Starting With Story, Not Symptom: Narrative Collapse And Cultural Repair In Appalachia, Wayne Coombs Ph.D.

Journal of Appalachian Health

Appalachia’s opioid crisis reflects uneven burdens, especially in distressed coalfield counties, and it cannot be solved by symptom tracking alone. This commentary argues for a narrative shift, starting with story and cultural repair alongside clinical care. Narrative collapse is defined here as the loss of shared, dependable public meaning across groups, not the absence of storytelling in families, churches, and recovery circles. Trauma science suggests that chronic threat reshapes nervous systems across generations, making safety a prerequisite for renewed trust. Drawing on narrative identity research, the piece proposes peer story work as infrastructure that can reduce shame, support treatment engagement, …

Effects Of Social Media Comparisons On State Self-Esteem, Fomo, And Depression In Young Adult Women, Amanda J. Trapp

Student Scholar Showcase

Social media has quickly become a main source of entertainment that may have more damaging effects than one may expect. For specifically women, it is important to understand how the use and comparison of exposing oneself to the life of other influencers, family members, and friends affect self-esteem, depression, and FOMO. Previous research has shown the damaging effects of other social media sites such as Facebook, and the way comparing oneself to others has an impact on these variables. It is important to focus on women in this topic as they are more susceptible to damaging effects through comparison. Along …

Addressing Sensory Processing And Regulation To Improve Developmental Outcomes In A Nicu Developmental Clinic, Faith Crumley

Entry-Level Occupational Therapy Doctorate - Doctoral Capstone Symposium

Background and Significance 

Infants and children who spent time in the Neonatal Intensive Care Unit (NICU) experienced intense sensory stimuli early on, during a critical period of brain development. These early experiences have been associated with later challenges in sensory processing and regulation, impacting developmental outcomes (Pineda et al., 2023). Following discharge, NICU Developmental Follow-Up Clinics play a key role in monitoring developmental progress and identifying delays. Given the influence of sensory processing on regulation, motor development, and participation in occupations, early identification is critical. This capstone project was conducted at a NICU Developmental Clinic to address the need for …

Bug-In-Ear ECoaching To Enhance Parents' Use Of Embedded Learning Opportunities With Preschool-Age Children With Autism Spectrum Disorder, Aeshah Alturki

Human Movement Studies & Special Education Theses & Dissertations

The increasing prevalence of autism spectrum disorder (ASD) has heightened the need for effective communication interventions. Parents are key partners in intervention and, with appropriate support, can serve as effective intervention agents. However, parents often require ongoing support to implement evidence-based practices. The purpose of this study was to experimentally evaluate the effects of online Bug-in-Ear (BIE) eCoaching on parents’ fidelity of embedded choice-making during family routines with their preschool-aged children with ASD. This study also examined the generalization and maintenance, children’s communicative responses, and parents’ perceptions of the intervention. A single-subject nonconcurrent multiple baseline design across two parent–child dyads …

Emotion Regulation As A Moderator Of The Association Between Stressful Life Events And Changes In Religiosity, Catharine Mann

Senior Theses

Previous research indicates that religion and spirituality can have a beneficial impact on the well-being of individuals, both promoting health and reducing poor mental and physical health outcomes. Religiosity often shifts across the lifespan, but some experiences can predict those changes. For example, stressful life events (SLEs; e.g., loss of a family member, serious illness) are often associated with a decrease in religiosity. Past research has shown that in adults, the experience of SLEs predicts less identification with previously held religious beliefs. This relation could be influenced by a number of factors, but many are likely related to the use …

Exposome In Relation To Psychopathology And Physical Pain In Adolescence, Alexsia E. Newman

Honors Scholar Theses

The overall well-being of adolescents is dependent on a variety of factors during development, including both mental and physical health. Mental health, or psychopathology, which includes internalizing and externalizing problems, represents a common and persistent concern among youth. Physical pain is another important aspect of adolescent well-being. Although prior research has examined associations between mental health and pain, less is known about how these relationships unfold over time, and few studies have considered the role of multilevel environmental factors. This honors thesis explores the predictability and bidirectionality of mental health and chronic pain in developing adolescents, and tests associations of …

Exploring The Psychological Health Of First Responder Women And Their Children, Shelby S. Deschepper

Honors Thesis

Abstract

First responders (law enforcement officers, firefighters, paramedics, and emergency medical technicians) often face occupational stressors and may have exposure to traumatic events. As a result, they are at risk for developing mental health conditions. Although there is substantial research on first responder mental health, potential gender differences within this population have received limited attention. The existing evidence suggests that first responders who are women encounter an even higher risk for adverse mental health outcomes than first responders who are men. Additionally, few studies have explored the mental health outcomes of children with first responder parents, and even fewer have …

Family Communication Patterns And Romantic Partner Selection: A Proposed Study Of Divorce Risk And Relationship Stability, Lilliana De Leon, Maria Reeves, Joel Burgess, Monique Rodriguez

Posters - 2026

Family Communication Patterns Theory (FCPT) is described as repeated communication beliefs and behaviors that orient a family system and contribute to a shared reality. There are two different orientation styles describing family communication style. Conformity orientation creates a shared reality respective of parental authority and family rules. While conversation orientation creates a shared reality by encouraging open conversation, discussion, and argumentation. There are four family types including; pluralistic family, protective family, laissez-faire family and consensual family. Each experiencing different levels of conformity and conversation.

Transitions Of Growth And Partner Responsiveness In Late Adolescent Marriage, Terrell Ka-Seem Pugh

Walden Dissertations and Doctoral Studies

During the stage of late adolescence, marriage presents unique challenges, with partners navigating several developmental tasks in tandem with forming and maintaining marital relationships. Partner responsiveness has been consistently identified as a key factor for personal wellbeing and relationship satisfaction. Limited research has explored how late adolescent married individuals describe this dynamic. The purpose of this qualitative transcendental phenomenological study was to explore lived experiences of late adolescent married individuals between 18 and 20 who described their experiences with partner responsiveness during this transitional period. This study was grounded in Bronfenbrenner’s ecological systems theory in order to explore how relational …

Decision Making Processes Of Adolescent Women About Entering Intimate, Long-Term Romantic Relationships, Jeannie Miller

Walden Dissertations and Doctoral Studies

There is a high rate of women in their late 20s and early 30s that are in destructive relationships, many because of decisions that were made during adolescence . Little research has focused on understanding the decision making process of entering intimate, long-term romantic relationships from the viewpoint of adult women in their late 20s through 30s who made that decision during adolescence. This phenomenological study allowed for a greater understanding of adolescent decision making, specifically about entering intimate, long-term romantic relationships. The research questions were (a) What are the lived experiences of young women as they enter intimate, long-term …

Transformational Leadership In Higher Education, Dr. Jewel Hale, Jr., Kristi Apostel

Tapestry: Journal of Research in Education

A crisis can highlight the critical need for resilient leadership within higher educational settings. Educational leaders encounter extraordinary difficulties, ranging from different learning options to prioritizing the well-being of both staff and students, necessitating flexible and innovative methods. By exploring how school leaders apply transformational techniques in actual educational environments, this article addresses the impact of the four I’s of transformational leadership, idealized influence, inspirational motivation, intellectual stimulation, and individualized consideration, on building educator resiliency, sustaining school effectiveness, and promoting student achievement in higher education.

Silent Detonations: Redirecting Focus, Preserving Identity, And Leading Under The Weight Of Microaggressions, Ray Lavan

Tapestry: Journal of Research in Education

African American educational leaders consistently navigate racial microaggressions that challenge their focus, identity, and well-being. This study explores how these leaders deploy attention to manage the emotional weight of microaggressions in K-12 public school settings. Using Gross’s emotion regulation theory and Sue’s taxonomy of racial microaggressions, this qualitative phenomenological study examines how attentional deployment serves as both a shield and constraint. Data from the African American leaders reveal that silence, background processing, selective focus, and redirection to professional goals are common strategies to sustain composure. These strategies protect leaders in the moment but create emotional strain, identity conflict, and cumulative …

Fierce Leadership-Perspectives Of Black Women Educational Leaders: A Transcendental Phenomenological Study, Janice Taylor, Dianne Reed

Tapestry: Journal of Research in Education

The authors of this transcendental phenomenological study aimed to describe the lived experiences of Black women based on their perceptions, values, and beliefs about the complexities of leadership and the kind of leadership required to succeed in their respective roles, as educational leaders. This study was framed by the adaptive leadership theory. Adaptive leadership recognizes the need for leaders to stay flexible and resilient in fast-paced environments (Nelson & Squires, 2017). The three Black women leaders in this study were fierce adaptive leaders. The information acquired from this study is significant and highlights how Black women educational leaders developed the …

Being-Their-Ship: A Presence-Based Model Of Human-Centered Leadership, Ricky J. Martinez

Tapestry: Journal of Research in Education

Being-Their-Ship describes a presence-based approach to leadership grounded in lived experience rather than positional status. Developed over years of service in rural education, the framework highlights leadership as a relational practice grounded in steadiness, quiet support, and a willingness to take responsibility for others. Drawing from autoethnography and narrative inquiry, the framework articulates four interconnected dimensions: Caring-Ship, Loving-Ship, Load-Ship, and Being-There-Ship, that define leadership not through authority but through consistent action and cultural trust. Each dimension reflects how leadership emerges when individuals become a stabilizing presence, absorb burdens that others would otherwise carry, and remain committed to a community through …

Research Literacy And Research Production Skills As Core Competencies In Leaders, Kk O'Byrne

Tapestry: Journal of Research in Education

No abstract provided.

Emergent Patterns In Individual Perceptions Of Domestic Violence Among African Immigrants, Annah Ezuma

Walden Dissertations and Doctoral Studies

Domestic abuse continues to be a prevalent and intricate matter within society, frequently concealed by silence. The comprehension of individuals’ perceptions of abuse is of utmost importance in the advancement of efficacious interventions and support systems. Among African immigrants in the United States, perceptions of domestic violence were often influenced by several factors like religion and migration stressors. Despite increasing concerns about abuse within this population, limited research has explored how they interpret abuse and how these perceptions shape help seeking behaviors and disclosure. The gap was significant because of the cultural transition and many immigrant experiences. This qualitative study …

Experience With A Systematic Review Project From An Undergraduate Student Perspective, Maggie Schade, Bianca Welikson, Maria Kondaurova

The Cardinal Edge

Trauma exposure due to gun violence, homelessness, and/or substance abuse is prevalent in West Louisville, KY. In 2020, 65% of adults in KY reported one traumatic experience. Depression, as a result of trauma, affects significantly more adults in KY than nationwide (25.7% vs. 20.5%). It is known that depression affects the characteristics of child-directed speech (CDS), a specific register that caregivers use while interacting with their children. CDS is characterized by exaggerated prosody, more distinct vowels, shorter and structurally simpler sentences in comparison to adult-directed speech, and is an important predictor of language development. However, our knowledge of the effect …

Stress And Sleep In A Community Sample Of Preschool-Aged Children, Khadija Awale, Akira Isaac M.S., Alyssa Rodriguez M.S., Sara Bufferd Ph.D.

The Cardinal Edge

Stress influences sleep patterns, as elevated stress levels can decrease adequate sleep. However, research on this relationship in preschool-aged children is limited. The current study examined the relationship between stress and sleep in preschool-aged children and sought to evaluate associations between children’s stress and sleep, as well as parental psychopathology (i.e., anxiety and depression). Participants included N = 609 parents and their children ages three to five at Time 1. 368 of whom participated again when children were ages six to eight years old at Time 2. Participants completed study questionnaires, and children’s hair samples were taken to assess cortisol …

Insecure Attachment Predicts Poor Sexual Communication Among Emerging Adults, Carson T. O'Leary

Pursuit - The Journal of Undergraduate Research at The University of Tennessee

Sexual communication significantly predicts sexual satisfaction within adult romantic relationships (Byers, 2011). Further, research has demonstrated that relationship satisfaction and relationship outcomes are positively influenced by sexual satisfaction (Anderson, 2012). Research regarding interest in promoting long-term romantic relationships should target sexuality-related concerns in romantic partners. Sexuality research grounded in attachment theory has provided promising results. Attachment theory hypothesizes that individuals develop an attachment style based on early life experiences with their caregiver(s). These styles strongly predict how individuals respond to loved ones, including romantic partners (Bell & Ainsworth, 2023). Research also suggests insecurely attached individuals struggle with effective communication in …

Evaluating The Impact Of A Lend-Based Family Mentorship Program For Pre-Service Professionals, Matthew Bogenschutz, Sarah Lineberry, Jackie Robinson Brock, Flip Grey, Kathryn Flinn

Developmental Disabilities Network Journal

Family-led pre-professional mentoring programs have been shown in past literature to have multiple positive outcomes, including better provider communication, increased sensitivity to the needs and contributions of family members in clinical settings, and better understanding of disability policy contexts among professionals. Yet there have been relatively few examples of exemplary programs that have developed successful models for family mentoring of pre-service professionals. Using qualitative evaluative data from one such program, a component of a Leadership Education in Neurodevelopmental and Related Disabilities (LEND) program, this study shares the experiences of both families and trainees. Common themes shared between these two groups …