Open Access. Powered by Scholars. Published by Universities.®

Counseling Commons™

Open Access. Powered by Scholars. Published by Universities.®

Antioch University

Discipline
Keyword
Publication Year

Articles 31 - 60 of 100

Full-Text Articles in Counseling

For Black College Students Who Considered Dropping Out When Grit Wasn’T Enough: A Mixed Methods Study Exploring The Influence Of Family Messaging On Collegiate Outcomes, Dawn M. Wilson Jan 2025

For Black College Students Who Considered Dropping Out When Grit Wasn’T Enough: A Mixed Methods Study Exploring The Influence Of Family Messaging On Collegiate Outcomes, Dawn M. Wilson

Antioch University Dissertations & Theses

Black college student outcomes are well researched areas in education literature. This dissertation sought to explore the influence of academic and ethnic racial socialization on experiences of shame and guilt and examine the association of those relationships on Black college student retention and persistence. This study employed an explanatory sequential mixed methods design to investigate the socialization experiences of 272 Black college students in the US. Conditional process model analyses revealed that academic socialization is associated with experiences of guilt and shame—guilt predicted improved retention outcomes, while shame predicted lower retention outcomes. The analysis also revealed that while ethnic racial …


How Marriage And Family Therapy Graduate Programs Awaken, Develop, And Teach Clinical Intuition: A Hermeneutic Qualitative Phenomenological Study, Jessica Fountas Jan 2025

How Marriage And Family Therapy Graduate Programs Awaken, Develop, And Teach Clinical Intuition: A Hermeneutic Qualitative Phenomenological Study, Jessica Fountas

Antioch University Dissertations & Theses

This research explored how marriage and family therapy graduate programs awaken, develop, and teach clinical intuition. Using criterion-based sampling and snowball sampling, six licensed marriage and family therapists participated in a two-step hermeneutic phenomenological study consisting of individual semistructured interviews and a follow-up focus group. Requirements for participation were licensed marriage and family therapists who were in clinical practice, had experienced the phenomenon of clinical intuition and awakening of clinical intuition, and used clinical intuition in therapy with clients and in systemic supervision with supervisees. The research findings highlighted 14 themes: Reflection of the Experience of Clinical Intuition; Bodily Knowing, …


A Phenomenological Study Of How Parents Of Lgbtqia+ Youth Experience School-Based Sex Education, Alisha Bachman Jan 2025

A Phenomenological Study Of How Parents Of Lgbtqia+ Youth Experience School-Based Sex Education, Alisha Bachman

Antioch University Dissertations & Theses

Empirical research on LGBTQIA+ youth and Comprehensive Sex Education is scarce and now, due to the current political climate, is under threat. Utilizing an interpretive phenomenological approach applying ecological systems and queer theory, this study explored the lived experiences of how parents of LGBTQIA+ youth perceive school-based comprehensive sex education. By isolating the phenomenon of comprehensive sex education, this study focused on the immediate context of influence that comprehensive sex education makes on LGBTQIA+ youth and families. This research used data collected through semi-structured interviews with nine different parents. Four themes emerged from the data: Communication and Education about Sexuality …


The Importance Of Accessibility, Self-Advocacy, And Affirming Care: An Interpretive Phenomenological Analysis Of Transgender And Gender Diverse Older Adults’ Primary Care Experiences, Jason Vaught Jan 2025

The Importance Of Accessibility, Self-Advocacy, And Affirming Care: An Interpretive Phenomenological Analysis Of Transgender And Gender Diverse Older Adults’ Primary Care Experiences, Jason Vaught

Antioch University Dissertations & Theses

The present study explored the lived experiences of Transgender and Gender Diverse (TGD) older adults when receiving primary care. The methodology utilized for this study was Interpretive Phenomenological Analysis (IPA). Three participants completed individual, semi-structured interviews. The themes that emerged included “Lack of Accessibility to Services,” “Need for Self-Advocacy,” and “Value of Affirming Care from Providers.” These results illustrated the multifarious needs that arise for TGD older adults when accessing primary care. The findings provided recommendations for healthcare organizations, primary care physicians, and other healthcare professionals. Specifically, the recommendations emphasized two key practices for physicians treating TGD older adults: (1) …


Memento Mori: A Photo-Elicit Narrative Analysis On Grief, Jared Becknell Jan 2025

Memento Mori: A Photo-Elicit Narrative Analysis On Grief, Jared Becknell

Antioch University Dissertations & Theses

Training and education about grief counseling has been stagnant, stalling the creativity and novel practice when working with bereaved individuals. Counselors in Training often receive minimal education and training in grief, even though clients will ultimately experience this phenomenon. Qualitative research findings provide insights into how individuals actively engage in the grieving process, while promoting their own versions of healing and acceptance through the artifacts kept from deceased loved ones. These findings explore the lived experience of individuals who keep artifacts from a deceased loved one. Results show an active participation in reconnecting to the deceased versus addressing grief symptoms …


Inheriting Power And Pain: An Examination Of Intergenerational Influences In The Stories Of Black Women In Professional Leadership Positions, Angela Banks Jan 2025

Inheriting Power And Pain: An Examination Of Intergenerational Influences In The Stories Of Black Women In Professional Leadership Positions, Angela Banks

Antioch University Dissertations & Theses

This study aimed to explore the stories of Black women in professional leadership roles. Grounded in a Black feminist perspective (Crenshaw, 1989) and informed by historical and intergenerational trauma (Brave Heart, 1999), this study utilized Black storytelling as a methodological framework and employed thematic analysis to examine the narratives of participants. A total of nine Black women in leadership positions across various industries participated in one-on-one interviews. The findings revealed four key themes: (1) What I saw and what others saw in me: Community leadership, (2) Instilled values: The Strong Black Woman Schema, (3) The only one: Sole representation and …


Reality Shock And Systemic Strain: Understanding The Lived Experiences Of Pre-Licensed Mental Health Counselors, Sara Al-Khedairy Jan 2025

Reality Shock And Systemic Strain: Understanding The Lived Experiences Of Pre-Licensed Mental Health Counselors, Sara Al-Khedairy

Antioch University Dissertations & Theses

The counseling profession is struggling to meet the rising demand for mental health care due to a growing workforce shortage driven by burnout, inadequate support, and low compensation—pressures that disproportionately impact pre-licensed clinicians. Despite their critical role in sustaining the field, pre-licensed counselors often face systemic barriers with little structural support. This qualitative study explored the lived experiences of pre-licensed clinical mental health clinicians through social-ecological and reality shock theories. Participants included 14 pre-licensed clinical mental health counselors who had graduated from CACREP-accredited programs within the last five years. Individual interviews were conducted to gain a deeper understanding of participants’ …


Exploring The Lived Experience Of Grief In Adults With Attention Deficit Hyperactivity Disorder, Martina Bauer Jan 2025

Exploring The Lived Experience Of Grief In Adults With Attention Deficit Hyperactivity Disorder, Martina Bauer

Antioch University Dissertations & Theses

The purpose of this phenomenological descriptive-interpretive study was to understand the lived experience of maintaining attention to one’s responsibilities while grieving among adults diagnosed with ADHD who have recently experienced bereavement in the United States. The population for this study included adults aged 18 and over who had experienced the loss of a loved one in the past 5 years and had a current diagnosis of ADHD. Participants were recruited using a sample of convenience via social media, email, and flyers, employing a snowball sampling technique. There were eight participants who met the inclusion criteria and participated in a semi-structured …


Start From Zero: Reimagining Creative Arts Therapy Education In An International Context, Ling Cheun Bianca Lee Jan 2025

Start From Zero: Reimagining Creative Arts Therapy Education In An International Context, Ling Cheun Bianca Lee

Antioch University Dissertations & Theses

This qualitative dissertation examines how Hong Kong-based art therapists trained in Western graduate programs adapt their educations to the cultural, institutional, and sociopolitical realities of their local contexts. Using photovoice methodology informed by decolonial, liberatory, and trauma-informed frameworks—referred to as stir fry praxis—the study centers the experiences of 11 participants navigating professional reentry, identity formation, and systemic constraints. Seven interrelated themes emerged: The evolving and precarious landscape of art therapy in Hong Kong; the dual role of practitioners as therapists and educators; the impact of sociopolitical forces, including self-censorship and limited access to care; the limitations of Western-centric education; grassroots …


Bisexuality: An Individual's Direction Is Society's Detour, Madisyn J. Roberts Jan 2025

Bisexuality: An Individual's Direction Is Society's Detour, Madisyn J. Roberts

Antioch University Dissertations & Theses

This dissertation explores the lived experiences of self-identified bisexual adults through a qualitative, narrative inquiry approach that centers how folx construct their story of sexuality and individual meaning making capacities based on held intersections of identity. Using Queer theory and intersectionality as a theoretical framework, this study investigates and advocates that sexual orientation is not validated or invalidated by its fluidity but aims to understand how bisexuality is an integrative part of an individual’s identity. This dissertation explores how society’s tendency to view sexuality as divided between heterosexuality and homosexuality erases the complexity and spectrum of sexual orientations that exist …


Experiences Of Dissertating Students: What Works?, Laura Durkin Jan 2025

Experiences Of Dissertating Students: What Works?, Laura Durkin

Antioch University Dissertations & Theses

This study explores the experiences of doctoral graduates from Council for Accreditation of Counseling and Related Educational Programs (CACREP)-accredited Counselor Education and Supervision (CES) programs. Guided by theoretical frameworks on student attrition and institutional racism, the research investigates three primary questions: (1) What dissertation- specific programmatic factors influence time to completion for CES doctoral students? (2) What interventions most strongly promote a sense of social integration and belonging? and (3) What interventions most strongly promote academic integration and confidence in students’ ability to succeed? Data were collected anonymously through an online survey, which included demographic and open-ended questions. Twelve participants …


Intersectional Opportunities For Drama Therapy And Counseling, Erica Craig-Mann Jan 2025

Intersectional Opportunities For Drama Therapy And Counseling, Erica Craig-Mann

Antioch University Dissertations & Theses

The purpose of this study was to explore the intersectional possibilities between the fields of drama therapy and mental health counseling through the lens of transformative learning theory. Specifically, the research sought to understand the lived experiences of professionals trained in both disciplines to identify how these fields might mutually inform, strengthen, and enhance one another through collaboration and/or dual training. Data were collected through a qualitative online survey and analyzed using thematic analysis. Five themes emerged: (a) Theoretical and Practical Overlaps and Distinctions; (b) Drama Therapy-Informed Counseling: Embodiment, Creativity, and Experiential Practice; (c) Counseling-Informed Drama Therapy: Frameworks for Practice, …


Reimagining Care: Experiences Of Trauma-Informed Approaches And Deinstitutionalization In Caribbean Child Welfare, Sarah L. Subhan Jan 2025

Reimagining Care: Experiences Of Trauma-Informed Approaches And Deinstitutionalization In Caribbean Child Welfare, Sarah L. Subhan

Antioch University Dissertations & Theses

This study explored the perceptions and experiences of child welfare professionals on trauma-informed care and implications for deinstitutionalization in Trinidad and Tobago. The qualitative study utilized research interviews from 21 participants to inform findings. The participants included professionals from various agencies who work with children in care and protection. Thematic analysis was used to analyze the data, yielding six overarching themes (1) the need for training and capacity building in child protection, (2) systemic and organizational challenges to trauma informed care, (3) cultural and community factors impacting child protection, (4) the need to support family units as a pathway to …


Outside Of The Counseling Room: Whiteness And Antiracism, Carlee D. Smith Jan 2025

Outside Of The Counseling Room: Whiteness And Antiracism, Carlee D. Smith

Antioch University Dissertations & Theses

This dissertation explores the lived experiences of white counselors as they integrate antiracism practices into their non-clinical lives. Rooted in the Multicultural and Social Justice Counseling Competencies (MSJCC) framework, this study addresses the gap in literature surrounding how white counselors embody antiracist ideologies outside of the counseling room. Through narrative qualitative methods, the research examines the challenges, strategies, and reflections of white counselors committed to antiracist practices; practical integration into personal life often encounters barriers related to internal biases, social resistance, and limited educational support. Insights from this research highlight the critical need for ongoing self-reflection, community accountability, and structural …


Ecological Attunement: Exploring Eco-Informed Clinical Supervision, Ari C. Bonagofski Jan 2025

Ecological Attunement: Exploring Eco-Informed Clinical Supervision, Ari C. Bonagofski

Antioch University Dissertations & Theses

This dissertation examined what constitutes eco-informed clinical supervision, identified its essential components, described its practical implementation, and analyzed how it expands systemic practice. The lack of attention climate- and nature-related issues receive in the couple and family therapy field coupled with the climate crisis and disconnection from nature create a gap in training and care for those experiencing ecological distress. Clinical supervision is one method of addressing this issue by teaching and developing competence working with climate- and nature-related issues. Using a modified three-part Delphi methodology, this study included two surveys followed by an optional individual interview. Panelists agreed on …


Examining The Relationship Between Bicultural Stress And Mental Well-Being Among Second-Generation Filipino Americans Living In The United States, Krista Parker Jan 2025

Examining The Relationship Between Bicultural Stress And Mental Well-Being Among Second-Generation Filipino Americans Living In The United States, Krista Parker

Antioch University Dissertations & Theses

Research investigating the bicultural and mental health experiences of Filipino Americans, the third largest Asian American group in the United States, are consistently overlooked, with second-generation Filipino Americans (SGFAs) facing greater risk of adverse mental health outcomes. This quantitative study addresses a critical gap in research by examining the relationship between bicultural stress and mental well-being among SGFAs living in the United States. Using a cross-sectional survey design, a multivariate regression analysis examined the relationship between bicultural stress and four mental health constructs (as measured by depression, anxiety, stress, and self-esteem) among 302 SGFA participants. Results from this study strongly …


Cultivating Empathy: A Content Analysis Of Empathic Themes In Best-Selling Children's Books, Elnaz J. Afousi Jan 2025

Cultivating Empathy: A Content Analysis Of Empathic Themes In Best-Selling Children's Books, Elnaz J. Afousi

Antioch University Dissertations & Theses

This study examines the presence and nature of empathic content in best-selling children’s picture books, with a focus on developmental relevance for preschool-aged readers. Using a modified version of the iEPIC empathy coding system, 10 titles from the New York Times best-seller list were analyzed to assess the frequency and complexity of three empathy-related constructs: Emotion or State Description (ESD), Exploring Emotion or State (EES), and Empathic Understanding or Concern (EUC). Results indicate that while all books contained some empathy-related content, ESD3 (self-reflective emotional descriptions) and EUC2/EUC4 (understanding and helping others) were most prevalent, suggesting an emphasis on both intrapersonal …


Experiences Of Civilian Mental Health Providers Who Work With Military Clients: A Dissertation, Lydia P. Perry Jan 2025

Experiences Of Civilian Mental Health Providers Who Work With Military Clients: A Dissertation, Lydia P. Perry

Antioch University Dissertations & Theses

Using a qualitative survey design, this study sought to understand the experiences of fully civilian providers who had achieved self-perceived military cultural competence when working with military or veteran clients or their families. This study also sought a better understanding of what pathways fully civilian providers took in this process, as well as their perceptions of how to better equip other fully civilian providers for work with military and veteran clients and their families. The results of this study yield recommendations for changes in graduate training programs; for example, through more inclusion of the military as a culture in cross …


Humane Education And Animal Assisted Interventions To Reduce Trauma Impacts: A Scholarly Personal Narrative, Nina Wiebalk Jan 2025

Humane Education And Animal Assisted Interventions To Reduce Trauma Impacts: A Scholarly Personal Narrative, Nina Wiebalk

Antioch University Dissertations & Theses

The burgeoning fields of trauma-informed therapy and humane education are increasingly incorporating Animal Assisted Intervention (AAI). Given the growing understanding of trauma’s impact on developing brains, implementing humane education and AAI programs, such as the one I created, is crucial. This study will detail my efforts establishing and managing this program at a small non-profit within a major metropolitan city located within the Eastern United States, an agency dedicated to preventing and treating child abuse and trauma. To support this mission, I collaborated with our Executive Director to launch an AAI and humane education program, training and partnering with two …


Subthreshold Depression In The National Epidemiologic Survey On Alcohol And Related Conditions Iii (Nesarc-Iii): A Quantitative Analysis Of Prevalence, Characteristics, And Burden In A Nationally Representative Sample, Scott T. Young Jan 2025

Subthreshold Depression In The National Epidemiologic Survey On Alcohol And Related Conditions Iii (Nesarc-Iii): A Quantitative Analysis Of Prevalence, Characteristics, And Burden In A Nationally Representative Sample, Scott T. Young

Antioch University Dissertations & Theses

While subthreshold depression (subD) is relatively young for a diagnostic concept at a mere half century old, it has burdened individuals and societies for far longer. Research has established that it is a highly prevalent, clinically important entity with clear links to personal distress and impairment (including increased suicidal ideation and behavior), societal burden (e.g., increased reliance on public assistance programs), and economic costs (both personal and public). Research has also demonstrated that it represents a significant risk factor for incident major depression (MD) and that it likely represents both a prodromal and residual state in the normal course of …


Engendering The Trans Cft: Gender Diverse Experiences Of Couple And Family Therapy Training Programs, Coltan J. Schoenike Jan 2025

Engendering The Trans Cft: Gender Diverse Experiences Of Couple And Family Therapy Training Programs, Coltan J. Schoenike

Antioch University Dissertations & Theses

Mental health literature, including in couple and family therapy (CFT), is sparse when it comes to transgender and gender diverse (TGD) topics. This is all the more the case when it is discussing instances where the provider themself is the one who is TGD. Very little literature exists that acknowledges the existence of trans clinicians and often focuses solely on whether their transness should even be disclosed. This study aimed to address this gap and explore the experiences of TGD CFTs, particularly focusing on training experiences in programs accredited by the Commission on Accreditation for Marriage and Family Therapy Education …


Culturally Responsive Social Emotional Learning Intervention On Parents And Its Impact On Family Well-Being, May Duong Jan 2025

Culturally Responsive Social Emotional Learning Intervention On Parents And Its Impact On Family Well-Being, May Duong

Antioch University Dissertations & Theses

This study examines how Social-Emotional Learning (SEL)-based parent education can bridge cultural divides and strengthen family-school partnerships in increasingly diverse educational settings. Conducted at an independent California elementary school where student demographics shifted to become more diverse in the last ten years, the research addresses a critical gap: while parent education is essential to child development, it remains overlooked in SEL implementation. The research investigates whether Western-based SEL frameworks, which emphasize individualism, can effectively support families from collectivist cultures. Through the EQ Gym program—a culturally responsive parent education initiative—the study explores three key questions: how school-based SEL research can address …


Therapist Competency Using Transference-Focused Psychotherapy To Treat Borderline Personality Disorder., Rachel J. Altman Apr 2024

Therapist Competency Using Transference-Focused Psychotherapy To Treat Borderline Personality Disorder., Rachel J. Altman

Antioch University Dissertations & Theses

Empirical research on clinician experience of competency treating borderline personality disorder is scarce, and that which does exist focuses on the negative experiences of those who treat this population. Utilizing an interpretive phenomenological analysis approach, this qualitative research investigation explored the lived experience of feelings of competency in clinicians treating borderline personality disorder using the evidence-based model of Transference-Focused Psychotherapy. To better comprehend this phenomenon and address research questions, data were collected via one, semi-structured interview given to five different clinicians who practice Transference-Focused Psychotherapy. Four themes emerged from the researched data: Positive treatment outcomes for patients, Using negative countertransference …


Marginalized Sexual- And Gender-Identified Clients In University Counseling Centers: Best Psychotherapy Practices, Sara M. Cauley Jan 2024

Marginalized Sexual- And Gender-Identified Clients In University Counseling Centers: Best Psychotherapy Practices, Sara M. Cauley

Antioch University Dissertations & Theses

Young adults in college experience significant rates of mental health difficulties. The mental wellness of young adults has shown to have a substantial link to future success, health, and well-being. Individuals with marginalized sexual and gender identities (SGM) often hold additional mental health difficulties due to having identities that typically defy societyʼs assumptions and expectations, and these assumptions/expectations are presented to youth from a young age. The distress experienced by SGM individuals can often be relational in nature due to living in and relating to a heteronormative, cisgender society that stigmatizes and oppresses SGM individuals. University Counseling Centers (UCC) typically …


Cps Workers’ Perspectives On Mst-Ipv And Other Interventions For Child Maltreatment And Intimate Partner Violence: A Reflexive Thematic Analysis, Malea Lash Jan 2024

Cps Workers’ Perspectives On Mst-Ipv And Other Interventions For Child Maltreatment And Intimate Partner Violence: A Reflexive Thematic Analysis, Malea Lash

Antioch University Dissertations & Theses

Although the co-occurrence rate of intimate partner violence (IPV) and child abuse and neglect (CAN) is about 40% (Appel and Holden, 1998; Herrenkohl et al., 2008), little research currently exists on integrated treatment for these concerns. Furthermore, no known published studies investigate child protective services (CPS) workers’ perspectives on such treatment. The present study explores the perspectives of CPS workers on treatment for co-occurring IPV and CAN, specifically focusing on Multisystemic Therapy for Intimate Partner Violence (MST-IPV). A total of 18 Connecticut CPS workers participated in semi-structured interviews. Seven participants had experience working with MST-IPV treatment providers, while 11 participants …


Graduate Students' Accessibility To Human Sexuality Training, Samantha B. Rotay Jan 2024

Graduate Students' Accessibility To Human Sexuality Training, Samantha B. Rotay

Antioch University Dissertations & Theses

Human sexuality is a basic foundation of the human experience. In graduate school for psychology, students are often taught about sexuality in terms of gender identity and sexual orientation. However, there is a lack of education around sexual functioning in terms of sexual wellbeing, arousal, and disorders. Many psychologists are licensed as general practice clinicians but only a small percentage of psychologists have training in human sexuality. However, many generalist psychologists hold a caseload of couples and individuals who are experiencing sexual concerns. Due to the limited training, therapists are less likely to assist clients in therapy around sexual concerns. …


Disability In Education From A Neurodiversity Standpoint: A Multi-Article Dissertation, Isabelle Kluge Jan 2024

Disability In Education From A Neurodiversity Standpoint: A Multi-Article Dissertation, Isabelle Kluge

Antioch University Dissertations & Theses

This theoretical multi-article dissertation is a broad examination of education, including trends in our school system, juvenile justice system, and cultural/media system to address the disproportionate targeted failure of students with disabilities from a neurodiversity standpoint. Research shows how our current education system is not the practice of freedom for all learners, but rather a reproductive practice that teaches forms of group-based privilege that results in the disproportionate outcome of school failure, oppression, and incarceration for students with disabilities. Creating liberatory learning spaces for neurodiverse students of all races must include challenging White supremacy, neurotypical superiority, and a standardized one-size-fits-all …


"Why Does This Have To Be So Hard?": Perinatal Experiences From An Ecological Systems Approach, Caitlin Senk Jan 2024

"Why Does This Have To Be So Hard?": Perinatal Experiences From An Ecological Systems Approach, Caitlin Senk

Antioch University Dissertations & Theses

This study examines the lived experience of the perinatal population to understand how they can be supported from the lens of different ecological systems and what counselors can do to better serve people with uteruses during their perinatal experience. Furthermore, this study aims to utilize an inclusive framework for capturing the perinatal experience of people with uteruses and to explore barriers and facilitators to care through an ecological systems framework. Fifteen participants who have experienced infertility, conception, pregnancy, miscarriage, childbirth, stillbirth, and postpartum were recruited through various means throughout the United States. Thematic analysis was used, with semi-structured interviews and …


Midas’ Children: Affluent White Families And The Effects Of Parental Bias On Child Outcomes, J. Sema Bruno Jan 2024

Midas’ Children: Affluent White Families And The Effects Of Parental Bias On Child Outcomes, J. Sema Bruno

Antioch University Dissertations & Theses

Navigating parental biases within White affluent homes assumes family dynamics as yet unexplored within family therapy praxis. This dissertation examines parental biases directed toward domestic laborers employed in affluent White homes and how these biases might affect the parent-child relationship and the emerging values of children in these homes. Research from other fields demonstrates that domestic laborers experience social bias within the workplace; what this highlights is the likelihood that children in these settings are navigating unspoken subtleties of racism and classism in the context of developing socio-emotional maturity and family relationships. The first article within this dissertation critically reviews …


Productivity In Private Practice: Experiences And Best Practices Of Mental Health Counselors, Mark C. Pilger Jan 2024

Productivity In Private Practice: Experiences And Best Practices Of Mental Health Counselors, Mark C. Pilger

Antioch University Dissertations & Theses

The purpose of this study is to understand how mental health counselors in private practice conceptualize, approach, and manage productivity, including key strategies and best practices employed through a qualitative study of lived experience. Inclusion criteria for participant eligibility included being a licensed counselor with a degree from a CACREP-accredited counseling program, working primarily in a private practice setting, and with primarily adult clients. Nineteen participants (N = 19) met these criteria and were included in the study. A thematic analysis was utilized by a team of researchers, which resulted in seven primary themes. The primary themes relate to the …