Medicine and Health Sciences Commons^™

Speech & Language Services: Examining The Experiences Of Deaf / Hard Of Hearing People, Milayna N. Barker

University Honors Theses

Abstract

The purpose of this study is to examine the experiences of Deaf and Hard of Hearing (HoH) adults and parents of Deaf/HoH children related to speech and language services, and their recommendations for service providers. Historically, professionals have focused on the development of speech and aural/oral skills of Deaf and HoH people. As such, when working with families of newly-identified children with hearing loss, hearing professionals may be ill-equipped to provide culturally-responsive, fully inclusive information and education regarding communication options and opportunities.

Method. This study used a qualitative research design to examine participant experiences related to speech and language …

Effects Of Language Status, Community Advice, And Parent Beliefs On Heritage Language Maintenance In The U.S.: A Scoping Review, Jasmine Loeung

University Honors Theses

This scoping review examines the effects of language status, community advice to parents, and parents' beliefs on heritage language maintenance within a U.S. context. A total of 34 articles met the inclusion criteria. Four key themes were identified as follows: (1) status of a language in society affects maintenance, (2) parents' beliefs about the impact of the heritage language affect family language practices, (3) community advice impacts parents' beliefs and practices, (4) other factors affecting maintenance of the heritage language across generations. Overall, HL maintenance was observed as a dynamic relationship between a variety of factors, with individuals as well …

Model Minority Myth And Oral Health Disparities In Asian Americans Of Multnomah County In Oregon, Taylor Kang

University Honors Theses

This thesis explores the concept of the Model Minority Myth (MMM) and its impact on minority groups such as Asian American communities. It discusses how the MMM is one of the many reasons why health disparities such as oral health disparities, may exist for these groups, particularly in the context of White-majority places like the city of Portland and Multnomah County in Oregon. These disparities, as a result, prevent communities from achieving racial equity in areas such as employment, education, occupation, and income, to name a few. At first glance, the MMM seems to shed an optimistic light with its …

Health Of Transgender Adults, 2020, Addie Furrer

University Honors Theses

Transgender and gender diverse individuals are known to experience barriers to accessing medical care while also being at higher risk of chronic conditions. In this study, the health conditions, disabilities, and health care access of 1,017 transgender and gender diverse(TGD) respondents to the 2020 Behavior Risk Factor Surveillance System were examined in relation to both cisgender men and cisgender women. This analysis was done to further the effort of understanding the health disparities experienced by TGD populations. Transgender and gender diverse individuals were more likely to have poor overall health and mental health, have multiple chronic health conditions, and have …

The Impact Of The Covid-19 Pandemic On Mental Health And Stressors Among Asian American And Pacific Islanders, Ava Lu Kupperman

University Honors Theses

The Asian American and Pacific Islander (AAPI) community, along with the rest of the population globally, has been facing disruptions emerging from the COVID-19 pandemic in all parts of life. However, with the significant rise in racism, the AAPI community has had to confront a set of new challenges in their lives. Utilizing studies and literature written over the course of the pandemic, the purpose of this literature review is to examine the impacts observed on mental health outcomes among AAPIs as a result of the COVID-19 pandemic. This paper aims to collect and present information surrounding the impact on …

An Investigation Into The Relationship Between Obstetric Racism And Postpartum Depression In Black Women, Miguel A. Claxton Iii

University Honors Theses

Postpartum depression is the most common postpartum mood disorder, with 13% of new mothers reporting symptoms within the first year. Adverse birth outcomes, such as low birth weight and preterm birth co-index with the development of postpartum depression. This correlation is particularly alarming considering that Black women have about a 60% higher rate of preterm birth and an 88% higher rate of low birth weight infants than Caucasian women. By utilizing theories of stratified reproduction, necropolitics, and obstetric racism, this paper aims to situate postpartum depression in Black women as a psychological response to systems of medicolegal control and domination. …

The Wounded Inheritance: Epigenetics And The Family Line, Lisa Banta

University Honors Theses

Through the process of researching, conceptualizing, and creating my honors thesis I have been investigating my previously unknown family history and the events that led into generations of parental abandonment and inflicted trauma, in tandem with learning some basics about the research and science of epigenetics. In my own family line, the traumas endured by and inflicted upon the last five generations have, with no exaggeration, shaped every aspect of my life and history. Epigenetics explains how severe trauma can be passed down many generations through chemical changes in DNA. In other words, individuals may carry within their own bodies …

De-Stigmatizing Mental Health Through First Person Narration In Young Adult Literature, Tatum E. Francis

University Honors Theses

This thesis project includes a written short story titled "Quiet Dissonance" that explicitly depicts anxiety and depression within the genre of Young Adult literature. The purpose of this story is to consciously de-stigmatize the mental health issues by depicting these mental disorders as authentically as possible with both research and my own real-life experience of being diagnosed with both anxiety and depression, rather than relying upon stereotypes and the influence of the media. This story is consciously written through the point of view of first person narration, allowing for further exploration into the interiority of the thoughts of the protagonist …

Transgender Patients' Experiences Of Discrimination At Mental Health Clinics, Corrine Ann Stocking

Dissertations and Theses

The transgender population is makes up about 0.3% of the U.S. population (Gates 2011). The term transgender is both an identity and an umbrella term used to describe people who do not adhere to traditional gender norms (Institute of Medicine 2011). Transgender people experience many barriers to services, negative health outcomes, and discrimination (Fredrikson-Goldsen et al. 2013; Institute of Medicine 2011; Eliason et al. 2009; Hendricks & Testa 2012). Mental health clinics are an important site for understanding transgender peoples' experiences due to being a gatekeeper for other medical services and their role in helping transpeople with issues surrounding coming …

Trauma-Informed Research And Planning: Understanding Government And Urban Native Community Partnerships To Addressing Substance-Exposed Pregnancies In Portland, Or, Amanda Mercier

Dissertations and Theses

In 2011, representatives from the Multnomah County Health Departments and several Native-serving organizations came together to address substance-exposed pregnancies among urban Native Americans in Portland, Oregon. From these partnerships, the Future Generations Collaborative was formed representing a significant shift toward community-led maternal child health research and planning. Additionally, the Future Generations Collaborative adopted a historical trauma-informed community based participatory research and planning process. This is particularly significant considering government agencies' role in colonization within Native communities. The purpose of this case study is to explore partnerships between government agencies and the Portland Native community within the Future Generations Collaborative. Given …

Exploring Four Barriers Experienced By African Americans In Healthcare: Perceived Discrimination, Medical Mistrust, Race Discordance, And Poor Communication, Adolfo Gabriel Cuevas

Dissertations and Theses

For many health conditions, African Americans bear a disproportionate burden of disease, injury, death, and disability compared to European Americans. African Americans also use health services less frequently than do European Americans and this underuse of services contributes to health disparities in the United States. Studies have shown that some disparities are present not as a result of poor access to care, but, to a certain extent, as a result of the experiences patients have at their doctors' offices. It is, therefore, essential to understand African American patients' perspectives and experiences with healthcare providers. Past studies have shown that four …

Euthanasia, The Ethics Of Patient Care And The Language Of Propaganda, Elizabeth Maria Krapf

Dissertations and Theses

This thesis is an examination of euthanasia, eugenics, the ethic of patient care, and linguistic propaganda in the Second World War. The examination of euthanasia discusses not only the history and involvement of the facility at Hadamar in Germany, but also discuss the current euthanasia debate. Euthanasia in World War II arose out of the Nazi desire to cleanse the Reich and was greatly influenced by the American eugenics movement of the early 20th century. Eugenics was built up to include anyone considered undesirable and unworthy of life and killed many thousands of people before the invasion of allied troops …

Pregnancy Outcomes: A Study Testing A Model For Predicting Health Outcomes In Pregnancy, Tamera Ann Hart-Johnson

Dissertations and Theses

There is a persistent relationship between socioeconomic status and physical health outcomes found in the literature; however the variables mediating this relationship are many, and ways that they interact with each other are complex. The goal of understanding this relationship is to decrease the disparity in health by socioeconomic status.

This study tested a biopsychosocial model proposed by David Williams (1990) to explain the relationship between socioeconomic status and physical health outcomes. The model included the following latent factors: demographics, socioeconomic status, biomedical risk, medical care, psychosocial variables, and health outcomes. The model was tested through a secondary data analysis. …

El Español En El Condado De Multnomah, La Interpretación Médica Contextual, Y Las Funciones Del Intérprete Médico Profesional (The Spanish Language In Multnomah County, Contextual Medical Interpreting, And The Role Of The Professional Interpreter), Marco Polo Hernández Cuevas

Dissertations and Theses

El objeto de este trabajo es detectar el español hablado en el condado de Multnomah, Oregón, estudiar el significado de contextualidad en el ejercicio de la interpretación médica de español-inglés e inglés-español, y proponer una descripción de funciones para el intérprete basada en el perfil del cliente que solicita servicios en las clínicas públicas de la entidad.

El autor a través de un micro-enfoque coloca al lector en el centro del debate nacional actual acerca del significado de la interpretación contextual y las funciones del intérprete médico profesional; basándose en los censos estadounidenses de 1990 y en reportajes y estudios--tanto …

Written Narratives Of Language Disordered And Normal Adolescents On Two Tasks, Antigone Howick Brown

Dissertations and Theses

The purpose of this study was to describe written narratives of language disordered adolescents by comparing their written narratives via story grammar analysis with those of normal adolescents. The written narratives were obtained by administering two tasks as required assignments within the English or communications classes of the two groups. Task A was to write about a personal experience and Task B was about an imaginary experience. This study used Merritt and Liles' adaptations (1987) of Stein and Glenn's procedures (1979) for story grammar analysis to describe the content of the narratives.

Predictors Of Depression In American Indian Adolescents, Quang Duong-Tran

Dissertations and Theses

Discriminant analysis was conducted to examine the empirical use of psychosocial variables and stressful life events scales in classifying depressed and non-depressed American Indian adolescents using a standardized criterion measure. Subjects attending a Bureau of Indian Affair boarding school were administered a mental health screening survey and were interviewed within four weeks using the Diagnostic Interview Schedule f or Children-Revised (DISC-R). Three models of discriminant analysis were used to determine the overall and incremental variance contributed by the stressful life events scales and the related psychosocial variables (i.e., gender, perceived social support from family and from friends, self-esteem, and depressive …

From 'The Help Of Grave And Modest Women' To 'The Care Of Men Of Sense': The Transition From Female Midwifery To Male Obstetrics In Early Modern England, Karen L. Smith Adams

Dissertations and Theses

Until the sixteenth century, childbirth in England was the exclusive domain of women and was orchestrated by the female midwife. By the end of the seventeenth century, university-educated and church-approved male physicians were systematically beginning to usurp the midwife's role in the lying-in room and to gradually assume authority and power over the process of childbirth. Ultimately doctordominated childbirth threatened, and in some places accomplished, the displacement of the midwife. No one factor was responsible for the shift in delivery room personnel nor was the transition from female midwives to male obstetricians a "natural" one. This thesis looks at three …

Wilhelm Reich's Character Analysis In Its Historical Context, R. Daniel Mccauley

Dissertations and Theses

The thesis is an attempt to reconcile contradictions and devise historical meaning from a problematic text. The book is Wilhelm Reich's Character Analysis, first published in 1933. This influential psychoanalytic work embodies both a radical social theory and disturbing authoritarian attitudes. The thesis uses a variety of methodologies, in particular Roland Barthes' techniques for ascribing historical meaning to certain formal qualities of writing. The thesis proceeds from a summary of methodological studies in intellectual history and criticism, including those of I. A. Richards, R. G. Collingwood, and Dominick LaCapra, as well as Barthes, to a description of Character Analysis and …

The Acquisition Of Obligatory-Do, Bernadette Maresh-Ericksen

Dissertations and Theses

The auxiliary verb obligatory-do is used in forming questions, negative and emphatic sentences. Currently there is no test or norms established for the acquisition of obligatory-do. The purpose of this study was to establish age trends, via elicited imitation for the acquisition of obligatory-do according to the sentence type in which it expressively occurs i.e., negative sentences, emphatic sentences, interrogative reversals and wh-questions. This study addressed the following question: At what ages do children expressively demonstrate, via elicited imitation, the auxiliary verb obligatory-do in negative sentences, emphatic sentences, interrogative reversals and wh-questions? A secondary question was: In what manner does …

Dream Therapy In Counseling, Deborah Ann Karr Black

Dissertations and Theses

The purpose of this thesis is to present an overview of the origins and uses of dreams and dream interpretation through the years. This is accomplished in two main sections. The first section traces the ancient history of dreams and their uses in various cultures. It begins with the first written evidence of dreams found in the Egyptian culture and is carried through the Babylonian, Greek and Roman Eras. The history also includes the use of dreams as documented in the Biblical Records, the Oriental cultures and during the era of Christianity. The superstitions about dreams during the Medieval era …

A Comparison Of Spanish Language Samples Elicited By The Investigator In The Clinic And By The Mothers In The Home, Soledad Chavarria Navas

Dissertations and Theses

The primary purpose of the present study was to compare the quality of spontaneous language samples elicited from twelve low socioeconomic, normally developing, migrant Spanish-speaking subjects by their mothers in the home and by this investigator in the clinic. The subjects ranged in age from three years, one month to six years, nine months.

The essential question sought to determine if the comparison of language samples elicited in the home by the mothers and the language samples. elicited in the clinic by the investigator yielded significant differences in syntactical language development as measured by the Developmental Assessment of Spanish Grammar …

Age And The Comprehension Of Spatial Adjectives, Barbara Ann Cassidy

Dissertations and Theses

The purpose of this study was to determine the significance of chronological age on the comprehension of spatial adjectives in children. Specifically, the investigation set out to determine the age levels at which children comprehend the polar forms of various spatial adjectives and to determine the difference in age levels of comprehension of unmarked versus marked adjective forms. Seventy children between the ages of two years, +/-2 months and eight years, + 2 months, selected on the basis of chronological age, normal receptive vocabulary recognition and normal hearing, participated as subjects.

The Status In 1980 Of The Toulmin Model Of Argument In The Area Of Speech Communication, Jeffrey Robert Sweeney

Dissertations and Theses

In 1958 Stephen E. Toulmin wrote of inadequacies of formal logic and proposed a new field-dependent approach to the analysis of arguments. Despite a generally negative response to his proposal from formal logicians, Toulmin's model for the laying out of arguments for analysis was subsequently appropriated by several speech communication textbook writers. In some textbooks, the Toulmin model has become successor to the syllogism as the paradigm of logical argument. Yet, perhaps due to their seemingly uncritical acceptance of Toulmin's approach there appears to be serious disagreement and confusion among speech communication professionals about the nature and applications of the …

Assessment Of The Health And Social Service Needs Of The Elderly Of The Confederated Tribes Of Warm Springs, Bruce K. Cannon, Jan C. Goslin

Dissertations and Theses

The purpose of this study is to examine what the elderly of the Confederated Tribes of Warm Springs reported as their health and social service needs in the Tribal Health and Social Service Needs Assessment. It will also review the elderly's concerns and those of the general population in regards to future planning of services for the elders.

A Comparative Study Of Language Deficits Of Reservation And Urban Indian Children, Lezlie Kaye Pearce

Dissertations and Theses

This study sought to determine if there are any differences in an analysis of language samples between urban Indian, reservation Indian, and urban White first-grade children. The Mean Length of Response (MLR), Developmental Sentence Score (DSS), and individual DSS items were used to analyze language used by the three groups of children. The study involved thirty-nine children, thirteen children in each group, between the ages of six years, six months, and seven years, four months. All subjects were screened to determine grade, residency, Indian blood, speech, language, hearing, and physical status. Testing for hearing vocabulary was performed at the beginning …