Digital Commons Network^™

Cultural Distress: An Emerging Paradigm, Christine Dewilde, Candace W. Burton

School of Nursing Publications

Although cultural competence in practice is a common goal within the health care professions, little is known about the consequences of a lack of such competence in health and healing. We propose a novel theoretical framework of cultural distress to describe patient experiences of and reactions to care that does not incorporate attention to cultural needs. Use of the cultural distress model to guide research offers an innovative framework by which researchers may identify potential interventions such that patients never reach a level of cultural distress.

Sleep And Pain In Older Adults: The Role Of Negative And Positive Affect, Scott Ravyts

Theses and Dissertations

Poor sleep is known to contribute to increased levels of pain. Preliminary findings suggest that negative and positive affect may mediate this relationship. Given that older adults are prone to both sleep disturbance and pain, the main objectives of the present study were to: 1) examine the relationship between sleep and pain in a non-clinical pain sample of community-dwelling older adults and 2) to examine whether negative and positive affect mediate the relationship between sleep and pain. Baseline measures from 82 older adults participating in the Active Adult Mentoring Project (AAMP) were used for secondary data analysis. A daily sleep …

Eminem's Character, Stan: A Bio-Psycho-Social Autopsy, Akeem Sule, Becky Inkster

Journal of Hip Hop Studies

No abstract provided.

Making Movie Money: A 25-Year Analysis Of Rappers' Acting Roles In Hollywood Movies, Tia Tyree

Journal of Hip Hop Studies

No abstract provided.

Addict Rap?: The Shift From Drug Distributor To Drug Consumer In Hip Hop, Calvinjohn Smiley

Journal of Hip Hop Studies

No abstract provided.

White Chicks With A Gangsta' Pitch: Gendered Whiteness In United States Rap Culture (1990-2017), Melvin L. Williams

Journal of Hip Hop Studies

No abstract provided.

Assessing Acquiescence In Surveys Using Positively And Negatively Worded Questions, Amy C. Hutton

Theses and Dissertations

The purpose of this study was to assess the impact of acquiescence on both positively and negatively worded questions, both when unidimensionality was assumed and when it was not. To accomplish this, undergraduate student responses to a previously validated survey of student engagement were used to compare several models of acquiescence, using a priori goodness-offit statistics as evidence for model fit, in order to develop a model that adequately accounted for acquiescence bias. Using a true experimental design, undergraduate students from a variety of classes at a large, urban university were randomly assigned to one of three versions of the …

Belle Isle, Point Lookout, The Press And The Government: The Press And Reality Of Civil War Prison Camps, Marlea S. Donaho

Theses and Dissertations

The study of Civil War prisons is relatively new within the broader study of the Civil War. What little study there is tends to focus on bigger prison camps. It has been established in the historiography that prisoners suffered across the divided nation, but it has not been ascertained how the decisions and policies of the government, as well as the role of the press in those decisions, effected the daily lives of Civil War prisoners. Belle Isle, a Confederate Prison, and Point Lookout, a Union prison, will be analyzed for key differences to provide a fuller picture of life …

“The Heighe Worthynesse Of Love”: Visions Of Perception, Convention, And Contradiction In Chaucer’S Troilus And Criseyde, John J. Hertz

Theses and Dissertations

This thesis examines three images associated with the manuscripts and early printed editions of Chaucer’s Troilus and Criseyde which I have dubbed “Prostrate Troilus,” “Pandarus as Messenger,” and “Criseyde in the Garden.” These images are artifacts of contemporary textual interpretation that “read” Chaucer’s text and the tale of Troilus. They each illustrate the way in which Troilus, Pandarus, and Criseyde “read” images, gestures, symbols, and speeches within the narrative, and they show how these characters are constrained and influenced by their individual primary modes of perception. Troilus reads but does not analyze. Pandarus actively reads his own meanings into messages. …

The Mediating Role Of Mental Health In The Relationship Between Discrimination And Risky Behaviors In Lgbt Adults In Latin America, Annie Rabinovitch

Theses and Dissertations

The study explored relationships among discrimination experiences, mental health (i.e., anxiety symptoms, depression symptoms), risky behaviors (i.e., suicidal ideation, illicit substance use), religiosity, and social support in LGBT adults residing in Latin America. First, multiple regression analyses were conducted to identify patterns of connections among discrimination, mental health, suicidal ideation, and illicit substance use in sexual and gender minority adults from Latin American. Harassment/Rejection discrimination, but neither Work/School nor Other discrimination predicted suicidal ideation. None of the three discrimination subscales predicted illicit substance use. Work/School discrimination predicted mental health problems (Anxiety and Depression subscales of HSCL-25 combined), while Harassment/Rejection and …

The Anatomy Of Cbpr: A Case Study Of Cbpr Implementation For Health Promotion With The Peer Community, Cory R. Cummings

Theses and Dissertations

This case study is a qualitative examination of a health promotion project conducted in collaboration with members of the mental health peer community. More specifically, it explores the community based participatory research (CBPR) implementation process used to conduct this health promotion project to gain a deeper understanding of the mechanisms at work in the implementation process. While there has been considerable attention to the principles that guide CBPR (Braun et al., 2012; Israel et al., 2008; LaVeaux & Christopher, 2009), there remains important work to be done in bridging these principles to implementation; what processes or mechanisms translate these principles …

A Systems View Of Is Governance And It Governance: A Case Study Of The Virginia Department Of Transportation, Bernard Farkas

Theses and Dissertations

A review of the research related to Information Technology (IT) governance reveals that researchers have yet to use systems theory directly as a basis for understanding IT governance; however, analysis of these researchers’ various definitions of IT governance shows a concurrence between these definitions and the characteristics of a system. This case study research adopts a systems imagination to observe IS and IT governance in the Virginia Department of Transportation (VDOT), which has a budget of over $5 billion and over 7,500 employees and has recently conducted a strategic assessment of its IT organization - including IS and IT governance. …

The Development Of The Therapy Process Observational Coding System - In-Session Involvement, Emily J. Wheat

Theses and Dissertations

In-session client involvement (i.e., participation in in-session therapeutic tasks) is hypothesized to be a necessary component of youth therapy and associated with positive outcomes. However, research on in-session client involvement has been slowed by definitional problems. At present, the field has not yet adopted a single definition of client involvement that is applicable across different theoretical orientations, which has impacted the measurement of this construct. To remedy this problem, the field needs to adopt a definition of in-session client involvement that includes important components (i.e., behavioral, affective, and cognitive) of this construct that applies across different theoretical orientations and use …

The Impact Of Chemotherapy And Radiotherapy For Breast Cancer On Cognition And Functional Performance: A Comparative Analysis Of Survey Data Taken At Three Time Points Post-Treatment, Ann Marie Potter

Theses and Dissertations

Cognitive impairment related to treatment for breast cancer, affects as many as 75% of patients in study samples (Jansen, Cooper, Dodd & Miaskowski, 2011). Deficits in the cognitive domains of short-term memory, attention, speed of information processing, judgment, reasoning, spatial attention, and verbal memory have been documented. The extent to which these deficits impact functional performance within this population has not yet been quantified. The purpose of this study was to investigate the impact of breast cancer on self-reported cognition and functional performance in the six months post-completion in two groups of breast cancer survivors, a chemotherapy group and chemotherapy …

Lived Experiences Of School Counselors Who Address Mental Health Needs Through Evidenced-Based Educational Programs, Kelley Yvette Olds

Theses and Dissertations

The purpose of this phenomenological qualitative study was to explore the lived experiences of school counselors who address the mental health needs of students through at least one of the following educational evidenced-based programs: Positive Behavior Intervention and Supports, Response to Intervention, Restorative Practices, and Student Assistance Program. EBPs have evolved as a staple of quality educational programming with a focus on best practices, data, and accountability. Over the past several decades, school counselors have struggled to demonstrate efficiency, accountability, and transparency consistently in counseling outcomes (Generali, Foss-Kelly, & McNamara, 2013). Recent literature in school counseling embraces the movement toward …

Architecture And Memory In Jacques-Louis David’S Sabine Women, Heidi E. Kraus

Art Inquiries

No abstract provided.

Arts: A Guide For Conservators, Curators, And The Curious, Kari Rayner

Art Inquiries

Book review of Arts: A Guide for Conservators, Curators, and the Curious, by Roy S. Berns.

The Lived Experiences Of Academic Advisors With Counseling Degrees In Addressing Wellness With College Student-Athletes, Jennifer M. Gerlach

Theses and Dissertations

The purpose of this qualitative phenomenological study was to investigate the lived experiences of academic advisors who have master’s degrees in counseling in addressing wellness with college student-athletes. Of particular note was to explore if they addressed wellness and, if so, how they addressed wellness. Extant literature is replete with evidence documenting the numerous challenges and stressors student-athletes experience due to their athlete status. Prior to this study, the role of the academic advisor in addressing wellness has not been represented in the literature. This study examined the lived experiences of 10 academic advisors with counseling degrees, or currently enrolled …

Designing Effective Messages To Promote Future Zika Vaccine Uptake, Jeanine Guidry

Theses and Dissertations

The Zika virus is associated with the devastating birth defect microcephaly, and while a vaccine was not yet available in early-2017, several were under development. It is imperative to identify effective communication strategies to promote uptake of a new vaccine, particularly among women of reproductive age. Moreover, though the Zika outbreak has received much social media attention, little is known about these conversations on Instagram. The purpose of this dissertation, therefore, was to understand current Zika-focused communication on Instagram and to inform effective communication strategies to promote future Zika vaccine uptake intent.

The study aims were: (1) explore Zika conversations …

Recognizing Her Characteristics As A Leader: An Examination Of The Self-Assessment Of Women Leaders As Shaped By Social Identity Theory And The Concept Of Double Consciousness, John C. Gregory

Theses and Dissertations

Women leaders are grossly underrepresented in police and Army organizations and relevant research suggests that women face the most significant challenges in reaching leadership positions in male dominant organizations. Although there have been recent policy changes to increase opportunities for women in police and Army organizations, women are still barely represented in senior command and primary staff positions in police and Army organizations. When women are underrepresented, particularly at the most senior ranks, there are implications regarding cultural, structural, and attitudinal challenges that simply should not still exist in these organizations. Using qualitative methods, this study examined the experiences of …

The Tea Party Versus Planning: A Study Of Tea Party Activism And Its Impact On Local Government Planning, Spencer A. Norman

Theses and Dissertations

The Tea Party movement’s effect on local and regional planning in Virginia has received little study. This work identifies how conservative political activism has impacted planning in the Commonwealth and how planners have responded. The study relies on a qualitative approach involving 22 semi-structured interviews with activists, planners, and citizens, as well as textual analyses of planning documents, local and regional news reports, and Tea Party social media. The resultant findings show that Tea Party activism is rooted in deep seated ideals about private property rights and individualism. It also reveals that planning processes that increased the amount of public …

Self-Forgiveness In Romantic Relationships: The Impact On The Perpetrator And The Relationship, Jaclyn M. Moloney

Theses and Dissertations

Two studies were conducted to determine how self-forgiveness and other perpetrator reactions influence the perpetrator and the victim after a romantic relationship transgression. Study 1 used a longitudinal design to determine how guilt and shame predicted the trajectory of self-forgiveness, self-excusing, and self-punishing in participants who had recently been the perpetrator of a romantic relationship transgression.

Those experiencing higher guilt at baseline had higher self-forgiveness starting out and those lower on guilt starting out had a greater change in self-forgiveness. Those experiencing more guilt at baseline experienced less change in self-forgiveness over time. Shame was not significantly related to self-forgiveness …

Undocumented Students In Higher Education: A Case Study Exploring Street-Level Bureaucracy In Academic Advising, Fai Howard

Theses and Dissertations

Immigration is arguably among the most divisive global and national issues at present. In the U.S., undocumented persons (the DREAMers) who arrived to the U.S. as children have been the central focus of legislation and debate. As of 2013, the undocumented population has increased from less than a million in 1980, then reaching 12.2 million in 2006, to an estimated population of 11.3 million (Passel, Cohn, Krogstand, & Gonzalez-Barerra, 2014) just a few short years ago. For the numerous undocumented students who have excelled academically and socially, and make positive contributions to their communities, the goal of obtaining a college …

Ineffable: Latency In Symbolic Languages, Sirah Yoo

Theses and Dissertations

The design process demands comprehensive knowledge of visual signs and symbols with a focus on visual literacy; it is related to visual syntax, semantics, and the pragmatics of contexts. My work is an interdisciplinary investigation into how designers integrate polysemantic signs into their design process for particular and highly individualized audiences. By analyzing the role of signs in specific contexts across the spectrum of arts, society, literature, and semiotics, a designer's understanding of the cyclical nature of interpretation and reinterpretation in complex environments creates an avenue for cultivating a new schema that provides further levels of interpretations and different access …

Structural And Functional Alterations In Neocortical Circuits After Mild Traumatic Brain Injury, Michal Vascak

Theses and Dissertations

National concern over traumatic brain injury (TBI) is growing rapidly. Recent focus is on mild TBI (mTBI), which is the most prevalent injury level in both civilian and military demographics. A preeminent sequelae of mTBI is cognitive network disruption. Advanced neuroimaging of mTBI victims supports this premise, revealing alterations in activation and structure-function of excitatory and inhibitory neuronal systems, which are essential for network processing. However, clinical neuroimaging cannot resolve the cellular and molecular substrates underlying such changes. Therefore, to understand the full scope of mTBI-induced alterations it is necessary to study cortical networks on the microscopic level, where neurons …

The Bamboo Ceiling: A Study Of Barriers To Asian American Advancement, Emily Cheng

UROP Posters

The idea of cultural diversity in the workplace is a popular one, generating much discussion about the inclusion of and affirmative action toward minorities. However, these conversations rarely involve Asian Americans, who despite above-average levels of educational achievement, household income, and employment, find themselves underrepresented in and shut-out of upper-level management positions. In this project, I investigated the stereotype of East-Asian Americans as a model minority (created by non-Asians) to find out why East-Asian Americans are underrepresented in upper-level management in corporate workplaces, a phenomenon known as the “bamboo ceiling.” I explored a variety of scholarly sources that analyzed the …

A Study Of Media Portrayal Of Schizophrenics To Understand How Stigma Associated With Schizophrenia May Be Reversed, Rainielle M. Cua

UROP Posters

The news media are one of the most influential sources of information regarding mental illness. Media coverage on schizophrenia, one of the most stigmatized mental illnesses, tends to be negative, focusing on high risks of violence, failure, and unpredictability. Such perceptions may cause a detrimental impact on the mentally ill and cause them to internalize a stigmatizing stereotype and hinder the public’s understanding of mental illness. I studied how media portrayal in newspaper coverage of schizophrenics has evolved to discover how nonfiction media representation has affected people’s perceptions and attitudes towards schizophrenics and to propose an implementable solution to reduce …

Alexithymia Moderates The Association Between Maternal Depressive Symptoms And Perceived Adolescent Adjustment, Hayne Noh

UROP Posters

Rates of suicide among African American youth are increasing faster than any other ethnic group (Bridge et al., 2015). With mental illness associated with suicide rates, it is essential to understand how symptoms manifest during adolescence. Although the association between maternal depression and poor adolescent adjustment is well established, there is a dearth of evidence examining the impact of maternal alexithymia on adolescent adjustment, particularly among low-income youth. The goal of the study was to elucidate the role of maternal alexithymia (difficulty understanding and expressing emotion) in the association between maternal depressive symptoms and adolescent adjustment within a sample of …

Heme Oxygenase 1 Expression After Traumatic Brain Injury And Effect Of Pharmacological Manipulation On Functional Recovery., Nicholas H. Russell

Theses and Dissertations

Traumatic Brain Injury (TBI) is an increasingly diagnosed constellation of injuries derived from acute mechanical trauma to the brain. With the rise of advanced neuroimaging techniques recent focus has oriented primarily towards the mild-moderate range of TBI which previously was missed diagnostically. Characteristically, these advances have shown increasing areas of micro-hemorrhage in susceptible areas of the brain and to date there are no treatment modalities targeting micro-hemorrhages or their sequelae. This dissertation explores the effects of the resulting heme processing response in the days following injury with a particular focus on inducing early heme clearance from the parenchyma using a …

Implementing Integrated Care In Family Medicine: Description And Outcomes In An Underserved Population, Zach Radcliff

Theses and Dissertations

Introduction: Family physicians provide access to medical and behavioral healthcare for many underserved populations. Integrating behavioral health clinicians into primary care practices has been proposed as one of the most effective ways to increase access to necessary behavioral health services for many Americans. Integrated behavioral healthcare (IBHC) has begun to be implemented in family medicine practices but there is limited research examining the impact for patients and clinic staff. This study begins to fill this gap in the literature by examining the effects of implementing integrated behavioral healthcare in an urban family medicine clinic in a medically underserved area.

Objective: …