Medicine and Health Sciences Commons^™

Articulatory Activity Of The Tongue, Jaw, And Lips During The Second Passaggio Transition Of The Soprano Voice, Richard C. Lissemore

Dissertations, Theses, and Capstone Projects

This dissertation describes three experiments designed to explore the acoustic and articulatory activity of a perceptible change in the soprano voice known as the secondo passaggio, or second transition, which typically occurs for the [ɑ] vowel between D♮5 (587 Hz) and F♮5 (698 Hz). Acoustically, the transition involves a shift in resonance strategy from second resonance tracking of the second harmonic (f_R2/2f_o) to first resonance tracking of the fundamental frequency (f_R1/f_o). To quantify the acoustics of the transition, we employed the measure L₁-L₂, the …

The Storytelling Cure: Medicine And Narrative From Galen To Shahrazad And Rousseau, Ryan A. Milov-Cordoba

Dissertations, Theses, and Capstone Projects

Are stories healing? This dissertation introduces and explores an idea that I call “the storytelling cure.” With this term I capture a set of related notions about the healing power of stories that span literary studies, intellectual history, philosophy, and medical practice. Through a comparative study I make the case for “the storytelling cure” as a cross-cultural, multiconfessional, and multilingual phenomenon of great age, complexity, and power, worthy of the most sustained attention by the contemporary field of Comparative Literature. Concretely, this dissertation presents three extended case studies of “storytelling cures” from three different kinds of texts (case history, frame …

Informed Consent: Foundations And Applications, Joanna Smolenski

Dissertations, Theses, and Capstone Projects

Since its advent in the 20th century, informed consent has become a cornerstone of ethical healthcare, and obtaining it a core obligation in medical contexts. In my dissertation, I aim to examine the theoretical underpinnings of informed consent and identify what values it is taken to protect. I will suggest that the fundamental motivation behind informed consent rests in something I’ll call bodily self-sovereignty, which I argue involves a coupling of two groups of values: autonomy and non-domination on the one hand, and self-ownership and personal integrity on the other. I will then go on to consider two 'case …

Rehabilitative Movement Approaches And Dance Interventions In Parkinson’S Disease, Cecilia Fontanesi

Dissertations, Theses, and Capstone Projects

The scope of this work is to address the functional deficits and symptoms experienced by those living with Parkinson’s Disease through movement interventions.

Chapter 1 offers a brief overview of current pharmacotherapy and rehabilitation approaches in Parkinson’s, focusing on dance in particular as a movement intervention that may be particularly suited to this population.

Chapter 2 focuses on brain plasticity and motor learning in PD, reporting the effects of rTMS applied after the acquisition of a motor skill. In this study, adaptation tested in patients with PD was comparable in the sham and TMS sessions, while retention indices tested on …

Controlled Observation: The Challenges Of Therapy For The Mentally Ill Incarcerated Population, Esther Tingué

Dissertations, Theses, and Capstone Projects

Popular perception and objective of incarceration is confinement, brutality and in some cases inhumane conditions. But what about the incarcerated population who suffer from the additional burden of mental illness? How does confinement affect mentally ill inmates? This capstone project asks: (1) how do individuals/organizations provide rehabilitative services in this evolved culture of crime and punishment? And (2) how is therapy provided in a restricted environment? I examine these questions from the perspective of the therapist, the person who (in a restricted environment) takes on the responsibility of treating and managing the effects of mental illness for this population.

Does Ethnic Identity, In-Group Preference, And Acculturation Protect Latinas With A History Of Interpersonal Trauma From Developing Symptoms Of Ptsd?, Evelyn M. Ramirez

Dissertations, Theses, and Capstone Projects

Previous research suggests ethnic identity, a sense of belonging to a particular cultural group, may be protective against symptoms of post-traumatic stress disorder (PTSD). However, the role of ethnic identity, in-group preference (i.e., an individual’s preference for interactions with members of their own ethnic group) and acculturation (i.e., the level of comfort with the mainstream culture) have not been investigated as protective factors for Latinas with a history of interpersonal and sexual trauma. In this study, ethnic identity, in-group preference and acculturation were assessed via self-report on the Scale of Ethnic Experience in two samples of undergraduate Latina and non-Latina …

Living As A Dying Child: A Gadamerian Analysis Of The Poetry Of Mattie J. T. Stepanek, Corinne Ann Settecase-Wu

Dissertations, Theses, and Capstone Projects

Yearly, approximately 500,000 children live with life-limiting conditions in the United States; 50,000 die. Yet, details regarding children’s days of living as dying are unknown. The aim of this qualitative hermeneutic study is to gain understanding of the phenomenon of living as a dying child. A Gadamerian-inspired approach was implemented to underpin the study, and to analyze poetic text to address the research question: What is it to be living as a dying child? The text sample included 499 poems written by Mattie J. T. Stepanek, a dying child. The Settecase-Wu Conceptual Guide was developed and implemented to ensure accuracy …

Demystifying The Placebo Effect, Phoebe Friesen

Dissertations, Theses, and Capstone Projects

This dissertation offers a philosophical analysis of the placebo effect. After offering an overview of recent evidence concerning the phenomenon, I consider several prominent accounts of the placebo effect that have been put forward and argue that none of them are able to adequately account for the diverse instantiations of the phenomenon. I then offer a novel account, which suggests that we ought to think of the placebo effect as encompassing three distinct responses: conditioned placebo responses, cognitive placebo responses, and network placebo responses. Next, I consider implications of the placebo effect’s role in complementary and alternative medicine for discussions …

Diagnosing The Will To Suffer: Lovesickness In The Medical And Literary Traditions, Jane Shmidt

Dissertations, Theses, and Capstone Projects

Throughout Western medical history, unconsummated, unreturned, or otherwise failed love was believed to generate a disorder of the mind and body that manifested in physiological and psychological symptoms. This study traces the medical and literary history of lovesickness from antiquity through the 19^th century, emphasizing significant moments in the development of the medical discourse on love. The project is part of the recent academic focus on the intersection between the humanities and the medical sciences, and it situates literary texts in concurrent medical and philosophical debates on afflictions of the psyche. By contextualizing the fictional works within the scientific …

Dancing, Mindfulness, And Our Emotions: Embracing The Mind, Body, And Sole, Alisha M. Collins

Dissertations, Theses, and Capstone Projects

This capstone project examines dance, as an intervention and mindfulness practice that assists with managing our emotions. There is a need for dance therapy in social institutions such as, healthcare facilities, schools, and community centers. Dance therapy has the potential to reduce negative emotions, create mindfulness, improve self-expression, and promote a healthy well-being. I am proposing that dance therapy is applied as a regular practice in social institutions to develop mindfulness and promote emotional stability.

In this study, I argue that dance therapy can contribute to our well-being long term. In addition to this written thesis, a visual component of …

Culture Care Needs Of Puerto Rican Women Receiving Hiv Care From Nurse Practitioners In New York City, Michele Crespo-Fierro

Dissertations, Theses, and Capstone Projects

The purpose of this mini-ethnonursing research study was to discover, describe, and interpret culture care values, beliefs, expressions, practices and needs of Puerto Rican women receiving HIV care from nurse practitioners (NPs) and other providers in New York City. The emic, or insider, perspective of Puerto Rican women living with HIV was the focus of this study and Leininger’s Culture Care Theory (CCT) provided the theoretical framework. Various enablers of the CCT, including Leininger’s Sunrise Enabler to Discover Culture Care, guided the design andimplementation of the study. Six key and twelve general informantswere interviewed and data from the interviews were …

Memory In Memoir & Biography: Science, Place, And Agency, Johnathan E. Longo

Dissertations, Theses, and Capstone Projects

This thesis explores modern scientific understanding of memory in humans and how it affects works of life writing. Scientific research shows that memory is unreliable and often misunderstood by the general public, and this has implications for different forms of life writing. This paper uses biographies, memoirs, and hybrid forms of life writing to explore how memory, with all its limitations, is used in service of a life story. How do writers of these sub-genres use memory and why are those strategies different from one another? Questions of agency and authority over written and spoken material make the issues still …

Female Autistic Perspectives: Limits In Diagnosis And Understanding, Alexandra Helmers

Dissertations, Theses, and Capstone Projects

The diagnosis of autism spectrum disorder has increased dramatically within the last two decades, with males being diagnosed, on average, four to five times more than females. Although researchers in the medical community have searched for a biological explanation for this discrepancy, no definitive cause has been found. I argue that our understanding of autism is primarily a social and cultural construction, in addition to a diagnosable medical disorder. The gender disparity in diagnosis reflects cultural narratives surrounding social interaction and the widespread belief in two distinct gender roles. Furthermore, narratives surrounding the topic of autism tend to unintentionally highlight …

Walking As Ontological Shifter: Thoughts In The Key Of Life, Bibi (Silvina) Calderaro

Dissertations, Theses, and Capstone Projects

With walking as ontological shifter I pursue an alternative to the dominant modernist episteme that offers either/or onto-epistemologies of opposition and their reifying engagements. I propose this type of walking is an intentional turning towards a set of radical positions that, as integrative aesthetic and therapeutic practice, brings multiplicity and synchronicity to experience and being in an expanded sociality. This practice facilitates the conditions of possibility for recurring points of contact between the interiority perceived as ‘body’ and the exteriority perceived as ‘world.’ While making evident the self’s at once incoherence with it-self, it opens to a space beyond the …

In Search Of Argentinidad: Identity Affirming Bodies In Movement In Latino-America, Melissa Maldonado-Salcedo

Dissertations, Theses, and Capstone Projects

This project is a multi-sited investigation into the production of Argentinidad (the embodied feeling of Argentine national identity) post the economic crisis of 2001 known as el Argentinazo. A special attention is paid to the role of the body as a culturally and socially mediated site of identity formation. Additionally, this project engages with the intersections of cultural and psychoanalytic theories that have influenced Argentinean self-identity in addition to social identities that are negotiated in moments of personal and national crisis. This project examines the roles and relationships of family and migration within Argentinean diasporic communities originating from the Provinces …

Becoming Serpent: Mapping Coils Of Paranoia In A Neocolonial Security State, Rachel J. Liebert

Dissertations, Theses, and Capstone Projects

What follows is a feminist, decolonial experiment to map the un/settling circulation of paranoia – how it is done, what it does, what it could do – within contemporary conditions of US white supremacy. Drawing on participant observation, interviewing, scientific artifacts, reflexive journaling, and a public art project, I enter white supremacy through a burgeoning form of pre-emptive psy to capture ‘the prodrome’ – a stage-cum-population-cum-figure at the center of a transnational program of research to identify and intervene on ‘pre-psychosis’. I argue that this nascent, contested, and accelerating movement is enacting a contemporary transition from …

Let Fall: Hysteria And The Psychoanalytic Act, Matthew W. Oyer

Dissertations, Theses, and Capstone Projects

This text proposes to examine the contemporary crisis of psychoanalysis by taking seriously feminist critiques of the theory’s phallocentrism, but arguing that the phallus cannot be metaphorically or metonymically replaced by any substitutive term, as most revisionist theories of psychoanalysis have sought to do. Castration is the central psychoanalytic concept, though the theory always seeks to cover it over. In order to develop a psychoanalysis that can confront this castration that is always repressed and yet, in its persistent return, continuously disrupts the continuity of psychoanalytic theory, a detour is proposed, returning to the origins of psychoanalysis and taking hysteria …

Women Of Faith: Adaptation Of African American Women Breast Cancer Survivors, Pearline Lincoln Okumakpeyi

Dissertations, Theses, and Capstone Projects

The purpose of this study was to gain an understanding of the adaptation experience of African American women breast cancer survivors. The African American women's perception of the influence of faith on the breast cancer survivorship experience was explored.

This study utilized the directed qualitative content analysis method, which extracted themes and patterns that emerged in a narrative content. The 15 study participants were self-identified African American breast cancer survivors. The study was conducted using semi-structured interview questions that were derived from the modes of the Roy Adaptation Model (RAM). The discussion was framed within the context of the themes …

Birthing, Blackness, And The Body: Black Midwives And Experiential Continuities Of Institutional Racism, Keisha La'nesha Goode

Dissertations, Theses, and Capstone Projects

Within the last decade, historical and contemporary accounts of midwives, along with the efficacy of the Midwives Model of Care for pregnancy, childbirth and general women's health, have become increasing popular in mainstream publications and documentaries. Yet, very few of these accounts represent historical or contemporary black midwives (and midwives of color, more generally). Despite a long history of midwifery in the black community, black women currently represent less than 2% of the nation's reported 15,000 midwives. Relatedly, black women and infants experience the worst birth outcomes of any racial-ethnic cohort in the United States.

In the early 20th century, …

The Relationship Of Nursing Career Perception Congruence And Perceived Social Support On Hispanic Middle School Female Nursing Career Choice, Karen Vicino Bourgeois

Dissertations, Theses, and Capstone Projects

The purpose of this study was to examine the relationship of nursing career perception congruence and perceived social support on Hispanic middle school females' nursing career choice. A non-experimental descriptive, cross sectional design examined the relationship in a convenience sample of 200 Hispanic middle school females from the New York tri-state area. Instruments used to measure nursing career choice, nursing career perception congruence, and perceived social support, were: (1) the Nursing Career Choice Questionnaire (NCC); (2) Attitudes, Values, and Beliefs Scale (AVBS); and (3) the Child and Adolescent Social Support Scale (CASSS) .Multinomial logistic regression analyses indicated support for the …

Does End Of Life Terminology Influence Decisional Conflict In Surrogate Decision Makers?, Dawn Fairlie

Dissertations, Theses, and Capstone Projects

This study investigated the relationship between end of life terminologies and decisional conflict in surrogate decision makers using a convenience sample of 234 adults age 50 and older at active adult communities, and senior centers in New Jersey. Participants were randomized into two groups, and each received a vignette that was personalized. The vignettes varied only in the use of the words "Do Not Resuscitate (DNR)" and "Allow Natural Death (AND)". The Decisional Conflict Scale (DCS) was administered.

There was no difference in total DCS score based on AND and DNR versions. However, AND respondents perceived their decision as a …

The Phenomenon Of Amoralism: An Investigation Of The Cognitive And Emotive Roots, Andrei G. Zavaliy

Dissertations, Theses, and Capstone Projects

An amoralist is defined as a person who rejects the claims of moral reasons to special authority, and systematically acts without regard to the generally accepted moral standards. A psychopath can be seen as a paradigm case of an extreme amoralist, although the less severe cases of selective amoralists are considered. The research into the typical behavioral pattern, motivational structure, and the value system of psychopaths can shed light on at least three aspects related to the analysis of the moral agency. First, it can help elucidating the emotive and cognitive conditions necessary for moral performance. Secondly, it can provide …