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Antioch University Dissertations & Theses

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Full-Text Articles in Clinical Psychology

Feelings Of Enlightenment: A Hermeneutic Interpretation Of Latent Enlightenment Assumptions In Greenberg's Emotion-Focused Therapy, Alex A. Gomez Jan 2018

Feelings Of Enlightenment: A Hermeneutic Interpretation Of Latent Enlightenment Assumptions In Greenberg's Emotion-Focused Therapy, Alex A. Gomez

Antioch University Dissertations & Theses

The purpose of this dissertation is to explore how a mainstream theory of psychological practice might inadvertently conceal and ignore contemporary values and ideologies and their pathological consequences. Through a hermeneutic approach, I interpreted Leslie Greenberg’s Emotion-focused therapy: Coaching clients to work through their feelings (2nd ed), a popular and widely used theory in psychotherapy. As a practitioner with humanistic foundations, this was also an opportunity for the author to understand his own unexamined values as a therapist. Specific EFT constructs and concepts that reflected Enlightenment assumptions and values were examined. EFT was situated within Enlightenment philosophy, particularly …

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Disclosure And Nondisclosure In Clinical Supervision: Negotiation Of The Learning/Vulnerability Paradox, Vanessa Jayne Leary Jan 2018

Disclosure And Nondisclosure In Clinical Supervision: Negotiation Of The Learning/Vulnerability Paradox, Vanessa Jayne Leary

Antioch University Dissertations & Theses

Few studies have explored the long-term impact of nondisclosure and disclosure events on supervisee development and identity formation. This qualitative study explored the retrospective accounts of supervisee (non)disclosure experiences in clinical supervision as supervisees negotiated the learning/vulnerability paradox that accompanies disclosure. Through the use of Interpretive Phenomenological Analysis (IPA), six early career licensed clinical psychologists who completed their predoctoral internships between 3 and 5 years ago, graduated from an APA-accredited program, and who were actively practicing in the field of psychology were interviewed. Following interview transcription, I engaged in the process of convergent and divergent analysis in order to elicit …

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Does Personality Moderate The Relationship Between Video Gaming And Quality Of Life?, Jean M. Devenny Jan 2018

Does Personality Moderate The Relationship Between Video Gaming And Quality Of Life?, Jean M. Devenny

Antioch University Dissertations & Theses

Video game research has expanded greatly in recent decades, fueled partly by concerns that video game content affects real-word behaviors and experiences. Despite the preponderance of research on the effects of video game content on various outcomes, there are still areas left to be explored. For example, while the American Psychological Association has concluded that violent video game content serves as a risk factor for real-life aggression, the association has also recommended the pursuit of additional research on alternative variables that may influence the relationship between video game content and outcomes (APA Task Force on Violent Media, 2015). The present …

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Fidelity Assessment Of The Hillsborough County South Drug Court, Christina Marie Minasian Hunt Jan 2018

Fidelity Assessment Of The Hillsborough County South Drug Court, Christina Marie Minasian Hunt

Antioch University Dissertations & Theses

This study details the application of the Utilization Focused Evaluation model (Patton, 2012) to the Hillsborough County South Drug Court (HCSDC) program evaluation. The program requested an evaluation as part of the National Adult Drug Court model and expressed a desire to better understand their fidelity to the established model. Drug courts across the United States are required to base their programs on the Ten Key Components and the Best Practice Standards. I used this model to evaluate the extent to which the HCSDC team has utilized these concepts in their planning and execution of their drug court. The study …

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A Dynamic Exploration Into Mentalization Among Youth On The Autism Spectrum, Rosalyn D. Devincentis Jan 2018

A Dynamic Exploration Into Mentalization Among Youth On The Autism Spectrum, Rosalyn D. Devincentis

Antioch University Dissertations & Theses

The relationship between mentalization, affect regulation, and the quality of object relations among individuals with an autism spectrum disorder was explored. The findings could be used as conceptual support for the use of psychodynamic psychotherapy in the treatment of people on the autism spectrum. The study consisted of a retrospective analysis of neuropsychological assessment standard scores on three measures (Mutuality of Autonomy Scale, NEPSY-II Theory of Mind subtest, and the CBCL Dysregulated Profile). Forty-four subjects diagnosed with autism spectrum disorder —aged nine to sixteen—were compared with a matched non-autism clinical sample. The results supported the hypothesis that individuals with an …

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Cultural Consultations In Criminal Forensic Psychology: A Thematic Analysis Of The Literature, Alesya Radosteva Jan 2018

Cultural Consultations In Criminal Forensic Psychology: A Thematic Analysis Of The Literature, Alesya Radosteva

Antioch University Dissertations & Theses

The importance of culture as a reference point in clinical practices such as forensic psychology has been considerably valued yet poorly understood, especially in an age where precision and sophistication outlast cultural authenticity and patient-clinician relationship. This paper looks at the gaps and inconsistencies that exist in current forensic psychology research. The topic is introduced by delving into the understanding of the phenomenon of culture and its influences on our everyday conditioning. Aspects such as language, biological development, traditions, rituals, and narratives are emphasized as potent tools that drive individuals to create and mold culture according to needs and requirements …

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Differences Between Introverts And Extraverts With Bipolar Disorder, Ray E. Mchale Jan 2018

Differences Between Introverts And Extraverts With Bipolar Disorder, Ray E. Mchale

Antioch University Dissertations & Theses

People living with bipolar disorder have vastly different presentations and experiences despite sharing a common diagnosis. While some research has explored the role of temperament in these different presentations (Azorin, Adida, & Belzeaux, 2015; Graham, Parker, Breakspear, & Mitchell, 2015; Iasevoli et al., 2013), little is currently known about whether individuals’ levels of introversion or extraversion are related to the symptoms they experience or their general way of understanding their experiences with bipolar disorder. For this study, participants were asked to complete an online survey that measured their level of extraversion, their symptoms of mania, and background information concerning their …

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The Psychological Effects Of Restraints On Mental Health Workers, Jessica Baroni Jan 2018

The Psychological Effects Of Restraints On Mental Health Workers, Jessica Baroni

Antioch University Dissertations & Theses

This dissertation describes an empirical study of the psychological effects of restraints on mental health workers that perform this duty. To date, there is little research on the long-term, detrimental, and potentially traumatizing effects of restraints on an individual’s personal and professional life. Five self-report measures assessed the frequency that participants performed restraints, use of support after a restraint incident provided by their employer, perceived social support within their work environment, intention to leave their job, absenteeism, levels of job burnout, and post-traumatic stress symptoms. The study investigated the relationship between exposure to restraints and adverse stress effects and the …

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Perspectives On Restraint Reduction In Residential Facilities, Ashley Welch Jan 2018

Perspectives On Restraint Reduction In Residential Facilities, Ashley Welch

Antioch University Dissertations & Theses

This study was designed to explore how the youth and staff in long term residential treatment experience the use of physical restraints, as well as what they view as essential to reduce the need for these restraints. Youth placed in residential care typically have a history infused with trauma that is often more intense than the general population. As a result, these youth are at risk of engaging in dangerous behaviors that may be deemed demonstrably dangerous, which could warrant the use of a restraint. To date, restraint usage in residential treatment centers has decreased through the following means: (a) …

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Philosophical Ends To Scientific Means: Diagnosis And The Epistemology Of Psychology, Christopher Michael Johnson Jan 2018

Philosophical Ends To Scientific Means: Diagnosis And The Epistemology Of Psychology, Christopher Michael Johnson

Antioch University Dissertations & Theses

Modern scientific psychology continues to advance toward newer and greater discoveries of the inner workings of the human mind, posited in the belief that a universal objectivity exists if only to be found. Despite the professional emphasis on conducting psychological enterprises in this manner, the field has spent much of its formalized existence struggling to answer some of its most basic questions. This paper thoroughly explores the nature of a scientific psychology, while suggesting that psychology may find wisdom in its philosophical origins. It further suggests that psychology continue toward a postmodern epistemology, in which a unitary psychological reality is …

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Knitting As An Adjunctive Treatment For Substance Use Disorder: A Mixed Methods Multiple Case Study, Aubriana M. Teeley Jan 2018

Knitting As An Adjunctive Treatment For Substance Use Disorder: A Mixed Methods Multiple Case Study, Aubriana M. Teeley

Antioch University Dissertations & Theses

Substance abuse disorder is a characterized by the presence of cognitive, behavioral, and physiological symptoms from substance use with continued use despite these consequences. It has serious individual and societal implications, such as negative health effects, overdose, poor work and school performance, negative impacts on relationships, and even death. Economic effects include more frequent use of emergency and hospital services as compared to peers without substance use disorder. A variety of treatments for substance use are available, including inpatient and outpatient programs accompanied by behavioral interventions, individual or group psychotherapy, or 12-step programs. However, there is no one treatment that …

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Nami Nh Youth Suicide Prevention Initiative: Most Significant Changes, Catherine E. Mayhew Jan 2018

Nami Nh Youth Suicide Prevention Initiative: Most Significant Changes, Catherine E. Mayhew

Antioch University Dissertations & Theses

In 2013, the National Alliance for Mental Illness New Hampshire (NAMI NH) was awarded the Garrett Lee Smith (GLS) grant to develop and implement grassroots suicide prevention initiatives in key regions of the State housing high proportions of at-risk youth. I investigated the effectiveness of this work by gathering stories of significant change from key grant affiliates who implemented the interventions and then verifying and enriching those stories with others who had experienced them. Below, I describe the need for suicide prevention interventions in NH youth—both at the time the grant was awarded, as well as at present. I outline …

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Avoiding Unhelpful Statements: A Proposed Theoretical Measure Of Readiness To Work With Transgender Clients, A. Ianto West Jan 2018

Avoiding Unhelpful Statements: A Proposed Theoretical Measure Of Readiness To Work With Transgender Clients, A. Ianto West

Antioch University Dissertations & Theses

When transgender people most need help, many face hostility and inadequate care from their health providers, including psychologists. This hostility is not surprising given widespread lack of familiarity with transgender issues or perspectives amongst clinicians. Even amongst those who hold the stance of openness to the other, most still have considerable difficulty working with transgender clients. Transgender training efforts vary in quality; some even appear to worsen attitudes towards transgender clients. Given these risks, it is crucial that clinical training directors and supervisors evaluate trainees' abilities to facilitate respectful initial conversations with transgender clients. This project proposed an objective instrument …

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Evaluation Of Psychology Clinicians’ Attitudes Towards Computerized Cognitive Behavior Therapy, For Use In Their Future Clinical Practice, With Regard To Treating Those Suffering From Anxiety And Depression, Nivek Dunne Jul 2017

Evaluation Of Psychology Clinicians’ Attitudes Towards Computerized Cognitive Behavior Therapy, For Use In Their Future Clinical Practice, With Regard To Treating Those Suffering From Anxiety And Depression, Nivek Dunne

Antioch University Dissertations & Theses

Computerized Cognitive Behavioural Therapy (CCBT) is an empirically supported therapeutic modality used in the treatment of anxiety and depression. It is an important area of research considering there is much research lacking in this area, especially regarding trainee and qualified psychology clinicians' attitudes which are informative in terms of uptake and adherence. This study examined trainee and qualified psychology clinicians' attitudes towards CCBT for use in their future clinical practice, with regard treating those suffering from anxiety and depression. Overall, 31 participants took part in the research, which resulted in 31 completed informed consent forms and questionnaires being returned to …

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Comparison Of Implicit Thought And Learning In Individuals With Schizophrenia, Camilla Seippel Jun 2017

Comparison Of Implicit Thought And Learning In Individuals With Schizophrenia, Camilla Seippel

Antioch University Dissertations & Theses

This investigation studied implicit learning differences in individuals with schizophrenia. Three implicit learning strategies were examined: priming, procedural, and incidental learning. Twenty-six participants with schizophrenia were recruited from various outpatient clinics and programs in Orange, CA to participate in this study. Participants were administered a psychological battery composed of tests to measure individual differences in implicit learning abilities within the group. Differences in crystallized and fluid knowledge abilities within the different implicit learning conditions were tested. Demographic information was also collected and where possible included for the purpose of accounting for demographic variations amongst participants. Demographic variables included the participant’s …

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Immersive Cultural Plunge: How Mental Health Trainees Can Exercise Cultural Competence With African American Descendants Of Chattel Slaves A Qualitative Study, Clandis V. Payne May 2017

Immersive Cultural Plunge: How Mental Health Trainees Can Exercise Cultural Competence With African American Descendants Of Chattel Slaves A Qualitative Study, Clandis V. Payne

Antioch University Dissertations & Theses

This qualitative study utilized ethnographic techniques to explore the potential for change in mental health trainees resulting from the participation in an in vivo Immersive Cultural Plunge (ICP) within the African American Descendant of Chattel Slave community. The ICP combined Multicultural Immersions Experiences (MIE) of Cultural Immersion (CI) and Cultural Plunge (CP) to contribute to the developing body of research utilizing MIEs that incorporate contextual, experiential, and historical knowledge to teach the skill of cultural sensitivity. During the 12- hour ICP the participants experienced an orientation, a lecture, a tour/community interaction, a multimedia presentation within an African American community. In …

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Correctional Mental Health Providers’ Experiences Of Forced Termination On The Working Alliance, Karin Gepp Jan 2017

Correctional Mental Health Providers’ Experiences Of Forced Termination On The Working Alliance, Karin Gepp

Antioch University Dissertations & Theses

This is a study of the experiences of forced terminations in correctional facilities, particularly their impact on the working alliance between mental health service providers and incarcerated patients. The study includes an introduction to the research problem and its context, followed by a discussion of the literature on the working alliance in psychotherapy, conditions of forced terminations in the treatment of the incarcerated, the problem of forced termination and the working alliance in the correctional settings, and the study’s research methodology. The research methodology is qualitative and includes semi-structured interviews of providers in correctional settings and an analysis of these …

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From Dawn To Dan: The Journey Of Karate Masters., Brandon W. Maynard Jan 2017

From Dawn To Dan: The Journey Of Karate Masters., Brandon W. Maynard

Antioch University Dissertations & Theses

The contributions martial arts training can make to mental health treatment have scarcely been explored by researchers in psychology. Practitioners of martial arts, such as karate, report that the training improves self-esteem, concentration, and emotional well-being. Several studies have provided empirical evidence in support of these anecdotal reports, but very few have utilized participants who have advanced training in martial arts to examine the emotional impact such training has across time. This study takes a phenomenological approach to studying the emotional effects training has had on master-level martial artists (fourth-degree black belt or higher) in the discipline of karate. Eight …

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Childrearing Challenges In Parental Adhd: A Pilot Study And Proposed Research Design, David Porrino Jan 2017

Childrearing Challenges In Parental Adhd: A Pilot Study And Proposed Research Design, David Porrino

Antioch University Dissertations & Theses

An emerging body of research on the functional impairments of Attention-Deficit/Hyperactivity Disorder (ADHD) in adults notes that parents with ADHD are likely to experience challenges in several facets of childrearing (e.g., Chronis-Tuscano et al., 2008a; Murray & Johnston, 2006). Despite empirical evidence suggesting parents with ADHD have particular kinds of struggles, research evaluating the effects of adult ADHD treatment on parenting challenges is quite scarce. By contrast, a breadth of research indicates that adult ADHD interventions, particularly pharmacotherapy and cognitive-behavioral therapy (CBT), are effective in ameliorating ADHD symptoms. Further, CBT has shown to be an efficacious adjunctive treatment for ADHD …

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"You're Doing Fine, Right?": Adolescent Siblings Of Substance Abusers, Cynthia E. Clarfield Jan 2017

"You're Doing Fine, Right?": Adolescent Siblings Of Substance Abusers, Cynthia E. Clarfield

Antioch University Dissertations & Theses

There has been a rising interest in addiction medicine and addiction treatment in both the medical and behavioral health science fields. Research suggests having a family member with a substance abuse problem has negative impacts on both physical and mental health (Orford, Copello, Velleman, & Templeton, 2010a). Despite advances toward understanding the experiences of family members affected by a loved one's addiction, the siblings of substance abusers have been largely excluded from scientific research and literature. As a result, little is known about how siblings experience the impacts of a brother or sister's addiction; even less is known about the …

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Trans Gender Identities And Language: Interviews With Recent College Graduates, Kelsey Moran Jan 2017

Trans Gender Identities And Language: Interviews With Recent College Graduates, Kelsey Moran

Antioch University Dissertations & Theses

There has been an increasingly pervasive need to gain a deeper and more individualized psychological understanding of how people experience their gender identities, as well as how they navigate the complicated and nuanced language of gender. Words carry meaning and it is vital to gain an insightful understanding of the impact of words, whether supportive or discriminatory, on trans people. The present qualitative study utilized phenomenological methods to hold interviews with three trans individuals, who had recently graduated from college, about their unique experiences with gender. Thematic analysis was used to examine common themes that arose throughout the interviews. Seven …

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Exploring The Experience Of Grandchildren In Custodial Grandparent Care, Maura Kathleen Cole Jan 2017

Exploring The Experience Of Grandchildren In Custodial Grandparent Care, Maura Kathleen Cole

Antioch University Dissertations & Theses

Grandparent-headed families are a growing trend as social policy has moved increasingly toward kinship care for children in out-of-home placements. While much of the current research focuses on the characteristics and potential causal factors in the formation of such families, there has been little qualitative research focusing on the lived experiences of the involved children. This study explores the subjective, meaning-making experiences of six latency-aged grandchildren between the ages of 6 and 11 being raised by their grandparents. This study utilized Interpretative Phenomenological Analysis methodology, and semi-structured interviews, to attain the personal accounts and experiences of these children. The findings …

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Young Adults In Transition: Factors That Support And Hinder Growth And Change, Mona Treadway Jan 2017

Young Adults In Transition: Factors That Support And Hinder Growth And Change, Mona Treadway

Antioch University Dissertations & Theses

Young adults between 18 and 24 years of age with mental illness are significantly less likely to receive mental health services than adults in older age groups.Nationally, higher rates of depression, substance abuse, and psychiatric issues are reported in this age group.A therapeutic model referred to as young adult transition programs has emerged to better address the unique developmental challenges found in this age group.This study examined 317 critical incidents that supported or hindered young adults in a therapeutic transition program.The research design used a combination of an instrumental case study and critical incident technique (CIT).Using interviews and the Outcome …

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Early Psychosis And Trauma-Related Disorders: Clinical Practice Guidelines And Future Directions, Casey A. Cragin Jan 2017

Early Psychosis And Trauma-Related Disorders: Clinical Practice Guidelines And Future Directions, Casey A. Cragin

Antioch University Dissertations & Theses

Despite very high rates of trauma-related disorders among individuals with early psychosis, no clinical practice guidelines for the treatment of comorbid early psychosis and trauma-related disorders exist to date. Indeed, the routine exclusion of individuals with past and current psychosis from participation in trauma research and practice has limited the accumulation of research evidence that could inform such clinical practice guidelines. While preliminary research evidence suggests that traditional, empirically supported treatments for trauma-related disorders can be safely and effectively employed to reduce symptoms of posttraumatic stress and chronic psychosis, it remains unclear whether such treatments are appropriate for individuals in …

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Parental Advocacy, Stress, And Efficacy: The Hidden Costs Of Diagnosing Learning Disabilities, Katherine A. Behar Jan 2017

Parental Advocacy, Stress, And Efficacy: The Hidden Costs Of Diagnosing Learning Disabilities, Katherine A. Behar

Antioch University Dissertations & Theses

The allocation of educational resources has been a widely debated topic. While scholars and government officials have focused their attention on how resources are divided, significantly less attention has been paid to how parents are advocating for their children to obtain necessary resources themselves. Existing data agree that fighting for educational resources can cause stress to parents (Levine, 2006). This is especially true for parents of children with learning disabilities. These children often require more individualized academic and educational attention. Currently, little research exists which focuses on the relationship between parental stress and parental self efficacy (the belief that one …

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Graduate Students And Geropsychology: Growing Need And Lacking Interest, Samantha Marie Hague Jan 2017

Graduate Students And Geropsychology: Growing Need And Lacking Interest, Samantha Marie Hague

Antioch University Dissertations & Theses

As the population of older adults continues to grow with time, the need for geropsychology clinicians also grows. Many barriers exist that contribute to why elderly individuals are not receiving adequate psychological treatment. This study explores why graduate psychology students are often disinterested in working with older adults and whether it is possible that student interest could increase with more geropsychology graduate coursework and practicum training opportunities. This study also explores the possible connection between quality of elderly relationships and interest in working with the elderly. The results of this study support that Clinical and Counseling Psychology graduate programs lack …

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The Process Of Resolving Spiritual Struggle Following Adulthood Trauma, Aimee L. Keith Jan 2017

The Process Of Resolving Spiritual Struggle Following Adulthood Trauma, Aimee L. Keith

Antioch University Dissertations & Theses

Spiritual struggle has been described as a disruption in religious practice and spirituality resulting in questioning beliefs, experiencing discord within religious communities, decreasing spiritual practices, and experiencing painful cognitions such as the belief that one is being punished by God. This study used constructivist grounded theory to explore how women identifying as Protestant Christians at the time of the traumatic event resolve their spiritual struggles. Eleven conceptual categories, which are presented in a stage model, emerged from the data. The stages were Experiencing an Event Discordant with Beliefs, Emotional Reaction (following the traumatic event), Questioning (of beliefs, suffering and identity), …

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Exploring Acceptable Alternatives To Psychotherapy For Distressed Clients In Integrated Primary Care, Paul N. Leandri Jan 2017

Exploring Acceptable Alternatives To Psychotherapy For Distressed Clients In Integrated Primary Care, Paul N. Leandri

Antioch University Dissertations & Theses

Integrated Primary Care (IPC) is an effective, cutting-edge modality to treating both physiological and psychological problems using a holistic approach within primary care. One of the primary challenges associated with IPC is figuring out the most cost-effective way of treating the largest possible number of patients with behavioral health-related conditions, within staffing constraints. This has led to a preference for time-limited psychological interventions that work well for common mild behavioral health conditions. These time-limited interventions, however, are often inadequate for patients struggling with moderate to severe psychological distress. As such, we need alternative treatment options for this population. Research has …

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Double Whammy: Interpretive Phenomenological Analysis Of Older African Americans Experiencing Hiv & Age Related Comorbidities, James W. Chavers Jan 2017

Double Whammy: Interpretive Phenomenological Analysis Of Older African Americans Experiencing Hiv & Age Related Comorbidities, James W. Chavers

Antioch University Dissertations & Theses

HIV among older African Americans represents one of the fastest and largest growing populations of infected groups in America (CDC, 2008). With the availability of anti-retrovirals (ARV), or AIDS cocktail drugs, HIV has become a chronic illness. As African Americans are living longer with HIV, they are encountering the diseases that are consonant with aging. The effect of aging with HIV and an age-related comorbid condition can be physically and emotionally debilitating. Many of these older adults are also dealing with poverty, stigma, poor healthcare access, and limited social support. The purpose of this study was to explore how these …

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An Exploration Into The Lived Experience Of The Jazz Funeral, Caryn R. Whitacre Jan 2017

An Exploration Into The Lived Experience Of The Jazz Funeral, Caryn R. Whitacre

Antioch University Dissertations & Theses

This qualitative phenomenological study set out to explore and understand the subjective lived experience of the Jazz Funeral ritual of New Orleans, Louisiana. This dissertation was guided by two principal research questions: 1) What is the lived experience of participation in the Jazz Funeral ritual? and 2) What elements of the Jazz Funeral are beneficial to bereavement as reported by the subjects? Research data were collected and arranged through the utilization of phenomenological research protocol. By recognizing that people are the experts of their own lived experience and listening to participants describe their lived experiences of this ritual, this researcher …

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