Exploring How Therapist Trainees’ Mentalization, Attachment Styles, And The Working Alliance Impact Treatment Outcomes In Psychotherapy, Hanali Gilbert

Dissertations

A burgeoning area of research within the past 30 years has sought to identify which specific therapist factors contribute to differential treatment outcomes (Barkham et al., 2017). The purpose of the current naturalistic study was to explore how two personal characteristics of therapist trainees, mentalization capacity and attachment styles, impact early treatment outcomes at two Midwestern psychology training clinics. This study also examined whether therapist mentalization and the working alliance interacted to influence client outcomes. Therapists completed the Mentalization Scale (MentS; Dimitrijević et al., 2018) and the Experiences in Close Relationships scale (ECR; Brennan et al., 1998), while the Working …

An Attachment Perspective For Help-Seeking Intentions Among Emerging Adult Women Child Sexual Abuse Survivors, Dominique Giroux

Dissertations

Child sexual abuse (CSA) is an adverse childhood experience and a global health issue. Approximately one in four girls encounter CSA per year. Research evidence suggests approximately 50% of CSA survivors encounter sexual revictimization during adulthood (Walker & Wamser-Nanney, 2023), but formal help and intervention can mitigate further psychosocial harm experienced by CSA survivors (Widom et al., 2008). Attachment theory has provided a theoretical framework for identifying individuals at risk for revictimization and help-seeking patterns, such that individuals who have insecure attachment styles report more revictimization frequency, but the literature is mixed about attachment styles and help-seeking (Brenner et al., …

Evaluation Associations As Catalysts For The Professionalization Of Evaluation Practice: A Comparative Case Study Of Brazil, Ghana, Indonesia And Uganda, Amy C. Jersild

Dissertations

Professional associations are recognized as key actors in promoting the development of the evaluation field across the globe. There has been exponential growth of Voluntary Organizations for the Professionalization of Evaluation (VOPEs) in the Global South in the past several decades in response to an evolving international aid agenda and a mobilized international evaluation field intent on supporting the development of national monitoring and evaluation systems and the professionalization of the field. VOPEs have featured as a central actor in the Global Evaluation Agenda, an initiative developed by the international community aimed to promote professionalization of the evaluation field as …

Walking The Path Of Conocimiento: Understanding And Navigating Workplace Conflict Through A Chicana Feminist Lens, Elisa A. Ortega-Schultz

Dissertations

The growing presence of Latinas in the U.S. workforce underscores the need for deeper understanding of their workplace experiences. Latinas represent one of the fastest growing segments of the labor force; however, research consistently shows that this growth is not matched by equitable access to leadership, compensation, or culturally responsive workplace environments. Latinas continue to experience persistent barriers related to pay inequity, career advancement, cultural belonging, and overall well-being.

Conflict frameworks that account for the unique experiences of Latinas are needed, as dominant approaches rooted in neutrality, procedural efficiency, and Western individualism often fail to account for the embodied, relational, …

Well-Being, Resilience, And Trauma During Migration: A Mixed Methods Study Of Venezuelan Migrants In Transit, Margaret S. Port

Dissertations

A substantial body of research has examined the psychological impact of experiences preceding and following migration, yet comparatively little attention has been given to the psychological toll of the migration journey itself. Moreover, due to the relative novelty of the Venezuelan migrant crisis and the community’s arrival in the United States, the psychological impact of Venezuelan migrants’ unique migration experience has been underexamined. This study utilized an explanatory sequential mixed methods design to investigate the relationships between well-being, resilience, and trauma among Venezuelan migrants in Chicago, Illinois, while also exploring their lived experiences of the migration journey. Study participants (n …

The Impact Of Religious Behaviors, Islamophobia, Gender Roles, Language Proficiency, And Education Levels On Mental Illness Stigma And Help-Seeking Behaviors Among Arab Women In The U.S., Rima Muhsen

Dissertations

The official U.S. census does not provide data on the number of Arab Americans in the United States, which hinders studies that focus on this population group to explore their needs and improve access to mental health services. Arab women in America represent a subgroup that has received insufficient attention from researchers, particularly regarding culturally sensitive topics such as mental health problems and their associated stigma. The influence of cultural, social, and religious factors on self-stigma associated with mental illness has not been adequately studied among this marginalized group. While previous research has suggested a relationship between self-stigma, social stigma …

Understanding And Enhancing Suicide Prevention Strategies In The Military: The Roles Of Culture, Leadership, And Command Climate, Kelly Johanna Pires

Dissertations

Military service members are shaped and molded to fit a military culture that emphasizes mission readiness and continuous preparedness. Countless hours are spent training for various situations that can arise. Many trainings are geared toward worst-case scenarios that can cause an increase in stressors and traumatic events. They are expected to demonstrate resilience and overcome adversity to remain mission-ready. This expectation to be mission-ready creates the space for mental health difficulties as well as stigma and avoidance of help-seeking behaviors. In many cases, the desire to stay mission-ready creates a barrier for conversations around mental health. The military emphasizes qualities …

Long-Covid And Cognition, Mychael Bruce

Dissertations

COVID-19 is an evolving virus that can harm the body’s respiratory and cardiovascular systems. Directly related to COVID-19 are individuals who do not recover from their initial infection, making them long haulers. Long-COVID is transitioning from a range of isolated phenomena to higher prevalence rates in patients who contracted COVID-19. Many individuals report issues with cognitive function, referred to as ‘brain fog’, that affect memory, attention, and even language skills. This literature review addresses the available research on Long-COVID and how persistent infection correlates with cognitive difficulties. It aims to explain the neurobiology of Long-COVID and how Long-COVID interacts within …

Evaluation Of Neuroplastic Changes In Psychological Intervention And Contemporary Treatments Of Depression, Taylor Severance

Dissertations

Major depressive disorder is one of the most prevalent mental health disorders worldwide. There is a vast range of treatment options for depression, with varying levels of effectiveness. Recent treatments for depression have expanded, increasing alternative treatments, and it is unknown which treatments have the largest impact on depression. This research was designed to examine the treatments of depression, with a focus on psychotherapy and contemporary treatments such as ketamine, psilocybin, and transcranial magnetic stimulation. A literature review was conducted to assess treatment outcomes and neuroplastic changes in these interventions, as well as combinations of the interventions. Data were evaluated …

Addressing Mental Health Issues And The Effectiveness Of Cognitive Behavioral Therapy And Mindfulness-Based Interventions Among Athletes, Shelby Jones-Stachnik

Dissertations

This literature review identifies mental health concerns among competitive athletes and evaluates psychological interventions to address these challenges. Specifically, the review explores the mental health concerns experienced by athletes engaged in high-level sport. It examines whether cognitive behavioral therapy and mindfulness-based interventions are effective approaches for improving psychological outcomes in this population. A systematic review of peer-reviewed research was conducted, and findings were synthesized to evaluate the effectiveness of cognitive behavioral therapy and mindfulness-based interventions. The review included randomized controlled trials, quasi-experimental studies, and meta-analyses examining psychological interventions in athletic populations. Findings across the literature indicate that both cognitive behavioral …

Diverse Families Navigating Mental Health At The Pediatrician’S Office: A Mixed Methods Exploration Of The Interplay Of Stress, Culture, And Child Mental Health In The Primary Care Setting, Sara B. Budowsky

Dissertations

Low-income and ethnic minority youth experience high psychiatric need but persistently low participation in traditional mental health care. General pediatricians are often the first and only healthcare providers with whom many families engage around their child’s emotional and behavioral development. Using both quantitative analysis of retrospective secondary data and Interpretative Phenomenological Analysis (IPA) of in-depth interviews with diverse caregivers, this project explored influencers of child mental health and family utilization of pediatric primary-care-based mental health services in the context of a uniquely multicultural clinic serving a predominantly Medicaid population. Three key findings include: 1) Caregiver Stress was a highly significant, …

Exercise Therapy For Mood Disorders In Retiring/Former Athletes, Christian Antos

Dissertations

This dissertation examined the potential integration of exercise therapy and psychotherapy as a treatment approach for mood-related difficulties experienced by former elite athletes during the transition out of competitive sport. Retirement from athletics is often associated with significant biopsychosocial challenges, including disruptions in identity, healthy routines, social support, and emotional well-being. Existing literature suggests that exercise may serve as an effective adjunctive intervention for improving mood and overall psychological functioning, though limited research has explored its application among retiring athletes within psychotherapeutic contexts. This literature review synthesized current research related to athletic retirement, neurobiological mechanisms associated with physical activity, and …

Significant Crash Characteristics Associated With E-Scooter And E-Bike Crashes, Aimee Jefferson

Dissertations

Micromobility devices—namely e-scooters and e-bikes—have rapidly gained popularity in the United Sates, rising from 35 million annual shared rides in 2017 to over 133 million in 2023 (NACTO 2024). But also increasing is the number of injuries associated with these devices; however, most research emphasizes injury and demographic patterns rather than crash characteristics that would inform prevention strategies. Most existing crash research also relies on small sample sizes, lacks nuance distinguishing between involved parties (motorists, pedestrians, single device), and fails to distinguish between bicycle and micromobility crash patterns despite micromobility devices often being instructed to use conventional bicycle facilities. These …

Positioning Rights And Duties For Parent Representation At The Cac For Special Education Table: A Result Of Cbpar, Summer Girgis

Dissertations

This dissertation explores the impact of parents’ social justice advocacy on their local Community Advisory Committee for Special Education (CAC) policy and practice. While California state mandates a CAC that includes parent-district collaboration in decision-making, several Southern California districts oppress eager voices and willing participants. On the premise that policy implementation was absent and that parents wanted to exercise their right to implementation, this study aimed to identify: RQ1) how families of students with disabilities communicate their wants and needs to districts and SELPA personnel, and RQ2) the critical elements or components of establishing a collaborative partnership. With eight mothers …

“I Have A Voice”: Bridging The Communication And Sensemaking Gap Between Restorative Justice Practice And Program Implementation, Stefan Cocorelis

Dissertations

Restorative justice (RJ), a philosophy, practice, and movement inspired by local, largely Indigenous traditions, has increasingly been introduced in modern criminal justice systems as an alternative process to more comprehensively address harmful incidents, heal harms, and meet victim’s needs. While RJ implementation growth is encouraging for its advocates, there remain significant questions around formalized RJ practice. Specifically, little is known about the decision-making process in implementing and administering RJ programming within criminal justice. This dissertation aimed to contribute to the understanding of RJ practice and implementation efforts within criminal justice systems by putting emphasis on practitioners already working directly in …

Decision-Making In Early-Stage Startups: How Venture Capitalists And Angel Investors Evaluate Uncertainty, Andrew M. Pence

Dissertations

The purpose of this dissertation is to examine how venture capitalists (VCs) and angel investors (AIs) make investment decisions regarding early-stage startups. Using an Interpretative Phenomenological Analysis (IPA) framework—consisting of three core components: phenomenology, hermeneutics, and idiography—this study draws upon three decision-making models: the Rational Actor Model (RAM), the Heuristics and Biases model (H&B), and the Naturalistic Decision-Making model (NDM) to explore what motivates VCs and AIs to choose, for instance, “Company A over Company B.” Semi-structured interviews were conducted with 10 experienced venture investors to examine how they evaluate risk, assess founders and teams, and navigate the persistent uncertainty …

Generative Ai And Student Engagement, Motivation, And Learning: Exploring The Use Of Generative Ai In Higher Education Online Courses, Jeffrey L. Simmons

Dissertations

ABSTRACT

The rapid emergence of Generative AI (GenAI) large language models (LLMs) such as ChatGPT in higher education has left many institutions unprepared to assess their potential benefits and risks. This mixed-methods study examined how ChatGPT and Google’s NotebookLM were integrated into online course development and delivery at a small private nonprofit university in California, and assessed their perceived impact on student engagement, motivation, and learning.

Data were collected from post-course Likert-scale surveys completed by students across three online master’s-level courses and from pre-course prediction surveys by instructors in the two NotebookLM courses. Quantitative analyses included one-sample t-tests against a …

Elevating Voices: Exploring The Impacts And Experiences Of Required Workplace Dei Training, Marika Barto

Dissertations

Mandatory diversity, equity, and inclusion (DEI) training is a common element institutional DEI initiatives in their response to dismantling racial inequity in government organizations; yet, the lived experiences of racially marginalized participants remain critically underexamined—particularly in government settings, where the bureaucratic structures implementing these trainings are themselves racialized. This research was conducted during one of the most politically hostile environments for DEI work in recent memory. Federal executive actions in 2025, specifically the “Bondi memo,” directed entities subject to federal antidiscrimination laws to cease DEI practices, creating immediate chilling effects that directly impacted this study and reminded us that the …

Embodied Leadership And Conditional Legitimacy: Critically Conscious Male Leaders Navigating Systems Of Power, Luis A. Legaspi

Dissertations

Leadership is not a neutral concept; it is shaped by overlapping systems of power, including empire, whiteness, neoliberal capitalism, and cisheteropatriarchy. These interlocking systems influence how leadership is defined, recognized, and legitimized, often privileging particular identities and forms of authority. The persistent underrepresentation of people of color, women, and queer individuals in positions of leadership reflects how dominant conceptions of leadership remain closely aligned with historically entrenched structures of power.

This critical narrative inquiry study examines how men, who disproportionately occupy positions of social and institutional authority, make meaning of masculinity, power, and leadership within these systems. Drawing on relational …

Burning Out: A Narrative Exploration Of The Adaptive Challenge And Scaffolds Built Toward Sustenance Among Immigrant Rights Activists In San Diego County, Anna C. Runion

Dissertations

Activist burnout has been identified as one of the greatest threats to social movement sustainability, and the lived experience of paid immigrant rights activists remains undertheorized. This narrative inquiry explored activist burnout among 10 San Diego County immigrant rights activists, revealing how this community understands burnout, what factors contribute to its production, and how activists sustain themselves within it. Using Clandinin and Connelly’s (2000) narrative inquiry methodology, the researcher conducted in-depth individual interviews with ten activists representing a range of intersectional identities and roles. Narrative profiles were analyzed through holistic narrative reading, narrative reporting, structural and emergent coding, and cross-narrative …

Investigating The Impact Of Employment And Demographic Factors On Health Among Bereaved Adults: A Quantitative Approach, Dorothy L. O'Hagan

Dissertations

ABSTRACT

Although the death of a loved one is a universal experience, grief and bereavement may affect employees in the workplace. Prior research on grief and bereavement in the workplace has been largely qualitative. Little attention has been given to how bereavement, employment-related factors, and demographic characteristics are associated with health among working-age adults. The Georgia Behavioral Risk Factor Surveillance System (BRFSS) offered a large dataset for examining these relationships.

This retrospective, exploratory, correlational quantitative study used the 2019 and 2022 Georgia BRFSS datasets to examine self-reported health among bereaved and non-bereaved adults ages 18 to 64. Analytic samples included …

Rainbow Promises, Uneven Promises: Framing Lgbtqia+ Educational Policy And Possibility In Education, Gerardo Lorenzo-Saucedo

Dissertations

Despite the expansion of LGBTQIA+ inclusive policies in K-12 education, disparities in students’ experiences with safety and belonging persist. This qualitative case study examines how such policies are interpreted and enacted within a high school and district in Southern California, and how these processes shape LGBTQIA+ students’ experiences.

Guided by ecological systems theory, queer theory, and multiple streams theory, this study conceptualizes policy implementation as a dynamic and socially constructed process influenced by power, ideology, and institutional context. Data were collected through interviews, document and artifact analysis, and observations, with analysis that used a multi-phased coding procedure.

Findings revealed that …

Reclamando Corazón Y Voz: Latinas Speak Their Truth Through Plática As Resistance In California Community College Learning Disabilities Assessments, Maricela Becerra

Dissertations

Although California Community Colleges (CCCs) offer learning disability (LD) assessments to determine eligibility for academic accommodations, for Latina students navigating converging forces of race, gender, language, citizenship, and ableism, these assessments often surface unspoken histories of harm. This study advanced Chicana feminista DisCrit (CFDC), extending disability critical race theory through Chicana spirituality and cultural intuition to examine possibilities when an educadora situates assessments in a plática grounded in consideración—respectful, relational, and unhurried care.

Rooted in Chicana feminist pláticas methodology and authored from the positionality of a disabled Latina scholar–practitioner, this qualitative decolonial dissertation explored how Latina students reflected on …

Who Gets To Be Taken Seriously? Three Atypical Scholars Navigate Doctoral Education At The Intersections Of Race, Neurodivergence, And Veteran Identity, Sr. Richard De La Garza

Dissertations

As a first-generation, neurodivergent, Mexican American/Chicano veteran, I entered the University of San Diego's doctoral program having had experiences that most institutional intake processes would label as risk factors. The Findings chapter of this dissertation begins by describing those experiences—not as a confession, but as the foundation for a systematic inquiry into how doctoral legitimacy is produced, withheld, and defended. The description of my life experiences is followed by a discussion of the doctoral journeys of two other study participants who also were atypical doctoral candidates.

The central argument being advanced is this: What higher education calls "fit," "rigor," and …

Exploring Counselors’ Perceived Preparedness For Private Practice Business Oriented Responsibilities, Corey L. Hancock Jr.

Dissertations

ABSTRACT

The purpose of this study is to understand how fully licensed counselors who graduated from CACREP-accredited programs and did not receive formal business training during graduate school make sense of their preparedness for the business responsibilities of private practice. This study was informed by the theoretical frameworks of relational-cultural theory (RCT; Jordan, 2017) and transformative learning theory (TLT; Mezirow, 1991). Participants were fully licensed counselors with a masters or doctoral degree from a CACREP-accredited counseling program and owned a private practice. Seven participants (n = 7) were included in the study, participating in 60-90 minute semi-structured interviews. An …

Exploring Intimate Partner Relationship Satisfaction Among Women Who Have Experienced Discrimination And Childhood Trauma, Rachel L. Gaglio

Dissertations

Objective: Connections may exist between intimate partner relationship satisfaction outcomes and experiences of childhood trauma and discrimination among women. The majority of existing research highlights individual trauma impacting relationship satisfaction that includes military experience, childhood trauma, domestic violence, and sexual assault, yet there is a gap in research which expands on both childhood trauma and discrimination endured among women in relation to intimate partner relationship satisfaction outcomes, as they relate to intimacy and closeness and resolving conflict and arguments. The present study explored the links between childhood trauma and discrimination experienced by women and their connection in intimate partner relationship …

Underlying Mechanisms In The Relationship Between Ptsd And Irritable Bowel Syndrome, Jillian B. Heymann

Dissertations

Current bodies of knowledge support the relationships between posttraumatic stress disorder (PTSD) and irritable bowel syndrome (IBS), pain catastrophizing and PTSD, and pain catastrophizing and IBS. However, much less is known regarding how pain catastrophizing influences the relationship between PTSD and IBS. Additionally, while correlations between some demographic and trauma-related symptomatology have been elucidated in the relationship between PTSD and IBS, their impact as potential moderators on the relationship between PTSD and IBS has yet to be fully examined. Examining a student sample from a large midwestern university, the present study aimed to investigate the potential mediating and moderating roles …

A Quantitative Critical Analysis Of Comprehensive Education Plan Effects As Implemented Under Title 5 In California Community Colleges, Nicole Jones

Dissertations

California Code of Regulations, Title 5, is the policy and regulatory guide of the California Community Colleges. Sections of Title 5 policy govern the implementation of programs and services at these colleges. It provides protection for colleges and specifies student entitlements under the law. The mission of the California Community Colleges is to serve as an open-access point, providing students with services and instruction. Access barriers to services like counseling can delay goal attainment, increase cost of attendance and time to completion, and result in lower successful retention or persistence rates. Additionally, resource allocation, Title 5 Section 59200 regulations (the …

The Lived Experiences Of Clinical Mental Health Counselors Returning To Clinical Work After Becoming A New Mom: A Phenomenological Study, Kathryn Bohn

Dissertations

The experience of transitioning back to work postpartum can be an emotional rollercoaster for women. One that is often filled with identity tensions and sweeping emotions that range from guilt to relief, anxiety to confidence (Dod, 2025; Franzoi et al., 2023; Garcia-Lorenzo et al., 2023). Postpartum can be an emotionally raw and vulnerable time for new mothers as they navigate physical and emotional changes, maternal stress, and the pressures and demands of new motherhood (LeBlanc, 2023; Maylott, 2023). Professional counselors in a clinical setting, also known as clinical mental health counselors, encounter occupationally specific responsibilities that create unique experiences for …

From Stranger To Self: The Role Of Familiarity In Modulating The N170 And N250 Erp Components, Tabish Gul

Dissertations

This study investigated how varying levels of face familiarity modulate the N170 and N250 event-related potential (ERP) components, two neural markers of face perception and recognition. While the N250 is widely considered familiarity-sensitive, the N170 has traditionally been linked to the structural encoding stage of face perception. However, recent research suggests that face familiarity may also influence N170 amplitude and latency. While most previous studies have compared up to three familiarity levels, the present study examined five levels of familiarity: own face, friend’s face, famous face, experimentally familiar face, and unfamiliar face. Twenty-six participants viewed face images while completing a …