Mental and Social Health Commons^™

Art As Meditation: A Mindful Inquiry Into Educator Well-Being, Rachael Crowder, Jennifer Lock, Evelyn Hickey, Mairi Mcdermott, Marlon Simmons, Katrina Wilson, Rebecca Leong, Noeleen De Silva

The Qualitative Report

Being prepared for the intensity and complexities that educators face in their work means building strategies for managing well-being. This qualitative study explored educators’ conceptualizations about their well-being using an arts-based, community-based participatory research (AB-CBPR) methodology. After a brief mindfulness meditation and contemplation of prompting questions, educators were invited to participate in drawing and writing reflections. The artifacts were coded to determine themes. Themes suggested the importance of human connectedness and interconnection, self care and nurturance, the healing qualities of the natural word, and the recognition that institutions need to provide space and resources to support educator well-being. The mindfulness-based …

From Isolation To Communication: Connecting Adults Who Have Hearing Loss With Their Communication Partners, Stephen D. Roberts, Nancy A. Delich

JADARA

As Baby Boomers enter the late adulthood stage of life, hearing loss continues to be one of the most prevalent, chronic, and isolating conditions facing older adults today. Research has focused on the negative consequences of hearing loss on the health and the person’s well-being, but it is equally important to recognize that hearing loss also leads to communication loss. The resulting social isolation and the collateral effects of hearing loss on the communication partner are the focus of this mixed-method study that explored the hearing loss-related quality of life for both parties. Five overarching themes emerged from the analysis, …

Impact Of Indian Demonetization On Working And Non-Working Married Women: An Interpretative Phenomenological Analysis, Naved Iqbal, Imtiyaz A. Dar, Irum Khan

The Qualitative Report

The sudden announcement of demonetization in India caused an immediate financial crisis that cascaded throughout the whole country and consequently caused suffering in the lives of many people, one such group being married women. Therefore, the present study aimed to explore and understand how married women were impacted by the demonetization policy. A total of 20 working and non-working women were selected from New Delhi and a qualitative research design based on interpretative phenomenological analysis (IPA) was employed. The present study identified three themes (i.e., problems due to demonetization, coping with demonetization, and diverse experiences associated with hidden money) and …

Awareness Of The Use Of Self In Therapy: An Autoethnographic Inquiry Into The Training Experiences Of A Black, Single, Female Mft Doctoral Student, Phyllis Days

Department of Family Therapy Dissertations and Applied Clinical Projects

The "self" of the therapist is an essential factor in the therapeutic process (Baldwin, 2000) and is impacted by intersections of identities and prejudicial treatment, which creates unjust conditions for Black women in society and academia. Nonmembers of the predominant culture can find difficulties in navigating the "self" of the therapist, which reflects personal and social experiences. In academia, the Black woman's identity continues to face problems of exclusion and oppressive related situations, which can complicate the learning process (Ong, Wright, Espinosa, & Orfield, 2011). Several studies have explored the challenges ofAfrican-American students and faculty, in MFT graduate programs, who …

Happy Tears: An Evocative Autoethnography On An Adoptee’S Development Of Identity Through Reunification, Jessica Popham

Department of Family Therapy Dissertations and Applied Clinical Projects

The story of adoption reunions is a story of many others. With the invention of the internet and DNA profiling websites, what was once impossible, or very difficult, is now as simple as submitting saliva to a DNA profiling company. This easier way to explore family backgrounds has created new experiences for adoptees. After a reunification, adoptees can reevaluate their identity with the new information to help develop a broader and deeper view of themselves (Henze-Pederson, 2019; Kiecolt & LoMascolo, 2003; Palmer, 2011; Schooler & Norris, 2002). In this study, I looked at how my adoptive identity changed after reunification …

Exploring The Professional Development Of Mft Students Enrolled In Equine Assisted Family Therapy Coursework: An Experiential Learning Modality, Natalie Rothman

Department of Family Therapy Dissertations and Applied Clinical Projects

Equine assisted activities have been utilized in various manners with multiple populations in therapeutic and educational environments. A graduate level marriage and family therapy program in South Florida is currently offering Equine Assisted Relational Learning (EARL) activities focused on teaching a specific sub-model of Equine Assisted Psychotherapy (EAP), known as Equine Assisted Family Therapy (EAFT). The experiential nature of EAP and EARL transforms abstract concepts such as thoughts and mannerisms into tangible experiences, as well as highlights behavioral patterns. The unique and innovative theoretical foundation of EAFT is being taught, demonstrated, and utilized to assist graduate level therapists with professional …

Sin Papeles: The Experiences Of Undocumented Central American Immigrants In The United States, Elizabeth Jarquin

Department of Family Therapy Dissertations and Applied Clinical Projects

In the United States, the topic of immigration represents a source of intense debate, which has escalated in recent years. Research indicates that Latinx immigrants are negatively impacted by current immigration policies— they are feeling afraid, angry, exhausted, defeated, overwhelmed, and concerned about themselves and their family (Castrellón, Rivarola, & López, 2017; Wray-Lake et al., 2018). This research, however, has largely neglected the Central American subgroup and the experiences of undocumented immigrants. The purpose of this study was to understand the experiences of undocumented Central American immigrants and their families within the current sociopolitical context. I utilized interpretative phenomenological analysis …

The Impact Of Grief Work On Hospice Mental Health Providers Through A Bowen Family Systems Lens, Joshua Hernandez

Department of Family Therapy Dissertations and Applied Clinical Projects

Marriage and family therapists and other mental health professionals and clients can be thought of as their own, divine emotional unit, generating and distributing the anxiety of one to the other. In fact, Kerr and Bowen (1988) described anxiety as a driving force exchanged by every living organism, and the energy surrounded by every human relationship. Within a hospice setting, anxiety can be heightened due to catering to end-of-life care, which can potentially affect the emotional response and reactivity of the mental health professional, changing the course of treatment for the patient and their family. Emerging research within healthcare has …

Therapeutic Autoethnography: From Epiphany To Catharsis, Kelsey Railsback

Department of Family Therapy Dissertations and Applied Clinical Projects

A large percentage of the U.S. population has been directly or indirectly affected by sexual violence. The Rape, Abuse, and Incest National Network (2020b) reported 433,648 victims annually, and Dillinger (2018) reported 747,408 registered sex offenders living in the United States. As a victim-survivor of sexual violence, I have a unique narrative in that I chose to work therapeutically with sexual offenders. Reactions from my family, friends, and colleagues have varied from surprise to alarm, but I hope this dissertation inspires readers to take a second look. Readers who are mental health professionals may consequently be motivated to work with …

Appreciative Inquiry Of An Exemplary Trauma Informed Wellness Center Created For The Community And Families Affected By A School Shooting, Halle Solomon

Department of Family Therapy Dissertations and Applied Clinical Projects

Gun violence has flooded our society with human-caused disasters, making mass shootings an unfortunate new normal. In the wake of large- scale shootings, the United States Government and other agencies provide financial support and resources to the affected community in hopes of bringing solidarity to the fractured system. This financial reinforcement and other funding sources have been utilized to build resiliency centers within a certain distance of the unnerving events. Resiliency facilities play a pivotal role in helping communities recover from human-caused disasters such as mass shootings. These resources are becoming customary across the country, with resiliency centers in Newton, …

Exploring The Lived Experiences Of Adults Who Have Experienced A Parental Divorce: Identifying Collaborative Divorce Aspects As They Adjusted To Adulthood, Arlene Brown

Department of Family Therapy Dissertations and Applied Clinical Projects

Divorce itself is a traumatic experience for everyone involved, especially the children. Studies have been conducted to focus on the effects on children, and ways to help with adjustment. Furthermore, researchers have delved into the long-term effects parental divorce has on children. Collaborative divorce is an approach to divorce that utilizes a specially trained team of family law, financial, and mental health professionals (MHPs) working together with couples to resolve issues related to the dissolution of their marriage, the co-parenting of their children, and the restructuring of their lives–without involving the court system. Some of the aspects of a collaborative …

The Conundrum Of Both/And In A World Of Either/Or: An Interpretive Phenomenological Analysis Of Resilience And Intersectional Identities In Queer Women Of Afro-Caribbean Descent, Stephane Louis

Department of Family Therapy Dissertations and Applied Clinical Projects

Queer people of color are more at risk for bias and brutality than other sexual or racial minority groups (Follins, Walker, & Lewis, 2014). Homophobic violence is embedded in Afro-Caribbean culture and even substantiated by some of those countries’ laws (Calixte, 2005). While more research is being increasingly done on LGBTQ+ black lived experiences, studies have focused more on discriminatory trauma than everyday triumph. Movements like Black Girls Rock (Bond, 2018) and intersectional black feminism (Nash, 2018) celebrate women of color surviving and thriving the compound effects of racism and sexism. In addition to misogynoir, this research gave consideration to …

White Marriage And Family Therapy Students’ Experiences In Diversity Courses: An Interpretative Phenomenological Analysis, Porshia Cunningham

Department of Family Therapy Dissertations and Applied Clinical Projects

American minority racial groups are on the rise and the majority racial group (White) will decrease in size (Vespa, Medina, & Armstrong, 2018). The U.S. population is becoming progressively diverse and projections indicate that by 2050, the elderly population will be 42% minority for the first time in history (U.S. Census Bureau, 2002). Racial minority experiences and needs are uniquely influenced by race due to systematic structures historically constructed in the United States (Cole, 2019; Sue, 2019). For many marriage and family therapy (MFT) students, particularly White students, the culture and diversity course is the primary mechanism for exposure to …

Exploratory Study Of The Lived Experiences Of Adoptees In The Caribbean, Kelley T. Knowles

Department of Family Therapy Dissertations and Applied Clinical Projects

This qualitative research study offers exploration into Caribbean adoptee experiences related to their adoptive parent-child relationships. Existing studies focus on adoptive parent perspectives. Few accounts focus on Caribbean adoptees' experiences with adoption (Caughman, 2007). The existing research serves a purpose by helping adopted parents discuss adoption with adoptees. However, this approach does not include thevoice of the adoptee and fails to encompass the totality of adoptee lived experiences. The research does not focus on the amplification of the adoptees' voice, which in turn, neglects the adoptees' role inunderstanding their family processes. Therefore, it is pertinent to include lived experiences of …

Portrait Of A Novice Medical Family Therapist, Working In A Medical Setting With Head And Neck Cancer Patients Observed Through A Bowen Family Systems Theory’S Lens, Venetia Bennett

Department of Family Therapy Dissertations and Applied Clinical Projects

Each year, approximately 43,000 people in the United States, receive a diagnosis of cancer of the head and neck (American Cancer Society 2019). A diagnosis of cancer, regardless of its location can be overwhelming for patients, their caregivers, and their family system. Receiving such a diagnosis causes a reaction of heightened emotions and anxiety. With that, there is a growing need for medical familytherapists. Medical family therapy has been documented as an effective approach for aiding medical providers to increase the quality of care for patients. Traditionally, medical family therapy is associated withgeneral practitioners, pediatricians, and such medical environments. This …

Job Stress Effects On Job Satisfaction And Attrition In 9-1-1 Call Centers, Damarys Jaile Gilligan

Theses and Dissertations

In 9-1-1 call centers across the nation the personnel shortage has become a crisis. The nature of the job of a 9-1-1 telecommunicator is stressful due to the high volume of emergency calls. This applied dissertation was designed to learn if there is a relationship between job stress, burnout levels, and job satisfaction in 9-1-1 telecommunicators. This was a nonexperimental quantitative survey research with a correlational approach. The population was a nonprobability convenience sample recruited through the Survey Monkey Audience platform. Data was collected at one point in time. A total of 37 participants took part in the study. All …

An Interprofessional Collaborative Approach To The Development Of A Content Valid Interview Questionnaire For Persons With Hearing Loss And Their Communication Partners, Nancy A. Delich, Stephen D. Roberts

JADARA

An assessment instrument needs to be valid in order for data to be accurately interpreted and applied. Currently, few rigorous content evaluations have been conducted on hearing-related questionnaires. This study describes a multiphase approach for obtaining content validity evidence in the development of a questionnaire that explores quality of life for persons with hearing loss and their communication partners. A panel of 15 interprofessional experts evaluated 41 questionnaire items for content relevance and content clarity. Findings revealed an overall scale of .99 for content relevance and .85 for content clarity, indicating high content validity for the revised 40-item questionnaire.

Conflict Between Religious Beliefs And Sexuality: An Autoethnography, Carlos E. Gerena

The Qualitative Report

Despite the shift in attitudes in religious institutions toward homosexuals in the United States, there are some religions that continue to view same-sex behavior as a deviant and damning sin. For many, religious beliefs and values provide meaning and impact personal identity. Using autoethnography, I will explicate my own experiences with religious institutions and the ongoing conflict between religious beliefs and sexuality. I will discuss messages received from the Pentecostal church, family, and Latino community, and how these messages influenced my human development and emotional well-being. I show that internalization of the principles taught by the Pentecostal Church triggered a …

The Color Of Water: An Autoethnographically-Inspired Journey Of My Becoming A Researcher, Trude Klevan, Bengt Karlsson, Alec Grant

The Qualitative Report

In this paper, the first author autoethnographically describes, discusses and reflects on her process of becoming a researcher based on her PhD journey. She explores how the development of knowledge and her understandings of what counts as knowledge is entangled with her personal and professional development. The second and third authors join with her to explore and comment on the ways in which her doctoral topic knowledge and her process of becoming a researcher co-evolved. On this basis, all authors challenge and trouble what counts as qualitative knowledge and inquiry in contemporary academia and discuss the need for the provision …

An Introduction To Transformative Inquiry: Understanding Compelling And Significant Relationships For Personal And Societal Transformation, Mark L. Mccaslin, Kelly A. Kilrea

The Qualitative Report

Transformative inquiry is a theoretical model designed to facilitate the inquiry of important and meaningful relationships that transform and potentiate us. Creswell (2007) described the essential elements of a research agenda: the axiological, ontological, epistemological, methodological, and rhetorical. Each carries with it assumptions that hold implications for practice and research. Transformative inquiry addresses all of these elements through considerations given to deep ecology, transdisciplinarity, integral meta-theory, heuristic research, and eudaimonistic philosophy, respectively. Transformative inquiry is an approach to understanding and fostering the full range of deep and meaningful relationships from the personal to the political, and beyond. It is a …

Investigating The Emotional Theory Of Mind In Iranian Married Women: A Descriptive Phenomenological Study, Abbas Rahmati, Maryam Poormirzaei, Masoud Bagheri

The Qualitative Report

In marital relationships, the type of perception of the spouse’s behavior affects how the social information and behavior of the other couple is processed, leading to psychological consequences. Thus, a higher perception of each other’s mental state is followed by sincerity and more satisfaction with the relations. The present study was performed by using a descriptive phenomenological qualitative approach with the aim of investigating emotional theory of mind in 19 married Iranian women who were selected by purposive sampling in 2017. In order to coding data, MAXQDA 2018 software and the Colaizzi’s method were used for coding and analyzing the …

Saying No To Vaping: What You Should Know About The Dangers Of E-Cigarettes, David Prudovsky

HCAS Student Articles

Smoking is one of the most popular methods of drug intake in the world. Unlike other means of drug abuse, smoking poses a great danger even to those who aren’t smoking, known as passive smokers. According to research, children whose parents smoke inside the home have numerous health issues, such as bronchitis and mental health challenges. The cigarette industry continues to grow in revenue and innovation. It’s that innovation that has produced e-cigarettes, which provide various advantages for the smoker, including durability, where a smoker can simply recharge and refill. According to the Centers for Disease Control and Prevention (CDC), …

Online Blaming And Intimate Partner Violence: A Content Analysis Of Social Media Comments, Jason Whiting, Rachael Dansby Olufowote, Jaclyn D. Cravens-Pickens, Alyssa Banford Witting

The Qualitative Report

Social media has become a ubiquitous form of interacting and sharing information. However, comments on social media sites are often aggressive and contemptuous, especially when topics are controversial or politically charged. For example, discussion of intimate partner violence (IPV) tends to provoke strong reactions from outsiders, who make angry or blaming remarks about those involved. Although IPV is common, it has not been widely discussed in popular media until recent years when high-profile cases of abuse have come to light. In 2016, a celebrity accusation of domestic violence led to thousands of comments on social media, with outsiders weighing in …

Cooking With Couples: A Grounded Theory Study On The Relational Aspects Found In The Cooking Interactions Of Couples, Nicole R. Gordon

Department of Family Therapy Dissertations and Applied Clinical Projects

Cooking is a universal activity which all humans can relate to on some level. Historically, cooking has continued to connect people across cultures and time, simultaneously providing nutritive sustenance as well as socio- and psychological benefits. Medical and mental health practitioners only in recent years have utilized cooking in a therapeutic process, and most of those cooking activities available tend to focus on cooking from an occupational and nutrition-education stance. A gap in the literature pertaining to cooking and its therapeutic applications exists around the relational nature underlying the cooking process, especially as it pertains to couples. While marriage and …

Prevalence Of Alcohol Use: A National Survey Of Deaf Adults In The United States, Poorna Kushalnagar, Traciann Hoglind, Abbi N. Simons, Debra Guthmann

JADARA

Objective: Alcohol is one of the most commonly used substances in the United States. Alcohol consumption has been linked to several sociodemographic and social characteristics in the general population. Research is needed to understand the prevalence of and characteristics related to alcohol use in Deaf adults. Our study purpose was to determine nation-wide prevalence of alcohol use and investigate characteristics related to alcohol consumption in Deaf adults in the United States.

Methods: Secondary data were drawn from the Health Information National Trends in American Sign Language (HINTS-ASL). Self-reported data from 1272 Deaf adults (56% female) were used to …

A Phenomenological Study Of Black Fathers In Child Welfare, Tamaru N. Phillips

Department of Family Therapy Dissertations and Applied Clinical Projects

Each year thousands of children are removed from their homes and placed in foster care where they lose connections with their family, community, and friends. Coakley (2007) points out that children of color are overly represented within the child welfare system, and there is a lack of research on Black fathers and their involvement when their children become a part of the system. Studies have suggested that most families that encounter the child welfare system have adult males who are actively involved with their families, however, child welfare workers do not engage these men (Coady, Hoy, & Cameron, 2013). The …

The Experience Of Sexual Abuse Of Afro Caribbean Women: The Interpretive Phenomenological Analysis Of The Particularities Attached To Disclosure, Angela Hood

Department of Family Therapy Dissertations and Applied Clinical Projects

Sexual abuse is often associated with long-term distressing effects. The experience of sexual abuse differs between survivors and the disclosure of the abuse is a complicated process that may have many particularities attached. For this study, I conducted an interpretative phenomenological analysis to understand how Afro-Caribbean women who experienced sexual abuse understand and make meaning of their experiences and the particularities attached to disclosure. Although prior research regarding sexual abuse has been conducted, research amongst Afro-Caribbean women has been minimal. Further absent from the sexual abuse literature is the lived experience of this population and the meaning they ascribe to …

Marriage And Family Therapists’ Clinical Impressions Of Romantic Relationship Dissolution Heartbreak: A Modified Delphi Study, Isibel C. Moreno

Department of Family Therapy Dissertations and Applied Clinical Projects

The Merriam-Webster Dictionary (2018) defines heartbreak as “crushing grief, anguish or distress.” Heartbreak can lead to biological, psychological and social responses and consequences. Heartbreak from the dissolution of a romantic relationship is a form of disenfranchised grief, which is defined as the griever’s belief that society does not recognize their source of grief as legitimate (Doka, 1989). The literature shows that talking about grief helps those who experience it (Fisher & Archer, 2008). Hence, the present study sought to provide a consensus of the best practices that marriage and family therapists have utilized to help broken-hearted clients. I employed a …

An Autoethnography Of A Bilingual Therapist Working With Haitian Clients: Reconnecting To Home, Marie Philomise Joseph

Department of Family Therapy Dissertations and Applied Clinical Projects

This evocative autoethnographic study is a very personalized account of my life as a Haitian American and a bilingual family therapist working with Haitian refugee earthquake survivors. The study focused on the lived experiences and challenges encountered as a family therapist trained in systemic techniques, linguistic terminology, and the Westernized psychotherapy approach to engaging Creole-speaking clients in therapy. Other challenges that existed were uncovered during the integration of the use of Haitian Creole language and Solution-Focused Brief Therapy (SFBT) tenets as the preferred model. It explored this therapist’s narrative in the process of providing psychotherapy to these clients, emerged a …

An Exploration Of The Lived Experience Of Women Who Had Abortions And The Effects Of The Abortion Secret On Their Relationships: An Interpretive Phenomenological Analysis, Marckdaline Johnson

Department of Family Therapy Dissertations and Applied Clinical Projects

The United States Supreme Court decision in the Roe v. Wade (1973) case provides women with a right to privacy and the liberty to make decisions concerning their reproductive lives. With this, women who become pregnant are offered the right to choose between keeping their pregnancy and terminating the pregnancy by way of abortion. Since Roe v. Wade (1973), many women have exercised their reproductive liberties, as evidenced by the termination of over 60 million pregnancies via legal abortion in the United States. Still, secrecy among women with a history of abortion remains a common phenomenon. Studies conducted on abortion …