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Articles 1201 - 1230 of 4157

Full-Text Articles in Counseling Psychology

Older Adults’ Physical Activities And Subjective Well-Being, Mihae Bae, Hyunsook Kang Feb 2022

Older Adults’ Physical Activities And Subjective Well-Being, Mihae Bae, Hyunsook Kang

Journal of Human Services: Training, Research, and Practice

This study examined the relationships between physical activities as health behaviors and subjective well-being in older adults. Data from the National Social Life, Health, and Aging Project (NSHAP) survey were used. The NSHAP study sampled persons 57-85 years of age (n=3005). The respondents completed a telephone survey, reporting their background information and social networking characteristics. For data analysis, a two-step hierarchical regression was used in order to identify the associations between the demographic and physical activity factors on subjective perception of well-being in older adults. Our results indicated that, among the demographic, income, education, health status, and participation …


Stent Retriever Versus Direct Aspiration Thrombectomy For Acute Large Vessel Occlusion: A Meta-Analysis Including 17,556 Patients, From Mr Clean To Present, Eric R. Smith, Jacob A. Bethel, Timothy B. Smith, Grant Holden, Furkan Torlak, Matthew Grimsbo, Ali Seifi, Justin R. Mascitelli Feb 2022

Stent Retriever Versus Direct Aspiration Thrombectomy For Acute Large Vessel Occlusion: A Meta-Analysis Including 17,556 Patients, From Mr Clean To Present, Eric R. Smith, Jacob A. Bethel, Timothy B. Smith, Grant Holden, Furkan Torlak, Matthew Grimsbo, Ali Seifi, Justin R. Mascitelli

Faculty Publications

Objective

Stent retriever (SR) and direct aspiration (DA) mechanical thrombectomy (MT) improve clinical outcomes for stroke secondary to large vessel occlusion. The purpose is to perform an updated meta-analysis comparing the two techniques.

Methods

PubMed database was searched for studies between January 1, 2015, and July 5th, 2021 with mechanical thrombectomy to treat acute ischemic stroke.

Results

We identified 136 studies including 17,556 patients, with 11,258 (64.1%) patients treated by SR or a combined approach and 6298 (35.9%) patients with DA. The DA group had less posterior cerebral artery strokes, was significantly older, and had lower National Institutes …


Rural Pregnant Women’S Experiences With Substance Use Disorder: A Qualitative Study, Cami Weber Jan 2022

Rural Pregnant Women’S Experiences With Substance Use Disorder: A Qualitative Study, Cami Weber

Dissertations

Rural pregnant women with substance use disorder (SUD) are an understudied vulnerable population that often experiences poor pregnancy outcomes (Higgins et al., 2019; Jumah, 2016; Kramlich et al., 2018; Shaw et al., 2015). Despite the high prevalence and high burden associated with SUD, rural women are less likely than non-pregnant women to seek addiction treatment and complete an outpatient treatment program during pregnancy (Shaw et al., 2015). This study aimed to give voice to rural Missouri women with SUD. The research questions explored the life experiences and motivations for seeking treatment using a qualitative, descriptive research design with grounded theory …


The Gender Freedom Model: A Framework For Helping Transgender, Non-Binary, And Gender Questioning Clients Transition With More Ease, Rae Mcdaniel, Laurel Meng Jan 2022

The Gender Freedom Model: A Framework For Helping Transgender, Non-Binary, And Gender Questioning Clients Transition With More Ease, Rae Mcdaniel, Laurel Meng

Journal of Counseling Sexology & Sexual Wellness: Research, Practice, and Education

Transgender/non-binary experiences and identities are often represented in academic literature through narratives of distress and are often pathologized through a medical lens. This holds implications for the field of psychotherapy, as interventions aimed to support transgender/nonbinary individuals often focus solely on risk mitigation. This article presents a therapeutic framework that rests on three pillars—Play, Pleasure, and Possibility—as the focal points for reimagining work with transgender/non-binary clients. This model aims to help this population explore gender transition with more ease through building practical skills, cultivating personal and collective pride, and centering pleasure equity.


Mapping Sex Therapy Across The United States: An Exploratory Study, Frances L. Mcclain, Dylan M. Amlin Jan 2022

Mapping Sex Therapy Across The United States: An Exploratory Study, Frances L. Mcclain, Dylan M. Amlin

Journal of Counseling Sexology & Sexual Wellness: Research, Practice, and Education

The primary purpose of this study was to determine what someone who was interested in obtaining a provider for sex therapy would find if they simply searched for sex therapy using the Google search engine. The goal was to ascertain how someone might access providers in each state, what types of information someone seeking treatment for sexuality issues might find on provider websites, who is providing the services, what types of services are being provided, and whose services might appeal to given the content of the website. Once all of the data was compiled, the resulting data would include a …


A Life Worth Living: Evaluating And Assisting Army Chaplains In Suicide Prevention, John Simon Cochran Jan 2022

A Life Worth Living: Evaluating And Assisting Army Chaplains In Suicide Prevention, John Simon Cochran

Doctor of Ministry Projects

Despite its efficiency and flexibility as a modern fighting force, the U.S. Army has experienced an alarming spike in the number of its soldiers committing suicide over the past decade – approximately a 20% increase. The goal of this project is to contribute to the lessening of future suicides by evaluating the current preparedness of U.S. Army chaplains to assist with suicide prevention and intervention efforts among U.S. Army soldiers. The study will provide actionable conclusions of how chaplains can more effectively identify, intervene, and influence U.S. Army soldiers away from the risk of suicide towards a life worth living.


The Mystical Exodus In Jungian Perspective: Transforming Trauma And The Wellsprings Of Renewal, B. Les Lancaster Jan 2022

The Mystical Exodus In Jungian Perspective: Transforming Trauma And The Wellsprings Of Renewal, B. Les Lancaster

International Journal of Transpersonal Studies Advance Publication Archive

No abstract provided.


Life Before Birth: A Thematic Analysis Of Memories Of Coming Into Life Part 2: Recollections Of Fetal Life And Birth, Jenny Wade Jan 2022

Life Before Birth: A Thematic Analysis Of Memories Of Coming Into Life Part 2: Recollections Of Fetal Life And Birth, Jenny Wade

International Journal of Transpersonal Studies Advance Publication Archive

This article examines a second set of data produced in a thematic analysis of 68 “earliest memory” narratives submitted to an independent website to explore the question: what do people who claim to remember how they came into the world say about their experience prior to and including birth? Part 1 examined the first and largest subset of the data, narratives of an otherworldly existence consistent with Western reincarnation intermission stage 2 experiences, near-death experience accounts and mythic traditions. This article thematically analyzes descriptions of life in the womb, birth, and apparently veridical out-of-body and other paranormal impressions of events …


The Role Of Spiritual Intelligence And Differentiation In Predicting Marital Adjustment Of Married Iranian Students, Sedigheh Ahmadi, Richard H. Morley, Faezeh Ghalebi, Hossein Ilanloo, Christine D. Nguyen Jan 2022

The Role Of Spiritual Intelligence And Differentiation In Predicting Marital Adjustment Of Married Iranian Students, Sedigheh Ahmadi, Richard H. Morley, Faezeh Ghalebi, Hossein Ilanloo, Christine D. Nguyen

International Journal of Transpersonal Studies Advance Publication Archive

The aim of this study was to investigate the role of spiritual intelligence and differentiation in predicting marital adjustment of Iranian students. The participants of this study were 312 married students from Yazd University. The instruments used in this study were the Dyadic Adjustment Scale (DAS) to measure marital adjustment, Differentiation of Self- Inventory, and the Spiritual Intelligence Self-Report Inventory (SISRI). The results of the study demonstrated that spiritual intelligence predicted the marital adjustment of married students (p


Life Before Birth: A Thematic Analysis Of Memories Of Coming Into Life Part 1: Recollections Of Another Realm, Jenny Wade Jan 2022

Life Before Birth: A Thematic Analysis Of Memories Of Coming Into Life Part 1: Recollections Of Another Realm, Jenny Wade

International Journal of Transpersonal Studies Advance Publication Archive

Autobiographic memories prior to birth remain controversial in psychology because such memories are traditionally believed to begin much later when some sense of self is formed. Prenatal sentience, including fetal learning, occurs in species from arthropods to humans, and evidence for autobiographic memories from pre- and neo-natal humans has typically come from clinical case histories of altered-state regression techniques eliciting records from adults or clinical case histories of children in normal states. This thematic analysis examined 68 “earliest memory” narratives submitted to an independent website to explore the question: what do people who claim to remember how they came into …


Sexuality As A Competency: Advancing Training To Serve The Public, Debra Mollen, Dena M. Abbott Jan 2022

Sexuality As A Competency: Advancing Training To Serve The Public, Debra Mollen, Dena M. Abbott

Department of Educational Psychology: Faculty Publications

Sexual health and sexual well-being are vital components of overall physical and mental well-being yet remain largely understudied, approached mainly from disease prevention and intervention perspectives, and generally excluded from most health service psychology training programs. People of color; women; lesbian, gay, and bisexual people; trans and gender diverse; disabled; and poor people are disproportionately adversely impacted by a lack of access to suitable sexual health services and reproductive healthcare. Sex education is inadequate in the United States across the lifespan, including in health service psychology training programs. Therapy clients often have sexual concerns they want to discuss, yet because …


Exploring The Intersections Of Stigma And Masculinity In The Illness Perceptions Of Men Living With Fibromyalgia: An Interpretative Phenomenological Analysis, Christine L. Motzny Jan 2022

Exploring The Intersections Of Stigma And Masculinity In The Illness Perceptions Of Men Living With Fibromyalgia: An Interpretative Phenomenological Analysis, Christine L. Motzny

Electronic Theses and Dissertations

Fibromyalgia is a musculoskeletal condition characterized by widespread pain, fatigue and cognitive problems. While it affects between 2-7% percent of the population in the United States, the biopsychosocial impacts of the disease on the lives of those affected are so substantial that it is considered to have one of the highest cost burdens comparative to other chronic pain conditions. Fibromyalgia has historically been deemed a contested illness due to the complexity of its presentation and lack of clear etiology. As a result, people with fibromyalgia often feel misunderstood and stigmatized. Like other pain conditions, fibromyalgia is more commonly diagnosed in …


Are You My Nurse? The Effects Of Patient-Delivered Gender Microaggressions On Women Trainees’ Clinical Work In Integrated Primary Care, Julia Ratchford Kauffmann Jan 2022

Are You My Nurse? The Effects Of Patient-Delivered Gender Microaggressions On Women Trainees’ Clinical Work In Integrated Primary Care, Julia Ratchford Kauffmann

Electronic Theses and Dissertations

Gender microaggressions are a form of sexist discrimination that have detrimental effects on women’s psychological well-being. Unfortunately, these sexist occurrences are commonplace in the United States and can be experienced in a variety of ways. As such, there is a need to understand behavioral health providers’ experiences with patient-delivered gender microaggressions. In doing so, we may be able to better support women behavioral health trainees’ during their clinical development by potentially understanding the ways in which women trainees are affected by sexist patient encounters. Therefore, the present study sought to apply the Social Cognitive Model of Counselor Training and the …


Assessing The Relationship Between White Privilege, White Fragility, And Masculine Gender Identity And Stressors In The Workplace, Anna Edelman Jan 2022

Assessing The Relationship Between White Privilege, White Fragility, And Masculine Gender Identity And Stressors In The Workplace, Anna Edelman

Electronic Theses and Dissertations

The current study examined how White privilege information avoidance and White fragility are related to aspects of traditional masculinity. Informed by Critical Race Theory and Critical Whiteness Studies, this study examined the link between traditional masculine norms, masculine gender identity stress, and White privilege reactions. A sample of White, working men were recruited both through snowball sampling and Amazon’s Mechanical Turk. Participants were first assessed on a variety of masculinity variables and then were randomly assigned to view one of two video vignettes. After viewing this video, their affective responses, White privilege information avoidance, and White fragility were assessed through …


Exploring The Relational Impact Of Breast Cancer On Younger Women Partnered With Women, Kaitlin V. Ross Jan 2022

Exploring The Relational Impact Of Breast Cancer On Younger Women Partnered With Women, Kaitlin V. Ross

Electronic Theses and Dissertations

Approximately 268,600 new cases of breast cancer in women are diagnosed each year in the United States. Due to improvements in cancer detection and treatment, survivorship is higher than in the past. More than ten percent of new diagnoses are in women 45 years or younger. There are approximately one million sexual minority individuals living with cancer in the US, yet this population is understudied in cancer care. For sexual minority women with breast cancer, sociocultural factors such as lack of affirmative care influences their disease experience. Further, sexual minority women and women partnered with women may be subject to …


Examining The Impact Of Discrimination, Shame, And Acculturation On Psychological Wellbeing Of East Asian International Students, Shao-Jung Stella Ko Jan 2022

Examining The Impact Of Discrimination, Shame, And Acculturation On Psychological Wellbeing Of East Asian International Students, Shao-Jung Stella Ko

Electronic Theses and Dissertations

This study examined the impact of discrimination, shame, and acculturation on the psychological wellbeing of East Asian international students in the U.S. Using the Minority Stress Theory as a framework, discrimination and shame were hypothesized to have a significant negative relationship with wellbeing while acculturation was hypothesized to moderate these relationships. A sample (N = 281) of East Asian international undergraduate students completed a web-based survey with measures of perceived discrimination, interpersonal shame, acculturation, and mental health outcomes. Regression analyses containing wellbeing (outcome), acculturation (moderator), discrimination (predictor), and shame (predictor) were performed to test the hypotheses using SPSS PROCESS macro …


Trans And Genderqueer Military Service Member-Veterans: An Acculturation Phenomenology Of Civilian Reintegration, Joseph A. Galluzzo Jan 2022

Trans And Genderqueer Military Service Member-Veterans: An Acculturation Phenomenology Of Civilian Reintegration, Joseph A. Galluzzo

Electronic Theses and Dissertations

As United States military policy continues to evolve and affirm the accession and retention of trans and genderqueer (TGQ) service members, more TGQ people will join and ultimately separate from military service. Reintegration is a term that represents the experience of beginning to separate from the military and transitioning into civilian life, and those who encounter it are referred to as military service member-veterans (MSMVs). Though empirical knowledge of reintegration for MSMVs overall continues to improve, cultural relevance has only recently been considered, and no research has investigated the reintegration experiences of TGQ MSMVs specifically. The primary purpose of this …


Critical Experiences Of Being Humbled In Psychotherapy Training: An Interpretative Phenomenological Analysis, Mackenzie White Jessen Jan 2022

Critical Experiences Of Being Humbled In Psychotherapy Training: An Interpretative Phenomenological Analysis, Mackenzie White Jessen

Electronic Theses and Dissertations

Therapists’ cultural humility has shown promise for being a “trait like” quality that improves psychotherapy treatment for marginalized populations (Hook et al., 2016, Owen et al., 2016). However, researchers have emphasized that it is important to establish whether cultural humility can be fostered or developed through training (Davis et al., 2016). The purpose of this study was to understand the phenomenon of trainees being humbled in session during graduate school training and its potential relationship to trainee development. This is the first study to specifically examine the experience of being humbled by clients in session or that explores the potential …


Life Before Birth: A Thematic Analysis Of Memories Of Coming Into Life Part 2: Recollections Of Fetal Life And Birth, Jenny Wade Jan 2022

Life Before Birth: A Thematic Analysis Of Memories Of Coming Into Life Part 2: Recollections Of Fetal Life And Birth, Jenny Wade

International Journal of Transpersonal Studies

This article examines a second set of data produced in a thematic analysis of 68 “earliest memory” narratives submitted to an independent website to explore the question: what do people who claim to remember how they came into the world say about their experience prior to and including birth? Part 1 examined the first and largest subset of the data, narratives of an otherworldly existence consistent with Western reincarnation intermission stage 2 experiences, near-death experience accounts and mythic traditions. This article thematically analyzes descriptions of life in the womb, birth, and apparently veridical out-of-body and other paranormal impressions of events …


Emotion And Judgment In Young Women Of A Society In Transition, Maura A. E. Pilotti, Khadija El Alaoui Jan 2022

Emotion And Judgment In Young Women Of A Society In Transition, Maura A. E. Pilotti, Khadija El Alaoui

International Journal of Transpersonal Studies

The present study asked whether emotional responses to narratives of moral transgressions are shaped by the reader’s assumed relationship with the injured party (i.e., oneself, familiar other, and unfamiliar other). Its goal was to test a cultural, religious, and individualistic account of such responses in young females of a traditional society in transition towards a sustainable integration into the global economy. To this end, female college students from the Kingdom of Saudi Arabia were asked to identify their emotional reaction to each of several moral transgressions, report its intensity and then judge the severity of the transgression. In agreement with …


How Perception Meets Hermeneutics: An Empirical Investigation Of Tasseography, Elizabeth Avetisian Jan 2022

How Perception Meets Hermeneutics: An Empirical Investigation Of Tasseography, Elizabeth Avetisian

International Journal of Transpersonal Studies

Tasseography is a divination method to provide insight about the seeker’s past, present, or future life by interpreting patterns in the dregs of a liquid. Although it has been practiced with coffee throughout Europe and Middle East, particularly among women, no known studies exist on the seer’s perceptual process of the ambiguous patterns or how the roles of the seeker and seer, symbols, ritual, and cultural epistemology shape the divinatory hermeneutics. This study focused on the Armenian coffee divination ritual, asking what are the processes and conditions that enable experienced cup readers to obtain divinatory insight in tasseography? Two seekers …


Experiences Of Chinese American Psychology Trainees In Multicultural Education, Helen Weng-Ian Chao Jan 2022

Experiences Of Chinese American Psychology Trainees In Multicultural Education, Helen Weng-Ian Chao

Electronic Theses and Dissertations

Although research has established that students of color have unique experiences in their multicultural training, few studies have examined the experiences and needs of specific subgroups of students of color. This study examined Chinese American psychology trainees’ experiences in multicultural education. Qualitative data was collected from individual semi-structured interviews with Chinese American doctoral students (N = 6). Interpretative phenomenological analysis was used to understand participants’ perceptions of their experiences in multicultural courses. Data analysis resulted in four themes: the (1) burden of being minoritized, (2) Chinese American identity inflection points, being (3) sidelined by whiteness, and (4) …


A Sense Of Trust: Somatic Spiritual Practices As A Path To Wholeness In Spiritually Integrated Trauma Care, Shyamaa Marie Creaven Jan 2022

A Sense Of Trust: Somatic Spiritual Practices As A Path To Wholeness In Spiritually Integrated Trauma Care, Shyamaa Marie Creaven

Electronic Theses and Dissertations

A traumatic event holds the power to rupture one’s world, generating lingering effects on embodied existence. Research has demonstrated that overwhelmingly stressful events often call into question deeply held values and beliefs and that spiritual struggles “tend to be partially responsible for the distress experienced" (Pomerleau et al., 2020, pp. 456–457). Similarly, research with veterans has demonstrated that religious and spiritual struggles mediate the relationship between a potentially morally injurious event and both anxiety and PTSD (Evans et al., 2018), often intensifying trauma and moral injury symptoms as well as opening a pathway for spiritual integration and growth (Pargament & …


Exploring Opportunities For Supporting Juvenile Justice-Involved Youth: A Path Forward Through Expanding Graduate Training In School Psychology, Erica L. Gleason Jan 2022

Exploring Opportunities For Supporting Juvenile Justice-Involved Youth: A Path Forward Through Expanding Graduate Training In School Psychology, Erica L. Gleason

Electronic Theses and Dissertations

School psychologists are equipped with a dynamic skill set and an ethical and moral responsibility to support the diverse needs of all youth. While juvenile justice-involved youth may not be a primary subpopulation served by all school psychologists, they are a high-needs group that requires special consideration and attention. As a professional entity, school psychologists’ knowledge and expertise are not optimally applied to serving these youth. Consequently, school psychologists may be forgoing an opportunity to improve rates of successful school and community reintegration and overall positive life outcomes for justice-involved youth. The first manuscript of this dissertation presents precipitating and …


What Is Transpersonal Psychology? A Concise Definition Based On 20 Years Of Research, Glenn Hartelius Jan 2022

What Is Transpersonal Psychology? A Concise Definition Based On 20 Years Of Research, Glenn Hartelius

International Journal of Transpersonal Studies

Research on definitions of the field of psychology and themes in the literature of the field over a period of 20 years inform this description: Transpersonal psychology is a transformative psychology of the whole person embedded within a diverse, interconnected, and evolving world that pays particular attention to states of consciousness and developmental models reflecting expansion beyond conventional notions of self. Each element of this definition is examined, as well as the four phases of definitional development within the field from its founding in 1968 up to the present.


The Role Of Spiritual Intelligence And Differentiation In Predicting Marital Adjustment Of Married Iranian Students, Sedigheh Ahmadi, Richard H. Morley, Faezeh Ghalebi, Hossein Ilanloo, Christine D. Nguyen Jan 2022

The Role Of Spiritual Intelligence And Differentiation In Predicting Marital Adjustment Of Married Iranian Students, Sedigheh Ahmadi, Richard H. Morley, Faezeh Ghalebi, Hossein Ilanloo, Christine D. Nguyen

International Journal of Transpersonal Studies

The aim of this study was to investigate the role of spiritual intelligence and differentiation in predicting marital adjustment of Iranian students. The participants of this study were 312 married students from Yazd University. The instruments used in this study were the Dyadic Adjustment Scale (DAS) to measure marital adjustment, Differentiation of Self- Inventory, and the Spiritual Intelligence Self-Report Inventory (SISRI). The results of the study demonstrated that spiritual intelligence predicted the marital adjustment of married students (p


Transformative, Noetic, And Transpersonal Experiences During Personal Development Workshops, Helané Wahbeh, Cassandra Vieten, Garrett Yount, Agnes Cartry-Jacobsen, Dean Radin, Arnaud Delorme Jan 2022

Transformative, Noetic, And Transpersonal Experiences During Personal Development Workshops, Helané Wahbeh, Cassandra Vieten, Garrett Yount, Agnes Cartry-Jacobsen, Dean Radin, Arnaud Delorme

International Journal of Transpersonal Studies

The global personal development market was valued at $38.28 billion in 2019 and is expected to grow an additional 5% from 2020 to 2027. Many of these workshops promise to be transformational. This secondary analysis study examined transformative, transpersonal, and noetic aspects of personal development workshops. We found that 74% of post-survey records endorsed that participants experienced a moment of clarity or profound insight during their workshop. In addition, 66% endorsed that participants had experienced at least one noetic experience, and 84% endorsed at least one transpersonal experience. These analyses provide preliminary evidence for the transformational potential of personal development …


Searching For Mental Health Services: Search Strings And Information Acquisition, Antover Tuliao, Natira D. Mullet, Lindsey G. Hawkins, Derek Holyoak, Marisa Weerts, Anthony Inyang Jan 2022

Searching For Mental Health Services: Search Strings And Information Acquisition, Antover Tuliao, Natira D. Mullet, Lindsey G. Hawkins, Derek Holyoak, Marisa Weerts, Anthony Inyang

Nebraska Center for Research on Children, Youth, Families, and Schools: Faculty Publications

Based on decision sciences and information processing theories, how information is acquired is the foundation of decisions and choices subsequently made. Adapting the Active Information Search methodology, the aim for this study is to examine what information potential mental health clients look for in a service provider through their use of search strings. College students (N = 519) from a large public university from the southwest USA (data collection from August to December 2018) were asked in an online survey to imagine themselves needing mental health services and list down the search string they would use in a search engine …


Faculty Facilitation Of Help-Seeking On Campus: A Phenomenological Study, Lillian V. Clark Jan 2022

Faculty Facilitation Of Help-Seeking On Campus: A Phenomenological Study, Lillian V. Clark

Electronic Theses and Dissertations

An ever-increasing number of students on college campuses are experiencing distress, and not all students in need of care are being reached (Kitzrow, 2009, LeViness, et al., 2019). Faculty are one of the most valuable resources for identifying and connecting students to care (Kitzrow, 2009). Despite this, we know very little about the experiences of faculty working with students in distress. This study sought to understand those experiences, as well as identify the barriers to connecting students to care. A qualitative study using an Interpretive Phenomenology framework was conducted (Smith & Osborn, 2007, Moustakas, 1994). Four themes were interpreted from …


Mitigating Weight Stigma In The Medical System: Self-Compassion For Nursing Students, Ellen C. Joseph Jan 2022

Mitigating Weight Stigma In The Medical System: Self-Compassion For Nursing Students, Ellen C. Joseph

Electronic Theses and Dissertations

Weight stigma is a form of oppression that has been shown to have a detrimental impact on the well-being of people with higher weight. Healthcare providers are one of the most common sources of weight stigma, and their stigmatizing beliefs have been found to be associated with differential care for patients with “obesity”. The current study aimed to explore the feasibility of the loving-kindness meditation (LKM) as a brief intervention that reduces weight bias in nursing students by increasing self-compassion, positive, other-focused emotions, and cognitive flexibility, in order to improve compassionate care for patients with higher weight. Participants (189 nursing …