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Psychology

2023

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Articles 1 - 30 of 31

Full-Text Articles in Disability Studies

The Object Play Of Young Children On The Autism Spectrum: A Narrative Review Of Strengths-Based Literature, Sharon Eva Dec 2023

The Object Play Of Young Children On The Autism Spectrum: A Narrative Review Of Strengths-Based Literature, Sharon Eva

Internet Journal of Allied Health Sciences and Practice

Purpose: The play in young children with autism has been historically seen as deficits-based, with a focus on the limitations of autistic object play. More recently, there has been a shift towards a strengths-based view of autistic object play, where their play preferences and skills are viewed as vehicles for meaningful engagement and as having potential for learning. The aims of this narrative review are two-fold: to identify themes in the existing literature regarding the object play of young children with autism; and, to summarize the existing literature specifically examining object play in young autistic children from a strengths-based point …


Why Autistic Sociality Is Different: Reduced Interest In Competing For Social Status, Catherine L. Caldwell-Harris, Anna M. Schwartz Dec 2023

Why Autistic Sociality Is Different: Reduced Interest In Competing For Social Status, Catherine L. Caldwell-Harris, Anna M. Schwartz

Ought: The Journal of Autistic Culture

The complexity of human organizations poses the challenge of understanding and navigating social hierarchies. If 'social impairment' is a defining feature of autism, then these challenges may be heightened for autistic persons. We reject the premise of social deficits but follow recommendations to investigate how autistic social behavior diverges from neurotypical norms. We review autistic writings and also scholarship on reputation management, non-conformity and moral reasoning to argue that autistic people dislike social hierarchies, find status-seeking illogical, prefer egalitarian relationships, and often seek to report wrong-doing by authorities. We outline three possible causes: (1) reduced social motivation; (2) emergent property …


U.S. Military Veterans Transition To Two Midwest Universities: Post-Traumatic Stress Disorder, Moral Injury, And Academic Outcomes, Malychanh T. Bartlett Nov 2023

U.S. Military Veterans Transition To Two Midwest Universities: Post-Traumatic Stress Disorder, Moral Injury, And Academic Outcomes, Malychanh T. Bartlett

Dissertations

Abstract

Objective: To examine the association between posttraumatic stress disorder (PTSD) and moral injury (MI) and the extrinsic factors of the degree of negative patterns of healthy behaviors and negative experiences in an academic setting, the moderating effects of social support on PTSD and MI symptomatology, and the perception of academic success and positive perception of academic experience. Additionally, to examine the mediating effect of intrinsic factors (perceived academic experience) on academic outcomes objectively and subjectively.

Background: Student veterans as non-traditional students face challenges transitioning to the academic environment. Some have underlying mental and psychological complications of PTSD and MI, …


Exploring The Benefits Of Hiring Individuals With Disabilities In The Workplace., Rosilyn Sanders Oct 2023

Exploring The Benefits Of Hiring Individuals With Disabilities In The Workplace., Rosilyn Sanders

River Cities Industrial and Organizational Psychology Conference

This qualitative study examined the impact of hiring people with intellectual disabilities (ID). The research questions were: What defines a disability? What accommodations are needed to ensure the success of a person with a disability? As a leader, what benefits do people with intellectual disabilities bring to the organization? What are the benefits of hiring people with intellectual disabilities in retail organizations? Moreover, how might people with intellectual disabilities contribute to the organizational culture of retail organizations? A narrative strength approach was used as a theoretical framework to guide the discussion and uncover the benefits of hiring individuals with intellectual …


The Impact Of Repeated Reading Intervention On Oral Reading Fluency For Students With Autism Spectrum Disorder (Asd) In Saudi Arabia, Ahmed Al Naji Aug 2023

The Impact Of Repeated Reading Intervention On Oral Reading Fluency For Students With Autism Spectrum Disorder (Asd) In Saudi Arabia, Ahmed Al Naji

Electronic Theses and Dissertations

The prevalence rate of learners with autism spectrum disorder (ASD) has risen concurrently with their inclusion into public schools in Saudi Arabia. Being in schools, they face academic challenges, particularly in reading. This increased rate evokes the importance of implementing valuable strategies to keep up the academic skills of those students. These students require Evidence-Based Practices (EBPs), which have been demonstrated crucial for their reading development. Nevertheless, limited research has been done on examining the efficacy of EBPs used to enhance the reading skills of learners with ASD, especially their Oral Reading Fluency (ORF). This study used an effective approach …


Parents’ Perceptions Of The Philly Goat Project’S All Abilities Ramble: A Qualitative Study Of Animal-Assisted Intervention For Intellectual And Developmental Disorders, Patricia Flaherty-Fischette, Jenée Lee, Yvonne D'Uva-Howard, Elizabeth P. Cramer, Karen Krivit, Sarah Meehan Jul 2023

Parents’ Perceptions Of The Philly Goat Project’S All Abilities Ramble: A Qualitative Study Of Animal-Assisted Intervention For Intellectual And Developmental Disorders, Patricia Flaherty-Fischette, Jenée Lee, Yvonne D'Uva-Howard, Elizabeth P. Cramer, Karen Krivit, Sarah Meehan

Developmental Disabilities Network Journal

Individuals with intellectual and developmental disabilities (IDD) are a growing population. Considering the wide diversity in IDD and the financial burden of traditional treatment modalities, Animal-Assisted Interventions (AAI) has emerged as an innovative and non-traditional treatment for individuals with a range of disabilities, including individuals with IDD. To the authors’ knowledge, the present study was one of the first to explore a goat-assisted therapy experience for children with IDD. This study explored the experiences of 23 children with the All Abilities RAMble – a goat-assisted therapeutic activity offered by the Philly Goat Project (PGP). Key themes in our study included …


Contributions Of Community Organizations To Personal Outcomes For People With Intellectual And Developmental Disabilities: A Study Of Special Olympics Program Participation, Seb M. Prohn, Parthenia Dinora, Kayla Diggs Brody Jul 2023

Contributions Of Community Organizations To Personal Outcomes For People With Intellectual And Developmental Disabilities: A Study Of Special Olympics Program Participation, Seb M. Prohn, Parthenia Dinora, Kayla Diggs Brody

Developmental Disabilities Network Journal

Community organizations can enhance the intellectual and developmental disability (I/DD) service system’s ability to improve the health, wellness, and participation of people with I/DD. This study added an item about Special Olympics (SO) participation to the 2019-2020 National Core Indicators In-Person Survey to predict active SO participation and to determine whether personal outcomes differed for SO participants. Results of a multinomial logistic regression showed that people who were younger or who did not require mobility aids were more likely to participate in SO. Compared with people who never or formerly participated in SO, current SO athletes had better personal outcomes. …


The Meaning Of A Choice, Julie-Louise Zeitoun Jun 2023

The Meaning Of A Choice, Julie-Louise Zeitoun

Masters Theses

If you are disabled or disadvantaged, you will be dismissed and stifled. Few people will actively care for your struggles. As a person with autism, I was deeply fearful of the persecution I had faced throughout my life; it was a fear that followed me with terrifying determination. I desperately wanted to blend into society. So I designed myself to be devoid of any weakness, and productivity was the way I chose to conceal any difficulties I faced. It was a way to measure my success — a way to measure my normalcy.

Standard medical textiles are generic, cumbersome devices. …


Talking With Horses: Equine Assisted Activities To Promote Social Engagement In Individuals With Autism Spectrum Disorder, Amy Ezhaya May 2023

Talking With Horses: Equine Assisted Activities To Promote Social Engagement In Individuals With Autism Spectrum Disorder, Amy Ezhaya

Doctor of Nursing Practice Final Manuscripts

Purpose of Project: The purpose of this evidenced-based project is to gather data on how therapeutic horseback riding (THR) facilitates social engagement in individuals with autism spectrum disorder (ASD). The project aims to provide alternative treatment options and disseminate information to providers on the importance of community partnerships.

Background: In 2020, it was estimated that 1 in 54 children had ASD, which is a 170% increase since 2000. Often, those diagnosed with ASD also experience co-occurring mental health diagnoses placing a large burden of care on our healthcare system. THR is a growing alternative treatment option and has been found …


Using Virtual And Augmented Reality To Teach Children On The Autism Spectrum With Intellectual Disabilities: A Scoping Review, Emily M. Erb May 2023

Using Virtual And Augmented Reality To Teach Children On The Autism Spectrum With Intellectual Disabilities: A Scoping Review, Emily M. Erb

Electronic Thesis and Dissertation Repository

In recent years, both Virtual Reality (VR) and Augmented Reality (AR) technology have shown great promise for the instruction of individuals with autism spectrum disorder (ASD) by simulating real-world experiences in a safe and controlled environment. However, there are many reports of the failure of such research to include individuals with both ASD and Intellectual Disability (ID). The present scoping review consists of 20 studies which utilized VR/AR to teach various skills to children and youth with comorbid ASD and ID. Findings show that within the small number of eligible studies, a great deal of variation exists in essentially every …


Bone Flute:Exploring Voices From The Margins Of Entrepreneurship With Expressive Therapies, Cherith A. Pedersen May 2023

Bone Flute:Exploring Voices From The Margins Of Entrepreneurship With Expressive Therapies, Cherith A. Pedersen

Expressive Therapies Dissertations

The problem under investigation is the lived experiences of marginalized entrepreneurs in Barbados. The group of entrepreneurs being explored have been marginalized culturally, institutionally, and resourcefully. The research questions were: How do marginalized entrepreneurs experience business-related encounters due to their identity? How does their identity and use of their “voice” in business situations, position them as businesspersons? Can photography illustrate how they see themselves as businesspersons? There were eight participants in the study, who ranged in age from 18 to 69 years. They were three females and five males who belonged to diverse marginalized identities such as a single mother, …


Examining The Use Of Expressive Arts Therapies In Neurorehabilitation Treatment Planning, Rebecca J. Horner May 2023

Examining The Use Of Expressive Arts Therapies In Neurorehabilitation Treatment Planning, Rebecca J. Horner

Expressive Therapies Capstone Theses

Those undergoing neurorehabilitation after stroke and traumatic brain injury report a diminished sense of overall wellness. This paper examines the conceivable benefits of introducing expressive arts therapies, which is the therapeutic use and combination of the visual arts, movement, drama, music, writing and other intermodal creative processes, into physical therapy and neurorehabilitation treatment planning. Expressive arts therapies have the capacity to engage with an individual’s physical, emotional, social and spiritual states concurrently. They simultaneously offer the ability to promote an increased sense of well-being, address mind-body disconnects, and process trauma non-verbally.

The sections of this narrative literature review focus on …


Playful Dance/Movement Therapy For Traumatized Individuals With Intellectual And Developmental Disabilities: Development Of A Clinical Method, Teagan Collis May 2023

Playful Dance/Movement Therapy For Traumatized Individuals With Intellectual And Developmental Disabilities: Development Of A Clinical Method, Teagan Collis

Expressive Therapies Capstone Theses

This capstone thesis project explored the potential for dance/movement therapy (DMT) to be an accessible and effective treatment for people with intellectual and developmental disabilities (IDD) that have been impacted by trauma. People with IDD are more vulnerable to adverse life events than the neurotypical population. Past research has largely used treatment designed for neurotypical people who communicate and interpret life events in different ways than people with IDD. The expressive arts therapies, and DMT specifically, have the potential to create a positive embodied experience for people with IDD that have been impacted by trauma. The current method consisted of …


The Impact Of Covid-19 On Para-Athletes: A Case Study On Motivation And Psychological Training For The 2020 Paralympic Games, Irina Perfilova May 2023

The Impact Of Covid-19 On Para-Athletes: A Case Study On Motivation And Psychological Training For The 2020 Paralympic Games, Irina Perfilova

Masters Theses, 2020-current

In the 61-year history of the Paralympic Games, the Games have never been canceled for any public health reasons. In order to participate in the Paralympic Games, the preparation process for professional athletes is planned at least four years in advance. Interruptions to this schedule can present significant challenges for elite athletes. Such was the case in 2020 with widespread cancellations of many athletic events due to the COVID-19 pandemic. The impact of in-home isolation can potentially cause athletes to experience different psychological conditions, including depression and anxiety as well as losing motivation. The purpose of this study was to …


International Strategies For Addressing The Needs Of Children With Disabilities: Comparing Pediatric Therapy Services In Italy And The United States, Cassidy Hearn, Lillian Hsiao, Lavinia Fanelli, Regina Harbourne May 2023

International Strategies For Addressing The Needs Of Children With Disabilities: Comparing Pediatric Therapy Services In Italy And The United States, Cassidy Hearn, Lillian Hsiao, Lavinia Fanelli, Regina Harbourne

Physical Therapy Projects

This paper introduces and compares the professions of Neuro and Psychomotor Therapist of Developmental Age and pediatric physical therapy. Although pediatric physical therapy practice is prevalent in the United States, Italy utilizes another profession which encompasses many features of physical therapy, but also incorporates neuropsychological factors, specifically for children.


Circumventing Ableism: A Grounded Theory Study Exploring Caregiver Strategies To Promote A Positive Identity, June Furr May 2023

Circumventing Ableism: A Grounded Theory Study Exploring Caregiver Strategies To Promote A Positive Identity, June Furr

All Dissertations

This qualitative research study explores how caregivers and persons with disabilities navigate the rhetoric of disability and caregiving through the interviews of fifteen caregivers and fifteen persons with disabilities using the lens of grounded theory and Burke’s (1952) dramatistic pentad. Significant findings describe how focused disability description can circumvent ableism when rhetorical resources that assist caregivers and persons with disabilities to navigate the rhetoric in disability descriptions are provided. Disability description theory includes the three stages that define, collaborate and revise, and practice and apply a disability description. This qualitative research offers an introduction into the phenomenon of …


The Impact Of Music Therapy On Language Acquisition In Children With Nonverbal Autism, Alecia Bernau May 2023

The Impact Of Music Therapy On Language Acquisition In Children With Nonverbal Autism, Alecia Bernau

Senior Honors Theses

Through an experimental method, the researcher investigated whether children with autism spectrum disorder (ASD) are more likely to develop verbal communication skills after consistent exposure to songs with lyrics. Six children with nonverbal ASD were exposed to the same song with lyrics, with the goal of increased vocalization and language acquisition. Over nine sessions, subjects were pulled to participate in the experiment. The researcher played the song for the participants, recording the responses from each trial and categorizing them as either full words, verbal approximations, or miscellaneous verbalizations. The findings of the study suggest that there is a relationship between …


External Support: The Importance Of Community Support In Disability Healthcare, Kian Mccabe May 2023

External Support: The Importance Of Community Support In Disability Healthcare, Kian Mccabe

Undergraduate Theses and Capstone Projects

Inequalities in healthcare is a common discussion topic every day in the United States and although most Americans are not able to get adequate healthcare, they need one subtopic that I believe is not discussed enough about disability healthcare. More specifically the importance of community support and resources in disability health care. My internship this semester was helping lower-income families find the resources they need for their children with autism spectrum disorder. In this position, I learned that many of the positive activities and resources that would be helpful for their children most families are unable to get because they …


Only 2000 Psi Of Bottom-Time Air: A Case Study Of Diveheart Participant Social Capital, Kirk J. Williams Apr 2023

Only 2000 Psi Of Bottom-Time Air: A Case Study Of Diveheart Participant Social Capital, Kirk J. Williams

Student Capstone Projects

Social capital development for many, but not all, is a relatively organic process, and as social creatures, people work together to reach collective goals. The defined interactions related to the practices of societal norms, taboos, and broad cultural acceptance are constructs of communal decisions lending deep credence to the value of any number of the social capital definitions. However, opportunities are not always readily available to individuals living with disabilities, so they can and do get left out to varied degrees. With unsurprising results, previous research relied on comparing survey data from individuals with and without disabilities to identify possible …


Encouraging Social Inclusion In Children With And Without Disabilities Using Interactive Activities, Zoe Mcgregor, Olivia Eggleston, Kelby Cansler, Mea Heard Apr 2023

Encouraging Social Inclusion In Children With And Without Disabilities Using Interactive Activities, Zoe Mcgregor, Olivia Eggleston, Kelby Cansler, Mea Heard

Scholars Day Conference

This presentation looks into the possibility of starting a 3-day summer camp for children with and without intellectual disabilities to encourage inclusion within communities, school systems, and society.


Perceptions Of Disabilities Among Native Americans Within The State Of Utah, Erica Ficklin, Melissa Tehee, Sherry Marx, Eduardo Ortiz, Megan E. Golson, Tyus Roanhorse Apr 2023

Perceptions Of Disabilities Among Native Americans Within The State Of Utah, Erica Ficklin, Melissa Tehee, Sherry Marx, Eduardo Ortiz, Megan E. Golson, Tyus Roanhorse

Psychology Student Research

Currently, little research exists on disabilities among Native American communities and no research exists on how Native Americans perceive disabilities, services currently available, and unmet needs. Understanding these key areas is essential to providing efficacious and culturally relevant care. To address this gap in the literature, we used Indigenous research methodology through sharing circles throughout the state of Utah to listen and amplify the voices of the Native communities. Participants shared how they conceptualize "disability," what they thought of current services, and how they thought the needs of Native persons with disabilities should be addressed. Four major themes emerged in …


Going To A Psychiatric Hospital Saved My Life And My Student Affairs Career, Jo Wilson Apr 2023

Going To A Psychiatric Hospital Saved My Life And My Student Affairs Career, Jo Wilson

The Vermont Connection

The ongoing mental health crisis for college students has been a notable topic in recent years and while a necessary conversation, this often overlooks an underlying mental health crisis for higher education staff and the connection between both crises. As a former mentally ill graduate student and now (still) mentally ill student affairs practitioner, the connection is clear and a conversation now is critical. Using my personal narrative as a current practitioner, self authorship, and disability theory intersections, I am using this piece as a counternarrative and interruption to traditional student and staff development. Lastly, I seek to encourage a …


Paths To Equity: Parents In Partnership With Ucedds Fostering Black Family Advocacy For Children On The Autism Spectrum, Elizabeth H. Morgan, Benita D. Shaw, Ida Winters, Chiffon King, Jazmin Burns, Aubyn Stahmer, Gail Chodron Feb 2023

Paths To Equity: Parents In Partnership With Ucedds Fostering Black Family Advocacy For Children On The Autism Spectrum, Elizabeth H. Morgan, Benita D. Shaw, Ida Winters, Chiffon King, Jazmin Burns, Aubyn Stahmer, Gail Chodron

Developmental Disabilities Network Journal

Racism and ableism have doubly affected Black families of children with developmental disabilities in their interactions with disability systems of supports and services (e.g., early intervention, mental health, education, medical systems). On average, Black autistic children are diagnosed three years later and are up to three times more likely to be misdiagnosed than their non-Hispanic White peers. Qualitative research provides evidence that systemic oppression, often attributed to intersectionality, can cause circumstances where Black disabled youth are doubly marginalized by policy and practice that perpetuates inequality. School discipline policies that criminalize Black students and inadequate medical assessments that improperly support Black …


A Grounded Theory Of Counselors’ Post-Graduation Development Of Disability Counseling Effectiveness, Michele Rivas, Nicole R. Hill Jan 2023

A Grounded Theory Of Counselors’ Post-Graduation Development Of Disability Counseling Effectiveness, Michele Rivas, Nicole R. Hill

Journal of Counselor Preparation and Supervision

Many persons with disabilities engage in counseling services in a variety of settings. However, the development trajectories of counselors who seek to compensate for the lack of training and advance their post-graduation skillset to work effectively with clients with disabilities has not been explored. This grounded theory study illuminated several dimensions involved in twenty-one Licensed Professional Counselors’ post-graduation development of disability counseling effectiveness. In this study, counseling effectiveness refers to self-perceived improved skillset rather than a benchmark (i.e., competence). The core category, Evolving Commitments, was common to all participants’ trajectories when developing disability counseling effectiveness. The other categories (causal conditions, …


Skin Stories And Family Feelings: The Contradictions Of Skin Picking In Mother And Daughter, Katrina Jacinto Jan 2023

Skin Stories And Family Feelings: The Contradictions Of Skin Picking In Mother And Daughter, Katrina Jacinto

Crossings: Swarthmore Undergraduate Feminist Research Journal

Skin picking, otherwise known as dermatillomania, is considered to be a medical disorder by the DSM-5. However, the embodied experiences of skin picking in myself and my mother do not align with the neat definitions offered by psychiatry. Through autoethnographic material and an ethnographic interview with my mother, I argue that skin picking is a bodily technique that is pathologized through stigma. In particular, I suggest that skin picking reveals the body as a polyvalent entity, in which the same features and practices take on different meanings in different bodies. This frames the discrepancies between mine, and my mother's, experiences. …


Experience Of Established Mental Health Counselors Working With Adults Who Have Intellectual Disabilities, Margarete Denk Jan 2023

Experience Of Established Mental Health Counselors Working With Adults Who Have Intellectual Disabilities, Margarete Denk

Walden Dissertations and Doctoral Studies

Individuals with disabilities make up the largest minority population in the United States. Individuals with intellectual and developmental disabilities (I/DD) make up a significant portion of this population, yet there are limited studies addressing counseling with the I/DD population. The Council for Accreditation of Counseling and Related Educational Programs has addressed the need for disability competence in their upcoming 2024 standards. The purpose of the phenomenological study was to describe lived experiences of established counselors working with adult clients diagnosed with an I/DD. A descriptive phenomenological approach was used along with the social model of disability. The study involved six …


Experience Of Established Mental Health Counselors Working With Adults Who Have Intellectual Disabilities, Margarete Denk Jan 2023

Experience Of Established Mental Health Counselors Working With Adults Who Have Intellectual Disabilities, Margarete Denk

Walden Dissertations and Doctoral Studies

Individuals with disabilities make up the largest minority population in the United States. Individuals with intellectual and developmental disabilities (I/DD) make up a significant portion of this population, yet there are limited studies addressing counseling with the I/DD population. The Council for Accreditation of Counseling and Related Educational Programs has addressed the need for disability competence in their upcoming 2024 standards. The purpose of the phenomenological study was to describe lived experiences of established counselors working with adult clients diagnosed with an I/DD. A descriptive phenomenological approach was used along with the social model of disability. The study involved six …


Utilization Of The Social Determinants Of Mental Health Framework With Older Adults For Assessment, Case Conceptualization, And Treatment Planning, Janelle L. Jones, Julia Lancaster, Lauren Robins, Wendy K. Killam, Matthew L. Nice, Bisola Duyile Jan 2023

Utilization Of The Social Determinants Of Mental Health Framework With Older Adults For Assessment, Case Conceptualization, And Treatment Planning, Janelle L. Jones, Julia Lancaster, Lauren Robins, Wendy K. Killam, Matthew L. Nice, Bisola Duyile

Adultspan Journal

This conceptual paper will aid counselors and mental health professionals in obtaining insight to utilizing a Social Determinants of Mental Health Framework with older adult clients. Further, the article incorporates the Multicultural and Social Justice Counseling Competencies to further contextualize the therapeutic alliance. The authors utilize the Social Determinants of Mental Health Framework to frame counseling assessment, case conceptualization, and treatment planning to improve the mental health outcomes of older adults. The article utilizes a specific case example to assess, conceptualize, and plan treatment for an older adult client contextualized in their environment.


A Picture Worth A Thousand Words: Factors Influencing Disability Accommodations, Alicia E. Martin Jan 2023

A Picture Worth A Thousand Words: Factors Influencing Disability Accommodations, Alicia E. Martin

Cal Poly Humboldt theses and projects

Because not all disabilities look the same it is difficult to label a person with disabilities just by looking at them. Given that our knowledge, attitudes, and perceptions impact how we interpret our world and our willingness to act, people, including professors, may be biased toward providing accommodations for those with easily recognizable disabilities and biased against those with non-recognizable disabilities, and this may impact the disabled person’s ability to learn. This thesis aims to address whether professors’ disability-related attitudes, perceptions of accommodation reasonableness, and willingness to provide accommodations differ when the disability is recognizable (student is pictured in a …


“For All My Students, I Just Want Them To Love Learning, I Just Want Them To Love Life. To Love The Possibility Of Who They Are”: A Qualitative Study Investigating The Multifaceted Roles Of Special Educators At A Small Autism School In The Hudson Valley, Sydney Simone Darling Jan 2023

“For All My Students, I Just Want Them To Love Learning, I Just Want Them To Love Life. To Love The Possibility Of Who They Are”: A Qualitative Study Investigating The Multifaceted Roles Of Special Educators At A Small Autism School In The Hudson Valley, Sydney Simone Darling

Senior Projects Fall 2023

This is a qualitative study which investigates the multifaceted roles of special educators.The United States is currently facing a crisis in teacher attrition. Attrition destabilizes schools, and negatively impacts student outcomes. Special education teachers are the teachers most likely to leave their field. In hopes of reducing attrition, this study seeks out the unique perspectives of special educators. Six special educators from a small school in the Hudson Valley completed 15-45 minute semi structured interviews. Interviews were transcribed and coded in a software MAXQDA. 3 themes were generated. These themes are: continuous learning, expending emotional labor, and balancing care with …