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Articles 661 - 690 of 998
Full-Text Articles in Mental and Social Health
Mental Health Supportive Services During Covid-19: Proposing An Online, Self-Guided Acceptance And Commitment Therapy Program For Parents In The Disability Community, Ty B. Aller, Elizabeth B. Fauth, Sarah Hodgskiss, Jeff Sheen, Michael E. Levin
Mental Health Supportive Services During Covid-19: Proposing An Online, Self-Guided Acceptance And Commitment Therapy Program For Parents In The Disability Community, Ty B. Aller, Elizabeth B. Fauth, Sarah Hodgskiss, Jeff Sheen, Michael E. Levin
Developmental Disabilities Network Journal
Parents of Children with Intellectual and Developmental Disabilities (I/DD) often experience stress, and the COVID-19 pandemic has likely increased their stress. In the current paper, we describe four things. First, we describe how mental telehealth treatments can effectively decrease parent stress, including programs that target behavior training and those that provide therapy. Teleheath programs are delivered by phone, computer, or fully online. Second, we describe challenges of these programs and explain how online, self-guided programs may help address these challenges. Third, we explain our online, self-guided program based in Acceptance and Commitment Therapy (ACT). ACT is a specific type of …
The Relationship Between Sleep Duration And Optimism Levels In Generation Z Students, Anna Hassett
The Relationship Between Sleep Duration And Optimism Levels In Generation Z Students, Anna Hassett
Honors College Theses
Generation Z is getting less sleep than ever and in conjunction, the quality of Generation Z’s sleep is decreasing. Inadequate sleep can increase the risk of depression, cardiovascular diseases, obesity, and cognitive decline. Optimism is a subjective measure of worldview. In the field of positive psychology, optimism is believed to improve overall psychological and physical health. The main purpose of the present study is to examine the relationship between sleep duration and reported levels of optimism in Generation Z students, aged 17 to 24. The hypothesis for this study is that optimism and duration of sleep will have a significantly …
James's Choice: Treating An Infant With Craniosacral Therapy (Cst), Veronica Quarry
James's Choice: Treating An Infant With Craniosacral Therapy (Cst), Veronica Quarry
Journal of Transformative Touch
No abstract provided.
Social Identity Gaps And Ptsd: A Qualitative Study Of Iraq And Afghanistan Veterans, Jonathan Christopher Thibault
Social Identity Gaps And Ptsd: A Qualitative Study Of Iraq And Afghanistan Veterans, Jonathan Christopher Thibault
Student Theses and Dissertations
Many Veterans have been diagnosed with post-traumatic stress disorder (PTSD) since the beginning of the Iraq/Afghanistan wars. Much research has been done to understand the disorder. However, little research has been done to see how the military acculturation process and PTSD affect the Veteran’s social identity. This research study aimed to find out what are the relationships between the military acculturation process and PTSD, and Veterans’ social identities. The study utilized the qualitative research method and the Communication Theory of Identity, specifically the personal-relational and personal-enacted identity gap layers of the theory. Eight Veterans, who self-reported having PTSD and served …
Drug Repositioning Based On Centrality Measures Of Drug Side Effects Network, Keng Ying Ying
Drug Repositioning Based On Centrality Measures Of Drug Side Effects Network, Keng Ying Ying
Student Works (2020-2029)
Drug repositioning, the process of discovering new therapeutic uses of existing drugs, is an alternative to the risky, costly, and time-consuming traditional drug discovery process. Based on the hypothesis that drugs with similar side effects may share similar therapeutic indications, a network of drugs is constructed based on their side-effect similarities. Then, for a target disease of concern, the potential drug candidates that may be repurposed for treating it can be identified from among the network neighbors of the existing drugs approved for the disease. By applying three classic centrality measures – degree, closeness, and betweenness – to rank the …
Predictive Modeling Of Fmol Health System Utilization Using Machine Learning Algorithms And Retrospective Study Of Covid Tested Patients, Ramyakrishna Tummala
Predictive Modeling Of Fmol Health System Utilization Using Machine Learning Algorithms And Retrospective Study Of Covid Tested Patients, Ramyakrishna Tummala
LSU Master's Theses
Overutilization of Emergency Departments (ED) is a major problem among the health care providers in the United States. In this research, a machine learning-based predictive model for predicting ED high utilizers will be designed based on a set of existing and proposed facilities and the population and social determinant of health (SDOH) factors influencing utilization. The purpose of the model will be to alert the healthcare systems and government organizations by identifying the reasons for overutilization of the medical services among the people in a particular community. Also, the novel coronavirus disease 2019 (COVID-19) developed in Whunan city, China has …
Cooper Neurological Institute, Kayla Cupano
Cooper Neurological Institute, Kayla Cupano
Department of Occupational Therapy Entry-Level Capstone Projects
No abstract provided.
Development And Validation Of A Measure Of Birth-Related Ptsd For Fathers And Birth Partners: The City Birth Trauma Scale (Partner Version), Rebecca Webb, Ann M. Smith, Susan Ayers, Daniel B. Wright, Alexandra Thornton
Development And Validation Of A Measure Of Birth-Related Ptsd For Fathers And Birth Partners: The City Birth Trauma Scale (Partner Version), Rebecca Webb, Ann M. Smith, Susan Ayers, Daniel B. Wright, Alexandra Thornton
Educational Psychology, Leadership, and Higher Education Faculty Research
Research suggests that some fathers and birth partners can experience post-traumatic stress disorder (PTSD) after witnessing a traumatic birth. Birth-related PTSD may impact on many aspects of fathers’ and birth partners’ life, including relationship breakdown, self-blame and reducing plans for future children. Despite the potential impact on birth partners’ lives there is currently no measure of birth-related PTSD validated for use with birth partners. The current study therefore adapted the City Birth Trauma Scale for use with birth partners. The City Birth Trauma Scale (Partner version) is a 29-item questionnaire developed to measure birth-related PTSD according to DSM-5 criteria: stressor …
Alcohol Use In Tanzanians With Chronic Psychotic Disorders And Poor Medication Adherence, Emily Simon, Jennifer B. Levin, Carol Blixen, Michelle Aebi, Kristin Cassidy, Martha Sajatovic
Alcohol Use In Tanzanians With Chronic Psychotic Disorders And Poor Medication Adherence, Emily Simon, Jennifer B. Levin, Carol Blixen, Michelle Aebi, Kristin Cassidy, Martha Sajatovic
Faculty Scholarship
Background: The burden of chronic psychotic disorders (CPDs) in sub-Saharan Africa (SSA) is significant. Poorly medically adherent patients are more likely to have worse outcomes and require more resources. However, factors impacting effective treatment of CPD in this population are unclear. Aim: Examine the relationship between alcohol use and disease management and compare alcohol risk stratification between the Alcohol Use Disorders Identification Test (AUDIT) and Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) in poorly medication adherent Tanzanians with CPD. Setting: Muhimbili National Hospital and ambulatory clinics in Dar es Salaam, Tanzania. Methods: 100 Tanzanians with CPDs and suboptimal medication …
Examination Of Anger Prevalence In Ncaa Division I Student-Athletes, Robert Madden, Zachary K. Winkelmann, Samantha R. Weber, Erin M. Moore, Toni M. Torres-Mcgehee
Examination Of Anger Prevalence In Ncaa Division I Student-Athletes, Robert Madden, Zachary K. Winkelmann, Samantha R. Weber, Erin M. Moore, Toni M. Torres-Mcgehee
Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association
Purpose: Anger associated with sports participation may affect inability to acutely process anger, may decrease performance and increase the likelihood of risk-taking behavior in collegiate athletes. Therefore, the purpose was to examine the prevalence of anger in collegiate student-athletes across sex, academic status, and sport type. Methods: A cross sectional study over a three-year period examined 759 NCAA Division I student-athletes at one institution (age=20±1 years; males: n=259; females: n=500) completed an optional pre-participation behavioral health screening questionnaire, personal demographic information and the Anger Index Self-Test. Results: Overall, 37.2% (n=282/759; males=127/259, 49.0%; females=155/500, 31.0%) of participants were at …
New Psychoactive Substances In Taiwan: The Current Situation And Initiative For Rational Scheduling, Wen-Jing Yu, Linda B. Cottler, Jih-Heng Li
New Psychoactive Substances In Taiwan: The Current Situation And Initiative For Rational Scheduling, Wen-Jing Yu, Linda B. Cottler, Jih-Heng Li
Journal of Food and Drug Analysis
Use of New Psychoactive Substances (NPS) has posed a global threat to public health and the security of the population. As of December 2019, the NPS items identified in total have outnumbered by three to one the controlled substances listed in the 1961 and 1971 UN Drug Conventions. However, most of these NPS have not been scheduled by the United Nations because of their easy modification on the chemical structures to shun control. Currently, the scheduling and control of NPS is mostly at the national level and a rational scheduling of NPS by objective assessments is essential but often lacking. …
Gme: Gym In Medical Education-Maintaining Physical And Mental Well Being During The Covid-19 Pandemic, Brian J. Nguyen, Elana A. Meer, Joyce E. Nguyen
Gme: Gym In Medical Education-Maintaining Physical And Mental Well Being During The Covid-19 Pandemic, Brian J. Nguyen, Elana A. Meer, Joyce E. Nguyen
Journal of Wellness
No abstract provided.
Surrogacy Among Filipinos Who Have Struggled With Infertility: A Discourse Analysis, Gabrielle Marie A. Liamzon, Andrea Mari P. Santos, Marie Ashley G. Tamayo, Ma. Elizabeth J. Macapagal
Surrogacy Among Filipinos Who Have Struggled With Infertility: A Discourse Analysis, Gabrielle Marie A. Liamzon, Andrea Mari P. Santos, Marie Ashley G. Tamayo, Ma. Elizabeth J. Macapagal
Psychology Department Faculty Publications
Surrogacy continues to be practiced to address infertility in the Philippines; however, discussions on the method are sparse, given its limited accessibility and morally questionable procedures that may concern potential parents in a developing country. Using discourse analysis, the researchers interviewed ten (10) Filipino Roman Catholics who were struggling with infertility, to uncover how they construct the idea of surrogacy. The study shows the discourses on surrogacy are often approached in a detached manner, where potential parents describe the method as a last choice or one that is never considered. They articulate this position by highlighting the emotional factors surrogacy …
Modifications To The Healing Communities Study In Response To Covid-19 Related Disruptions, Scott T. Walters, Redonna K. Chandler, Thomas Clarke, Nabila El-Bassel, Lashawn M. Glasgow, Rebecca D. Jackson, Emmanuel A. Oga, Jeffery H. Samet, Sharon L. Walsh, Gary A. Zarkin
Modifications To The Healing Communities Study In Response To Covid-19 Related Disruptions, Scott T. Walters, Redonna K. Chandler, Thomas Clarke, Nabila El-Bassel, Lashawn M. Glasgow, Rebecca D. Jackson, Emmanuel A. Oga, Jeffery H. Samet, Sharon L. Walsh, Gary A. Zarkin
Behavioral Science Faculty Publications
No abstract provided.
A Review: Examining Narcissism In Eating Disorders: The Relationship Between Two Types Of Eating Disorders—Anorexia Nervosa And Bulimia Nervosa—And Two Forms Of Narcissism, Kayla Lashinger
The Pegasus Review: UCF Undergraduate Research Journal
This research investigates the relationship between narcissism and eating disorders (EDs). Two forms of narcissism are studied, as each are present in the individual (O’Brien, 1987). The first form, core narcissism, is major, and refers to the way the individual views themselves while the second form, narcissistic defenses, are minor, serving only to protect the sense of self (Waller et al., 2006; O’Brien, 1987). Core narcissism is exhibited as grandiose or vulnerable narcissism where grandiose includes feelings of entitlement and high self-esteem while vulnerable includes low self-esteem and self-criticality (Maples et al., 2011). The narcissistic defenses can be displayed as …
Returning To Rejection: Outcomes And Boundary Conditions Of Mental Illness Stereotypes, Stefanie Fox
Returning To Rejection: Outcomes And Boundary Conditions Of Mental Illness Stereotypes, Stefanie Fox
Dissertations and Theses
Mental illness is a common condition in the United States, with over 20% of working age adults managing a mental illness condition in a given year. Disclosure of mental illness is often required for workers to take advantage of employer-provided resources (e.g., accommodations), yet use of resources is exceedingly low (less than 10%). Negative stigma-related outcomes are a top reason for which individuals delay the use of resources. Using an experimental design in an online data collection of 242 participants over two time points, the current study builds on existing organizational diversity literature to examine the stereotypes associated with mental …
Pornography: Social, Emotional And Mental Implications Among Adolescents, William Kelly Canady
Pornography: Social, Emotional And Mental Implications Among Adolescents, William Kelly Canady
National Youth Advocacy & Resilience Conference
This presentation will explain the historical development of pornography. It will highlight four segments: 1- Porn’s impact on brain development of reward pathways, ultimately increasing the appetite for more porn. 2- Porn can be a false substitute for real intimacy, resulting in decreased sexual satisfaction with a real person and increased verbal and physical aggression. 3- Porn promotes sex trafficking, promotes multiple sex partners and reduced STD prevention. 4- A review of interventions available to assist clients in navigating a lifestyle away from pornography.
Care For Some Lunch? It’S More Than Just Food! Care, Commensality And Pedagogic Meals In Irish Primary Schools, Caroline Mcgowan
Care For Some Lunch? It’S More Than Just Food! Care, Commensality And Pedagogic Meals In Irish Primary Schools, Caroline Mcgowan
Level 3
This expository article addresses a lacuna in policy and practice literature around using primary school lunches as both a pedagogical opportunity and a space to expose children to social and cultural ‘rituals’ that model both care and food sharing as commensality. The article argues that policy literature in this space broadly tends to be concerned with a medicalised paradigm of nutrition, physical and cognitive development, and disease prevention, with scant regard for the impact that natural ‘everyday’ practices of eating and caring can have on enhancing encultured commensality, care and learning.
Communication And Self-Care In Times Of Stress, Elizabeth Marston, Sam Marion
Communication And Self-Care In Times Of Stress, Elizabeth Marston, Sam Marion
National Youth Advocacy & Resilience Conference
The global pandemic of Covid-19 placed protecting physical health at the forefront of all of our minds. However, the mental and emotional impact of stress, quarantine, social distance, political and social turmoil, and virtual learning is enormous. This presentation will outline strategies for effectively managing stress while also understanding how to effectively communicate with students and parents who are struggling.
Understanding The Traumatized Brain, Sam Marion, Elizabeth Marston
Understanding The Traumatized Brain, Sam Marion, Elizabeth Marston
National Youth Advocacy & Resilience Conference
Students who have experienced trauma are often in need of behavioral intervention due to challenging behaviors and reactivity. Understanding the body’s threat response system gives insight into these behaviors and allows for empathy within the interventions. This presentation will outline basic neuroscience theories, propose interventions focused on self-regulation, and demonstrate how adding basic elements to existing interventions can increase efficacy.
The Complicated Path To Wellness, Jennifer Reese, Martin Huecker
The Complicated Path To Wellness, Jennifer Reese, Martin Huecker
Journal of Wellness
No abstract provided.
The Psychometric Properties Of The Bergen–Yale Sex Addiction Scale For The Iranian Population, Samaneh Youseflu, Shane W. Kraus, Majid Yousefi Afrashteh, Soudabeh Niroomand, Fatemeh Razavinia
The Psychometric Properties Of The Bergen–Yale Sex Addiction Scale For The Iranian Population, Samaneh Youseflu, Shane W. Kraus, Majid Yousefi Afrashteh, Soudabeh Niroomand, Fatemeh Razavinia
Psychology Faculty Research
Background: The assessment of sex addiction among different populations requires a valid and reliable tool. Since the Bergen–Yale Sex Addiction Scale (BYSAS) was not available in Iran, this study aimed to evaluate the validity and reliability of the Persian version of the BYSAS. Methods: After translation/back-translation procedure, a total of 756 Iranian men and women completed the BYSAS. The structural validity of this tool was evaluated by exploratory and confirmatory factor analyses. An expert panel review also examined content validity of the items. Psychometric properties of the scale including validity, reliability (internal consistency [Cronbach’s alpha]) and test-retest) and factor structure …
The Relationship Between Dark Triad Personality Traits And Sexting Behaviors Among Adolescents And Young Adults Across 11 Countries., Mara Morelli, Flavio Urbini, Dora Bianchi, Roberto Baiocco, Elena Cattelino, Fiorenzo Laghi, Piotr Sorokowski, Michal Misiak, Martyna Dziekan, Heather Hudson, Alexandra Marshall, Thanh Truc T Nguyen, Lauren Mark, Kamil Kopecky, René Szotkowski, Ezgi Toplu Demirtaş, Joris Van Ouytsel, Koen Ponnet, Michel Walrave, Tingshao Zhu, Ya Chen, Nan Zhao, Xiaoqian Liu, Alexander Voiskounsky, Nataliya Bogacheva, Maria Ioannou, John Synnott, Kalliopi Tzani-Pepelasi, Vimala Balakrishnan, Moses Okumu, Eusebius Small, Silviya Pavlova Nikolova, Michelle Drouin, Antonio Chirumbolo
The Relationship Between Dark Triad Personality Traits And Sexting Behaviors Among Adolescents And Young Adults Across 11 Countries., Mara Morelli, Flavio Urbini, Dora Bianchi, Roberto Baiocco, Elena Cattelino, Fiorenzo Laghi, Piotr Sorokowski, Michal Misiak, Martyna Dziekan, Heather Hudson, Alexandra Marshall, Thanh Truc T Nguyen, Lauren Mark, Kamil Kopecky, René Szotkowski, Ezgi Toplu Demirtaş, Joris Van Ouytsel, Koen Ponnet, Michel Walrave, Tingshao Zhu, Ya Chen, Nan Zhao, Xiaoqian Liu, Alexander Voiskounsky, Nataliya Bogacheva, Maria Ioannou, John Synnott, Kalliopi Tzani-Pepelasi, Vimala Balakrishnan, Moses Okumu, Eusebius Small, Silviya Pavlova Nikolova, Michelle Drouin, Antonio Chirumbolo
Health Services and Informatics Research
BACKGROUND: Sexting is an increasingly common phenomenon among adolescents and young adults. Some studies have investigated the role of personality traits in different sexting behaviors within mainstream personality taxonomies like Big Five and HEXACO. However, very few studies have investigated the role of maladaptive personality factors in sexting. Therefore, the present study investigated the relationship between Dark Triad Personality Traits and experimental (i.e., sharing own sexts), risky (i.e., sexting under substance use and with strangers), and aggravated sexting (i.e., non-consensual sexting and sexting under pressure) across 11 countries.
METHODS: An online survey was completed by 6093 participants (Mage = 20.35; …
Evaluating Opioid Dispensing Rates Among Pediatrics And Young Adults Based On Cures Data Reporting In California From 2015–2019, Michael T. Phan, Courtney Wong, Daniel M. Tomaszewski, Zeev N. Kain, Brooke Jenkins, Candice D. Donaldson, Michelle Fortier, Sun Yang
Evaluating Opioid Dispensing Rates Among Pediatrics And Young Adults Based On Cures Data Reporting In California From 2015–2019, Michael T. Phan, Courtney Wong, Daniel M. Tomaszewski, Zeev N. Kain, Brooke Jenkins, Candice D. Donaldson, Michelle Fortier, Sun Yang
Pharmacy Faculty Articles and Research
Background
Receipt of opioid prescriptions in pediatric and young adult patients may be a risk factor for future opioid misuse. Data from prescription drug monitoring programs provide insight on outpatient opioid use. In our study, we analyzed the opioid dispensing rates for pediatrics and young adults in California. Methods
A secondary analysis was performed from 2015–2019 using Controlled Utilization Review and Evaluation System data. This database provides dispensing data of controlled substances in California. Patients younger than 25 years who were prescribed opiates were analyzed by county. We further divided them into two groups (children: ≤14 years; adolescents and young …
Deconstructing Patriarchy In The Healing Arts, Rebekah Harbour
Deconstructing Patriarchy In The Healing Arts, Rebekah Harbour
Journal of Transformative Touch
Sometimes we perpetuate the very systems we want to change because it's the only way we know. Making a change in the outer world can require a shift in our inner perspective.
The Emerging Global Tobacco Treatment Workforce: Characteristics Of Tobacco Treatment Specialists Trained In Council-Accredited Training Programs From 2017 To 2019, Christine E. Sheffer, Abdulmohsen Al-Zalabani, Andrée Aubrey, Rasha Bader, Claribel Beltrez, Susan Bennett, Ellen Carl, Caroline Cranos, Audrey Darville, Jennifer Greyber, Maher Karam-Hage, Feras Hawari, Tresza Hutcheson, Victoria Hynes, Chris Kotsen, Frank Leone, Jamie Mcconaha, Heather Mccary, Crystal Meade, Cara Messick
The Emerging Global Tobacco Treatment Workforce: Characteristics Of Tobacco Treatment Specialists Trained In Council-Accredited Training Programs From 2017 To 2019, Christine E. Sheffer, Abdulmohsen Al-Zalabani, Andrée Aubrey, Rasha Bader, Claribel Beltrez, Susan Bennett, Ellen Carl, Caroline Cranos, Audrey Darville, Jennifer Greyber, Maher Karam-Hage, Feras Hawari, Tresza Hutcheson, Victoria Hynes, Chris Kotsen, Frank Leone, Jamie Mcconaha, Heather Mccary, Crystal Meade, Cara Messick
Nursing Faculty Publications
Tobacco use is projected to kill 1 billion people in the 21st century. Tobacco Use Disorder (TUD) is one of the most common substance use disorders in the world. Evidence-based treatment of TUD is effective, but treatment accessibility remains very low. A dearth of specially trained clinicians is a significant barrier to treatment accessibility, even within systems of care that implement brief intervention models. The treatment of TUD is becoming more complex and tailoring treatment to address new and traditional tobacco products is needed. The Council for Tobacco Treatment Training Programs (Council) is the accrediting body for Tobacco Treatment Specialist …
Beyond The Competency Model Of Therapist Trainings - Developing Expertise Through Deliberate Practice, Daryl Mahon Ba, Ma
Beyond The Competency Model Of Therapist Trainings - Developing Expertise Through Deliberate Practice, Daryl Mahon Ba, Ma
Counseling and Family Therapy Scholarship Review
The purpose of the present paper is to describe how Deliberate Practice (DP) can be used to assist individual therapists develop expertise and improve their ability to effect change in their clients' psychotherapy outcomes. The author provides a targeted review of this literature and articulates a method of training therapists based on this relatively new and exciting concept. The initial training of psychotherapists represents an important milestone in an often lifelong career and one that is marked with a continuous professional development trajectory. While it is particularly important to achieve competency in many foundational skills and techniques during training, this …
Using Ambiguous Loss To Address Perceived Control During The Covid-19 Pandemic, Rosemary A. Leone
Using Ambiguous Loss To Address Perceived Control During The Covid-19 Pandemic, Rosemary A. Leone
Counseling and Family Therapy Scholarship Review
The concepts of ambiguous loss and perceived control will be used to explore ways to embrace the unknown during COVID-19. By defining COVID-19 as an ambiguous loss, effective therapeutic interventions emerge that can guide clinicians in creating lasting change amidst widespread uncertainty. Four ambiguous loss interventions will be proposed to alleviate the distress of living in fearful semi-isolation for an unknown period of time. In paradoxically embracing uncertainty, clients can create new hope in the context of a global pandemic. New hope is the ideal outcome when coping with ambiguous loss. In literature on ambiguous loss, the concept of new …
An Essay Concerning The Substance Of Counseling, Lance Kair
An Essay Concerning The Substance Of Counseling, Lance Kair
Counseling and Family Therapy Scholarship Review
Our modern world appears to lack a way to find truth. Philosophically, this problem is formulated in a manner of knowing which never gets beyond the subject of the universe; even objectivity in the universe is arguable. The effort called empirical science then gives us conclusions that regularly perpetuate an unstable world. Due to this real subjective empirical constraint, the usual approach to therapeutic Counseling offers methods focused on the individual obtaining skills and conceptions that function to mitigate the apparent and ubiquitous problem of modernity. Empirical science, whether it be physical, biological or phenomenal, has left us with only …
Clash Of Values: Workplace Bullying And Moral Injury, Jarl B. Anderson Ma, Mftc
Clash Of Values: Workplace Bullying And Moral Injury, Jarl B. Anderson Ma, Mftc
Counseling and Family Therapy Scholarship Review
Moral injury is a psychological construct developed in military context, and although it has been expanded to include specific occupational fields outside of the military, it has not yet been proposed as an outcome of workplace bullying. Employees may experience moral injury when their personal values and the legitimate values of the workplace clash with unacknowledged shadow values during incidents of workplace bullying. Workplace bullying could be considered a potentially morally injurious event (PMIE) because it is transgressive, it is asymmetric, and it involves high stakes: livelihood and identity are at risk. Regarding counseling considerations, the use of ritual has …