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End-Of-Life Patient Communication: Exploring Comfort, Communication And Education Of Healthcare Professionals For End-Of-Life Care, Madison Gremillion

Undergraduate Honors Theses

Historically, the medical field has viewed death and dying as incurable ‘medical failures,’ and as a result, many healthcare professionals have difficulties when facing a patient who is dying or at the end of their life. These individuals will use avoidant behavior to avoid end-of-life (EOL) patients or can have difficulty providing essential aspects of care including communication, that contribute to building a strong relationship between the healthcare provider and patient. For the healthcare professional (HCP), this can stem from anxiety related to thoughts of death and a lack of educational support or experience. The study of death is where …

Children’S Experiences Of Parental Death, “Lost But Still Remembered”, Nour Salem

Dissertations, 2020-current

Parental death is prevalent during childhood, and the emotional, social, and behavioral effects on children’s development are well-documented. Although there is extensive literature on grief in children, most studies on children’s grief have obtained data about children’s experiences though collateral interviews with parents or caregivers, from adults who lost a parent as a child, or through quantitative measures with children and caregivers. Few studies have implemented a qualitative exploration of parental death by asking bereaved children. The objective of the current study was to involve parentally bereaved children in responding to the research question, “what is it like to lose …

Can I Count On You? Social Support, Depression And Suicide Risk, Christiana Silva, Christopher Mcgovern, Stephanie Gomez, Eleanor Beale, James Overholser

Student Scholarship

Objectives: Interpersonal factors play an important role in the etiology and treatment of depression. Social support derives from compassionate words and helpful actions provided by family, friends or a significant other. The present study was designed to examine various sources of social support as they relate to the severity of depressive symptoms, hopelessness and suicide risk in adult psychiatric outpatients. Method: Participants were recruited through mental health clinics at a veteran's affairs medical centre. A total of 96 depressed patients were assessed using a diagnostic interview and self-report measures of depression severity, hopelessness and social support. Among these depressed adults, …

Continuities And Discontinuities In The Cultural Evolution Of Global Consciousness, R. J. Zhang, J. H. Liu, M. Lee, M. H. Lin, T. Xie, S Chen, Angela K. Y. Leung, I-Ching Lee, D. Hodgetts, E. Valdes, S. Choi

Research Collection School of Social Sciences

Global consciousness (GC), encompassing cosmopolitan orientation, global orientations (i.e. openness to multicultural experiences) and identification with all humanity, is a relatively stable individual difference that is strongly associated with pro-environmental attitudes and behaviours, less ingroup favouritism and prejudice, and greater pandemic prevention safety behaviours. Little is known about how it is socialized in everyday life. Using stratified samples from six societies, socializing institution factors correlating positively with GC were education, white collar work (and its higher income) and religiosity. However, GC also decreased with increasing age, contradicting a 'wisdom of elders' transmission of social learning, and not replicating typical findings …

Posttraumatic Stress Symptoms In Response To Covid-19–Related Adverse Events In Hispanic Individuals, Michiyo Hirai, Laura L. Vernon

Psychological Science Faculty Publications and Presentations

The current study examined the effects of COVID-19 death and infection stressors on posttraumatic stress symptoms (PTSS) and the moderating role of resilience and coping in the association between the COVID-19 stressors and PTSS in Hispanic young adults. On average, COVID-19 death led to higher PTSS than COVID-19 infection. Among participants with relatively high resilience, higher engagement coping, or lower disengagement coping, the magnitudes of the impacts of COVID-19 death and infection on PTSS were similar, suggesting the buffering role of resilience and coping. Resilience and engagement coping may protect Hispanic individuals from elevated PTSS in response to traumatic experiences.

A Still Small Voice, Dereck Daschke

Journal of Religion & Film

This is a film review of A Still Small Voice (2023), directed by Luke Lorentzen.

Good Grief, John C. Lyden

Journal of Religion & Film

This is a film review of Good Grief (2023), directed by Rob Sharp.

Don't Worry About It, John C. Lyden

Journal of Religion & Film

This is a film review of Don't Worry About It (2023), directed by Melissa Kong.

Context-Specific Conceptualizations Of Death In Early Childhood, Spencer Hart Winter

Capstone Projects and Master's Theses

Despite cultural myths and social taboos, young children are capable of understanding death and death concepts. Previous research has demonstrated that children have a varied and complex understanding of death that is influenced by their age, family culture, and previous experience. This study aims to differentiate children’s death concept depending on context, including children’s magical thinking, namely the difference between the deaths of a human, an animal, and an electronic toy. Using a modified version of the Death Concept Questionnaire, preschool-aged (3 to 5 years old) children (n=7) were presented with short video clips of a human, a dog, and …

Using Expressive Arts Therapies To Aid The End-Of-Life Transition For Older Adults: A Literature Review, Rosemary Lape

Expressive Therapies Capstone Theses

This literature review presents the use of expressive arts therapies as they may be applied to end-of-life care for older adults. Death is inevitable and if given the chance to prepare, the expressive arts modalities provide a foundation to process the emotions associated with the ending of a life on earth. Expressive arts provide the opportunity to communicate in non-traditional ways which have the ability to locate subconscious themes. End-of-life care previously revolved around pain management. In more recent years it has evolved to caring for the whole person emotionally, socially, psychologically, and physically. Sources were found utilizing resources provided …

Mortality Salience In Therapists: Sudden Death Of A Patient - An Exploratory Study, Amanda Oliva

Selected Full Text Dissertations, 2011-

The purpose of this qualitative research study is to explore therapists’ experiences of the sudden passing of their patient. In particular, the researcher aims to explore the internal and external experiences of the therapist’s grief, as well as implications for training and professional life. Seventeen psychotherapists, ranging in professional training, aged 30 to 80, who lived in several states across the country, participated in individual interviews with the principal investigator via online video conferencing. The interviews were transcribed and analyzed, according to the qualitative research method of Auerbach and Silverstein (2003), to extrapolate themes and theoretical constructs from their anecdotal …

The Impact Of Creative Arts On Meaning Reconstruction And Loss Adaptation In Widowed Adults, Dani Baker-Cole

Antioch University Dissertations & Theses

In counseling, helping grieving clients find meaning after significant loss is a unique, multidimensional, and lengthy process. This is particularly true in Western societies, where antithetical linear grief models, supported by hegemonic expectations to move on after loss, add exhausting pressure to speed up an individual’s natural grieving process. For that reason, this study examined how creative arts interventions such as using traditional art media and expressive writing, combined with postmodern, nonlinear, culturally sensitive bereavement models, help individuals explore their loss narrative to make meaning and adapt to loss. Specifically, this study examined the impact of a switch from traditional …

Undressing Evil: On The Language, Function, And Eradication Of Evil, Nelson Hilario

Senior Projects Spring 2021

How does one begin a discussion about evil? The question of evil is approached by different thinkers via fundamentally different routes, leaning on disparate methods, and asking distinct questions—the basis and intention of each inquiry differ. Nietzsche’s On The Genealogy of Morality shows us that the region of violence is language, that violence begins with language. This is Nietzsche’s categorical contribution to the study of evil: that “evil” belongs to the domain of language (in defining “evil,” contrasting “evil,” and developing a dialect to talk about “evil”). Furthermore, Nietzsche’s understanding of the role of guilt, and what one does to …

The Effects Of Caregiving Robots On Mortality Salience With The Elderly, Mira E. Gruber

Senior Honors Projects, 2020-current

As the world’s population of elderly persons rises (He, Goodkind, & Kowal, 2016), there is an increasing demand for people to care for the elderly. Caregiving robots are a potential solution to this problem. Research (i.e. MacDorman, 2005) suggests that uncanny, humanlike robots may elicit death anxiety, but it remains unclear whether non-humanlike caregiving robots also elicit death anxiety. This study expands on MacDorman’s study and investigates the effects of caregiving robots on death thought accessibility (DTA) and death anxiety in the institutionalized elderly. This research focuses on how caregiving robots affect the close relationship buffer against death anxiety, as …

A Needs Assessment For The Utilization Of Child Life Specialist Bereavement Support Services In An Emergency Veterinary Hospital Setting, Jared R. Negin-Fryers

MSU Graduate Theses

Studies indicate that there is an affective attachment bond, and related emotional involvement that exists between the companion animal and their human owners. Patient companion-animal death within the veterinary hospital, is a daily occurrence, with death rates per patient being significantly higher than in human health care. This comparatively higher death rate is due to the commonplace utilization of professionally sanctioned euthanasia to relieve animal pain and suffering. Companion animal death, may elicit grief reactions that are identical to what is experienced upon the death of a family member. A void currently exists in family centered veterinary care in terms …

Increasing Adult's Awareness Of The Importance Of End-Of-Life Care Discussions, Taylor Gardner

Capstone Projects and Master's Theses

For many American families, end-of-life care is often not discussed, until advanced illness or injury has fully disrupted everyday life. There are many benefits to discussing end-of-life care prior to any medical complications. Research has shown that individuals who plan their end-of-life processes with a hospice service provider and family members report a higher quality of death than individuals receiving common health care during their final six months of life. In order to make families and friends more comfortable with end-of-life discussions, I will conduct two one-hour educational sessions to students at California State University, Monterey Bay.

Death: A Qualitative Content Analysis Of Counseling Journals, 1986–2016, Aaron Suomala Folkerds

All Graduate Theses, Dissertations, and Other Capstone Projects

This qualitative content analysis (QCA) examined five American Counseling Association (ACA) journals and their coverage of death related issues: Journal of Counseling and Development (JCD), Journal of Humanistic Counseling (JHC), Journal of Multicultural Counseling and Development (JMCD), Counselor Education and Supervision (CES) and Counseling and Values (CV). Of the 5508 journal articles published across all five journals, 59 articles covered death related topics. Eight major death related themes emerged through the QCA process: Research on Death-Related Issues, Personal Reflection and Poetry, Grief and Loss Education, Book Reviews, Responding to Campus Death, Providing Grief Counseling, DSM and Bereavement Diagnosis and Counseling …

Art In The Stages Of Suffering And Death, Joanna Aramini

Visual Arts Department Student Scholarship

There has always been a strong link between art and the study of science and medicine, and one of the most iconic images of suffering and death in history to date is Christ suffering on the cross. In this thesis, I examine if and how art can make it possible to transcend human pain and overcome suffering, especially in our modern society where pain is seen as something we cannot deal with, and where we look to medicine and prescriptions to diminish it. I argue that art in the states of suffering and death, closely examining Michelangelo’s La Pieta and …

Grief And Its Implications In Childhood And Adolescence, Electa C. Willander

Student Publications

Death has always been a taboo subject. However, it is impossible for anyone to avoid death in terms of their loved ones or their own mortality. Therefore it is impossible to avoid the at times overbearing emotion of grief. Grief can be exposed in the light of someone passing, loss of a relationship, diminishing health, loss of a job, and even loss in athletic ability. There is no singular reason for grief to be present, nor are there simple and straightforward ways to cope and move forward. Grief on the individual and universal scale has no time frame. It is …

Effects Of Self-Affirmation On Anti-Terror Related Worldview Defense Following Mortality Salience, Haley Jewel Ramsey

Masters Theses & Specialist Projects

Previous research has demonstrated that self-affirmation via values affirmations seem to buffer the self against perceived threats (Steele, 1988). An example of such a threat is opposing worldviews regarding civil liberties in counterterrorism policies. The present study uses the threat of worldview opposition in regards to counterterrorism policies in conjunction with an experimental induction of mortality salience to explore whether self-affirmation can attenuate increases in worldview defense following mortality salience. It was hypothesized that mortality salience would increase worldview defense, but that self-affirmation would decrease worldview defense following exposure to a worldview threat. When extremity of attitudes toward civil liberties …

Death And Taxidermy: How The Process Of Taxidermy Ties In To Modern Society’S Discomfort With Death, Caitlin Monroe

History Undergraduate Theses

“Death and Taxidermy: How the Process of Taxidermy ties in to Modern Society’s Discomfort with Death” examines the relationship between current western discomfort with taxidermy and the strengthening relationship of companion animals with humans. This strengthening of the relationship is facilitating the rising level of grief that comes with losing a pet thus allowing that loss to equate to the loss of a family member. By dispelling the mystery surrounding the process by which a taxidermy specimen is made, where it comes from and why these specimens are vital to educational advancement in the museum, we can discuss why society …

Still Life: Growing Up With Death - A Visual Memoir, Lindsey Roth-Rosen

Dissertations, Theses, and Capstone Projects

This capstone is a multidimensional visual narrative project that incorporates heuristic methodology to illustrate complicated grief that emerged from early childhood loss. The memoir’s intention is to exemplify grief as a complex and mutable composite response to the death of my mother. One objective of this capstone is to understand melancholy, commonly associated with mental illness or symptomatic of depression, as an aesthetic emotion as well as a conduit for philosophical reflection. I use non-verbal approaches to the genre of a memoir by incorporating my photography to epitomize art as a powerful means to comprehend the totality of loss: as …

Family Composition And Outcomes Following Parental Bereavement In Childhood, Ari M. Kagan

Honors Theses

The primary aim of this study is to compare the grief and stress related growth of individuals who have siblings and those who do not have siblings in the context of parental loss that occurred during childhood (before the age of 16). Adult participants provided self-report for the Traumatic Grief Inventory, Stress Related Growth Scale, and other related measures. We hypothesized only children who were bereaved during childhood would report higher levels of grief and lower levels of stress related growth compared to those with siblings who were bereaved during childhood. Multivariate analyses focus on grief and stress related growth …

Conversations With Children About Death, Molly Sexton-Reade

Occasional Paper Series

This paper emphasizes the need for conversations around death in the classroom. Today's children are exposed to information about death through a wide variety of media. Teachers have a responsibility to provide opportunities for children to process this information in ways that are developmentally appropriate - acknowledging children's "magical thinking" as well as experiences children may have surrounding death.

Graves, Gifts, And The Bereaved Consumer: A Restorative Perspective Of Gift Exchange, Jenna M. Drenten, Kristy Mcmanus, Lauren I. Labrecque

School of Business: Faculty Publications and Other Works

When a gifting relationship is disrupted by death, why might a living consumer continue to invest in it? Consumer spending on deceased loved ones does not end with the funeral. Given the embodying power of a physical gravesite, this article examines the practice of gift giving to the deceased in the context of American cemeteries. We employ a longitudinal approach, in which 180 cemetery gravesites were photographed. The photographic data are coupled with a netnography of grief and bereavement communities. Findings support a restorative perspective of gift exchange. Bereaved consumers utilize restorative giving as a mechanism to cope with loss …

Development And Psychometric Evaluation Of The Unfinished Business In Bereavement Scale, Kara Klingspon

UNLV Theses, Dissertations, Professional Papers, and Capstones

Bereavement is one of life's greatest challenges, but most grievers recover within approximately six months after the loss. Prolonged Grief Disorder or Complicated Grief describes the 10-20% who continue to struggle with chronic and severe symptoms such as yearning and/or longing for the deceased. Those with prolonged grief are at elevated risk for a number of detrimental physical and mental health outcomes. Unfinished business, which refers to a subjective perception that something was left undone, unsaid, or unresolved with the deceased, is one marker indicating greater risk for such symptomology. Although a common target for intervention, no empirically validated tool …

Understanding Partner Loss In Same-Sex Couples, Margaret E. Manges

Williams Honors College, Honors Research Projects

The goal of the present study is to examine the difficulties faced by sexual minorities who have lost their partners. More specifically, the impact of outness, relationship comfort, and social support on the bereavement process of same- and mixed-sex couples will be overviewed. The hypothesis of the present study is to examine whether social support, relationship comfort, and visibility mediate the relationship between sexual orientation and stress after the loss of a partner. In previous research, social support for the recently bereaved has been studied quite extensively; however, research has yet to examine sexual minorities and the specific hindrances this …

New Measures To Capture End Of Life Concerns In Huntington Disease: Meaning And Purpose And Concern With Death And Dying From Hdqlife (A Patient-Reported Outcomes Measurement System)., N E Carlozzi, N R Downing, M K Mccormack, S G Schilling, J S Perlmutter, E A Hahn, J S Lai, S Frank, K A Quaid, J S Paulsen, D Cella, S M Goodnight, J A Miner, M A Nance

Rowan-Virtua School of Osteopathic Medicine Faculty Scholarship

PURPOSE: Huntington disease (HD) is an incurable terminal disease. Thus, end of life (EOL) concerns are common in these individuals. A quantitative measure of EOL concerns in HD would enable a better understanding of how these concerns impact health-related quality of life. Therefore, we developed new measures of EOL for use in HD.

METHODS: An EOL item pool of 45 items was field tested in 507 individuals with prodromal or manifest HD. Exploratory and confirmatory factor analyses (EFA and CFA, respectively) were conducted to establish unidimensional item pools. Item response theory (IRT) and differential item functioning analyses were applied to …

Gnawing At The Roots: Toward A Transpersonal Poetics Of Guilt And Death, Jason Butler

International Journal of Transpersonal Studies

As an imaginal approach, archetypal psychology focuses its attention on the diverse and polysemous expressions of imagination as the ground from which all psychological expressions emerge, replacing the dried up concept of a singular ego with the notion that consciousness takes up a multitude of styles concordant with the mercurial flow of images that concentrically influence, grip down, and take over consciousness like a band of pirates commandeering a ship. Archetypal psychology situates itself as a transpersonal psychology by qualifying the image as inextricably archetypal, denoting a valence of meaning that extends beyond the merely personal, beyond the particular cultural-historical …

The Multidimensional Mortality Awareness Measure & Model (Mmamm): Development And Validation Of A New Self-Report Questionnaire & Psychological Framework, Mark R. Mcdermott, Kathryn Lafreniere

Kathryn Lafreniere

For each of eight literature-identified conceptual dimensions of mortality awareness, questionnaire items were generated, producing 89 in all. 359 participants responded to these items and to questionnaires measuring health attitudes, risk-taking, rebelliousness and demographic variables. Multivariate correlational analyses investigated the underlying structure of the item pool and the construct validity as well as the reliability of the emergent empirically derived subscales. Five components, rather than eight, were identified. Given the item content of each, the associated mortality awareness subscales were labelled as: legacy, fearfulness, acceptance, disempowerment, and disengagement. Each attained an acceptable level of internal reliability. Relationships with other variables …