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Antioch University Dissertations & Theses

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Full-Text Articles in Clinical Psychology

"Why Don't I Talk To A Therapist?": Motivations And Reflections Of Female-Identifying Chinese Immigrants Seeking Psychotherapy For Depression, Qiuyi Wei Jan 2026

"Why Don't I Talk To A Therapist?": Motivations And Reflections Of Female-Identifying Chinese Immigrants Seeking Psychotherapy For Depression, Qiuyi Wei

Antioch University Dissertations & Theses

This phenomenological study explored the lived experiences of Chinese immigrants and temporary residents struggling with depressive symptoms and their process of seeking and accepting psychotherapy support. The study aimed to describe the factors that motivated participants to enter therapy for depression while also addressing their internal concerns about treatment. Nine female-identified Chinese immigrant adults with such experiences were recruited. Participants’ perceptions of their depressive symptoms and the factors contributing to their decision to seek professional therapy were explored through in-depth, semi-structured qualitative interviews conducted in Mandarin. The interview transcripts were analyzed in Mandarin using interpretative phenomenological analysis, through which four …


Youth And Caregiver Expectations In Pediatric Concussion Recovery And Persisting Symptoms, Molly A. O'Reilly Jan 2026

Youth And Caregiver Expectations In Pediatric Concussion Recovery And Persisting Symptoms, Molly A. O'Reilly

Antioch University Dissertations & Theses

Concussions present complex diagnostic and treatment challenges, particularly for pediatric patients who may experience persisting symptoms. Psychological mechanisms, including patient expectations and beliefs about recovery and symptoms, play a critical role in shaping outcomes. However, there is limited research exploring these factors in pediatric populations, particularly using qualitative approaches. This study sought to address this gap by employing a qualitative phenomenological design with interpretive phenomenological analysis to examine the recovery expectations of pediatric patients with persisting symptoms following concussion, as well as caregivers’ perspectives. Using the nocebo effect as a conceptual framework, eight pediatric patients and their caregivers participated in …


Into Action: A Twelve Step-Informed Act Group Protocol For Outpatient Substance Use Treatment, Doug Hohenberger Jan 2026

Into Action: A Twelve Step-Informed Act Group Protocol For Outpatient Substance Use Treatment, Doug Hohenberger

Antioch University Dissertations & Theses

Substance use disorders remain a prevalent and costly public health concern. Despite this, efforts to disseminate evidence-based practices frequently encounter both practical and philosophical barriers. Language and practices from the Twelve Steps of Alcoholics Anonymous have permeated addiction treatment settings and have become the “common tongue” for addiction recovery discourse. Consequently, most substance use treatment programs feature tenets of the Twelve Steps of Alcoholics Anonymous in their clinical programming, even though the framework was designed for peer support settings. Twelve Step fellowships have made important contributions to the substance use treatment field and have guided individuals through personal recovery through …


Bi+ Cismale Experiences With Straight Cismale Friends, Taylor M. Hardock Jan 2026

Bi+ Cismale Experiences With Straight Cismale Friends, Taylor M. Hardock

Antioch University Dissertations & Theses

Minority Stress Theory (2006) posits that individuals with a marginalized sexual identity have unique challenges and stressors. Bisexual+, or bi+, individuals have particular stressors related to not holding a monosexual identity, including specific mental health challenges. Research has shown that friendship can have many positive benefits on individuals, though the literature looking at friendship among bi+ identifying people is very limited. This qualitative study investigates the experiences of friendship between bi+ and straight cis men, especially as they may relate to minority stress and experiences of resilience and community belongingness. A thematic analysis was utilized to understand the personal experiences …


Beyond The Rabbit Hole: Dmt, Death, And The Hereafter, Abby Molina Jan 2026

Beyond The Rabbit Hole: Dmt, Death, And The Hereafter, Abby Molina

Antioch University Dissertations & Theses

This dissertation explores a proposed relationship between death and N,N-dimethyltryptamine (DMT) within the context of contemporary clinical psychology and the current psychedelic renaissance. Building on Rick Strassman’s hypothesis that DMT may be released at the moment of death and Imants Barušs’ conceptualization of death as an altered state of consciousness, this project examines the phenomenological similarities between DMT-induced experiences (psychedelic “trips”) and near-death experiences (NDEs). Through review of neurobiological research, psychedelic-assisted therapy literature, religious and cultural ceremonial practices, and documented DMT trip and NDE reports, this work evaluates the plausibility that endogenous DMT contributes to altered states of consciousness observed …


Adverse Childhood Experiences Of Individuals Charged Or Convicted Of Homicide In Their Youth, Marcus Krodel Jan 2026

Adverse Childhood Experiences Of Individuals Charged Or Convicted Of Homicide In Their Youth, Marcus Krodel

Antioch University Dissertations & Theses

Adverse Childhood Experiences (ACEs) represent a collection of distressful events occurring during childhood and have been shown to have a negative impact on future functioning. ACEs were utilized in the current study to increase our understanding of a unique population among court-involved individuals: juveniles charged or convicted of homicide. Court decisions have established that juveniles convicted of homicide are both distinct from their adult counterparts and present with dissimilar risk and protective factors. The current study explored a sample of 66 individuals who were charged or convicted of homicide while in their youth. Each participant was retroactively assigned an ACEs …


Dancing With The Void: A Cultural Exploration Of Nihilistic Musical Identities And Their Experience In Psychotherapy, Zachary Marciano Jan 2026

Dancing With The Void: A Cultural Exploration Of Nihilistic Musical Identities And Their Experience In Psychotherapy, Zachary Marciano

Antioch University Dissertations & Theses

This dissertation examines the profound existential paradox faced by individuals who have identified with nihilistic beliefs and ideas while attempting to seek meaning through therapy. Nihilism, characterized by the belief in the inherent meaninglessness of existence, poses a significant challenge to the traditional therapeutic framework, which often centers on the pursuit of meaning and purpose. This dichotomy poses a unique conundrum for individuals who embrace nihilistic perspectives shaped by identification with nihilistic lyrics and themes in alternative music genres such as metal, goth, grunge, and punk. Alternative music culture often serves as a vehicle for expressing and internalizing nihilistic beliefs, …


I’M A Sucker For You: The Role Of Parasocial Relationships And Celebrity Worship In Predicting Loneliness Among Fans Of The Jonas Brothers, Samantha Lynn D'Anna Jan 2026

I’M A Sucker For You: The Role Of Parasocial Relationships And Celebrity Worship In Predicting Loneliness Among Fans Of The Jonas Brothers, Samantha Lynn D'Anna

Antioch University Dissertations & Theses

The current study sought to better understand the dynamics between parasocial relationships and celebrity worship in predicting loneliness among the Jonas Brothers fan community. A comprehensive review of existing literature positioned this dissertation within the context of current research. A quantitative, survey-based methodology was used to examine associations between variables through correlational analyses, and a qualitative component invited participants to share written narratives about the impact the Jonas Brothers have had on their lives. Quantitative findings showed that although parasocial relationships did not directly relate to loneliness, they were strongly linked to celebrity worship, which then mediated the connection between …


Hiding In Plain Sight, Gayle M. Perreault Jan 2026

Hiding In Plain Sight, Gayle M. Perreault

Antioch University Dissertations & Theses

Some autistic individuals reach adulthood without receiving a diagnosis, and the processes contributing to delayed recognition are not yet fully understood. This study explored how contextual conditions across development related to the emergence and use of camouflaging behaviors in late-diagnosed autistic adults from groups historically underrepresented in autism research. Using an inductive collective case study design, narrative interviews were conducted with seven autistic adults diagnosed after age 15. The analysis examined how participants described learning, maintaining, and interpreting camouflaging behaviors across childhood through early adulthood within social, environmental, and institutional contexts, with attention to how participants experienced environmental expectations and …


How To Reduce Inpatient Violence: A Theory Synthesis From Four Models, Arthur Walker Jan 2026

How To Reduce Inpatient Violence: A Theory Synthesis From Four Models, Arthur Walker

Antioch University Dissertations & Theses

Working in an inpatient setting inherently involves an increased risk of violence. This violence can affect both staff and patients alike and can lead to psychological trauma, serious bodily injury, and even death. To mitigate this risk, many models for preventing inpatient violence have been proposed for hospitals to implement. However, the evidence for the efficacy of these methods is inconsistent, and the theoretical underpinnings are varied and slim. This dissertation seeks to improve these models by re-examining the theoretical structures for common themes of four models for inpatient violence reduction and proposing additional recommendations informed by this synthesis. First, …


“I May Flourish In Spite Of The Obstacles": A Deaf Queer Minority Stress Model, Maya E. Weaver Jan 2026

“I May Flourish In Spite Of The Obstacles": A Deaf Queer Minority Stress Model, Maya E. Weaver

Antioch University Dissertations & Theses

The current study explores the intersectional experiences of individuals who identify as both d/Deaf and Lesbian, Gay, Bisexual, and Queer/Questioning, among other marginalized sexual identities. Historically, both Deaf and queer communities have faced significant oppression and discrimination; yet little research has examined the unique challenges encountered by those living at the intersection of these two identities, with most of the existing deaf literature focusing on heterosexual individuals and most of the queer literature centering around non-Deaf individuals. This study sought to address that gap by, within an exploration of their unique form of minority stress, investigating how identifying with both …


The Use Of Mindfulness In Empirically Supported Treatments In Psychology, Timothy Stewart Jan 2026

The Use Of Mindfulness In Empirically Supported Treatments In Psychology, Timothy Stewart

Antioch University Dissertations & Theses

After gaining popularity in the United States of America (USA) in the 1960s and 1970s, Buddhist mindfulness was introduced to clinical psychology and investigated for its potential psychological healing effects. In the years since, mindfulness has been widely used in empirically supported treatments (ESTs) in clinical psychology in the USA to treat a wide variety of psychological conditions and disorders. This dissertation examines and compares conceptualizations and implicit understandings of mindfulness in early (Theravāda) Buddhism and in ESTs in clinical psychology in the USA. Through textual narrative analysis of two Buddhist sutta and 10 clinical psychology journal articles, this study …


Generation Z: Black Male Constructions Of Masculinity And Provider Roles In Heterosexual Marriages, Bentley Stafford Hylton Jan 2026

Generation Z: Black Male Constructions Of Masculinity And Provider Roles In Heterosexual Marriages, Bentley Stafford Hylton

Antioch University Dissertations & Theses

This study explores how expectations associated with the male provider role identity impact the psychological well-being of Black American Generation Z (“Gen Z”) men. Using a qualitative design, approximately 20 participants were surveyed to examine how efforts to meet provider role expectations influence well-being, as well as how Gen Z Black men construct and define masculinity within contemporary sociocultural contexts. While prior research has examined Black masculinity, limited attention has been given to its intersection with provider role expectations, particularly among emerging adults. Historically, messages about masculinity and marital roles have been transmitted through community institutions, leadership, and cultural narratives; …


Experiences Of Title Ix Investigations For Bipoc Survivors Of Sexual Violence, Tiffini Vo Jan 2026

Experiences Of Title Ix Investigations For Bipoc Survivors Of Sexual Violence, Tiffini Vo

Antioch University Dissertations & Theses

Sexual violence is among the most common crimes on college campuses. Nearly one in four undergraduate women experience sexual violence during college, yet reporting remains low (Spencer et al., 2020). Some students avoided reporting because of fear of criticism, backlash, blame, and shame (Lorenz et al., 2023). These responses not only influence reporting decisions but can also contribute to persistent psychological harm. A common consequence of sexual assault is the survivor developing post-traumatic stress disorder (PTSD), depressive and anxiety symptoms, and suicidality, demonstrating the severity of the crime perpetrated against them (Rothman et al., 2021). Even more so, those who …


A Qualitative Analysis Of Fitness Wearable Use And Embodiment, Lucas Brandt Jan 2026

A Qualitative Analysis Of Fitness Wearable Use And Embodiment, Lucas Brandt

Antioch University Dissertations & Theses

Wearable fitness technologies have become increasingly integrated into contemporary health and wellness culture, providing users with continuous access to physiological and behavioral data related to movement, sleep, stress, recovery, and overall health. Research has demonstrated that wearable devices can increase physical activity and support health behavior change (Ferguson et al., 2022; Koivisto & Hamari, 2019). Although less is known about how these technologies influence individuals’ lived experiences of their bodies. Understanding this relationship is particularly important given growing concerns regarding embodiment, self-surveillance, and the psychological effects of health-tracking technologies (Bergsland, 2017; Rapp, 2021). Drawing on theories of mind-body connection and …


Cross-Domain Identity Development In Bipoc Autistic Adults: A Grounded Theory Study, Ginnylyne Mariano Guisadio Jan 2026

Cross-Domain Identity Development In Bipoc Autistic Adults: A Grounded Theory Study, Ginnylyne Mariano Guisadio

Antioch University Dissertations & Theses

Racial and autistic identity development both involve navigating stigma, seeking community, and contending with dominant frameworks that constrain authentic self-expression, yet existing research has not examined how these processes interact for individuals holding both identities. These interactions unfold within structural conditions such as diagnostic disparities, culturally specific ableism, and racialized consequences of visible autistic expression, which shape how identity development proceeds for BIPOC autistic adults. This study investigated whether and how the core identity processes of exploration and commitment proceeded for this population. Nine BIPOC autistic adults participated in written interviews analyzed through constructivist grounded theory, with identity status theory …


Doctoral Trainees’ Experiences Of Vicarious Trauma Within Inpatient Settings: An Exploratory Study, Melissa Neitlich Jan 2026

Doctoral Trainees’ Experiences Of Vicarious Trauma Within Inpatient Settings: An Exploratory Study, Melissa Neitlich

Antioch University Dissertations & Theses

Vicarious trauma (VT), first coined by Irene Lisa McCann and Anne Pearlman, is described as a pervasive and cumulative impact of working with survivors of trauma, resulting in changes to the therapist’s identity, worldview, psychological needs, beliefs, and memory. In spite of the unique vulnerabilities of doctoral trainees for experiencing VT, there is limited research on the impact of VT among doctoral trainee populations, as most of the extant literature focuses on the impact of VT in middle- to late-career psychological practice. In this primarily qualitative dissertation, I examined trainees’ experiences of vicarious trauma within various inpatient settings using the …


At The Table: Queer Identity And Exploration Through Tabletop Role-Playing Games, Seth Carroll Jan 2025

At The Table: Queer Identity And Exploration Through Tabletop Role-Playing Games, Seth Carroll

Antioch University Dissertations & Theses

This study explored the phenomenon of a growing queer subculture within the tabletop role-playing game community. Eight participants, all self-identified members of the LGBTQIA+ community with significant experience playing tabletop role-playing games, were interviewed to better understand their lived experience within this subculture, what draws them to playing tabletop role-playing games, and the personal impacts and meaning they draw from engaging in them. Participants identified as White, between the ages of 23 and 30, and represented a variety of queer identities in both sexuality and gender. Data was analyzed using Interpretative Phenomenological Analysis (IPA) in order to derive six group …


Geriatric Care In Corrections: An Exploratory Study Of Cross-Disciplinary Perspectives On The Needs Of An Aging Prison Population, Cynthia A. Scheiderer Jan 2025

Geriatric Care In Corrections: An Exploratory Study Of Cross-Disciplinary Perspectives On The Needs Of An Aging Prison Population, Cynthia A. Scheiderer

Antioch University Dissertations & Theses

The incarcerated population in the United States is aging. The proportion of adults 55 or older in prison rose from 3% in 1993 to 16% at year-end 2022 (Carson & Sabol, 2016; Carson & Kluckow, 2024). Researchers have consistently found evidence that the prevalence of disabilities and functional impairment is higher among older adults who are incarcerated than among those in the community. As the incarcerated population ages, corrections professionals responsible for providing safety, housing, and health care must respond to the needs of the population. In this qualitative study, 21 corrections professionals from the disciplines of custody, classification, medical, …


Why Men Join The Incel Community: A Thematic Analysis, Aishwarya Lonikar Jan 2025

Why Men Join The Incel Community: A Thematic Analysis, Aishwarya Lonikar

Antioch University Dissertations & Theses

Incels have gained mainstream attention in recent years because of increasing sexism and hatred that have manifested as violent acts committed towards women in the real world. This has led to growing research and discussion on social and political culture. The goal of this study is to understand why men join the incel community, to find ways to mitigate the need for men to join such communities. A theoretical thematic analysis was conducted using a survey to gain a deeper understanding of why men choose to join the incel community. A decolonial feminist interpretive framework was used to analyze the …


Pay Attention! A Comparative Analysis Of Psychological Assessments And Neurological Mechanisms For Adhd Within A Pediatric Population, Kristen E. Newberry Jan 2025

Pay Attention! A Comparative Analysis Of Psychological Assessments And Neurological Mechanisms For Adhd Within A Pediatric Population, Kristen E. Newberry

Antioch University Dissertations & Theses

This study evaluated the predictiveness of the WISC-V, NEPSY-II, CPT-3, and CATA when compared to each other in a sample of 272 children aged 8–16. Archival data was analyzed using binary and multinomial logistic regression models to assess concurrent validity of specific subtests and indexes. Participants were grouped by ADHD subtype (inattentive, combined/hyperactive, or no diagnosis), with gender and executive functioning measures included in the models. Findings indicated that lower Cognitive Proficiency Index (CPI) and executive functioning scores (e.g., Animal Sorting, Response Set) predicted any ADHD diagnosis compared to the no diagnosis group, whereas higher CATA scores predicted lower Inattentive …


Facing The Tension: A Grounded Theory Of Perceptions Of Bias, Cultural Responsiveness, And Social Justice Advocacy Among Forensic Evaluators, Magen M. Hauser Jan 2025

Facing The Tension: A Grounded Theory Of Perceptions Of Bias, Cultural Responsiveness, And Social Justice Advocacy Among Forensic Evaluators, Magen M. Hauser

Antioch University Dissertations & Theses

Forensic psychologists are held to culturally responsive standards by the American Psychological Association, which reflect the latest research calling for professionals to acknowledge and reflect on power, privilege, and biases within themselves, their practice, and other elements of their work. However, forensic psychology has not kept pace with this movement. Additionally, the credibility and livelihood of forensic evaluators and their professional judgments rely on their ability to be as objective and unbiased as possible. Often, the idea of focusing on one’s own identities and biases as the evaluator is conflated with a lack of objectivity. This perceived conflict of expectations …


Psychological Techniques For Athletes With Orthopedic Musculoskeletal Injuries: A Systematic Review, Nicole L. Williams Jan 2025

Psychological Techniques For Athletes With Orthopedic Musculoskeletal Injuries: A Systematic Review, Nicole L. Williams

Antioch University Dissertations & Theses

Musculoskeletal injuries and recovery from them play a vital role in both the physical and psychological wellbeing of the public. Existing research has been conducted primarily within the athlete population with rehabilitation from these injuries having a profound impact on the physical and mental health. One of the most frequent psychological responses related to sports injuries is a trauma response, which has been shown to hinder the rehabilitation process and to increase the likelihood for reinjury upon return to play. Embedded within the many inputs to trauma responses to these injuries are psychological distress reactions, in particular fear connected to …


Outcomes Of Covid-19: Posttraumatic Growth And Emotion-Focused Coping Among U.S. Veterans, Jessica Paige Wilding-Belalcazar Jan 2025

Outcomes Of Covid-19: Posttraumatic Growth And Emotion-Focused Coping Among U.S. Veterans, Jessica Paige Wilding-Belalcazar

Antioch University Dissertations & Theses

Female veterans are currently the fastest growing population of veterans in the United States (U.S. Department of Veterans Affairs, 2022) and have a higher prevalence of posttraumatic stress disorder (PTSD) than male veterans (Na et al., 2021), yet there has been limited research done on this population. Females have also been found to experience more posttraumatic growth (PTG) than males (Kalaitzaki, 2021; Prieto-Ursa & Jordar, 2020; Yildiz, 2021). Furthermore, women’s use of emotion-focused coping strategies has been shown to play a role in increasing experiences of PTG during the COVID-19 pandemic (Chu-Si & Yunhwan, 2022). Yet, while research has examined …


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 …


Distal Effects Of Teenage Pregnancy And Childbirth, Amy M. Sutherland Jan 2025

Distal Effects Of Teenage Pregnancy And Childbirth, Amy M. Sutherland

Antioch University Dissertations & Theses

While pregnancy during adolescence is declining, research on the topic continues, particularly regarding: the reasons teenagers become pregnant and choose parenthood; their experiences as teen parents; and near-term outcomes for themselves and their children. The focus of this dissertation has received little study: how the experience of having been a birthing parent in adolescence continues to affect the personal experiences of individuals in midlife, if it does at all. Eight individuals between the ages of 30 and 43 who gave birth as teens were interviewed, and interpretative phenomenological analysis (IPA) was used to identify how they interpreted and made meaning …


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 …


The Professional Impact Of Personal Therapy For Graduate Level Clinicians: A Pilot Study, Rebecca L. Butler Jan 2025

The Professional Impact Of Personal Therapy For Graduate Level Clinicians: A Pilot Study, Rebecca L. Butler

Antioch University Dissertations & Theses

Graduate students in clinical and counseling psychology programs face an inordinate amount of stress: coursework, learning a new job, emotional challenges inherent to providing therapeutic services, and general life stressors. Some trainees seek personal therapy and usually describe their experience as positive for both personal and professional reasons. Psychologists working as researchers and clinicians generally advocate for therapists to engage in personal therapy. However, research into the impact of personal therapy on professional functioning remains scarce. The extant literature includes numerous critiques of the methodologies used to investigate the impact of personal therapy, such as small sample sizes, unclear methods, …


Examining The Addictive Qualities Of Smartphone Usage, Daniel J. Pasquini Jan 2025

Examining The Addictive Qualities Of Smartphone Usage, Daniel J. Pasquini

Antioch University Dissertations & Theses

Individuals in today’s society, both nationally and globally, have become exceedingly reliant on their smartphones, i.e., cellular devices with the ability to perform many tasks similar to a traditional computer, for both recreational and productivity purposes. As smartphones become increasingly accessible and affordable for the general population, smartphone usage will continue to grow exponentially. As a result, a comprehensive investigation into the possible addictive properties of smartphone usage is warranted. The purpose of this study is to examine and highlight any possible addictive qualities of excessive smartphone usage. The research methodology that will be implemented within the study will be …


Relating To Pain: Attachment As A Framework For Understanding Chronic Pain, Katie H. Brenner Jan 2025

Relating To Pain: Attachment As A Framework For Understanding Chronic Pain, Katie H. Brenner

Antioch University Dissertations & Theses

Despite contemporary Western healthcare’s emphasis on the biopsychosocial model of illness, there has been relatively limited attention given to the way that attachment relationships, as part of the social sphere of the model, impact individuals’ chronic pain experiences and management. Attachment influences help-seeking behaviors, sense of self-efficacy, coping skills, and communication abilities, all of which are implicated in pain experience and management. As such, this dissertation examines the question: Do attachment experiences influence how individuals perceive and manage chronic pain? This study expands on the existing research by conceptualizing attachment as a fluid experience that varies across relationships and circumstances, …