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Full-Text Articles in Psychology

Daily Anxiety And Dual Use Of Cigarettes And Vaping Products: Disparities By Sex, Race, And Ethnicity In U.S. Adults, Maggie K. Richardson, Delvon T. Mattingly, Osayande Agbonlahor, Alison C. Mcleish, Joy L. Hart, Kandi L. Walker Jan 2025

Daily Anxiety And Dual Use Of Cigarettes And Vaping Products: Disparities By Sex, Race, And Ethnicity In U.S. Adults, Maggie K. Richardson, Delvon T. Mattingly, Osayande Agbonlahor, Alison C. Mcleish, Joy L. Hart, Kandi L. Walker

Educational, School, and Counseling Psychology Faculty Publications

Objective:

Despite a decline in cigarette use, the dual use of cigarettes and electronic vaping products (EVPs) is a concerning pattern of nicotine consumption in the United States. Anxiety, a risk factor for tobacco use, may contribute to dual-use patterns; however, the association between daily anxiety symptoms and dual use of cigarettes and EVPs is not known. This study investigated associations between daily anxiety symptoms and dual cigarette and EVP use overall and by sex, race, and ethnicity.

Method:

Data are from the 2020–2022 National Health Interview Survey (n = 83,544). Multinomial logistic regression models, adjusted for sociodemographic factors, …


Music Therapy For Women Survivors Of Human Trafficking And Domestic Violence, Dorothy Briggs Jan 2025

Music Therapy For Women Survivors Of Human Trafficking And Domestic Violence, Dorothy Briggs

SPARK Symposium Presentations

As music therapy research progresses, populations that are underrepresented and under-researched become more evident. There is a lack of research, specifically intervention studies, addressing the needs of women survivors of human trafficking and domestic violence. The aim of this study was to construct a goal focused plan of care created by and for these survivors. Nine music therapy sessions were created, each focusing on a different goal outlined by women survivors completing the work development program at Strings for Hope in Nashville, Tennessee. The sessions followed a natural progression, addressing increasingly more difficult topics. One session was led with the …


Impact Of Adverse Childhood Experiences And Hostile Attribution On Adult Romantic Relationship Dynamics, Richeila Lora Jan 2025

Impact Of Adverse Childhood Experiences And Hostile Attribution On Adult Romantic Relationship Dynamics, Richeila Lora

Open Access Master's Theses

The purpose of this study was to examine whether experiencing ACEs and hostile attributions led to engaging in conflict behaviors in adult romantic relationships. Additionally, it was examined whether hostile attributions served as a moderator in the relationship between experiencing ACEs and engaging in conflict behaviors. Participants were adults (N = 3.684) from the German Family Panel dataset. Structural equation modeling was used to examine the associations between experiencing ACEs, hostile attributions, and conflict behaviors. It was found that both experiencing ACEs and hostile attributions were related to engaging in conflict behaviors. However, hostile attributions did not serve as …


Scrupulosity: A Comprehensive Review Of The Research, Julie M. Painley Jan 2025

Scrupulosity: A Comprehensive Review Of The Research, Julie M. Painley

Antioch University Dissertations & Theses

This dissertation presents a comprehensive analysis of the current research on scrupulosity, a subtype of obsessive–compulsive disorder (OCD) characterized by intrusive thoughts and compulsive behaviors related to religious and moral concerns. The dissertation identifies key similarities and differences from OCD, and directs focus to thematically related yet unsubstantiated theoretical work in psychology that helps elucidate the core features and etiological factors of scrupulosity as differentiated from other OCD subtypes. The study addresses the critical dearth of research on scrupulosity, aiming to fill significant gaps in the literature regarding its historical context, varied presentation and prevalence in different cultural contexts, and …


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 …


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 …


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 …


A Happy Medium?: Using Image Generators To Explore Solution-Focused Art Therapy’S Miracle Question, Daniel A. Hernried Jan 2025

A Happy Medium?: Using Image Generators To Explore Solution-Focused Art Therapy’S Miracle Question, Daniel A. Hernried

Art Therapy | Master's Theses

This mixed methods, randomized, single-session study tested whether integrating text-to-image generations into Solution-Focused Brief Art Therapy alters therapeutic rapport and short-term outcomes relative to traditional artmaking materials. Participants were assigned by coin flip to create using either a text-to-image generator or convention media (23 per group), completing immediate and three-day follow-ups. Alliance was measured using DREAM (Dimensions of Regard, Empathy, and Authenticity Metric), and problems were rated pre/post; groups did not differ significantly on DREAM total or facets, and both modalities produced reliable pre-to-post reductions in problem severity. At the same time, process differences were pronounced: the AI condition showed …


“It’S An Honor To Be In This Body”: A Black Feminist Grounded Theory Of Embodiment Among Black Womxn Yoga Practitioners (Bwyps), Natalie Malone Jan 2025

“It’S An Honor To Be In This Body”: A Black Feminist Grounded Theory Of Embodiment Among Black Womxn Yoga Practitioners (Bwyps), Natalie Malone

Theses and Dissertations--Educational, School, and Counseling Psychology

Black womxn (i.e., individuals whose experiences align with Black girlhood/womanhood or whose bodies are perceived as Black, female, womanly, femme, or a combination) experience significant health and well-being challenges that may hinder their embodiment. Yoga is a complementary therapy that may help Black womxn improve their embodiment. This dissertation qualitatively explores the processes Black womxn yoga practitioners (BWYPs) engage in to cultivate positive embodiment. Participants were N=30 Black womxn who were short- (≤ five years; n=11), medium- (five–10 years; n=10), and long-term (>11 years; n=9) yoga practitioners. Participants completed individual interviews as part of the …


Navigating Acculturation: Opportunities, Challenges, And Community Support For African Immigrants In The U.S., Sharitah Nalule Jan 2025

Navigating Acculturation: Opportunities, Challenges, And Community Support For African Immigrants In The U.S., Sharitah Nalule

Theses and Dissertations

African immigrants in the United States encounter complex acculturation challenges that are often shaped by systemic barriers such as language exclusion, financial insecurity, limited employment access, and time-restricted support services. This qualitative study explores how African immigrants experience the acculturation process and how community-based programs support or fall short in supporting their acculturation. Semi-structured individual interviews with Somali immigrants and community practitioners in the Midwest. While most African immigrant narratives reflect the experiences of Somali immigrants, practitioners provide insight into the broader African immigrant population based on their work with diverse African immigrant clients. Findings revealed three central themes: (1) …


Cultural Identity In Mental Health Services And Helpseeking Behaviours Among African International Students, Mark Ofosu Asirifi Jan 2025

Cultural Identity In Mental Health Services And Helpseeking Behaviours Among African International Students, Mark Ofosu Asirifi

Theses and Dissertations

Acculturation stress impacts international students’ psychological well-being and academic success, yet research on African students remains limited. For African international students, this stress is intensified by cultural stigma surrounding mental health services, deterring help-seeking due to fears of judgment and ostracization. This identity negotiation complicates their willingness to access support, reinforcing cultural barriers to mental health care. This study explores how cultural identity shapes the mental health perceptions and help-seeking behaviors of African international students in the United States. Grounded in the Communication Theory of Identity (CTI) and the Health Belief Model (HBM), the research examines how acculturative stress, stigma, …


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’ …


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, …


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 …


Exploring The Perceptions Of Technology Use Of Clinicians And Their Clients, Chase M. Torbergson Jan 2025

Exploring The Perceptions Of Technology Use Of Clinicians And Their Clients, Chase M. Torbergson

Antioch University Dissertations & Theses

The research question guiding this study was: What is the perceived understanding of technology use by clinicians for their work with clients? Fourteen participants completed an online qualitative survey exploring their experiences with technology and media in clinical practice. A thematic analysis revealed four primary themes. The first theme, variations in counselor online media usage, highlighted differences in how counselors engaged with online platforms for education, client connection, and self-care. The second theme, counselor assessment of, and dialogue around, online media use, captured varying levels of intentionality in exploring clients’ digital habits, ranging from minimal inquiry to regular, structured discussions. …


Initial Validation Of The Measure Of Practical Existential Wellbeing, Bryant L. Moore Jan 2025

Initial Validation Of The Measure Of Practical Existential Wellbeing, Bryant L. Moore

Antioch University Dissertations & Theses

According to the theory of existential psychology, all humans experience existential anxiety, a negative feeling that results from the understanding of certain unavoidable truths. If left unchecked, existential anxiety can lead to symptoms of mental illness. Much work has been done to explore and measure existential anxiety, but little has focused on protective factors within existential theory. This dissertation proposes the construct of existential wellbeing, representing protective factors corresponding to different existential domains. To assess this construct, a new instrument, the Measure of Practical Existential Wellbeing (MPEW), was developed, distributed, and analyzed in relation to other established measures. The MPEW …


Mental Heath Experiences Of Transracial Adoptees Of The Global Majority (Black, Indigenous, And People Of Color - Bipoc)., Phebe Brako Jan 2025

Mental Heath Experiences Of Transracial Adoptees Of The Global Majority (Black, Indigenous, And People Of Color - Bipoc)., Phebe Brako

Antioch University Dissertations & Theses

This qualitative hermeneutic phenomenological study explores the lived experiences of transracial adoptees of the global majority (BIPOC), focusing on their bicultural identity integration and its impact on mental health. During semi-structured interviews, nine participants shared their stories of navigating cultural and racial dynamics as adoptees in predominantly White adoptive families and communities. The findings revealed six core themes: (1) the Quest for Bicultural Identity Formation, (2) Cultural Integration and Adaptation, (3) Navigating Racial and Cultural Tensions, (4) the Role of Family in Cultural Integration, (5) the Importance of Community and Support Systems, and (6) Mental Health and Therapeutic Experiences, addressing …


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 …


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 …


Exploring The Use Of Somatic Skills And Techniques In Clinical Supervision, Areka D. Foster Jan 2025

Exploring The Use Of Somatic Skills And Techniques In Clinical Supervision, Areka D. Foster

Antioch University Dissertations & Theses

This study explores the lived experiences of clinical supervisors who engage in somatically oriented supervision. Informed by relational-cultural theory and polyvagal theory, the research employs a grounded theory methodology to investigate the potential development of a somatic supervision framework. Eleven participants completed semi-structured interviews and data were analyzed using both thematic analysis and grounded theory techniques. Eleven core themes emerged: (a) conceptualizations of somatic supervision, (b) integration of somatic techniques in supervisory practice, (c) theoretical foundations for somatic supervision, (d) attunement to countertransference, (e) the supervisory relationship, (f) trauma-informed approaches, (g) somatic techniques and practices, (h) initiating and structuring somatic …


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 …


The Effect Of Need For Closure, Gender Essentialism, And Contact On Transphobia, Jacob E. Vargas Jan 2025

The Effect Of Need For Closure, Gender Essentialism, And Contact On Transphobia, Jacob E. Vargas

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Using a motivated social cognition framework, this study explores whether there is an indirect effect of need for closure on transphobia via gender essentialism and whether this relationship is moderated by transgender contact. Data were collected from an undergraduate sample of 405 cisgender participants (nmen = 159, nwomen = 246). A simple mediation and a moderated mediation were used to examine the hypothesized relationships, controlling for participant gender. Results reinforced the positive correlation between gender essentialism and transphobia and the negative correlation between transgender contact and transphobia. However, the mediation and moderation hypotheses were not supported. Need …


Harming To Healing: Exploring Harm Reduction In Non-Suicidal Self-Injury Treatment, Athena Lewin Jan 2025

Harming To Healing: Exploring Harm Reduction In Non-Suicidal Self-Injury Treatment, Athena Lewin

Scripps Senior Theses

Non-Suicidal Self-Injury (NSSI) is a maladaptive behavior that impacts individuals from all backgrounds, yet existing interventions often neglect harm reduction tactics that may enhance treatment outcomes. This study presents a quasi-experimental design to assess the effectiveness of harm reduction education when combined with a dialectical behavioral therapy (DBT) based and motivational interviewing (MI) based counseling for young women (ages 18-26) who meet the criteria for Non-Suicidal Self-Injury Disorder (NSSID). Participants will be randomly assigned to either a control group receiving only DBT/MI based therapy or an experimental group receiving both the DBT/MI based therapy and harm reduction education, which will …


Navigating Online Dating: Exploring The Intersection Of Attachment Styles, Parental Attachments, And Sociosexuality In Online Dating Among College Students, Jensley Velez-Lozada Jan 2025

Navigating Online Dating: Exploring The Intersection Of Attachment Styles, Parental Attachments, And Sociosexuality In Online Dating Among College Students, Jensley Velez-Lozada

Honors Undergraduate Theses

The aim of this thesis is to explore the connection between attachment styles, parental attachment, and sociosexuality as predictors of online dating attitudes among college students. As society navigates this new digital era of online dating, how does it continue to transform young adults as they form romantic and sexual connections? It becomes increasingly important to understand the psychological mechanisms that influence these behaviors. This study examined how anxious and avoidant attachment styles, parental attachment, and sociosexuality may have contributed to online hookup attempts and outcomes behaviors. It also examined how these variables interacted and influenced both the likelihood of …


The Effects Of Schema Therapy On Shame In Victims Of Intimate Partner Violence, Annette Ibarra Skeen Jan 2025

The Effects Of Schema Therapy On Shame In Victims Of Intimate Partner Violence, Annette Ibarra Skeen

Theses and Dissertations

Intimate partner violence (IPV) is prevalent in the United States and worldwide. Despite the deleterious effects of IPV on personal and societal wellness, there is limited research on effective interventions for IPV victims. Among the detrimental effects of IPV on mental health, shame is a common emotion experienced by IPV victims. Shame can contribute to an array of mental health concerns, such as depression, anxiety, low self-esteem, PTSD, substance abuse, and suicidality. Using a multiple baseline, singe case design, the aim of the current study was to evaluate the effects of Schema Therapy (ST) on shame on IPV victims. Based …


Hypnosis: An Evidenced Based Treatment, Gregory P. Brown Jan 2025

Hypnosis: An Evidenced Based Treatment, Gregory P. Brown

Psychiatry & Behavioral Health Faculty Research

Review of meta analyses and systemic review level studies of hypnosis in the treatment of anxiety, burnout, and depression.


From Street Codes To School Codes: Transformative Educational Intervention For Gang Affiliated Student. An Active Research Study, Alexandra Saldivar Jan 2025

From Street Codes To School Codes: Transformative Educational Intervention For Gang Affiliated Student. An Active Research Study, Alexandra Saldivar

University of the Pacific Theses and Dissertations

Gang-affiliated youth face significant challenges in educational and community settings, often resulting in lower graduation rates, limited career opportunities, and an increased risk for behavioral problems. While gang activity on school campuses has increased in recent years, there is limited research and little effort specifically tailored to meet the needs of this vulnerable population. This study aims to evaluate the effectiveness of the WhyTry intervention, a resilience-focused program designed for at-risk populations, modified with additional counseling and a gang-intervention emphasis to address the unique challenges gang-affiliated students face. The study explores whether the modified WhyTry program can improve academic performance, …


The Long-Term Psychological Effects Of Violent Crime On Victims: A Review Of Evidence And Supportive Interventions, Jayden E. Oleksyn-Lamb Jan 2025

The Long-Term Psychological Effects Of Violent Crime On Victims: A Review Of Evidence And Supportive Interventions, Jayden E. Oleksyn-Lamb

Graduate Theses/Dissertations

This study utilizes anonymous survey data collected from 26 mental health professionals in various regions of Canada to understand which psychological disturbances are the most prevalent among victims of violent crime as well as which psychological interventions are most beneficial for treating violent crime victims. The data revealed that Post-Traumatic Stress Disorder (PTSD), Major Depressive Disorder (MDD), Generalized Anxiety Disorder (GAD), anger, guilt, self-blame, and shame are each highly prevalent. Findings also revealed that certain therapeutic methods including Eye Movement Desensitization Reprocessing (EMDR), Supportive Counselling (SC), Progressive Relaxation (PR), Cognitive Reprocessing Therapy (CPT) and Cognitive Restructuring (CR) are associated with …


Radical Hope Amid Generational Oppression And Puerto Rican Well-Being, Natalia Gomez Giuliani Jan 2025

Radical Hope Amid Generational Oppression And Puerto Rican Well-Being, Natalia Gomez Giuliani

Theses and Dissertations

Oppressive systems (e.g., colonialism, racism, capitalism) create a disparate distribution of power that, through various mechanisms, negatively impacts the health and well-being of members of the oppressed group. Boricuas have experienced over 500 years of oppression, with the island currently maintaining a colonial relationship with the United States. As these adverse effects of oppression are identified, the need for protective factors (e.g., hope) has emerged. This study explored how islander Boricuas practice radical hope, understand their history of oppression and resistance, and how they perceived it to impact their overall well-being. Utilizing a phenomenological qualitative approach, I conducted 15 semi-structured …