship between college students' utilization of university counseling services and university health services, and student academic performance. Data was collected using an archival data set including university counseling center records, health center records, and academic reports from institutional research at a large, public southeastern university. The primary variables of this study included: number of sessions in the university counseling center and/or university health center, instances of new initiated contacts, treatment variables, GPA, and degree completion. The overarching hypothesis of this study is that students who receive mental health services are significantly more likely to experience student …