Social and Behavioral Sciences Commons^™

It's A Birth Not A Procedure: An Ethnographic Study Of Intrauterine Fetal Death In A Labor And Delivery Unit Of An American Hospital Setting, Catherine Mcleod Griffin

Wayne State University Dissertations

Life transitions such as birth and death constitute a significant area within anthropological studies of ritual. It is important to investigate how individuals, groups, and communities organize around these events. Birth and death can be considered as rites of passage that mark key life transitions (van Gennep 1909/1960). Thus birth and death related rituals need to be investigated within the social and cultural context of American hospital settings to better understand the social organization of life, death, and personhood. In the American hospital setting, a reproductive loss at any gestational age receives the medical diagnostic label of an intrauterine fetal …

"Treating The Whole Person:" An Ethnographic Study Of An Integrative Medicine Pain Clinic, Lindsey Ann Martin

Wayne State University Dissertations

Although chronic pain has been increasingly recognized as a critical health issue in the U.S., solely biomedical approaches to pain management are often less effective than comprehensive ones in addressing this condition (Crowley-Matoka, et al. 2009; Good 1994; Greenhalgh 2001; Institute of Medicine 2011; Kleinman 1988; National Center for Health Statistics-Centers for Disease Control and Prevention 2006). This ethnographic study describes in-depth how a Detroit metropolitan area multidisciplinary pain clinic specifically applies an integrative medicine (IM) approach to the treatment and management of chronic pain. The aims of this study included: 1) identifying the history of this IM clinic and …

A Ritual Investigation Of Sudden Death Events In An Urban United States Emergency Department, Mary Eleanor Mitsch

Wayne State University Dissertations

This study investigated sudden death as a social act and a ritual process (Hertz, 1960) in an urban hospital emergency department (ED) in the United States. An analytical auto ethnographic approach was utilized by the author who is a nurse-anthropologist and a bereaved parent. In sudden and a more "prepared for" death, the dying person goes through a rite of passage van Gennep (1960[1909]) and enters into an area of liminality Turner (1967). A key transition from life to death occurs and crossing a threshold where the dying person cannot cross back. The aims of the study were to: 1) …

Exploring Sacred Objects And Their Meanings In Catholic Mexicano Households: Domestic Religious Practices In San Antonio, Mary E. Durocher

Wayne State University Dissertations

Anthropological literature in the study of material culture argues that person/object interactions are important to the construction and maintenance of social relations and personal identity both in the present and through time. It is through relationships and interactions with things that people come to "know who they are" (Tilley (2007). This line of thinking has led some Latino studies scholars to propose that the retention of traditional aspects of culture, such as religious practices, often serves as a way of negotiating personal or cultural identity in an ever changing social milieu (Sandoval 2006, Aponte and De La Torre 2006). This …

Preterm Birth And The Perception Of Risk Among African Americans, Gwendolyn Simpson Norman

Wayne State University Dissertations

Background: African American women deliver preterm at a rate that is two to three times that of their white counterparts, and after decades of research, this disparity in birth outcomes still remains unexplained. While factors including income, education, neighborhood conditions, infection and stress have all been associated with prematurity, no combination of these factors has explained why the disparity persists. Recently, however, racism-specific stress has emerged as a possible factor contributing to this disparity. This study was designed to learn how preterm birth was explained by African Americans directly impacted by prematurity. Methods: Interviews were conducted with African American women …

Crossing The Valley Of Death: A Multi-Sited, Multi-Level Ethnographic Study Of Growth Startups And Entrepreneurial Communities In Post-Industrial Detroit, Marlo Rencher

Wayne State University Dissertations

The intention of this research is to reveal the humanity of the startup experience for American growth companies. What is it about the growth entrepreneurship experience that has been hidden from view? Can we begin to articulate a holistic view of entrepreneurship--including those human universals and culture-bound particulars that must be successfully navigated?

This study is an ethnographic account of three Detroit-based entrepreneurial communities and the people within them. This research examines the sociocultural features of entrepreneurship on three levels. The first level of context for growth businesses to be studied is that of their entrepreneurial community. These communities have …

"Still Here, Trying To Find My Way": Understanding The Experiences Of Hiv Disruption And Reorganization Among Older African Americans In Detroit, Andrea Nevedal

Wayne State University Dissertations

Adults aged fifty and older are the fastest growing age group with HIV/AIDS. Research on older adults with HIV has focused primarily on health status and physiological changes that occur as people age with HIV. However, little is known about the socio-cultural consequences that occur when older adults are diagnosed with HIV and as they age with HIV. Drawing from an anthropological approach to the life course and Becker's (1997) framework of life disruption, this dissertation research explored to what extent people experienced disruption from living with HIV and reorganized their lives after experiencing disruption.

The specific aims included identifying …