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TheExperiences Of Black Emerging Adults With Psychotic Disorders Who Have Community Violence Exposure: A Phenomenological ApproachWalker, Danielle Tanika January 2024 (has links)
Thesis advisor: Ann W. Burgess / Purpose: The purpose of this descriptive phenomenological study was to understand the lived experience of Black emerging adults with psychotic disorders who have community violence exposure (CVE). The aims included understanding how Black emerging adults with psychotic disorders described the experience of community violence in their lives. A secondary aim was to understand how these individuals described how their experience of community violence has impacted their ability to attain goals that are consistent with emerging adulthood.Background: CVE is a public health crisis. Black emerging adults are at an increased risk of CVE and having a psychotic disorder. CVE and psychotic disorders can cause an increased burden on life. While there is research examining the impact of CVE on mental health and research examining the effects of trauma on psychotic disorders, there is limited qualitative work in Black emerging adults with psychotic disorders and CVE.
Method: This study was guided by Husserl's descriptive phenomenology philosophy, and Giorgi's descriptive psychological phenomenological approach guided data collection and analysis. Eleven participants were recruited through purposive sampling. Participants had to have a psychotic disorder, report CVE, identify as Black or African-American, and be between 18 and 29. Interviews were conducted individually with each participant to understand their experiences of CVE. Using bracketing, the data was coded and analyzed. Rigor and trustworthiness were ensured by using Lincoln and Guba's criteria for credibility, confirmability, dependability, and transferability.
Results: The sample consisted of eleven participants, ranging in age from 21 to 28, with an average age of 24.6. Six identified as male, four identified as female, and one participant identified as transgender and non-binary/non-conforming. All participants identified as non-Hispanic Black/African-American and had a primary psychotic disorder. Four themes were identified: (1) CVE results in a range of emotional responses, (2) CVE results in a range of behavioral responses, (3) CVE causes disruptions in life and relationships, and (4) participants aspire for a better life without a clear pathway. These four themes represent the lived experiences of CVE in these Black emerging adults who have psychotic disorders in Boston, MA. The themes shed light on the consequences CVE had in their lives.
Conclusion: Utilizing descriptive phenomenology created a comprehensive understanding of the experience of the phenomenon of CVE in Black emerging adults with a psychotic disorder. The results illuminated the complex nature CVE has on their life and mental health. Future research should focus on quantitative studies to explore the impact of CVE on various health, social, and psychological outcomes. / Thesis (PhD) — Boston College, 2024. / Submitted to: Boston College. Connell School of Nursing. / Discipline: Nursing.
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