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Wayne State University Dissertations

Theses/Dissertations

2015

Agency

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Agency And Resistance Strategies Among Black Primary Care Patients, Janella Nicole Hudson Jan 2015

Agency And Resistance Strategies Among Black Primary Care Patients, Janella Nicole Hudson

Wayne State University Dissertations

Research has identified marginalized and minority patients as displaying fewer participatory behaviors during the clinical interaction. Using a culture-centered framework, this study examines the process by which patients with a previous history of discrimination employed agency and resistance strategies in order to influence the outcome of their clinical interactions. This study conducted a secondary analysis of the video taped interactions of 25 black primary care patients in an urban low-income clinic. Using qualitative content analysis, I identified five emergent themes for patient agency: interrupting the physician, stating observations of care, expressing needs and desires, constructing identity, and agenda/goal management. Participants …


Literacy Potentials: Agency, Embodiment, And Hybridity In Cesar Chavez's Discourse Practices, Clayton Walker Jan 2015

Literacy Potentials: Agency, Embodiment, And Hybridity In Cesar Chavez's Discourse Practices, Clayton Walker

Wayne State University Dissertations

This project examines César Chávez's writing during his work in the Community Service Organization in the 1950s to understand hybrid literacies and agency as an embodied aspect of literacy. Using a theoretical framework grounded in embodied cognition, this dissertation develops the concept of discursive readiness potential to describe agency as a capacity to act in discursive situations that emerges from one's embodied practice of literacies. The project explores Chávez's discourse genealogy through the first thirty-five years of his life in order to define lifeworld Discourse as an emergent hybridity that accounts for one's capacity to act based on one's history …