Digital Commons Network^™

Therapists' Handling Of Secrets Between Partners In Couple Therapy, Michael Alan Jansen

Dissertations

This study examines couple therapists' policies, procedures, and perspectives regarding secrets between partners in couple therapy. Handling secrets appropriately is necessary to avoid legal, ethical and therapeutic problems, especially when the secret involves contentious or potentially dangerous material such as infidelity, divorce, paternity, and HIV/AIDS infection. One hundred sixty randomly selected Clinical Members of the AAMFT participated in a 38-question researcher-generated mail survey. Data provided descriptive statistics and allowed for between-groups comparisons to explore for differences between therapists with regard to experience and several specific practices related to handling secrets. The study also examined whether courses in HIV/AIDS confidentiality law …

Creating A Culture Of Safety: The Influence Of Medical Simulation On The Attitudes Of Surgical Team Members, Diane J. Jones

Dissertations

The objective of this study was to determine change in individual and aggregate attitudes of the members of two subspecialty surgery teams (cardiac and vascular) in six domains (teamwork climate, safety climate, job satisfaction, stress recognition, perception of management, and working conditions) following medical team simulation and debriefing exercises. The study was a pre-post partially randomized controlled, quasi-experimental study that took place in a 545-bed hospital with a high-volume cardiovascular surgery program. Participants included interdisciplinary team members caring for cardiac and vascular surgery patients.

Main outcome measures included change in responses to safety attitudes questionnaires (SAQs) administered before, 1 week …

Systematic Study Of The Validity Of Clinical Performance Assessments In Entry-Level Athletic Training Education, Gayle A. Thompson

Dissertations

PPerformance assessment (PA) is essential to determining the competency of clinical skills in allied health education, yet little research has been conducted to determine what validity evidence supports the interpretations made from PA currently utilized in athletic training clinical education. This study examined current PA practice and associated effectiveness of PA used by athletic training clinical practicum course instructors. Current research suggests the most predominant method of PA utilized in athletic training follows a behavioral approach that emphasizes observation of specific skills in standardized ways, as exemplified by the 'check-list' method. An alternative to the behavioral approach is the holistic …

Retaining Exploring Students: A Comparison Study Of Decided And Undecided College Students, Betty D. Dennis

Dissertations

U.S. four-year institutions graduate fewer than 50% of its first-time, full-time, degree-seeking students within six years Today, improving college student retention and graduation rates is a primary focus of higher education nationwide. Scholars have found that students who enter college undecided and are still exploring majors need a great deal of support to be retained. Research has also demonstrated that between 20% and 50% of entering freshmen have not selected a major course of study and that colleges and universities are concerned these students are at a higher risk of leaving the institution. What is unclear is whether selecting a …

The Social Construction Of Linguistic Reality: A Case Study Exploring The Relationships Among Poverty, Race, And Remediation In An Urban Community College, Rosemary Robinson Jackson

Dissertations

No abstract provided.

A Mixed Methods Analysis Of The Concept Of Female Sexual Health, Laura C. Ford

Dissertations

The theoretical concept of health includes the ability to function physiologically, perceive a state of wellness, participate in social relationships, and be disease-free. Currently, the medical field approaches sexuality from a disease prevention and treatment perspective. Female sexual health must be understood holistically (i.e., emotionally, sociologically, and physiologically) for healthcare providers to help their patients optimize their sexual health; however, little research has been conducted from a holistic perspective. This study's purpose was to begin an exploration of the meaning of female sexual health.

This study utilized focus groups and a survey to explore the concept female sexual health as …

An Investigation Of Relationship Characteristics, Exercise And Physical Activity, Couple And Life Satisfaction, Mark W. St. Martin

Dissertations

Exercise has been shown to be positively related to many different variables including sexual satisfaction, mental health, and physical health. These variables, in turn, have been linked to increased life satisfaction and couple satisfaction. The primary purpose of this study was to examine the relationships between exercise and couple satisfaction as well as exercise and life satisfaction. A secondary purpose was to replicate previous findings on the relationships between communication, love, sexual satisfaction, self-esteem, and physical health and couple satisfaction.

A total of 229 undergraduate and graduate students from a large Midwestern university in the United States participated in this …

A Study Of Intake And Assessment In Solution-Focused Brief Therapy, Christopher J. Richmond

Dissertations

The purpose of this study was to compare clients' assessment of two different counseling intake procedures used by clinicians. This study compared a Solution-Focused Brief Therapy (SFBT) intake intervention with an intake intervention constructed from the Structured Clinical Interview for the DSM-IV Axis I Disorders (SCID-I). The SCID-I is one of the most widely used diagnostic interviews and reflects a "gold standard" in formulating accurate diagnoses. The SFBTintake intervention developed for this study stands in stark contrast to the SCID-I and its primary objective, evaluation of the problem. SFBT is a strength-based model that maintains a positive and future-oriented focus. …

The Effects Of Acute Nicotine Abstinence On Vigilance And Verbal Memory In Non-Diagnosed Smokers, David W. Ayer

Dissertations

Research has shown a differential prevalence of smoking in the schizophrenic population compared to other psychiatric and non-diagnosed populations. The three most commonly investigated reasons for this differential prevalence in schizophrenics are: the self-medication hypothesis, side effects hypothesis, and sociological hypothesis. The self-medication hypothesis which proposes that schizophrenics smoke at a higher rate to ameliorate cognitive deficits is the most substantiated by the research. Of current interest is the possible role of nicotine in improving performance on vigilance and verbal memory, the two areas shown to be most related to impaired social functioning in schizophrenics. It is difficult to make …

Evaluating The Effectiveness And Benefit-Cost Of Michigan Background Check Program Using Crime Opportunity Theory, Judith Brown Clarke

Dissertations

Elderly persons in long-term care settings are exceptionally vulnerable to abuse, neglect, and exploitation necessitating special protective measures by criminal justice, social services, and health care agencies. In 2006, 28.6% of Michigan households with a family member in long-term care reported that person having experienced one or more forms of abuse including physical, caretaking, verbal, emotional, neglect, sexual, and exploitation (Post, 2006). Criminal justice agencies were scrambling to identify programs aimed at reducing elder abuse in long-term care. Michigan was selected as one of seven states designated as a federal pilot test site. As a result, the Michigan Background Check …

Behavioral, Attitudinal, And Decision-Altering Effects Of Aggressive Video Games On Young Adults, Kent Smallwood

Dissertations

Each year, interactive video game technology becomes more and more advanced, offering more lifelike environments, immersive experiences, and realistic situations in which the player must decide how to act. As a result of these technological advancements, the violent content in video games has become increasingly realistic and graphic. Unlike the passive viewing experience of television, video game players adopt roles in which they initiate actions and direct the progression of video game experience. In these active roles, they may engage in and be rewarded for violent acts against fictitious video game characters or other online players. Furthermore, the videogame industry …

A Qualitative Exploration Of First-Generation Asian Indian Women In Cross-Cultural Marriages, Monica Thiagarajan

Dissertations

The literature on Asian Indian women has not adequately addressed the experiences that first generation Asian Indian women face while going through the process of making the decision to marry cross-culturally. The purpose of this exploratory study was to identify, describe, and understand the struggles, challenges, and conflict experienced by Asian Indian women who decide to marry cross-culturally and to understand the consequences of the decision on the lives of these women and their interpersonal relationships.

Initial and follow-up phone interviews were conducted with eight Asian Indian women who had experienced cultural and familial challenges regarding their decision to marry …

Vygotsky’S Theory Of The Creative Imagination: A Study Of The Influences On Preservice Teachers’ Creative Thinking Capacities, Stephen J. Worst

Dissertations

This study investigated the effect of formal instruction in the use of creative thinking skills on preservice teachers' capacities for increased creative activity. It emerged from Vygotsky's theory of the creative imagination. Emphasizing the impact of formal schooling on the growth of creative activity, he implied that individuals who are continually adding to accumulation of knowledge develop an abundant imagination from which creativity flows.

This quantitative study used a quasi-experimental design and attempted to test Vygotsky's assumptions within a sample population of 113 preservice teachers. Torrance Tests of Creative Thinking served as the pre- and post-tests that measured the creative …

Attitudes Toward And Knowledge Of Affirmative Action In Higher Education, Erika Ann Carr

Dissertations

Affirmative action has become an increasingly important topic in higher education because colleges and universities are key battlegrounds regarding how affirmative action policies are enacted. Senior-level higher education administrators have historically taken the lead in shaping affirmative action policies in higher education, and knowing their own community's standpoints on the policies could assist them in deciding how to proceed in defending affirmative action in the face of increasing opposition.

This study measures individuals' attitudes toward and knowledge of affirmative action within one university in the state of Michigan, where affirmative action was banned through a state-wide election in November 2006. …

Gender Disparity In Nigerian Education: Women’S Experience Of Barriers To Equal Educational Opportunity, Eugene Okoli

Dissertations

Discrepancies between males and females in access to schooling, school completion rates, and participation in employment opportunities are still more the norm in some regions of the world than others. Limited access to education plagues women in Nigeria as well as in Sub-Saharan Africa. Disparity in access to educational opportunity is a pressing gender equity issue in Nigeria (World Bank, 2003).

Relatively few studies have focused on obtaining the viewpoints of women who experience this phenomenon. To hear the voices of these women regarding how they gained or were denied access to education in the Nigerian context, a cross-section of …

Michigan Elementary School Facility Quality And Its Impact On Student Achievement, Brett A. Geier

Dissertations

Studies on school facility quality and its impact on student achievement have been conducted throughout the nation with varying results. Some studies conclude a significant relationship exists between facility condition and student achievement, while others refute this potential phenomenon. Much of the research concludes that not enough analyses have been conducted to make appropriate generalizations. This research study focused on the condition ofelementary schools in Michigan and utilized the Michigan Educational Assessment Program (M.E.A.P.) examinations in reading and mathematics at the third, fourth and fifth grade levels as the dependent variable to assess the relationship between building condition and student …

Effects Of Job Stereotype, Applicant Gender, And Powerful And Powerless Speech Styles On Telephone Interview Outcomes, Heather Deanna Palmer Mcfarland

Dissertations

By examining the effects of powerful and powerless speech styles, gender stereotyped jobs, and gendered voices during the employment interviewing process, this study sought to further the research of Parton (1996); Parton, Siltanen, Hosman, and Langenderfer (2002); and Juodvalkis, Grefe, Hogue, Svyantek, and DeLamarter (2003). This study was designed to further explore the possibility of longitudinal changes within acceptable communicative expectations during telephone job interviewing. Participants (undergraduate and professional) listened to two audio taped interviews manipulated by speech style, stereotyped job title, and interviewee gender. Variables were evaluated on semantic differential scales following the previous work of Parton (1996). Similar …

Developing Literacy Practices Through Digital Storytelling, Therese Marie Kulla-Abbott

Dissertations

This qualitative study explored the use of multimedia and traditional literacy to answer the question: ?How does creating a ?digital story? impact children?s literacy skills?? Forty-three seventh-grade students from a Midwestern school created a series of three digital stories over the course of several months implementing creative, narrative and persuasive writing. These digital stories utilized the grade level curriculum, integrating communication arts, social studies, science, and technology. The purpose of this study was to better understand how literacy skills were impacted through the use of digital storytelling. This understanding will be used to inform improvements in instruction of writing, story …

The Role Of Communication Channel, Feedback Valence And Cultural Differences In Performance Appraisal Outcomes, James C. Matchen

Dissertations

The effects of feedback valence (positive or negative) across culture (Individualistic or Collectivistic) for both the verbal and nonverbal communication channels on performance appraisal outcomes were investigated. It was hypothesized that participants would react differently to the performance appraisal they received based on (1) their own cultural values and on (2) the valence of the verbal feedback and nonverbal feedback provided by the manager. Main effects of both verbal feedback valence and nonverbal feedback valence were predicted and found. Participants reported more positive reactions to both the performance appraisal process and to the manager after receiving positive feedback than after …

Nurturing Peace: United Nations Peacebuilding Operations In The Aftermath Of Intrastate Conflicts, 1945-2002, Duk Hyang Kim

Dissertations

After World War II, intrastate conflicts rapidly replaced interstate conflicts as the dominant threat to international peace and security, a trend that has become all the more evident in the post-Cold War era. Given the prevalence of civil wars, there is increasing awareness of the need for post-conflict settlement procedures, development of local capacity for conflict resolution, and long-term peacebuilding efforts. In his 1992 An Agenda for Peace, former UN Secretary General Boutros Boutros-Ghali encouraged the international community to take responsibility for the full range of post-conflict management roles by introducing ?post-conflict peace-building.? Even though the term ?peacebuilding? did not …

Structural Models Of Comorbid Anxiety And Depression In A Primary-Care Older Adult Sample: Effect Of Medical Illness Severity, Threat, Chronicity, And Progressiveness On Model Fit, William Michael Palmer

Dissertations

Recent research suggests that anxiety disorders may be more common in later life than previously thought. Among other factors, the presence of comorbid mood disorders and medical illness confounds accurate assessment and diagnosis of these conditions in the elderly. There have been few studies, however, examining the structural relationships between anxiety and depression with older-adult samples, and even fewer have considered the effect of medical illness on these relationships. This study examined three established structural models of anxiety and depression, using a clinical sample of older adults seeking treatment in a primary-care setting (N = 2,163). It was hypothesized that …

Designing Multimodal Interaction For The Visually Impaired, Xiaoyu Chen

Dissertations

Although multimodal computer input is believed to have advantages over unimodal input, little has been done to understand how to design a multimodal input mechanism to facilitate visually impaired users' information access.

This research investigates sighted and visually impaired users' multimodal interaction choices when given an interaction grammar that supports speech and touch input modalities. It investigates whether task type, working memory load, or prevalence of errors in a given modality impact a user's choice. Theories in human memory and attention are used to explain the users' speech and touch input coordination.

Among the abundant findings from this research, the …

Cognitive Vs. Supportive Therapy For Distressed Collegians, Jean Clore

Dissertations

Rates of depressive symptoms, psychological distress, and low self-esteem appear to be growing on college campuses. Determining how best to help distressed collegians is an important public health concern, as these individuals appear to be at significant risk for further deterioration, disrupted quality of life, and impaired ability to succeed in college. This study compared the effects of (a) six sessions of cognitive therapy (CT; training in two cognitive modification strategies—building positive self-thoughts and disputing negative self-thoughts) to (b) six sessions of non-directive, supportive therapy (ST). Fifty-three students from a large mid-western university reporting low self-esteem and significant levels of …

The Effects Of Instructor Immediacy In Online Learning Environments, Maria Schutt Edd

Dissertations

The rising number of adult learners interested in online distance education, coupled with the increasing competition between educational institutions have forced universities to identify alternative options for course offerings, such as online or blended learning. Instructor immediacy (the measure of the psychological distance which an instructor puts between himself and his students) received significant attention in the communication literature and several studies reported that instructor verbal and nonverbal immediacy behaviors are associated with learning outcomes, satisfaction, and motivation. However, few researchers have examined instructor immediacy in distance learning settings. The purpose of this study was to examine the effects of …

Parental Decision Making In The Administration Of Stimulant Medication For Their Latency Age Children With Attention Deficit Hyperactivity Disorder (Adhd), Randye Kay Phd, Msn, Rn

Dissertations

The purpose of this study was to examine parental decision making in the administration of stimulant medication to their latency age children with Attention Deficit Hyperactivity Disorder (ADHD). Research has shown that psychostimulants, used to treat ADHD are effective for 75-90% of children (US Department of Health and Human Services, 2001), however children do not take their medication from 20-65% of the time. A qualitative study using a type of grounded theory, dimensional analysis (Schatzman, 1991), was conducted to study the experiences of fourteen parents whose children began medication treatment between the ages of 5 and 12. Semi stuctured, audiotaped …

A Post-Marxist Perspective On Chuck Palahniuk’S Early Novels And The Four Plays Of Incarcerated, Ron Riekki

Dissertations

Incarcerated: a collection of four plays includes the plays Home Schooling, Good Behavior, 2 Mics, and All Saints' Day. Incarcerated explores Foucault's carceral networking and Althusser's Ideological and Repressive State Apparatuses as exemplified in characters faced with such cataclysmic events as the Holocaust (Home Schooling and All Saints' Day) and the degradation/slavery of the American prison system (Good Behavior and 2 Mics). In this RCG-centered working class playwriting, we see how performativity is in inherent in carceral sociology, where each character in all four plays has to take masks and costumes and roles in order to …

A Study To Investigate The Relationship Between A User’S Thermal Comfort And Seat Pan Materials, Anil Raghavendra Kumar

Dissertations

Workers performing sedentary tasks in job types such as administrative, technical, customer service and executive could be seated for four or more hours during their normal work shift. Due to the prolonged periods of sitting, a worker could experience dissatisfaction, discomfort, and fatigue, which could lead to reduced performance. Symptoms of discomfort could over time lead to injuries and illnesses such as low back pain, cumulative trauma disorders, disc herniation, and pressure ulcers.

Public Administration Theory And Views Of The Human Person, Gerald L. Zandstra

Dissertations

Public administrative theory, despite its reach into American life, lacks broad agreement about its field of inquiry, its underlying presuppositions, and its purpose. Theorists such as Herbert Storing, Stephen Bailey, Richard Stillman, David Hart, Vincent Ostrom, William Dunn, Bahman Fozouni, Mark Rutgers, Michael Harmon and others have observed and lamented these shortcomings. Without well-developed theory, the objectives of public administration are a moving target.

This project does not attempt to resolve this deficiency. Instead, it is intended to address a primary question pertaining to public administration's core principles: what is the nature of the human person? The line of argumentation …

Evaluating The Immediate Impact And Short-Term Therapeutic Effects Of The “Internalized-Other” Interviewing With Couples, Shai M. Brosh

Dissertations

The present study examined empirically the immediate and short-term therapeutic effects of the internalized-other interview (Tomm, 1996) with couples during a single session and compared it with the standard method of interviewing couples (i.e., treatment as usual). Thirty-two married couples (N = 64 participants) were randomly assigned into one of two conditions (internalized-other versus standard interviewing). Couples attended an initial interview session and two follow-ups (one and four-weeks respectively). Self-reported measures of session impact were taken immediately after the session, while self-reported measures of marital satisfaction, intimacy, closeness and empathy were taken at baseline (before the session) and during …

Work Stress, Non-Work Stress And Mental Health Among School-Based Speech-Language Pathologists: Effects Of Social Support, Lena Gloria Caesar

Dissertations

This study utilized secondary data from the Work and Well-being of SLPs survey (Caesar, 2004) to examine possible sources (predictors) of work stress, job satisfaction, and psychological distress among 409 speech-language pathologists (SLPs) employed in public school settings in Michigan. This study also investigated the relationship of work-related and non-work-related stress to the mental health status of SLPs and sought to determine the mediating and/or moderating effects of varied types of social support on the mental health of respondents. Data analysis was done in three stages. First, each of the dependent and independent variables were described statistically. Secondly, correlation analyses …