Social and Behavioral Sciences Commons^™

Episode Based Payment Models And The Hospital Safety-Net: An Evaluation Of The Center For Medicare And Medicaid Services’ Comprehensive Joint Replacement Bundled Payment Program, John A. Gravina

Dissertations and Theses

Episode Based Payment Models and the Hospital Safety-net: An Evaluation of the Center for Medicare and Medicaid Services’ Comprehensive Joint Replacement Bundled Payment Program

By John Anthony Gravina

Advisor: Alexis Pozen, Ph.D.

Introduction: Payments for Healthcare services are increasingly being tied to clinical quality, patient experience, health outcomes, and efficiency through value-based payment arrangements (VBP). VBP presents a potential opportunity to reduce healthcare expenditures by requiring providers to take on financial risk associated with the cost and quality of care, therefore aligning payment incentives with the goals of providing higher quality and efficient care. As of 2020, 80 percent of …

The Nexus Of Climate Change, Biodiversity, And Food Security: A Brazil Case Study, Andrew M. Berger

Dissertations and Theses

What is referred to as climate change today is the rapid warming of the climate, largely from human actions, and the effects that come with that warming. One study published by the United States Department of Agriculture (USDA) in 2021 argues that, “human-induced emissions of greenhouse gases have caused increases in global average temperatures, changes in precipitation timing and intensity, rising sea levels, and many other changes.” A Food and Agriculture Organization (FAO) study found that when looking at the number of countries exposed to climate extremes in five year periods from 2000 to 2020, the number of countries “exposed …

The Strategic Use Of External Threat In The Shaping Of Russian Domestic And Foreign Policies, Roman Voytovych

Dissertations and Theses

The state of Russia has experienced multiple shifts during various phases of its development and, along with that, it has influenced the world of international diplomacy on a grand scale. From being the world`s second superpower with huge military and political capabilities to becoming a disintegrated regional power, there definitely has been a certain degree of change which has impacted both the Russian political establishment as well as ordinary people. The slow process of the degradation of the “big empire” actually had its roots during Soviet times when the Soviet Union faced the Chernobyl catastrophe, the war in Afghanistan, the …

Psychedelic Use And Psychological Flexibility: The Role Of Decentering, Mystical Experiences, Ego-Dissolution, And Insight, William M. Campo

Dissertations and Theses

The purpose of this study was to investigate potential associations between psychological flexibility (PF) and characteristics of the psychedelic experience: self-perceived meaningful intention, feelings of comfort and safety, decentering, mystical experiences, ego-dissolution, and insight. The first hypothesis was that perceived meaningful intention and feelings of comfort/safety during the psychedelic experience were expected to be associated with PF, decentering, mystical experiences, ego-dissolution, and insight. The second hypothesis was that decentering, mystical experiences, ego-dissolution, and insight were expected to be associated with greater PF. Participants who used classic psychedelic substances prior to this study were recruited from social media. The sample after …

Therapeutic Considerations For The Polycule: A Qualitative Exploration Of Consensual Non-Monogamy In Couples Treatment, Tema Watstein

Dissertations and Theses

Despite the growing visibility of consensual non-monogamy culturally and in the academic domain, treatment of CNM relationships has been understudied from the clinical perspective. This study utilized a sample of 11 clinicians, who discussed their experiences of treating non-monogamous couples through a semi-structured interview. Qualitative thematic analysis led to the emergence of robust themes, which were synthesized into three broader categories: 1. Therapeutic Process, 2. Issues in Treatment, and 3. The Meaning of Non-Monogamy. Therapists discussed their own clinical processes, with emphasis on countertransference, frame, self-disclosure, and considerations for training. Themes also emerged surrounding common issues in treatment, ranging from …

The Enduring Role Of Conflict In The Perpetuation Of Famine: Advancing 'The Right To Adequate Food' For Sustainable Peace, Robert M. Bane

Dissertations and Theses

The present thesis evaluates developments and trends in global conflict dynamics, global systems of governance, and global hunger. Together, the thesis investigates and upholds the notion that famine is a ‘man-made’ phenomenon and explains how famine persists in a world abundant with food. Through analysis and research the following is found: the occurrence of global conflict is accelerating alongside an increase in the severity of organized violence dynamics; global authoritarianism is expanding presenting a threat to global freedoms and liberal democracy; as these trends are occurring, world hunger is steadily on the rise reflecting a significant backsliding of progress achieved …

The Gendered Interpretation Of Child Marriage: A Niger Case Study, Melissa Safi

Dissertations and Theses

This paper seeks to answer the question, what is the primary factor driving child marriage? I explore the literature in several scholarly articles that explain why the harmful, traditional practice of child marriage is an issue that predominantly affects girls globally. I also utilize the feminist theory of international relations to support my analysis of child marriage as a gender issue. Incorporating evidence from annual international reports, scholarly articles, and mixed methods studies, this paper examines a case study of Niger, where child marriage affects more than half the population of girls under the age of 18. In studying Niger, …

Examining The Effect Of Object Relations And Defense Mechanisms On Interpersonal Relations In Adults With Adhd Symptoms, Cherise White

Dissertations and Theses

Impaired interpersonal functioning, often persistent from childhood through adulthood, is common in ADHD. Symptoms of ADHD such as restlessness and impulsivity may result in behaviors such as being overly talkative, interrupting or intruding on others already engaged in activities, while inattentive symptoms may result in a person being perceived as aloof, indifferent, and/or uncaring (APA, 2013; Friedman et al., 2003). As compared to adults without a history of elevated ADHD symptoms, more impaired interpersonal functioning has been found among young adults with ADHD, and this increased impairment in adults with ADHD is often a primary reason they pursue therapy (Horowitz …

The Relationship Between Discrimination And Alcohol Use Among Latinx College Students In The Context Of Covid-19, Mahtab Tuba

Dissertations and Theses

Latinx are the largest minority group in the United States. Ethnic discrimination is a common experience among this population—especially among young adults. Prior work has suggested an association between discrimination, psychological well-being, and alcohol use. Research has also highlighted that social support may buffer the impact of discrimination upon Latinx mental well- being and alcohol use. The present study investigated the relation between the appraisal of discrimination and alcohol-related outcomes (i.e. frequency of use, binge drinking, alcohol- related consequences and risky behavior) of Latinx college students in the context of the COVID-19 pandemic. We evaluated social support as a moderator …

Joint Laughter Between Patient And Therapist: Exploring The Function Of These Moments And Their Relationship To The Working Alliance In Short-Term Psychotherapy, Molly Rappaport

Dissertations and Theses

Laughter emerges in infancy and reflects mutually aroused and regulated positive affect within the caregiver-infant relationship and repeated cycles of shared, co-regulated positive arousal have been shown to play a critical role in fueling secure attachment bond formation and laying the groundwork for the infant’s capacity for affect regulation (Schore, 2003). Throughout life, laughter continues to function as an attachment behavior with the possibility of promoting interpersonal closeness or creating distance. Attitudes toward the role of laughter in psychotherapy vary among psychodynamically-oriented clinicians and research has mostly focused on the kinds of humor and interventions that provoke laughter rather than …

The Perception Of Partner’S Pornography Use As A Betrayal: The Role Of Trust, Investment, Commitment, And Forgiveness, Vi Nguyen

Dissertations and Theses

The purpose of this study was to examine the roles of relationship factors (e.g., trust, investment, and commitment) and forgiveness in the perception of partner pornography use as a betrayal. It was hypothesized that relationship factors and forgiveness would be significantly related to pornography distress, betrayal intensity, and depression. Participants were recruited from three sources: students from an urban university in the Northeast through an online platform called SONA (N = 13), social media sites (i.e., Facebook and Reddit, N = 1105), and through the snowballing technique (N = 49). The final sample size after the data cleaning procedure was …

Analysis Of The Influence Of Cryptocurrency Regulation On Levels Of Financial Literacy, Kieran C. Yuen

Dissertations and Theses

Using data collected by the National Financial Capability Study (NFCS), a survey by the Financial Industry Regulatory Authority (FINRA), this paper investigates the influence of passage of cryptocurrency regulation in U.S. states on levels of financial literacy. Results indicate that living in a state where cryptocurrency regulation was signed into law, a decrease was observed in the level of financial literacy. This finding supports the growing literature on factors that affect levels of financial literacy using a novel exogenous variable, cryptocurrency regulation.

Economic & Social Development And The Benefits Of The Process Of Integration In The European Union: The Case Of Cyprus, Petros Rafael

Dissertations and Theses

The European Union (EU) is a political and economic union of 27 member states that are located primarily in Europe. An internal single market has been established through a standardized system of laws that apply in all member states in those matters, and only those matters, where the states have agreed to act as one. EU policies aim to ensure the free movement of people, goods, services and capital within the internal market; enact legislation in justice and home affairs; and maintain common policies on trade, agriculture, fisheries and regional development. It is widely believed amongst European states, that membership …

African American English As A Predictor Of Ethnic And Ethnolinguistic Identity In Adolescence, Giahna L. Glasco

Dissertations and Theses

This study’s purposes were to provide support for the Social identity theory of African American English (Vietze & Glasco, 2022) and the meanings African American English (AAE) speakers assign to their dialect. The study was primarily based on Tajfel’s (1979) social identity theory that proposes individuals derive a sense of self from group membership. The qualitative analyses examined ethnic and language group memberships. Ethnic identity development (Phinney, 1992), and ethnolinguistic identity theories (Giles and Johnson, 1987) guided narrative and content analyses of Kiese Laymon’s memoir, Heavy: An American Memoir (Laymon, 2018). The sample included 21 African American English conversations …

“I Knew These Marvelous People”: Gay Men’S Experiences Of Long-Term Hiv/Aids Survival, Ilana J. Sichel

Dissertations and Theses

The gay and bisexual men who were diagnosed with HIV/AIDS before the pharmaceutical breakthroughs of the mid-1990s were given what was expected to be a death sentence. Instead, the majority of those who began the newly available treatments outlived not just their initial prognoses but their lovers, friends, and community members who had already perished. This study used grounded theory analysis of semi-structured interviews with a sample of 10 self-identified gay men who are long-term HIV/AIDS survivors to explore experiences of trauma, loss, and mourning in relation to current psychological wellbeing. Qualitative thematic analysis indicated that despite demographic variance among …

Early Risk Factors For School-Age Adhd And Irritability: The Roles Of Prenatal Risk, Intrusive Parenting Style During Preschool And Caregiver-Child Attachment Quality., Ashley M. Rainford

Dissertations and Theses

ADHD is a highly impairing neurodevelopmental disorder and the family context provides a critical early environment where children’s risk for the disorder may be heightened or reduced. A parent’s style, that is their approach to interacting and guiding the child may provide children with warmth and security, or elicit fear, distrust and disappointment, both of which in turn impact behavior. However, the parent-child relationship is not unidirectional; it is dynamic. Children with high ADHD-like behaviors have greater difficulty relating to and interacting with their caregivers, while caregivers become increasingly stressed and show greater hostility and less warmth in their parenting. …

Loneliness, Interpersonal Sensitivity And The Mechanisms Through Which The Dimensions Of Trait Emotional Intelligence May Protect Against Clinical Depression, Eva H. Leighton

Dissertations and Theses

Reducing the prevalence of loneliness and depression are important public health objectives. This dissertation aims to contribute to these objectives by improving our understanding of the relationship between loneliness and depression. Specifically, we assessed three additional constructs known to be strongly associated with loneliness and depression –-perceived social support, emotional intelligence, and interpersonal sensitivity –- with the aim of showing how these three constructs influence the relationship between loneliness and depression. Previous research that jointly examines all five constructs has not been identified by the author in an extensive search of prior literature.

Specifically, this dissertation tested the following hypotheses: …

Identification Of Adhd And Comorbid Disorders In Children: The Potential Role Of Minority Group Membership, Rachel H. Tayler

Dissertations and Theses

Identification of ADHD and Comorbid Disorders in Children: The potential role of minority group membership

by

Rachel Tayler, MSc, MA

Advisor: Sarah O’Neill, PhD

Attention-Deficit/Hyperactivity Disorder (ADHD) affects six million US children. Females, Latinx, and possibly Black children have lower rates of diagnosis than their Male and White non-Latinx peers. ADHD is behaviorally defined, and as such, clinicians' perceptions of symptoms and determination of diagnoses may be influenced by demographic factors such as race, ethnicity and sex.

This vignette study examined whether clinicians' implicit ethnic, racial, and sex biases affect diagnosis of ADHD and comorbid conditions. Psychiatry trainees and pediatricians …

Being Black & Blue: Sex As A Moderator Between Adverse Childhood Experiences And Depressive Symptoms Among Black Emerging Adults, Wynta C. Alexander

Dissertations and Theses

Adverse Childhood Experiences (ACEs) have been linked to adult mental health consequences (e.g., depressive symptoms). Black people are disproportionately affected by ACEs, and factors related to ethnic subgroups and/or sex may produce differential depressive outcomes. The current study examined the moderating role of sex in the association between adverse childhood experiences and depression symptoms using a life course of health approach among a sample of Black emerging adults. Participants (n = 159) of the current study were Black (e.g., African – American) and Black Caribbean (e.g., Jamaican) undergraduate students (18 – 59 years old; 72.3% female) attending a large, public …

Covid-19 Vaccine Related Anxiety Partially Mediates The Association Between Covid-19 Related Anxiety And Student Adjustment To College During The Pandemic, Hanh Nguyen

Dissertations and Theses

The COVID-19 pandemic caused severe disruptions to the education of millions of college students, who were forced to adapt to sudden changes in living and learning environments. In this study, we sought to investigate two different dimensions of anxiety that were specific to the pandemic – COVID-19 related anxiety and COVID-19 vaccine anxiety – hoping to pinpoint the relationship between these two variables and students’ ability to adapt to college. Specifically, using cross sectional survey data during three semester waves (Spring 2021, Fall 2021, and Spring 2022) we hypothesized (1) a decreasing trend across time in both COVID-19 related anxiety …

Discrimination Against Veiled Women In The West: Social Isolation, Amina M. Abdallah

Dissertations and Theses

This research examines the discriminatory practices faced by veiled women in the West that impede their integration into their local communities or lead them to feel socially isolated. Societal prejudice and, in some cases, the laws of the land often solidify this isolation of Muslim women and girls from the rest of the world. These victims of social oppression face discrimination based on multiple factors, such as their religion, race, and sex.

This study analyses preconceived notions regarding veiled women, incorporating evidence from seventeen qualitative interviews done with veiled Muslim women residing in the West, particularly the United States, United …