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Full-Text Articles in Medicine and Health Sciences

Ecopsychologists' Vital Importance In The Time Of Climate Crises, Nicole B. Auckerman Psyd Mar 2022

Ecopsychologists' Vital Importance In The Time Of Climate Crises, Nicole B. Auckerman Psyd

Antioch University Full-Text Dissertations & Theses

Ecopsychology is a systems-based philosophy that expands the therapeutic lens to include client interactions with and perceptions of the natural environment as an integral element of well-being or pathology. Ecopsychology, known forward as EP, also looks at the pathology of our culture and what kind of diagnoses lead to practices that put our planet at risk. In recent decades, the field has amassed a substantial amount of empirical evidence supporting its effectiveness but remains largely underutilized. First generation EP suggested a cultural reordering shifting away from consumer culture and reordering our way of life. Second generation posits working within the …


Competencies For Successful Middle Managers In Healthcare And Medical Education, Ahmed Al Ansari Jan 2022

Competencies For Successful Middle Managers In Healthcare And Medical Education, Ahmed Al Ansari

Antioch University Full-Text Dissertations & Theses

The Kingdom of Saudi Arabia (KSA) and the Kingdom of Bahrain (KB) are currently in the process of the rapid transformation of health care to a self-sustained autonomous system. Middle managers play a pivotal role in achieving this goal. The aim of this study is to develop a feasible, reliable, and valid scale for measuring the leadership and managerial competencies of MM in KSA and KB. Zhou’s (2019) conceptual framework using a mixed-method approach was followed. After procuring ethical clearance from concerned authorities and informed consent from all the participants (n = 27), semi-structured interviews were conducted across three groups: …


No Time For That: Graduate Psychology Student Perspectives On Self-Care Culture, Anthony Primavera Jan 2022

No Time For That: Graduate Psychology Student Perspectives On Self-Care Culture, Anthony Primavera

Antioch University Full-Text Dissertations & Theses

Graduate psychology students face numerous stressors that can hinder their performance both academically and clinically as they move through their education and into the professional world (Pakenham & Stafford-Brown, 2012; Shen-Miller, 2011). Engagement with regular self-care not only can enhance a sense of well-being, but also plays a crucial role in shielding an individual from some of the most harmful effects of stress (Wise et al., 2012). Graduate level psychology programs are inherently positioned to teach graduate trainees about the importance of self-care practices and to help them develop self-care habits that they can take into future careers. It appears …


The Experiences Of Marriage And Family Therapists Balancing Relational Teletherapy And Self-Care During The Covid-19 Pandemic: An Interpretative Phenomenological Analysis, Elizabeth Dumayne Jan 2022

The Experiences Of Marriage And Family Therapists Balancing Relational Teletherapy And Self-Care During The Covid-19 Pandemic: An Interpretative Phenomenological Analysis, Elizabeth Dumayne

Antioch University Full-Text Dissertations & Theses

The COVID-19 pandemic has brought many changes to the world of mental health, especially in the delivery that marriage and family therapists provide services to their clients and while balancing their own self-care. In order to provide therapists with a base from which to work through these changes, a thorough review of the literature is provided as well as an interpretative phenomenological analysis. Chapter one provides an introduction to the topic of relational teletherapy during the COVID-19 pandemic and self-care for therapists, defines the terms teletherapy and self-care, and clarifies the conceptual frameworks at use in the dissertation: ecological systems …


Traditional Healing In Psychology On The Caribbean Island Of Montserrat, West Indies, Yvette Adelcia Cabey Jan 2022

Traditional Healing In Psychology On The Caribbean Island Of Montserrat, West Indies, Yvette Adelcia Cabey

Antioch University Full-Text Dissertations & Theses

In Montserrat, traditional healing medicines consist of herbal treatments and customary therapeutic methods such as ritual practices and herbal teas also known as “Bush and Weed” (Duberry, 1973, p.1). The purpose of this study is to discuss herbs known as “Bush,” in Montserrat, and how they benefit psychological wellbeing among the communities in Montserrat. A subsequent intention of this study is to address how an understanding of Montserratian Traditional Healing remedies can be beneficial to Western Psychological practice and enhance the efficacy for psychological healing. The gap in the literature indicates that few studies are examining mental health methods in …


Caregivers And Healthcare Providers On Resources, Gaps In Care, And The Value Of Down Syndrome Centers., A. Nicole White Jan 2022

Caregivers And Healthcare Providers On Resources, Gaps In Care, And The Value Of Down Syndrome Centers., A. Nicole White

Antioch University Full-Text Dissertations & Theses

The facilitation of healthcare for people with Down syndrome offers a unique challenge to healthcare systems. Both caregivers and healthcare providers often need to navigate a complex system of specialties in care, resources, and expertise to optimize treatment and care plans for children with Down syndrome, whose needs vary widely and extend beyond the walls of a hospital. This study identified seven domains of care based on conceptualizations of integrated care in the literature: coordination, communication, continuity, dignity, information, shared decision-making, and resources. Groups of survey items intended to capture these domains were used with a sample of caregivers and …


The Caregiver’S Experience Of Post-Treatment Lyme Disease Syndrome, Jordyn Deschene Jan 2022

The Caregiver’S Experience Of Post-Treatment Lyme Disease Syndrome, Jordyn Deschene

Antioch University Full-Text Dissertations & Theses

As the rate of Lyme disease diagnoses increases in the United States, it can be assumed that the frequency at which post-treatment Lyme disease syndrome (PTLDS) is diagnosed will also increase. While research has been published on the experience of caregivers of other chronic illnesses, no studies have examined the experience of the PTLDS caregiver. This quantitative study sought to discover the most significant burdens, mental health status (levels of anxiety and depression), and level of invalidation experienced by the PTLDS caregiver. Thirty individual participants took part in this study. This study found that mental burden is a significant area …


Exploring The Needs Of Black Single Mothers In Therapy, Nompelelo Boucher Jan 2022

Exploring The Needs Of Black Single Mothers In Therapy, Nompelelo Boucher

Antioch University Full-Text Dissertations & Theses

This qualitative study of 6 Black single mothers utilizes a focus group format to explore their experiences in mental health treatment. The specific barriers they face to seeking treatment are reviewed, given that this particular population is substantially underrepresented in mental health therapy. The study seeks to gain a better insight of what factors contribute to attracting and retaining them in therapy for positive outcomes. Six emergent themes surfaced highlighting the fact that these women overcome numerous historical and cultural barriers to present for treatment to address serious issues of stress, grief, and loss, that they have a desire to …


The Impact Of Creative Arts On Meaning Reconstruction And Loss Adaptation In Widowed Adults, Dani Baker-Cole Jan 2022

The Impact Of Creative Arts On Meaning Reconstruction And Loss Adaptation In Widowed Adults, Dani Baker-Cole

Antioch University Full-Text Dissertations & Theses

In counseling, helping grieving clients find meaning after significant loss is a unique, multidimensional, and lengthy process. This is particularly true in Western societies, where antithetical linear grief models, supported by hegemonic expectations to move on after loss, add exhausting pressure to speed up an individual’s natural grieving process. For that reason, this study examined how creative arts interventions such as using traditional art media and expressive writing, combined with postmodern, nonlinear, culturally sensitive bereavement models, help individuals explore their loss narrative to make meaning and adapt to loss. Specifically, this study examined the impact of a switch from traditional …


Preceptorship Practice In Healthcare Institutions In Ghana: A Situational Analysis, Ivy E. Sackey Jan 2022

Preceptorship Practice In Healthcare Institutions In Ghana: A Situational Analysis, Ivy E. Sackey

Antioch University Full-Text Dissertations & Theses

Preceptors play a vital role in supporting nursing/midwifery students and new employees’ transition and assimilation into their new role. Furthermore, with the increasing focus on educating more qualified nurses and midwives to meet health-related United Nations Sustainable Development Goals, there is a need for a more standardized and coordinated approach to preceptorship training. As former Head of the Nursing/Midwifery Training Institution in Ghana, I observed first-hand that the system of preceptorship needs improvements. Published literature on preceptorship has shown that the practice plays a vital role in healthcare delivery. However, most of the existing literature preceptorship is from developed countries, …


Dancing Between Two Worlds: Training Experiences Of Dual Credentialed Counselors, Lisa Rudduck Jan 2022

Dancing Between Two Worlds: Training Experiences Of Dual Credentialed Counselors, Lisa Rudduck

Antioch University Full-Text Dissertations & Theses

Several challenges exist in the implementation of integrated care given that SUD/Addiction treatment has historically been segregated from the broader health care system (Office of the Surgeon General, 2016). One expression of the gap that persists is that for counselors who want to administer SUD/Addiction and mental health counseling, or co-occurring services, in Washington State they are required to satisfy state requirements for two separate credentials. The purpose of this study was to conduct an in-depth exploration into the training experiences of Dual Credentialed Counselors (DCCs) in Washington State where two separate credentials are required to administer co-occurring counseling. In …


A Journey To Finding Space In The Tension: Experience Of Instructors' Relationship With Religion And Spirituality In Doctoral Psychology Programs, Samantha Mcgee Jan 2022

A Journey To Finding Space In The Tension: Experience Of Instructors' Relationship With Religion And Spirituality In Doctoral Psychology Programs, Samantha Mcgee

Antioch University Full-Text Dissertations & Theses

Religion and spirituality, when viewed through a holistic lens, can reflect important aspects of a person’s identity. It can be a source of well-being and also struggle. The fields of religion, spirituality and psychology have had a history of being polarized, with some efforts to integrate the two fields. Tensions exist at multiple ecological levels around the topic of religion and spirituality, which can make it easier to avoid discussing it in classrooms and therapy rooms. It is important to address and create room for discussion of experiences around religion and spirituality in classrooms that are training psychologists so they …


Integrating Interpersonal Neurobiology In Healthcare Leadership And Organizations, Lynn Redenbach Jan 2022

Integrating Interpersonal Neurobiology In Healthcare Leadership And Organizations, Lynn Redenbach

Antioch University Full-Text Dissertations & Theses

Interpersonal Neurobiology (IPNB) is an interdisciplinary, science-based field that seeks to understand human reality including the nature of mind, brain, and relationships. IPNB has been used extensively by mental health practitioners as well as child development and parenting experts. While practitioners and scholars have described ways that IPNB can be used in leadership and organizations, there has been no systematic inquiry into the practical and phenomenological experience of this application. IPNB offers an alternative to dominant models of care and leading in healthcare settings and fields, which are characterized by disconnection, objectification, and separation. It offers a relationally centered approach …


Managing Expectations After Expecting: A Phenomenological Study Of Anger And Societal Expectations In New Motherhood, Jennifer Monahan Demella Jan 2022

Managing Expectations After Expecting: A Phenomenological Study Of Anger And Societal Expectations In New Motherhood, Jennifer Monahan Demella

Antioch University Full-Text Dissertations & Theses

The literature on motherhood is dominated by topics on the roles of attachment, prenatal care, and childrearing. Research on the negative effects of motherhood is typically described in terms of postpartum depression (PPD) or postpartum mood disorder (PPMD). However, anger is a prominent component in motherhood, which may not be seen through the criteria of PPD or PPMD. Additionally, angry mothers conflict with the mythos of the Good Mother. In this phenomenological study, the thematic structure of mothers’ experience within the first year of their newborns’ life are examined. Data from interviews with seven women who were four to ten …


The Flourishing Trainee: Operationalizing Self-Care Education In Clinical Psychology Training Programs, Bonnie B. Zinn Jan 2022

The Flourishing Trainee: Operationalizing Self-Care Education In Clinical Psychology Training Programs, Bonnie B. Zinn

Antioch University Full-Text Dissertations & Theses

Evidence suggests that clinical psychology trainees may be vulnerable to stress, vicarious traumatization, secondary traumatic stress, compassion fatigue, and burnout. Research also indicates that engaging in self-care may help to protect clinical psychology trainees against those experiences and enhance their well-being. However, best available research suggests self-care education is not consistently incorporated into clinical psychology training or prioritized by program directors. This study provided a systematic review of existing literature on self-care for clinical psychology trainees, utilizing reflexive thematic analysis to identify the essential skills, knowledge, and attitudes of self-care which should be taught to trainees, and how to operationalize …


Love Outside Margins: Mental Health And Marginalization In Intercultural And Monocultural Couples, Tara Masseratagah Jan 2022

Love Outside Margins: Mental Health And Marginalization In Intercultural And Monocultural Couples, Tara Masseratagah

Antioch University Full-Text Dissertations & Theses

As the number of intercultural couples increases in North America, the impact of perceived marginalization of these relationships on the mental health of individuals is an area that requires continued clinical understanding. This quantitative study sought to explore how anxiety and depression levels in intercultural and monocultural couples are associated with levels of perceived marginalization. Qualitative follow-up questions were used to understand the varying reasons for marginalization and support between couples. One hundred twenty-four individual participants in romantic relationships took part in this study; of this, 64 were in monocultural relationships and 60 were in intercultural relationships. This study found …


Locating Uncertainty In Hospital Leader Sensemaking And Sensegiving Of Organizational Change: A Single Case Study, Sara E. Barry Jan 2022

Locating Uncertainty In Hospital Leader Sensemaking And Sensegiving Of Organizational Change: A Single Case Study, Sara E. Barry

Antioch University Full-Text Dissertations & Theses

Leaders planning strategic change face significant ambiguity and uncertainty due to the complex, fast-paced, and volatile nature of organizational life. What one leader sees as an opportunity, another may view as a threat depending on their past experiences, their existing mental models, and their perceptions of uncertainty. Sensemaking and sensegiving theories provide a framework for how leaders retrospectively make sense of new and disorienting information through recursive cycles of interpretation, action, and learning, and seek to influence the meaning-making of others towards a shared vision of the strategic change. Despite decades of research using these theories, studies have yet to …


Beyond The Controversy: An Exploration Of Cultural Socialization Behaviors In Transracial Adoptive Families, Karmen Smith Jan 2022

Beyond The Controversy: An Exploration Of Cultural Socialization Behaviors In Transracial Adoptive Families, Karmen Smith

Antioch University Full-Text Dissertations & Theses

The voices of the families that have successfully raised transracially adopted children with a positive cultural identity are missing from the literature: “Further research is needed on adoption from the perspective of the adoptee” (Clark et al., 2006, p. 192). There are methodological shortcomings that inhibit our ability to definitively determine adjustment outcomes for this population. Such shortcomings, combined with a failure to address additional variables that influence outcomes, have left identified gaps in the research unaddressed. The purpose of this grounded theory study is to identify the cultural socialization behaviors that contributed to the development of the participant’s positive …


Developing The Diversity, Equity, Inclusion, Power, And Privilege Assessment In Cft/Mft: A Delphi Study, Carrie Hatch Jan 2022

Developing The Diversity, Equity, Inclusion, Power, And Privilege Assessment In Cft/Mft: A Delphi Study, Carrie Hatch

Antioch University Full-Text Dissertations & Theses

Marriage and Family Therapists (MFTs) and Couple and Family Therapists (CFTs) engage in clinical practice from a systemic framework. This framework positions MFTs to consider the impact of social systems on the MFT/CFT field and their clients. Issues related to diversity, equity, inclusion, power, and privilege (DEIPP) impact all of the systems in which we operate. Currently, there is no consensus on a tool measuring training clinicians’ competencies related to DEIPP beyond self-report. There is a need for a DEIPP competency measure because, currently, the most widely used measure is self or observer report, which may not provide a complete …


It Permeated Everything: A Lived Experience Of Slow Violence And Toxicological Disaster, Tara Jo Holmberg Jan 2022

It Permeated Everything: A Lived Experience Of Slow Violence And Toxicological Disaster, Tara Jo Holmberg

Antioch University Full-Text Dissertations & Theses

Impacts of disasters on individuals are dependent on numerous factors: local to international political dynamics, socioeconomics, geography, educational background, and outside support among others. Currently, much of disaster research focuses on those of natural origin, acute and large-scale environmental events, emergency management, and the ability of individuals, communities, and societies to prepare for, and recover from, likely known disasters in their region. However, there is a lack of data about individual experiences through ‘invisible’ anthropogenic disasters, especially those that fall under the umbrella of slow environmental violence (Davies, 2019; Rice, 2016). Through critical phenomenological autoethnography, I examine an individual experience …


Social And Cultural Considerations In Accessing Mental Health Treatment In The Gambia, West Africa, Safiya Njai Jan 2022

Social And Cultural Considerations In Accessing Mental Health Treatment In The Gambia, West Africa, Safiya Njai

Antioch University Full-Text Dissertations & Theses

This study examines the social and cultural considerations in accessing mental health treatment in The Gambia, West Africa. Participants were recruited from The Gambia for a qualitative study that included semistructured interviews (N = 17). A team of analysts identified five themes. The results highlighted social and cultural conceptualizations of mental health and mental illness, sociocultural determinants of health, interventions, barriers to care, and the legal framework to support mental health change. These findings are important for counselors to understand different perceptions of mental health and mental illness and the associated stigma. Furthermore, several opportunities for advocacy in The Gambia …


Experiences Of Queer Women And Nonbinary Individuals With Mental Health Care Services During The Covid-19 Pandemic, Elizabeth Claire Simpson Jan 2022

Experiences Of Queer Women And Nonbinary Individuals With Mental Health Care Services During The Covid-19 Pandemic, Elizabeth Claire Simpson

Antioch University Full-Text Dissertations & Theses

Background: The COVID-19 pandemic has had a negative effect on mental health. Queer women and nonbinary individuals disproportionately experience mental health issues when compared to heterosexuals, often facing challenges in receiving care from providers who are sensitive to their concerns and competent in their care. Objective: To report experience of queer women and nonbinary individuals in the United States with mental health care services before and during the pandemic. Methods: Data were gathered via a 43-item survey about experiences with mental health care services before and during the pandemic that was posted on four social media sites, and flyers hung …


It Takes Two: Professional Interconnections And Potential Collaborations Between Small-Town Family Attorneys And Couple/Family Therapists, Wendy Lenk Mcclary Jan 2022

It Takes Two: Professional Interconnections And Potential Collaborations Between Small-Town Family Attorneys And Couple/Family Therapists, Wendy Lenk Mcclary

Antioch University Full-Text Dissertations & Theses

Attorneys who specialize in family practice may experience significant rates of mood disorders and substance reliance. Law schools typically do not provide supportive coursework or mentoring to help students learn to manage their feelings and those of crisis-impacted clients. Lawyers may well consider that understanding emotional needs and providing emotional support does not fall within their codes of practice. Societal stigma may prevent family attorneys and their clients from seeking therapy. Small-town attorneys may be particularly vulnerable to professional stress and safety concerns. The purpose of this study was to explore and understand the lived experiences of family attorneys practicing …


The Lived Experiences Of Sports Retirement Among Elite, Action Sports Athletes, Gracie Struthers Jan 2022

The Lived Experiences Of Sports Retirement Among Elite, Action Sports Athletes, Gracie Struthers

Antioch University Full-Text Dissertations & Theses

This study explored the lived experiences of sports retirement among elite, action sport athletes. This study examined participants’ retirement experiences, their well-being post-retirement, and recommendations participants had for current athletes about retirement. Interviews were conducted remotely with four participants. Participants identified as Caucasian, in the 25–38 age range, had been involved with their sport competitively for 17.75 years, and had been retired for 3.37 years. Data was collected and analyzed utilizing Interpretive Phenomenological Analysis (IPA). Participants’ experiences during retirement illustrated a significant disruption in their lives and the way they lived. This disruption was characterized by significant grief and distress, …