Digital Commons Network^™

Clinician Perspectives On Fistula Mental Health, Victoria K. Leonard

Doctoral Dissertations

Background – Obstetric fistula is a childbirth injury caused by prolonged labor that leads to stillbirth and incontinence, spurring social exclusion and isolation. These layers of trauma put women with fistula at great risk for psychological suffering, which has profound negative socioeconomic impacts on them, their families, and communities. This study captured treatment as usual at Comprehensive Community Based Rehabilitation in Tanzania (CCBRT), the country’s largest provider of fistula care.

Method – Improving holistic fistula treatment requires engaging the clinicians who care for women with fistula. This study aimed to investigate the training, beliefs, and treatment approaches of nurses and …

An Exploration Of The Contributions Of Parenting Styles And Peer Relationships On The Emotional Expression Of Second-Generation Indian-Americans, Smitha M. Kashi

Doctoral Dissertations

This dissertation used a qualitative analysis methodology to study the contributions of parenting styles and peer relationships on the emotional expressivity of second generation Asian Indian-Americans. Seven participants participated in a 60 - 90 minute long semi-structured interview and the content was analyzed using a thematic analysis approach. Most previous research regarding this topic has been conducted on White American or European individuals and does not take into consideration the many intersectionalities that second-generation Indian-Americans hold. Many participants discussed the lack of direction they experienced in regards to learning about their emotions and disclosed that college and young adulthood provided …

An Exploration Of Adult Children’S Attachment To Their Parents Across Two Cultural Groups: Indians In India And Indians Who Immigrated To The United States, Vilasini Meenakshi Arun

Doctoral Dissertations

Typically, attachment theory has been studied and explored with western populations. Individuals seeking mental health treatment within the United States include western and nonwestern cultural groups and research, theories and interventions that apply to diverse populations are necessary. Attachment relationships are often a part of, or reasons for clients to seek therapy either overtly or covertly, thus allowing research on attachment to better inform treatment plans and practice. An attachment relationship between a parent and child can be influenced by several factors and may change over the course of development, but little is known about this process among Indians …

Understanding Mental Health Provider's Experiences Of Burnout, Vicarious Trauma, And Vicarious Resilience From The Provider Perspective, Lauren Beheler-Romero

Doctoral Dissertations

The physical and psychological impacts on mental health providers as a result of burnout, vicarious trauma, and vicarious resilience have not been researched extensively. This study examined burnout and vicarious trauma among mental health providers in New Mexico given the high need population and low access to resources. This qualitative study, employed individual interviews, examined the lived experiences of seven mental health providers who are currently employed in the state of New Mexico in order to better understand the impact of burnout, vicarious trauma, and vicarious resilience. Inclusion criteria for participants included providing mental health services to children and families …

Evaluating The Client Base And Housing Outcomes Of A Community Based Organization Serving Unhoused Adults, Emi Caprio

Doctoral Dissertations

There is a well-documented, bidirectional relationship between mental health and housing instability. When coupled with the complex historical, societal, and political factors contributing to houselessness, the result is a unique set of mental health needs within this community. Despite this, there is a low rate of mental health service utilization and a dearth of research on how to tailor services to meet the needs of unhoused individuals. Additionally, first-hand perspectives are often omitted, as this population is seen as “hard to reach”. The goal of this two-phase mixed-methods program evaluation was to better understand the demographic and mental health profiles …

Help Seeking Experiences Of Asian American Parents Of Children With Autism Spectrum Disorder, Mellanie Kristelle Roxas De Guzman

Doctoral Dissertations

Autism Spectrum Disorder (ASD) has become more widely understood and accepted by the general and professional populations. However, self and social stigma related to ASD persist and continue to negatively impact help-seeking behaviors. This qualitative study used semi-structured interviews guided by an ecological systems model, to explore the lived experiences of 11 Asian American (AsAm) parents residing in the greater San Francisco Bay Area with a child with ASD. A thematic analysis framework was utilized. A total of six themes and six subthemes emerged from this study and included: (1) comparisons, (2) stigma, (3) resilience, (4) support for services, (5) …

The Impact Of Irrational Beliefs On Dysfunctional Decision-Making In B2b Salespeople, Barron W. Brown

Doctoral Dissertations

The complexity of the contemporary business-to-business (B2B) sales landscape requires salespeople to respond faster, be more knowledgeable, and add more value to buyer interactions than ever before. As such, B2B salespeople must carefully consider the impact of their decisions since they have the potential to directly impact organizational revenue and bottom-line outcomes. The present research utilizes rational-emotive behavior theory to examine judgment and decision-making in B2B salespeople. Research questions are presented and tested with a sample of 306 B2B salespeople using structural equation modeling. The results of the analysis reveal that irrational beliefs lead to dysfunctional emotions, and in turn, …

Demands At Work: The Moderating Influence Of Motivation On The Relationship Between Challenge Demands And Employee Work Engagement, Lauren R. Dinnat

Doctoral Dissertations

Work engagement is a popular topic due to the positive outcomes linked to it. For example, engaged workers are shown to be more productive workers and better organizational citizens. The Job Demands-Resources (JD-R) Theory has been the most widely accepted explanatory model for work engagement due to its flexibility to be applied to all work environments. While the JD-R does not argue that motivation is fixed, it does not account for moment-to-moment changes in motivation. A state theory of motivation that examines how motivation may impact the relationships between demands and work engagement has yet to be examined. This study …

Exploring The Relationships Between Motivations, Beliefs, Emotions, And Behaviors In The Context Of Organizational Change Readiness, Sidney Taylor Thomas

Doctoral Dissertations

Organizational change is an inevitable and key feature of an organization’s lifecycle, especially in today’s constantly shifting technological, cultural, and corporate landscapes. However, organizations often struggle to adapt, and change initiatives rarely succeed. Because of this, organizational change readiness has become a popular area of study in the field of industrial-organization psychology. Change readiness in the organizational context has been redefined several times over the past four decades, with recent efforts focused on developing a comprehensive definition and corresponding instrument of measurement for the concept. Change readiness at the individual level is intended to evaluate the psychological state in which …

Creating Whole Inclusive Worlds: The Impact Of Social Media Usage On Black Gender Expansive Millennials’ Experiences Of Social Support And Identity Development Processes, Meredith J. Holmes

Doctoral Dissertations

This qualitative study explored the processes of finding community and developing one’s own intersectional racial and gender identity through the social media (SM) experiences of 8 Black gender expansive (GE) adults located around the United States. Using Interpretative Phenomenological Analysis (IPA) methodology and an intersectional theoretical framework, the research questions guiding the study were: “What is the relationship between Black gender expansive people, social media, and community?” and “What is the relationship between Black gender expansive people, social media, and identity development?” The researcher’s findings from in-depth interviews with participants included three major themes: A) Positive Resilience-Supporting Experiences on SM, …

Resilient Af: Understanding The Lived Experiences Of Women Of Color Psychologists In Forensic Mental Health Settings, Carisse A. Cronquist

Doctoral Dissertations

This study explored the lived experiences of women of color psychologists who identify as ethnic-racial minorities. This qualitative study used interpretative phenomenological analysis (IPA) to understand the narrative experience of the participants from their perspective. A total of four participants took part in this study. All participants identified as cisgender women psychologists currently working in a forensic mental health setting and identified as an ethnic-racial minority. In the lived experiences of the participants, three themes, and several subthemes, emerged: challenges, self-preservation, and strengths / resilience. The results showed that women of color psychologists working within forensic mental health settings face …

The Association Between Uncertainty, Reproductive Distress, And Avoidance In Assigned Female At Birth Adolescent And Young Adult (Aya-F) Cancer Survivors, Devon Ann Pons

Doctoral Dissertations

Family building and fertility is a complex component of survivorship for assigned female at birth Adolescent and Young Adult’s (AYA-F’s), often accompanied by a mix of cognitive uncertainty, emotional uncertainty, reproductive distress, and avoidance. These psychological components present in survivorship for AYA-F’s can impact coping, identity development, and individualized care plans throughout survivorship. This novel examination of data from a cross sectional study shed light on the associations between reproductive distress, uncertainty, and avoidance and how they are experienced differently by various subgroups within the sample.

Results demonstrate that reproductive distress fully mediated the association between emotional uncertainty and avoidance, …

The Walking Threat: Traits Of Pathogen Avoidance, Pathogen Threat Proximity And Functional Flexibility, Lahai Alexander Massaquoi Wicks

Doctoral Dissertations

The threat of infection to humans is unwavering, and it is increased through social interaction, which human life is based around. This has been demonstrated through the recent SARS-CoV-2 pandemic, where social distancing was recommended to prevent the spread of the virus. Therefore, it is important to understand both the behavioral and physiological defenses that we possess against illness. However, the characteristics of the relationship between the behavioral immune system (BIS) and the physiological immune system (PIS) are still murky. This dissertation sought to better understand how the BIS considers the costs of mounting an immune response via functional flexibility …

New Geographies Of Electronic Commerce: An Appraisal Of Omni-Channel Strategies In The United States Grocery Industry, Connor Reed

Doctoral Dissertations

This body of doctoral research investigates the unique geography of e-commerce [electronic commerce] offerings among major grocery chains in the contiguous United States. Prior research has made efforts to understand the demographic and spatial dynamics that may influence consumers’ decision to shop online or in-store. Far less emphasis, however, has been placed on how firms have made key strategic decisions across space regarding e-commerce. This work leverages spatial econometric modeling and machine learning to understand how the characteristics of trade areas inform grocery chains’ decisions about whether to offer pickup, delivery, both, or no offering at a given store location. …

The Role Of Awe In Risk-Taking And The Exploration Of The Unknown, Matthew Thomas Richesin

Doctoral Dissertations

Much has been learned about awe through scientific inquiry in the last twenty years, however, few researchers have looked to understand the adaptive function. Recent work has suggested that the function of awe is cognitive in nature. This view argues that the function awe plays is linked to how individuals respond to uncertainty. This approach proposes that awe should be linked to various epistemic dispositions such as curiosity, impulsivity, intolerance to uncertainty, and existential thinking. It further suggests that awe will have a distinct effect on risk-taking behaviors compared to fear and curiosity. The current project consists of three studies …

The World Reborn: A Phenomenological Study Of 12th Unnamed Cave, Tennessee Through Photogrammetry, 3d Gis, And Archaeoacoustics, Jordan L. Schaefer

Doctoral Dissertations

Traditional methods for analyzing rock art locations within caves tend to rely on two-dimensional (2D) mapping methods. While useful, these techniques do not effectively capture the phenomenology, or experiential characteristics, of caves as physical spaces. This dissertation therefore adopts a three-dimensional perspective to study the distribution of rock art inside 12th Unnamed Cave, a dark-zone cave art site in Tennessee’s Cumberland Plateau region, with the goal of identifying why certain types of images appear in their respective contexts. Photogrammetry is used to produce a three-dimensional (3D) model of the cave’s interior, on which surveyed rock art locations are georeferenced for …

Three Essays In Environmental Economics, Ryan Swartzentruber

Doctoral Dissertations

The first chapter of this dissertation analyzes how policy uncertainty affects electric utility investment rates. Policy can either positively or negatively impact firm profits, as seen in the difference between subsidies and taxes. Using a real option theoretical model, I show how uncertainty over these two types of policies can have positive or negative impacts on investment rates. Empirical results using investment data for electric utilities provide evidence in support of differential effects of uncertainty. I find a positive effect of policy uncertainty on electric utility investment rates using my preferred measure of policy uncertainty. This suggests that policies applicable …

Discriminative Nursing Care Practices Towards Patients With Opioid Use Disorder In The Hospital Setting: How Knowledge And Social Attitudes Impact Care Delivery, Jeanne Adam Bernier

Doctoral Dissertations

Discriminative nursing care (DNC) practices towards patients with opioid use disorder (OUD) is a current phenomenon negatively affecting patient care and patient outcomes. It leads to delays in care, insufficient pain control, and feelings of guilt and shame, and it is linked to self-isolation, social isolation, social rejection, and even unemployment and housing disruption which perpetuate a dangerous cycle of inequity that is hard to overcome. In some cases, OUD stigmatization even increases morbidity and mortality rates. OUD stigmatization and discrimination are real problems in today’s health care climate due to the vast number of people affected by OUD and …

Help-Seeking Tendencies And Motivations Among College Students In The Utilization Of Professional Psychological Services, James Louie Cartee Iii

Doctoral Dissertations

This dissertation examines and analyzes the help-seeking motivations of college students who experience psychological distress. Many young adults consider and utilize professional psychological services in these decision-making moments. The process behind these motivations and decisions warrants investigation to successfully assist students in hopes of avoiding tragic outcomes, such as suicidal ideation. Multiple forces affect why individuals choose to utilize professional services or otherwise avoid them.

Through a grounded theory approach, twenty-eight young adults were interviewed based on specific criteria that established two sets of questions. One set of questions addressed the five participants who only seriously considered the use of …

Introjection, Mentalization, Ego Functioning, And Lacan’S “Name Of The Father”, Chloe T. Cohen

Doctoral Dissertations

Psychoanalytic literature has traditionally focused on the theoretical explanations of psychological phenomena rather than empirical research to support those ideas. One such theory is Lacan’s “Name of the Father” (NOF), which recast Freud’s Oedipal situation, positing its representation in language use and situating it even earlier in psychological development. Lacan suggested that the NOF construct (establishing psychological structure and preventing psychosis) was best represented by metaphor use and linguistic structure. The current study attempted to measure the NOF construct (1955) through linguistic structure and metaphor use. We examined the relationship between an indirect measure of NOF functioning and overall personality …

The Opposite Of Subaltern Agency Is Not Agency, It’S Listening: Self-Guided Anti-Racism Investigation For Aspiring White Anti-Racists, Lauren Elaine Specht

Doctoral Dissertations

This research project examines the rhetorical relationship between oppressed and privileged communities, first to look at how oppressed communities can have more success in their outreach to change privileged points of view, then to examine that “success” of social advocacy is as bound up in the listener’s ability to hear as it is in the speaker’s ability to persuade and that the oppressed community is already using the most successful rhetorical tools available—privileged audiences are just not participating. To complete the first process, I used textual analysis to understand how an oppressed rhetor—represented by Toni Morrison—thinks of privileged perspectives in …

Topics In Energy, Trade And Environmental, And Public Economics, Ivan Peter Anich

Doctoral Dissertations

This dissertation consists of three papers, one each in energy economics, the environment and trade, and public economics. The first chapter generalizes the classical concept of the Lindahl allocation, a normative standard by which a theoretical provision of public goods is judged. The generalization, called a Generalized Lindahl Equilibrium (GLE), requires a personalized tax schedule to be assigned to each consumer, rather than a single personalized tax. This allows for non-linear taxation, redistribution of consumer surplus, and a more `just' provision of public goods. The second chapter studies how trade policy and environmental policy affect the timing of adoption of …

Someone To Keep Me: Emotions, Labor, Trauma, And Orphanhood In Haiti, Hannah Mackynzie Archer

Doctoral Dissertations

In Haiti, the orphan occupies an important place in humanitarian discourse and practice as the key figure underlying the institution of the orphanage. Crucial to the orphanage and the orphan is work done by house mamas as nannies for the children, drawn primarily from the same communities and economic backgrounds as orphans. This ethnography explores how interactions between orphans, nannies, and volunteers are woven into a system of emotions produced by orphans, managed by nannies, and consumed by volunteers. Furthermore, how the intricacies of racial, gendered, and age-based inequalities, underlying these emotional exchanges, presume to reproduce discourses about the proper …

Rapport And Collective Attention: How We Predict Others Will Share Knowledge, Andrew S. Heim

Doctoral Dissertations

When we observe people playing cooperative games together, there are several factors such as their rapport, attention, and theory of mind reasoning ability that might influence the information we think they will prioritize. On the one hand, we might expect players to clear up uncertain information. On the other hand, we might expect them to instead share information that is unknown to their partner. Participants observed two players in a cooperative game and predicted how the players would choose to go about prioritizing the sharing of information. We found that participants generally chose to discuss private knowledge. Additionally, it appears …

Essays On The Economics Of Federal Programs, Diego A. Guerrero

Doctoral Dissertations

This dissertation consists of three essays in public economics and the political economy of the public sector. The document contributes empirical evidence on the impact of public policies on households, firms, and government. This first essay revisits the evidence on the intergenerational effects of the earned income tax credit (EITC) on the adult income of individuals who received the tax credit during childhood. The empirical strategy exploits formulaic changes localized across socioeconomic status in the tax schedule, and finds that tax credit transfers during early childhood increase adult income between 1.7 and 2.7 percent per \$1,000. Furthermore, the paper links …

A Relational Ontological Framework For Identifying Unstated Assumptions In Scientific Datasets, Kathryn Elizabeth Knight

Doctoral Dissertations

Every field of modern science relies on data as something foundational, the basic material that provides researchers with evidence of all recordable phenomena. Data carries an epistemic weight, linking various sensory experience as proof to our propositions, supporting scientific pursuit to get to the truth of something and justify scientific belief. However, to measure or count amounts to categorization, and the categories we create emerge from the models and cognitive schemes constructed in the minds of human beings. Our data is collected, measured, divided, and otherwise organized according to how we think about the world, and retains inherent unstated assumptions …

The Role Of Psychological Distance On The Antecedents And Consequences Of Political Outgroup Moral Derogation, Phillip P. Mcgarry

Doctoral Dissertations

Political polarization in the United States has continually increased at least across the past 40 years. Political partisans now regard out-party members as immoral. I employed three experiments (Experiment 1: n = 1070; Experiment 2: n = 402; Experiment 3: n = 392) to explore the antecedents and consequences of moral derogation in an inter-party context using the Ultimatum Game (UG) paradigm. Psychological distance was manipulated in Experiment 3, by randomly assigning participants to play the UG either in the same room or an adjacent room as a confederate. Experiment 1 and Experiment 2 were conducted online and served as …

Bridging Biological Systems With Social Behavior, Conservation, Decision Making, And Well-Being Through Hybrid Mathematical Modeling, Maggie Renee Sullens

Doctoral Dissertations

Mathematical modeling can achieve otherwise inaccessible insights into bio-logical questions. We use ODE (ordinary differential equations) and Game Theory models to demonstrate the breadth and power of these models by studying three very different biological questions, involving socio-behavioral and socio-economic systems, conservation biology, policy and decision making, and organismal homeostasis.

We adapt techniques from Susceptible-Infected-Recovered (SIR) epidemiological models to examine the mental well-being of a community facing the collapse of the industry on which it’s economically dependent. We consider the case study of a fishing community facing the extinction of its primary harvest species. Using an ODE framework with a …

Automated Identification And Mapping Of Interesting Mineral Spectra In Crism Images, Arun M. Saranathan

Doctoral Dissertations

The Compact Reconnaissance Imaging Spectrometer for Mars (CRISM) has proven to be an invaluable tool for the mineralogical analysis of the Martian surface. It has been crucial in identifying and mapping the spatial extents of various minerals. Primarily, the identification and mapping of these mineral spectral-shapes have been performed manually. Given the size of the CRISM image dataset, manual analysis of the full dataset would be arduous/infeasible. This dissertation attempts to address this issue by describing an (machine learning based) automated processing pipeline for CRISM data that can be used to identify and map the unique mineral signatures present in …

Local Governmental Collective Action And Mandated Policy Implementation, Michael D. Roberts

Doctoral Dissertations

Groundwater depletion is a global concern. Around the world, groundwater supplies more than half the water used for agriculture and human drinking. Many other species and ecosystems are supported by groundwater and rely on the integrity of groundwater and surface water connections. Like many social and environmental problems, addressing the overextraction of groundwater requires collective action across governmental authorities and jurisdictions. To date, there are few examples of successful, voluntary groundwater management. To steer collective action at the local level, higher levels of government often use policy mandates. This dissertation examines the implementation of one such mandate. California’s Sustainable Groundwater …