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 …

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 …

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, …

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 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 …

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 …

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 …

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 …

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 …

Framing Fanart, E J. Nielsen

Doctoral Dissertations

My dissertation, “Framing Fanart,” broadly theorizes media fanart, a form of transformative work that is enormously popular, transnational and transcultural, and at its heart an engaged response to a piece of media. Through physical and digital archival research, discourse analysis, and qualitative research methods, I consider specific examples of how fanart functions within these different framings. This work is some of the first to consider fanart broadly as both a lens through which to view patterns of cultural production and a discrete artefact which merits serious consideration as artwork in its own right.

Understanding The Lived Experiences Of Ethnic-Racial Minority Former Foster Youth Who Identify As Queer, Cristian A. Lemus

Doctoral Dissertations

This qualitative study used Interpretative Phenomenological Analysis to explore the lived experiences and meaning making of former foster youth of color who identify as both ethnic-racial minorities and as either gender or sexual minorities. A total of three participants took part in this study. All participants identified as a former foster youth with at least one foster care placement in the United States, as an ethnic-racial minority, and as a gender or sexual minority. In the lived experiences of the participants three themes, and several subthemes, emerged: identity, cultural prejudice, and power dynamics. The findings supported the hypothesis former foster …

Experiences Of Black American Millennials: A Qualitative Study Of Internalized And Externalized Coping In The Face Of Racial Trauma, Natalia Angelique Giles

Doctoral Dissertations

The experiences Black Americans have faced when standing against racial trauma have impacted the Black community for generations. Though previous generations faced overt styles of racism throughout the eras of slavery and Jim Crow, the invalidation and discrimination have remained consistent within the experiences of the Black American millennial (BAM) generation. Current experiences BAMs face are a combination of both overt and covert styles of racism, which increase mental exhaustion, reduce motivation, and leave the individual psychologically defenseless. The purpose of this qualitative study was to examine the experiences of BAMs in the face of racial trauma. This qualitative research …

Economics In Transition: Issues Applicable To Climate Change, Odysseus Bostick

Doctoral Dissertations

This dissertation presents three essays on topics that characterize the challenges of the energy transition. The first two focus on mitigating the worst impacts of climate change while the final hones in on adapting to climate change.

The first essay estimates willingness-to-pay (WTP) of electricity customers for rooftop solar within the Tennessee Valley Authority. Applying a conditional logit model, the probability of adoption rises with utility rates and emissions-reductions and declines with costs. Evidence of social contagion exists with adoption probabilities increasing 55 − 57% when respondents know someone with panels. WTP also rises. Comparing aggregated to regional WTPs confirms …

Collective Autonomy Restriction: A Theoretical Model And Empirical Investigations, Adrian Rivera-Rodriguez

Doctoral Dissertations

Collective autonomy refers to a group’s freedom to define and practice their own cultural and social identity without interference from other groups. According to the “threat and defense” hypothesis of collective autonomy restriction, group members are motivated to defend their collective autonomy from outside restriction. However, the psychological processes that influence advantaged vs. disadvantaged group members perceptions of collective autonomy, as well as the specific strategies they use to protect collective autonomy, have yet to be articulated. This dissertation presents three manuscripts that examine the social conditions and psychological processes that shape advantaged and disadvantaged group members’ perceptions of collective …

Sociocultural And Familial Factors Associated With Symptom Experience At Midlife Among Women In Nagaland, India, Peteneinuo Rulu

Doctoral Dissertations

This cross-sectional study examines the sociocultural and familial factors that are associated with symptom experience at midlife among women in Nagaland. More specifically, the study examines the factors associated with symptoms at midlife, the relationship between symptoms at midlife, household stressors, ethnopolitical problems, and various measures of stress, and the buffering effects of social support against the negative effects of stress on symptoms at midlife. Data from 151 women aged 40-55 were collected from 4 regions in Nagaland, India. The most common symptoms reported during the past two weeks were headaches (72%), tiredness or lack of energy (67.5%), and hot …

The Collateral Consequences Of Criminal Stigma In Higher Education: Investigating Barriers To Institutional Access And Social Inclusion, Hannah K. Chimowitz

Doctoral Dissertations

This dissertation explores the collateral consequences of criminal record stigma within the realm of higher education, an important institutional domain that is recognized as facilitating social mobility and providing opportunities for individuals with criminal histories. I develop an integrative theoretical framework and present two empirical studies. Study 1 investigates the relationship between criminal screening in undergraduate admissions applications and campus crime rates, as well as Black undergraduate enrollment rates. Using the Common Application's removal of criminal history questions as a natural experiment, I employ propensity score methods and estimate a series of latent growth curve models using structural equation modeling. …

Resource Allocation In Subsidy Welfare Programs: Managerial Insights For Nonprofits, Governments, And Service Providers, Wei Wei

Doctoral Dissertations

Subsidy welfare programs provide financial assistance to economically disadvantaged individuals and families to access essential and life-altering services (e.g., education, child care, and housing) that they might not otherwise have access to. Access to these services is considered critical to achieving a better and more sustainable future for all. As such, these high-quality services are directly related to several United Nations Sustainable Development Goals, which were adopted as a universal call to action to end poverty, save the planet and improve the lives and prospects of everyone, everywhere." In particular, the need for these affordable and high-quality services has been …

Professional And Personal Humility In Relation To Between-Therapist Differences In Effectiveness, Heather Muir

Doctoral Dissertations

Objective: Research demonstrates that mental health clinicians vary in their general effectiveness—the “between-therapist effect.” Thus, it is important to identify determinants of such differences in order to understand and cultivate the therapist characteristics or actions that reliably foster better patient outcomes. To date, several of such variables have emerged empirically. For example, therapists who exhibit higher versus lower levels of professional self-doubt (PSD; a critical questioning of one’s skills as a clinician) have been shown to achieve better interpersonal outcomes with their average patient. Although arguably counterintuitive, the beneficial influence of PSD may make sense if, instead of simply reflecting …

'You' Will Always Have 'Me': A Compositional Theory Of Person, Kaden T. Holladay

Doctoral Dissertations

This dissertation investigates the morpho-syntactic makeup of personful expressions
in natural language; special focus is given to referential uses of personal pronouns. The central thesis guiding the inquiry is that utterance contexts, which serve to fix the semantic values of person indexicals, are specifically a kind of centered situation. This treatment of contexts puts restrictions on what kinds of person features are definable, and the resulting inventory of such features (in conjunction with independently-motivated pragmatic constraints on the use of referential expressions) provides a novel explanation for the typology of person systems.

Long(Er) Object Movement In Turkish, Duygu Göksu

Doctoral Dissertations

This dissertation focuses on long object movement (LOM), which is a type of A-movement from the embedded object position inside an infinitive to the matrix subject position. In the literature, LOM is usually equated with restructuring. The dissertation demonstrates that LOM is not a uniform phenomenon in Turkish. Verbs that allow LOM fall into two types and exhibit distinct behaviors, with only one type counting as restructuring. The infinitival complements of one class of LOM verbs show dependency on the matrix domain for structural case-checking of an embedded object. These verbs are analyzed as restructuring LOM verbs selecting a reduced-size …

Essays On Market Inefficiencies Arising From Information Asymmetry And Market Power, Ming Ge

Doctoral Dissertations

This dissertation comprises three chapters that empirically investigate various kinds of market inefficiencies arising from seller misbehaviors. The first two chapters focus on physicians' overtreatment in healthcare markets. A standard reputation system falls short of effectively curbing overtreatment due to the credence-good nature of such a market: patients cannot tell whether a high-cost treatment recommendation (versus a less costly and complex treatment) is necessary even after the service is completed. In the first chapter, I propose a novel solution to reinstate the function of reputation by combining a reputation mechanism with patient search for second opinions. I conduct a laboratory …

Working With Other Immigrants Brings The Parts That I Lost Back To Me: The Experiences Of Latin American Immigrant Therapists Working With Latin American Immigrant Populations, Elizabeth P. Rivera

Doctoral Dissertations

Therapists who work with traumatized populations are vulnerable to experiencing trauma indirectly. This experience may be exacerbated for those who have experienced trauma themselves. As LatAm immigrant populations have often experienced trauma at the various migration phases, therapists who are LatAm immigrants and work with LatAm immigrant clients may also experience secondary traumatization as an inherent part of their work. While the research on secondary trauma spans decades, there is a dearth of literature on the experiences of LatAm immigrant therapists specifically. This qualitative dissertation study begins the conversation of what the lived experiences of LatAm immigrant therapists are via …

Mental Health And Experiences Of Pregnancy Among Black Women And Birthing People With Type 1 Diabetes (T1d), Madeleine E. Marcus

Doctoral Dissertations

This dissertation explored the potential effects of intersections of oppression (i.e., anti-Black racism, diabetes discrimination, and sexism) on mental health and pregnancy experiences among Black women and birthing people with Type 1 diabetes (T1D). Previous studies about pregnancy and T1D have included mainly white, cisgender women. Three participants qualified for inclusion in the present study and participated in semi-structured interviews, which the researcher analyzed using an interpretative phenomenological analysis (IPA) framework. Participants described feeling uncertain about whether aspects of their pregnancy experiences were related to obstetric and/or medical racism. Similarly, participants sometimes seemed uncertain about how racism may affect their …