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Full-Text Articles in Clinical Psychology

Exploring Parent/Caregiver Perspectives Of Self-Determination And Its Impact On Mental Health In Adolescents With And Without Disabilities, Jessica Schuttler, Sydney Walls, Tyler Hicks, Karrie Shogren, Hannah Adams, Richard A Chapman Apr 2024

Exploring Parent/Caregiver Perspectives Of Self-Determination And Its Impact On Mental Health In Adolescents With And Without Disabilities, Jessica Schuttler, Sydney Walls, Tyler Hicks, Karrie Shogren, Hannah Adams, Richard A Chapman

Developmental Disabilities Network Journal

Introduction. Parents and caregivers play key roles in supporting the development of self-determination and mental health needs in adolescents with and without disabilities. This study explored parent/caregiver perceptions of the relationships among mental health and self-determination constructs for youth with disabilities, across gender and disability status. Method. Parents/caregivers of adolescents with and without disabilities completed rating scales regarding adolescents’ self-determination status (Self Determination Inventory) and mental health symptoms (Behavior Assessment System for Children, 3rd Edition). Bayesian analyses examined the relationships among self-determination and mental health status. Results. Results are mixed, indicating moderate to robust relationships for self-determination as a …


The Impact Of Asian American Cultural Centers On Sense Of Belongingness For Asian American Undergraduate Students, Malina B. Maladore Apr 2024

The Impact Of Asian American Cultural Centers On Sense Of Belongingness For Asian American Undergraduate Students, Malina B. Maladore

PsyD Program in Clinical Psychology Doctoral Dissertations (New England)

This dissertation examines the role of cultural centers and experiences of microaggressions in shaping the ethnic identity of Asian American undergraduates in U.S. higher education institutions. Utilizing Phinney’s model of ethnic identity development, a study with 175 participants revealed a positive correlation between reported microaggressions and sense of ethnic belonging in students attending universities with cultural centers. The findings highlight the complexities of belongingness and the potential impact of cultural centers on ethnic identity and experiences of microaggressions. This research contributes to a deeper understanding of Asian American students’ experiences in higher education. This dissertation is available in open access …


U.S. Military Veteran Identity And Civilian Adjustment, Darren A. Sosa Mar 2024

U.S. Military Veteran Identity And Civilian Adjustment, Darren A. Sosa

Pacific Journal of Health

U.S. military veterans transitioning back into the civilian sector often experience a variety of challenges and need to readjust into non-military environments. In order to examine the psychological challenges involved in the transition and readjustment processes among U. S. active military veterans, a qualitative study was conducted. For 6 months, data was collected from veterans in California, Nevada, Texas, Florida, and New York. Following an IRB approval, semi-structured open-ended self-developed interviews were developed and conducted with sixteen military veterans who have served in 4 branches of the U.S. Armed Forces: Army, Navy, Air Force, and Marine Corps. Data and information …


Do Professor Characteristics Influence College Students' Mental Health Disclosure?, Giselle Solorio, Kenneth Barideaux Jr. Jan 2024

Do Professor Characteristics Influence College Students' Mental Health Disclosure?, Giselle Solorio, Kenneth Barideaux Jr.

University of South Carolina Upstate Student Research Journal

Previous studies have provided some evidence that college students may hesitate to disclose their mental health status because of social stigma; however, more research is needed to identify and understand the factors that influence students’ willingness to disclose. For example, it is unclear how professor characteristics impact the likelihood of disclosure. In the current study we examined whether the gender of the professor (male vs. female) and the professor’s teaching discipline (STEM vs. humanities) affected students' likelihood to disclose a mental health problem. Participants read a fictitious syllabus where the professor was either male or female and taught a chemistry …


An Exploration Of The Lived Experiences And Psychological States Of Migrants And Refugees, Zainab Akef, Senel Poyrazli, Isabel Quintero Jan 2024

An Exploration Of The Lived Experiences And Psychological States Of Migrants And Refugees, Zainab Akef, Senel Poyrazli, Isabel Quintero

The Qualitative Report

UNHCR reports that about 82.4 million individuals were forcibly displaced as they attempted to avoid persecution, conflict, or human rights violations in their home countries. In addition to traumatic experiences, refugees encounter stressors such as low income, reduced social support, and language barriers. This qualitative study aimed to explore the impact of pre-migration trauma and political detainment on mental health outcomes and living conditions. A total of eight interviewees participated in video conferencing interviews. A non-probability convenience sampling using the snowballing technique was utilized to identify participants. Data were analyzed using an inductive approach for thematic analysis. The software Dedoose …


The Lived Experience Of The Covid-19 Pandemic Among Mandate-Resistant Adults In Washington State, Amber N. Peterson Jan 2024

The Lived Experience Of The Covid-19 Pandemic Among Mandate-Resistant Adults In Washington State, Amber N. Peterson

Antioch University Full-Text Dissertations & Theses

This study examined the lived experience of self-identified, mandate-resistant adults in Washington state. This study explored participants’ experience of the COVID-19 pandemic, from a retrospective framework by uncovering challenges, silver linings, decision-making, and self-reported mental health. Remote interviews were conducted with nine participants. Participants were between 23–31 years old, mostly male, and over half identified as Black. Through semi structured interviews, data was collected and analyzed using Interpretive Phenomenological Analysis (IPA). Participants described their experiences during the COVID-19 pandemic and highlighted significant changes in the way they lived their lives. Most notably, participants described ways in which they defied COVID-19 …


Feasibility Of Influencing Clinician Perceived Knowledge And Competence Of Human Trafficking Via A Continuing Education Workshop, Rachel Wakefield Jan 2024

Feasibility Of Influencing Clinician Perceived Knowledge And Competence Of Human Trafficking Via A Continuing Education Workshop, Rachel Wakefield

Electronic Theses and Dissertations

Previous research has examined the complex mental and social health deficits of those who were trafficked that clinicians have to treat therapeutically (Litam, 2017; Pascual-Leone et al., 2017). Other research has explored how continuing education workshops often change the knowledge, competence, and attitudes of attendees to use more effective and evidenced techniques and skills (Neimeyer et al., 2009; Raghavan et al., 2008). However, there is a lack of understanding about how a complex topic, specifically treatment considerations of those who were trafficked, changes the knowledge and competence of continuing education workshop attendees. The purpose of the current study is to …


Obstetric Violence And Postpartum Adjustment: Exploration Of Risk And Resilience Factors, Hope O'Neill Dec 2023

Obstetric Violence And Postpartum Adjustment: Exploration Of Risk And Resilience Factors, Hope O'Neill

Electronic Theses and Dissertations

Obstetric violence includes acts of abuse, coercion, or disrespect that occur during the labor process. The present study explores how obstetric violence impacts a person’s postpartum psychosocial adjustment. This study used a subset of data (N = 339) from a larger online study, which attempted to explore multiple facets of a person’s postpartum health. The psychological constructs examined are postpartum depression and postpartum anxiety. Additional constructs assessed were protective and risk factors: self-compassion and medical mistrust. Self-compassion and medical mistrust were examined by using moderation models. Additional analyses were completed using simple regression models to explore whether obstetric violence predicts …


Validation And Clinical Utility Of The Patient Health Questionnaire-9 And Center For Epidemiologic Studies Depression Scale As Depression Screening Tools In Collegiate Student-Athletes, Lindsey Keenan, Yvette Ingram, Branden Green, Rachel Daltry, Sebastian Harenberg Oct 2023

Validation And Clinical Utility Of The Patient Health Questionnaire-9 And Center For Epidemiologic Studies Depression Scale As Depression Screening Tools In Collegiate Student-Athletes, Lindsey Keenan, Yvette Ingram, Branden Green, Rachel Daltry, Sebastian Harenberg

Sports Medicine Faculty Publications

Context: The National Athletic Trainers' Association recommends including mental health screening measures as part of the preparticipation examination for all student-athletes (SAs). Despite this recommendation, most mental health screening tools have not been validated in the SA population. Objective: To validate and examine the clinical utility of 2 depression screening tools in the collegiate SA population. Design: Cross-sectional mixed-methods study. Setting: Two Northeastern United States university athletics programs. Patients or Other Participants: A total of 881 (men = 426, 48.4%; women = 455, 51.6%; mean age = 19.7 6 1.4 years) National Collegiate Athletic Association Division II collegiate SAs completed …


User Engagement With Apps For Depression, Danielle Rae Schweitzer Aug 2023

User Engagement With Apps For Depression, Danielle Rae Schweitzer

Theses and Dissertations

Depression is a debilitating and prevalent psychiatric condition, however, few individuals with depression seek mental health treatment. Mental health apps (MHapps) represent one treatment delivery option that may reduce gaps in mental health care. Current evidence suggests that MHapps are efficacious for reducing depressive symptoms, yet little is known about how MHapps are effective. Thus, the aims of the present study were 1) to examine whether two MHapps were effective for reducing depressive symptoms and 2) to determine whether variables such as user engagement, guidance, outcome expectancies, preferences, and coping skill development were associated with effectiveness. A community sample (N=20) …


Adversity, Resilience, Mental Health, And Well-Being In First-Year Student-Athletes: A Mixed Methods Intervention Study, Parker Leap Aug 2023

Adversity, Resilience, Mental Health, And Well-Being In First-Year Student-Athletes: A Mixed Methods Intervention Study, Parker Leap

Dissertations, 2020-current

Research indicates that student-athletes face unique stressors as they transition to college. Resilience programming has been shown to have mental health benefits with the general college student population; however, few studies have examined efficacy of resilience programming with college-student athletes during their transition to college. The purpose of this study was to examine the effects of a novel, culturally-resonant, NCAA grant-funded resilience course on scores of resilience, student athlete mental health, and sport well-being. This study also sought to assess the feasibility of this course and explore participants’ subjective experiences. A mixed methods intervention research design was utilized and included …


The Impact Of Acculturative Stress On Internalizing Problems Among Racially And Ethnically Minoritized Adolescents And Young Adults In The U.S. : A Systematic Review And Meta-Analysis, Petty Tineo Aug 2023

The Impact Of Acculturative Stress On Internalizing Problems Among Racially And Ethnically Minoritized Adolescents And Young Adults In The U.S. : A Systematic Review And Meta-Analysis, Petty Tineo

Theses, Dissertations and Culminating Projects

Due to demographic changes of the U.S. population in the past few decades, more attention has been placed on understanding the sociocultural factors that have an impact on racially and ethnically minoritized (REM) groups and mental health outcomes. One of the factors that has been gaining increased attention in the past few years is acculturative stress. Acculturative stress is associated with various mental health outcomes, such as depression, anxiety, psychological distress, and suicide ideation (SI). However, the magnitude of this association remains unclear. A systematic review and meta-analysis were conducted to provide a comprehensive review of the impact of acculturative …


The Influence Of Minority Stress, Coping, And A Pandemic On The Relationship Between Sexual Orientation And Mental Health: A Mixed Methods Study, James Michael Macchia Aug 2023

The Influence Of Minority Stress, Coping, And A Pandemic On The Relationship Between Sexual Orientation And Mental Health: A Mixed Methods Study, James Michael Macchia

Psychology Theses & Dissertations

For decades, scientific literature has shown that sexual minority individuals across populations are disproportionately affected by negative mental health outcomes when compared to their heterosexual counterparts. These disparities are largely attributable to minority stress. Coping is a significant factor that can impact the content and severity of mental health outcomes and coping behaviors have been shown to vary based on sexual orientation. Mental health outcomes may also differ between sexual minority subgroups due to additional factors such as double discrimination and bisexual invisibility/erasure. Moreover, factors such as internalized homophobia and community connectedness have demonstrated strong associations with sexual minority mental …


Mental Health Applications As A Resource For Reducing Access Disparities? A Case Example From A Disaster Mental Health App, Laura Perez-Villagomez Jun 2023

Mental Health Applications As A Resource For Reducing Access Disparities? A Case Example From A Disaster Mental Health App, Laura Perez-Villagomez

Honors Theses

Past research indicates Latinx individuals underutilize mental health services when it comes to addressing their mental health concerns, but often fail to mention the barriers to underutilization. Systemic barriers to seeking care largely fall under two larger umbrellas: cost and availability. A focus on whether disparities observed in traditional mental health services persisted for a trauma-focused app that recruited participants from the 2017 Hurricane outbreak provides us a unique outlook on a comparative analysis of utilization and engagement between the applications, Bounce Back Now (BBN) and Enhanced Usual Care. BBN is made up of four major components including tracking, …


Utilizing New Technologies To Measure Therapy Effectiveness For Mental And Physical Health, Jonathan Ossie May 2023

Utilizing New Technologies To Measure Therapy Effectiveness For Mental And Physical Health, Jonathan Ossie

Dissertations

Mental health is quickly becoming a major policy concern, with recent data reporting increasing and disproportionately worse mental health outcomes, including anxiety, depression, increased substance abuse, and elevated suicidal ideation. One specific population that is especially high risk for these issues is the military community because military conflict, deployment stressors, and combat exposure contribute to the risk of mental health problems.

Although several pharmacological approaches have been employed to combat this epidemic, their efficacy is mixed at best, which has led to novel nonpharmacological approaches. One such approach is Operation Surf, a nonprofit that provides nature-based programs advocating the restorative …


Dealing With Your Dragons: Counseling Through Dungeons And Dragons, Devon Howell May 2023

Dealing With Your Dragons: Counseling Through Dungeons And Dragons, Devon Howell

Educational Specialist, 2020-current

The purpose of this literature review is to explore the idea of using the game of Dungeons and Dragons as a form of group counseling in a therapeutic setting. A search of relevant literature was conducted to discover potential therapeutic utility and cultural aspects of this prospective methodology. It was hypothesized that while the topic might not be well researched, it will yield potential possibilities for therapeutic use. The research presents possibilities for different theoretical underpinnings; in particular, it offers a unique range of benefits to both the client (improvements to social skills, sense of community, and overall mental health), …


College Student Depression Throughout Covid-19: Fall 2019-Spring 2022, Matthew Powless, Zachary Pilot, Valentin Bouvier, Elisabeth Brown, Mikaila Ealum, Lakota Iron Rope May 2023

College Student Depression Throughout Covid-19: Fall 2019-Spring 2022, Matthew Powless, Zachary Pilot, Valentin Bouvier, Elisabeth Brown, Mikaila Ealum, Lakota Iron Rope

Midwest Social Sciences Journal

The current study examined the trends in depression and emotion regulation for students (n = 899) at one university in the Midwest United States from prior to the COVID-19 pandemic (Fall 2019) through the Spring 2022 semester. An analysis of covariance (ANCOVA) was conducted, controlling for difficulties in emotion regulation and gender identity. The ANCOVA indicated that depression was significantly lower in Fall 2019 than in the remaining five semesters under investigation. Results of these analyses appear to indicate that depression rose significantly in students after the onset of the pandemic and implementation of social restrictions. This negative effect …


Addressing The Complexity Of Mental Health Care For Youth Experiencing Houselessness, Sarah Hamilton May 2023

Addressing The Complexity Of Mental Health Care For Youth Experiencing Houselessness, Sarah Hamilton

Psychology Honors Projects

Children and youth experiencing houselessness have a unique set of mental health needs due to the traumatic experience of houselessness during childhood and the other adverse childhood experiences that often coincide with houselessness (van der Kolk, 2003; Wong et al., 2016). They face immense barriers in access to mental health care due to logistical factors as a result of their housing status and socio-structural factors (Krippel et al., 2020; Gallardo et al., 2020; Bradley et al., 2018). However, existing studies reveal a lack of evidence-based interventions for children and youth experiencing houselessness and a lack of insight from mental health …


Breaking Into Bon Air Juvenile Correctional Center: A Lesson In (Non) Quantitative Research, Mackenzie Seward Apr 2023

Breaking Into Bon Air Juvenile Correctional Center: A Lesson In (Non) Quantitative Research, Mackenzie Seward

Honors Theses

Gaps in the literature on juvenile justice and mental health within a juvenile correctional center prompted a study that focused on self-esteem, emotions, and empathy in residents living in a juvenile correctional center related to their participation in a storytelling course. First-year students from a local university visited the correctional center as part of a community-based learning component. They met with residents to swap stories about their lives. Several limitations and obstacles complicated the data collection process, forcing the researchers to pivot their study from quantitative analyses to qualitative observations. The experience of conducting a study within a juvenile correctional …


Gender As An Environmental Stressor In Individuals Genetically Predisposed To Mood Disorders: A Preliminary Analysis, Kara West Apr 2023

Gender As An Environmental Stressor In Individuals Genetically Predisposed To Mood Disorders: A Preliminary Analysis, Kara West

Audre Lorde Writing Prize

Given the recent ‘epidemic’ of mental health disorders, we urgently need to better understand who is suffering and how. One aspect of this that research has come closer to identifying is where symptoms and diagnoses are missed in certain individuals, especially based on gender. However, if certain genders are actually more likely to deal with certain disorders we need to understand why and where that comes from. There is a general consensus in the medical field that some individuals are simply genetically predisposed to various disorders based on sex, but there is limited evidence that sex actually determines genetic predisposition. …


Counselor's Corner: An Interview With Tim Stambaugh, Tracy L. Cross Mar 2023

Counselor's Corner: An Interview With Tim Stambaugh, Tracy L. Cross

SENG Journal: Exploring the Psychology of Giftedness

No abstract provided.


Does Perceived Emotional Invalidation Moderate The Relation Between Occupational Stress And Mental Health Outcomes In Law Enforcement Officers?, Sahar Jaafar M.S.; M.A. Jan 2023

Does Perceived Emotional Invalidation Moderate The Relation Between Occupational Stress And Mental Health Outcomes In Law Enforcement Officers?, Sahar Jaafar M.S.; M.A.

Selected Full Text Dissertations, 2011-

Police officers are exposed to operational stressors while on duty, including child abuse, domestic violence, car crashes, and homicides (Jetelina et al., 2020). Repeated exposure to these stressors is associated with the development of mental illness (Jetelina et al., 2020). Organizational stressors, including lack of support/validation, demand, job pressure, administrative/organizational pressure, and long working hours, may be an even greater source of stress for police officers (Purba & Demou, 2019). Exposure to such organizational stressors can result in psychological distress, burnout, and suicidal ideation (Purba & Demou, 2019). However, there is a dearth of research on invalidation and the role …


Compassion-Based Resilience Training (Cbrt) For Frontline Healthcare Workers In Contact With Covid-19 Patients, Michael Perez Sosa Jan 2023

Compassion-Based Resilience Training (Cbrt) For Frontline Healthcare Workers In Contact With Covid-19 Patients, Michael Perez Sosa

Dissertations and Theses

Objectives: The COVID-19 pandemic has had deleterious consequences for the mental health of frontline healthcare workers worldwide. One systemic review of the literature found high prevalence rates of anxiety (67.55%), depression (58.89%), and stress (62.99%) reported by this population (Vizheh et al., 2020). Additionally, high rates of burnout and symptoms associated with trauma have also been ubiquitous during the pandemic for frontline healthcare workers. The purpose of this study is to investigate Compassion-Based Resilience Training (CBRT) as a remotely delivered intervention for frontline healthcare workers in contact with COVID-19 patients to reduce symptoms associated with stress, depression, anxiety, burnout, and …


Profiles Of Family Functioning In Pediatric Hematology-Oncology Patients: Longitudinal Associations With Child Well-Being, Sydney Sumrall Jan 2023

Profiles Of Family Functioning In Pediatric Hematology-Oncology Patients: Longitudinal Associations With Child Well-Being, Sydney Sumrall

Theses and Dissertations

This study aims to assess 1) patterns of family functioning and 2) longitudinal associations between family functioning patterns and well-being in a vulnerable cohort of children with chronic illness. Caregivers of hematology (16.4%) and oncology (83.6%) patients ages 7-20 (N=55; Mage = 13.3 [SD = 2.7]; 52.7% female; 45.5% non-Latinx White, 38.2% Black or African American, 12.7% Latinx, 1.8% Asian, and 1.8% multi-racial,) reported on family functioning via the Family Assessment Device. Cluster analyses identified three mutually exclusive clusters: one high adaptive group, one moderate adaptive group, and one maladaptive group. Group membership was not significantly …


Stress Levels Of Bisexual Individuals In Mixed-Orientation Relationships, Amanda Bartley Jan 2023

Stress Levels Of Bisexual Individuals In Mixed-Orientation Relationships, Amanda Bartley

All Graduate Theses, Dissertations, and Other Capstone Projects

Binegativity, the negative perceptions, assumptions, and discrimination experienced by bisexual individuals, is associated with adverse health outcomes including higher rates of mood and anxiety disorders. There is a growing body of research on bisexuality, but there remains little research investigating the risk and protective factors, and the mental health outcomes of bisexual individuals in mixed-orientation relationships. The current study aimed to fill the gaps of the extant research, investigating if social support, outness of bisexual identity, satisfaction with communication between partners, and centrality of group membership and ingroup ties to the LBGT community moderate the relationship between experiences of negativity …


“Ella Se Lo Buscó”: Marianismo As A Cultural Vehicle For Self-Invalidation Among Latina Survivors Of Sexual Violence, Juliana Gutierrez Hudson Jan 2023

“Ella Se Lo Buscó”: Marianismo As A Cultural Vehicle For Self-Invalidation Among Latina Survivors Of Sexual Violence, Juliana Gutierrez Hudson

CMC Senior Theses

Sexual violence (SV) survivors are often confronted with hostile environments that perpetuate victim-blaming attitudes. One common response to SV is self-invalidation; whereby, survivors deny, neglect, minimize or judge themselves and their experiences via feelings of self-blame, shame, taintedness, and anticipatory stigma. Research suggests that patriarchal gender-based values like marianismo are prevalent in Latinx communities and that Latina survivors are at increased risk for self-invalidation and mental illness. Consequently, it is imperative to examine cultural mechanisms that may contribute to these negative outcomes among Latina survivors. This study’s objectives were threefold: (1) examine ethnic differences in self-invalidation between Latina and White …


Body-Image Distress In Breast Cancer Survivors And Their Evaluation Of Medical Tattooing Following Surgery, Miranda Proctor Jan 2023

Body-Image Distress In Breast Cancer Survivors And Their Evaluation Of Medical Tattooing Following Surgery, Miranda Proctor

Graduate Thesis and Dissertation 2023-2024

A review of the literature reveals a high incidence of body-image distress among breast cancer survivors who have undergone surgery, which is a natural response to the significant changes in their appearance. Reconstructive surgery, utilizing implants or flaps, may be employed to restore breast size and shape. Medical tattooing can simulate the nipple-areola complex and decorative appliques can conceal scars and skin color variations. Both reconstructive surgery and medical tattoos are associated with patient-reported satisfaction, yet further research is necessary to understand their combined impact on body-image distress. To investigate this, a survey was distributed among national breast cancer support …


Evaluation And Management Of Postpartum Depression In South Asian Women, Gujri Chadha Jan 2023

Evaluation And Management Of Postpartum Depression In South Asian Women, Gujri Chadha

Capstone Showcase

Postpartum depression is a worldwide phenomenon that affects about 10 to 20% of women within the first year of delivery. During the 12 months following delivery, about 85% of mothers experience a mood disturbance2. The importance of evaluating and managing postpartum depression is crucial as untreated postpartum depression can lead to a significant risk of morbidity for the child as well as the mother of the child3. Despite the remarkable prevalence of this diagnosis throughout cultures, the screening process for PPD is routinely missed, and the management is frequently incomplete for various reasons3. This phenomenon is exacerbated in minority populations …


The Misattuned Music Industry: An Intersubjective Perspective On The Music Industry's Mental Health Crisis, Jonathan Fricke Jan 2023

The Misattuned Music Industry: An Intersubjective Perspective On The Music Industry's Mental Health Crisis, Jonathan Fricke

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Research shows that professional musicians tend to experience higher rates of mental health challenges compared to the general population. While there are a number of underlying factors and historical experiences that may help us to better understand these psychological struggles, I will be examining the relational system between musician and the music industry beginning at the time in which an amateur musician transitions to the professional realm. With this transition comes incredible demand and pressure from the industry. Professional musicians are at the mercy of grueling tour schedules where they spend months away from loved ones, must be "on" at …


The Intersection Of Religion And Mental Health Help-Seeking: Themes Within Youth Experiencing Early Psychosis, Breanna Nichols Dec 2022

The Intersection Of Religion And Mental Health Help-Seeking: Themes Within Youth Experiencing Early Psychosis, Breanna Nichols

Student Theses

Little research has examined the intersection of religion and mental health among predominantly conservative communities – where religion tends to weigh heavily. It is known from the literature that religion and spirituality play a role in influencing treatment pathways and views towards mental health. The primary aim of the present study was to explore via secondary thematic analysis, the intersection of religion and mental health within a conservative Midwestern community of youth who are receiving treatment for early psychosis, with a secondary look at family dynamics. Seven participant transcripts were analyzed from the Narrative Enhancement and Cognitive Therapy-Young Adult (NECT-YA) …