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Transgender Identity Development In A Rural Area: A Multiple Case Study, Nicholaus Lee Erber Jan 2015

Transgender Identity Development In A Rural Area: A Multiple Case Study, Nicholaus Lee Erber

Walden Dissertations and Doctoral Studies

A transgender person develops an identity over time and must overcome several obstacles such as stigma, transphobia, discrimination, and sexism, which can be even more difficult for transgender people who choose to come out and transition in a rural area. Grounded in queer theory, social constructivism, and rural identity development theory, the purpose of this qualitative multiple case study was to explore the lived experiences of 4 transgender persons who came out and transitioned in a rural area, and who accessed online communities as a source of information during their identity development. A 4-stage process was used to collect data, …

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Practice Guidelines For Self-Management Of Osteoarthritis Pain In The Home-Based Settings, Oyesola Omowunmi Akintan Jan 2015

Practice Guidelines For Self-Management Of Osteoarthritis Pain In The Home-Based Settings, Oyesola Omowunmi Akintan

Walden Dissertations and Doctoral Studies

Osteoarthritis (OA) is a debilitating chronic illness that can prevent older adults from accomplishing their activities of daily living or ambulate without pain. The project's purpose was to develop and disseminate multidisciplinary educational practice guidelines to nurses for use in older homebound male Veteran's Administration OA patients to improve home-based pain management and self-care preventative strategies. Orem's theory of self-care management constituted the theoretical framework. The design was a quality improvement project and involved formation of 6 panels of interdisciplinary teams who reviewed the American Society of Anesthesiologist (ASA) and Osteoarthritis Research Society International (OARSI) guidelines. The ASA and OARSI …

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Secure-Base Caregiving And Adult Attachment Development Within The Client-Psychotherapist Relationship, Dennis A. Weeks Jan 2015

Secure-Base Caregiving And Adult Attachment Development Within The Client-Psychotherapist Relationship, Dennis A. Weeks

Walden Dissertations and Doctoral Studies

Recent studies have shown significant improvements in the attachment security of adult therapy clients during therapy, supporting Bowlby's theory that such improvement can be influenced by secure-base caregiving provided by mentors such as therapists. However, because these studies did not measure the secure-base variable, its relationship to client attachment development remains unknown. The present study is the first to evaluate that relationship by measuring clients' pre and posttherapy attachment security using the Relationship Scales Questionnaire and therapists' secure-base caregiving using the Client Attachment to Therapist and Working Alliance Inventory, Short Form. Of 21 initially insecure client participants, 17 experienced high …

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Cortisol Levels And Voltage Conditions Of College Students, Adriana Steffens Jan 2015

Cortisol Levels And Voltage Conditions Of College Students, Adriana Steffens

Walden Dissertations and Doctoral Studies

There is a limited research base on low voltage brain conditions, which are characterized by electrical activity being measured at below 20 microvolts. The purpose of this study was to examine the relationship between saliva cortisol levels and voltage using an EGG in a college student population. Illuminating this relationship is important to inform how low voltage conditions can affect daily memory and cognitive functioning of undergraduate college students that may be a result of stress. The college student population may be vulnerable to the low voltage condition because of stress from the transition between teenage and adult life and …

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The Influence Of The Ready Intelligence Program On Crewmembers' Perception Of Proficiency In An Air Force Weapon System, James Martin Bane Jan 2015

The Influence Of The Ready Intelligence Program On Crewmembers' Perception Of Proficiency In An Air Force Weapon System, James Martin Bane

Walden Dissertations and Doctoral Studies

A lack of evaluation and evidence of effectiveness prompted this study of the Distributed Common Ground System's (DCGS) proficiency maintenance tool, Ready Intelligence Program (RIP). The goal was to close the gap between research and practice and inform stakeholders at the local Distributed Ground Station (DGS) of evaluation results. Guided by a logic model as the theoretical foundation, this study examined how proficiency is perceived by DCGS crewmembers because of RIP at a military installation with intelligence, surveillance, and reconnaissance missions. This qualitative study used an outcomes-based program evaluation report based on interviews with 5 crewmembers, observations of program participant …

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Police Perceptions And Decision Making Related To Domestic Minors Trafficked Through Prostitution, Donna Sue Belin Jan 2015

Police Perceptions And Decision Making Related To Domestic Minors Trafficked Through Prostitution, Donna Sue Belin

Walden Dissertations and Doctoral Studies

In spite of a paradigm shift redefining domestic minors trafficked through prostitution as victims instead of criminal offenders, many police officers experience uncertainty in the way they evaluate the nature of domestic minor sex trafficking (DMST) and assess the culpability status of prostituted minors. This problem often results in revictimizing children and hindering their ability to access needed services. The purpose of this multiple case study was to explore police officers' perceptions of minors engaged in prostitution and derive an understanding of the experiences, beliefs, and values that underlie these perceptions. The study also focused on how these factors influence …

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Perceived Self-Efficacy Of Secondary General Education Teachers In The Inclusion Classroom, Pamela Sime-Cummins Jan 2015

Perceived Self-Efficacy Of Secondary General Education Teachers In The Inclusion Classroom, Pamela Sime-Cummins

Walden Dissertations and Doctoral Studies

Teacher self-efficacy (TSE) has been linked to the academic success of students. This association has been found in contexts where teachers have received training relevant to working with the student population being served. In the suburban Pennsylvania school district targeted in this study, there was little district-sponsored professional development (PD) available to general education teachers regarding strategies for teaching students with disabilities in the inclusion setting. The purpose of this quasi-experimental study was to determine whether a difference exists in perceived TSE when instructing in the inclusion setting compared with the traditional setting, and whether an association exists linking prior …

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Predictors Of Community Supervision Failures Among Female Offenders, Fayola Wolfe Jan 2015

Predictors Of Community Supervision Failures Among Female Offenders, Fayola Wolfe

Walden Dissertations and Doctoral Studies

This study explored the predictors of community supervision failures amongst female offenders in the United States criminal justice system. Female offenders have, in comparison with male offenders, particular challenges for community reintegration. This study used the relational theory and Maslow's hierarchy of needs theory to investigate the effects of childhood trauma on adult female offenders' behaviors, including substance use disorder and mental health issues. Secondary archival data were obtained from the Court Services and Offender Supervision Agency's AUTO Screener and Supervision and Management Automated Record Tracking System; this data pool included information on 1,085 female offenders who had served at …

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A Couple’S Marital Disharmony And Its Psychological Effects On Their Children During The Hiv Disclosure Process In Kenya, Grace Gachanja Jan 2015

A Couple’S Marital Disharmony And Its Psychological Effects On Their Children During The Hiv Disclosure Process In Kenya, Grace Gachanja

Walden Faculty and Staff Publications

Limited published data exists on how HIV-positive parents perform disclosure to all their children. A couple’s HIV disclosure experience to all their children is presented. They participated in a larger study conducted to understand the lived experiences of HIV-positive parents and their children during the disclosure process. Each underwent individualized in-depth semi-structured interviews. Interviews were transcribed and transferred into NVivo 8 for analysis using the Van Kaam method. Three themes emerged including HIV testing, full disclosure delivery accompanied by marital disharmony, and postdisclosure psychological effects on the family. Marital disharmony and non-involvement of the father caused the mother to fully …

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Natural Labor Pain Management, Debora Henline Sullivan, Courtney Mcguiness Jan 2015

Natural Labor Pain Management, Debora Henline Sullivan, Courtney Mcguiness

Walden Faculty and Staff Publications

There is a current trend toward natural pain management in labor, and pregnant women will seek the guidance of childbirth educators to make qualified decisions. The childbirth educator bases practice on the most current evidence; however, natural pain management in labor is not well studied. This paper offers information and current evidence as well as a story that illustrates the use of many natural or complementary and alternative medical therapies used in pain management during labor.

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Speaking Their Language: Integrating Social Media Into Childbirth Education Practice, Deborah Weatherspoon, Christopher Weatherspoon, C. Ristau Jan 2015

Speaking Their Language: Integrating Social Media Into Childbirth Education Practice, Deborah Weatherspoon, Christopher Weatherspoon, C. Ristau

Walden Faculty and Staff Publications

With the advancement of modern technology, the internet has become a standard platform for many forms of communication and education. The majority of pregnant females fall into the cohort known as Millenials and have experienced technology since early in life. Millenials consider technology as part of their everyday life and use it for personal interaction or a source of information. The established comfort with the use of technology combined with busy lifestyles, multiple commitments, transportation costs or logistics, childcare, or a desire for privacy, support the use of perinatal online learning. This article examines options that childbirth educators may consider …

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Cyp2a6 Polymorphisms May Strengthen Individualized Treatment For Nicotine Dependence, Yawo M. Akrodou Jan 2015

Cyp2a6 Polymorphisms May Strengthen Individualized Treatment For Nicotine Dependence, Yawo M. Akrodou

Walden Faculty and Staff Publications

Each CYP2A6 gene variant metabolizes nicotine differently depending on its enzymatic activities. The normal nicotine metabolizer CYP2A6*1A is associated with high scores of nicotine dependence (5-10) on the Fagerström Test for Nicotine Dependence (FTND) scale because it encodes for enzymes that catalyze nicotine 100%. Slow nicotine metabolizers (i.e., CYP2A6*1H, CYP2A6*4A, CYP2A6*9, and CYP2A6*12A) are associated with underrated nicotine metabolizing activity (50%-75%), linking them to low scores for nicotine dependence (0-4) on the FTND scale. In a clinical trial involving the use of bupropion, people who were carriers of slow nicotine metabolizers were found to have a tendency to maintain abstinence …

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Disruptive Mood Dysregulation Disorder, Brandy L. Gilea, Rachel M. O’Neill Jan 2015

Disruptive Mood Dysregulation Disorder, Brandy L. Gilea, Rachel M. O’Neill

Walden Faculty and Staff Publications

Disruptive mood dysregulation disorder (DMDD), a new diagnosis in The Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM–5; American Psychiatric Association [APA], 2013), is characterized by chronic, severe persistent irritability in children and adolescents. DMDD was added to the DSM-5, in part, to address concerns about potential over-diagnosis and overtreatment of bipolar disorder in children (APA, 2013). DMDD characterizes behavior that is considered outside of the normal range of childhood behavior; the major features of this disorder include severe recurrent temper outbursts manifested verbally (e.g., verbal rages) and/or behaviorally (e.g., physical aggression toward people or property) that are …

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Reducing Challenging Behaviors In Intellectually Disabled Individuals: A Comparison Of Organizational Culture And Treatment Approach, Frances Mascolo-Glosser Jan 2015

Reducing Challenging Behaviors In Intellectually Disabled Individuals: A Comparison Of Organizational Culture And Treatment Approach, Frances Mascolo-Glosser

Walden Dissertations and Doctoral Studies

The deinstitutionalization of the intellectually disabled (ID) and their transition to community living in New York State necessitated training initiatives for staff to manage challenging behaviors safely and humanely. However, the use of physical interventions to control self-injury and physical aggression may have become organizationally habituated, and limited research has compared programs that use physical versus nonphysical interventions. This mixed-method, comparative case study compared a restraint-free day habilitation program with one that used physical interventions, examining the differences in reducing self-injury, aggression, and types of interventions applied. Qualitative differences in philosophical approach to behavior intervention strategies and staff training protocols …

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Using Sustainable Development As A Competitive Strategy, Pat Spearman Jan 2015

Using Sustainable Development As A Competitive Strategy, Pat Spearman

Walden Dissertations and Doctoral Studies

Sustainable development reduces construction waste by 43%, generating 50% cost savings. Residential construction executives lacking adequate knowledge regarding the benefits of sustainable development practices are at a competitive disadvantage. Drawing from the diffusion of innovation theory, the purpose of this qualitative case study was to explore knowledge acquisition within the bounds of sustainable residential construction. The purposive sample size of 11 executive decision makers fulfilled the sample size requirements and enabled the extraction of meaningful data. Participants were members of the National Home Builders Association and had experience of a minimum of 5 years in residential construction. The research question …

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Weight Management Counseling And Obesity Severity In Children With Special Health Care Needs, Adeola Sonaike Jan 2015

Weight Management Counseling And Obesity Severity In Children With Special Health Care Needs, Adeola Sonaike

Walden Dissertations and Doctoral Studies

Epidemiologic surveillance indicates an increased susceptibility to obesity among children with special health care needs (SHCN) in comparison to children without. The present study investigated this disparity in weight severity between both groups, with a focus on the provision of obesity management counseling by physicians. This study consisted of a retrospective medical record review that acknowledged the effect of patient-provider interactions on health behaviors and risk perceptions. An independent sample t test compared the incidence of clinician-initiated obesity management counseling received by children with SHCN to that which was received by children without SHCN. This t test revealed a statistically …

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Program For Healthcare Personnel To Improve Anti-Hypertensive Medication Adherence In Black Adults, Verena D. Johnson Jan 2015

Program For Healthcare Personnel To Improve Anti-Hypertensive Medication Adherence In Black Adults, Verena D. Johnson

Walden Dissertations and Doctoral Studies

Medication nonadherence is a healthcare problem that costs the United States billions of dollars annually. The purpose of this project was to propose an evidence-based program for healthcare personnel to increase the rate of medication adherence in hypertensive Black adults who require daily, oral medication. The transtheoretical model of change was used to explain the process of change and to identify approaches to changing non-adherent behaviors related to medications. Motivational interviewing was used to explain the process that nurse-educators would use to guide patients through the stages of change. In the initial step of this quality improvement program, a convenience …

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A Mindfulness-Based Stress Reduction Psychoeducational Program In Postpartum Support Groups, Marina Pesserl Jan 2015

A Mindfulness-Based Stress Reduction Psychoeducational Program In Postpartum Support Groups, Marina Pesserl

Walden Dissertations and Doctoral Studies

Postpartum Depression (PPD) affects 15% of women after childbirth. Its etiology includes psychoneuroimmunologic factors with long-lasting postpartum stressors that lead to allostatic overload. Using mindfulness-based stress reduction (MBSR) for PPD has not yet been studied. Addressing this literature gap, the potential benefits of including an 8-week MBSR component based on Beck's theory of PPD at support groups were examined in this phenomenological study based on a sample of 10 women and 2 group facilitators. Purposes of the study included describing the experience of PPD and the MBSR program, identifying the stage of behavioral change of the participants, and describing the …

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Are Associations Between Parenting Style And Academic Achievement Moderated By Ethnicity And Individualism-Collectivism?, Thiago L. De Oliveira Jan 2015

Are Associations Between Parenting Style And Academic Achievement Moderated By Ethnicity And Individualism-Collectivism?, Thiago L. De Oliveira

Walden Dissertations and Doctoral Studies

Researchers have long been concerned in documenting the nature of associations between parenting styles and academic achievement in adolescents. Social learning theory has shown how domains such as individualism, collectivism, and ethnicity are associated with parent behavior. Research suggests compatibility between individualism and authoritative parenting and collectivism with authoritarian parenting styles, which could have critical implications in the relationship between parenting styles and academic achievement. Despite the robust research on parenting styles, no research has investigated the moderating roles of individualism and collectivism. Thus, the purpose of this study was to determine the associations between parenting style and academic achievement …

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Student Perceptions Of Biology Teachers' Interpersonal Teaching Behaviors And Student Achievement, Victor N. Madike Jan 2015

Student Perceptions Of Biology Teachers' Interpersonal Teaching Behaviors And Student Achievement, Victor N. Madike

Walden Dissertations and Doctoral Studies

Inadequate student-teacher interactions in undergraduate courses have been linked to poor student performance. Researchers have noted that students' perceptions of student-teacher relationships may be an important factor related to student performance. The administration of a Mid-Atlantic community college prioritized increasing undergraduate biology student performance. The purpose of this quantitative study was to examine the relationship between students' biology achievement and their perceptions of interpersonal teaching behaviors and student-teacher interactions in introductory biology courses. Leary's theory on interpersonal communication and the systems communication theory of Watzlawick, Beavin, and Jackson served as the theoretical foundation. The Wubbel's Likert-scale questionnaire on student-teacher interactions …

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Effects Of Education On Victims Of Domestic Violence, Julette N. Anderson Jan 2015

Effects Of Education On Victims Of Domestic Violence, Julette N. Anderson

Walden Dissertations and Doctoral Studies

The purpose of this project was to improve support for victims of domestic violence. To that end, this project developed an evidence-based program to provide information about domestic violence including safe and confidential ways to seek assistance, rights as cohabiting intimate partners, and the resources available to community members. Several approaches were used to develop, validate, and plan for implementation and evaluation of this program, which was developed for 3 sites in Broward and Miami-Dade counties where the project is situated. The program logic model and the social ecological model, including the individual, relationship, community, and societal levels, were used …

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Perceptions Of Middle School Bystanders To Bullying Incidences, Elizabeth Walden Beasley Jan 2015

Perceptions Of Middle School Bystanders To Bullying Incidences, Elizabeth Walden Beasley

Walden Dissertations and Doctoral Studies

Bullying permeates all grade levels in schools. Despite antibullying initiatives implemented in a Midwest school district, bullying continued to occur. One aspect of bullying that is not often examined is the perceptions of bystanders, especially at the middle school level. The purposes of this quantitative survey design study were to examine (a) the frequency and level of bullying by grade level, (b) the relationship between middle school bystanders' willingness to intervene and grade level, and (c) perceptions of bullying interventions and grade level. Latané and Darley's bystander effect theory was the theoretical framework for this study. Descriptive statistics and chi-square …

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Teacher Perceptions Of Administrative Involvement In Transfer Of Training, Stephanie Michelle Heflin Jan 2015

Teacher Perceptions Of Administrative Involvement In Transfer Of Training, Stephanie Michelle Heflin

Walden Dissertations and Doctoral Studies

This study district provides ongoing professional development for teachers; however, there was little evidence that transfer of training was occurring and it was unclear whether the administrator role could improve the implementation of learning from professional development. The purpose of the study was to examine teachers' perceptions of administrative involvement in professional development in order to identify indicators that could strengthen nonevaluative, collaborative relationships leading to higher rates of transfer. The central research question focused on teachers' perceptions of the roles of administrator-as-evaluator and administrator-as-collaborator and whether collaboration might influence transfer of training for teachers as they strive to improve …

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Knowledge Of Diabetes Mellitus And Health-Preventive Behaviors Among African American Adults, Wanka Ndifor Jan 2015

Knowledge Of Diabetes Mellitus And Health-Preventive Behaviors Among African American Adults, Wanka Ndifor

Walden Dissertations and Doctoral Studies

The purpose of this study was to gain insight into the risk within the African American population of developing diabetes, its complications, and the benefits associated with timely management and treatment of diabetes. The study also looked at how such knowledge may be related to preventive health behaviors. The Risk Perception Survey-Developing Diabetes and the Behavioral Risk Factor Surveillance System questionnaires were employed in this study. The theoretical basis of this study was the health belief model. This was a cross sectional, quantitative study with 126 participants. Descriptive analysis was employed to calculate the mean scores and frequencies across each …

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Borderline Personality Disorder: The Frequency Of Disclosure And The Choice To Disclose, Laci Marie Rumpza Jan 2015

Borderline Personality Disorder: The Frequency Of Disclosure And The Choice To Disclose, Laci Marie Rumpza

Walden Dissertations and Doctoral Studies

The goals of this study were threefold: (1) to identify what percentage of psychologists and clinical social workers disclose the diagnostic label BPD to their patients, (2) to identify factors that influence disclosure, and (3) to gather data about the choice to disclose or not to disclose. The MUM effect was used as the theoretical framework. A sequential explanatory mixed methods design including an online survey was used during the first phase. A total of 125 psychologists and 45 social workers participated in the Phase 1 of the study. The majority of participants stated that they either always or usually …

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How Discourse In Public Community College Documents Supports The Learning College Philosophy, Terri Ackland Jan 2015

How Discourse In Public Community College Documents Supports The Learning College Philosophy, Terri Ackland

Walden Dissertations and Doctoral Studies

Since the late 1990s, community colleges have changed strategies to enhance student success, moving from a traditional faculty-focused teaching model to a student-focused learning paradigm using O'Banion's 6 college learning principles to define and guide the learning college model. However, it is unclear how much the model is being used by community colleges or shared with stakeholders. The learning college model, supported by transformational language research on decision making and innovative thinking, provided a conceptual framework for this discourse analysis study. The purpose of this study was to discover the extent to which the language of the learning college model …

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Impact Of Inclusion Teachers' Mathematics Anxiety And Mathematics Self-Efficacy On The Mathematics Achievement Of Learning Disabled Students, Vladimir Sylne Jan 2015

Impact Of Inclusion Teachers' Mathematics Anxiety And Mathematics Self-Efficacy On The Mathematics Achievement Of Learning Disabled Students, Vladimir Sylne

Walden Dissertations and Doctoral Studies

Learning disabled (LD) students are put in inclusion classrooms in order to experience the mainstream environment and to receive the same level of education as their regular education counterparts. Unfortunately, LD students do not always get the mathematics education that they deserve because inclusion mathematics teachers are not required to be highly qualified in mathematics. The focus of this study was on the relationship between mathematics anxiety and self-efficacy of inclusion teachers and the academic achievement of the LD students they serve. The theoretical framework of this study involved the concepts of student achievement, teacher efficacy, mathematics anxiety, and best …

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The Role Of Childhood Trauma And Methamphetamine-Induced Violence In Women, Ashley Kennedy Ibbotson Jan 2015

The Role Of Childhood Trauma And Methamphetamine-Induced Violence In Women, Ashley Kennedy Ibbotson

Walden Dissertations and Doctoral Studies

Victims of childhood trauma are vulnerable to substance abuse due to their inability to develop coping skills following trauma, which can lead to criminal and violent behavior. Guided by the ecodevelopmental theory, this phenomenological study attempted to relate the perceived experiences of violent behaviors as a result of methamphetamine use in women to the types of childhood trauma the women experienced. Fourteen women were recruited using purposive sampling in collaboration with the South Brunswick Counseling Center, based on inclusion criteria that included being over the age of 18; having abstained from methamphetamine use for at least a year; having experienced …

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A Case Study Of Respect Among Young Urban African American Men, Morgan Zenobia London Jan 2015

A Case Study Of Respect Among Young Urban African American Men, Morgan Zenobia London

Walden Dissertations and Doctoral Studies

Many young adult African American men living in urban areas adopt a style of self-presentation known as the gangsta image in an attempt to earn and maintain what they may perceive to be respect, self-esteem, and social status. While these young men succeed in earning the respect of their peers, they also may jeopardize their chances of succeeding in mainstream society by engaging in an alienating lifestyle related to their alternative form of status. The purpose of this case study was to explore the concepts of respect and self-esteem as defined by a culture-sharing group of young African American men …

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Teacher Interventions Based On Childhood Bullying Experiences, Marcia Rushin Teemer Jan 2015

Teacher Interventions Based On Childhood Bullying Experiences, Marcia Rushin Teemer

Walden Dissertations and Doctoral Studies

Guided by Premack and Woodruff's theory of the mind and Bandura's social learning theory, this qualitative study examined the issue of bullying at school, and whether teachers' childhood experiences of bullying had effects on how they, as adults, handled bullying situations in their classrooms. Convenience sampling was used to administer the Bauman, Rigby, and Hoppa Handling Bullying Questionnaire to 22 middle school educators with three or more years of teaching experience at the participating school, to determine their responses to bullying scenarios. Twelve educators completed the questionnaire. Data collected from the questionnaire were analyzed for frequencies of responses. Teachers' responses …

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