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Recovery And The Role Of The Certified Peer Specialist : An Historical Analysis Of An Evolving Concept And Paradigm, Patricia Susan Kruglak

Theses, Dissertations, and Projects

The last decade of the twentieth century signaled a major shift in United States' mental health care, with 'recovery-oriented care' the new paradigm for mental health policy and services. While there is a consensus on the need to focus on recovery, the concept of recovery remains an evolving construct. This study examined the evolving conceptualization of recovery, focusing in particular on the role of the Consumer/Survivor/Ex-Patient Movement in altering social discourses concerning mental illness, recovery and the power dynamics within the extant mental health system. This study concludes with an examination of the recent Certified Peer Specialist position, concluding that …

The Impact Of Race And Psychosocial Factors On Help-Seeking Behaviors Among Young Adults In The Prodrome To Psychosis : A Project Based Upon An Investigation At The Center For Intervention Development And Applied Research, Boston, Massachusetts, Paula Daniela Mazzotta

Theses, Dissertations, and Projects

Few studies have examined how the mental health system in the U.S. presents barriers to help seeking especially among non-White populations. The purpose of this investigation was to identify racial disparities and psychosocial barriers to help seeking among clients in the prodrome to psychosis vulnerable to progression into schizophrenia. Using secondary data from a mixed-methods questionnaire, this study collected descriptive data relaying the perspectives of People of Color and their White prodrome counterparts on their perceived needs, attitudes, and experiences of professional mental health services. Using a sample (N=15) of prodromal individuals in the Boston-metro area, a semi-structured questionnaire measured …

Moving From The Couch To The Mat : Clinicians And The Practice Of Yoga, Their Practice And Recommendations Of Yoga As An Adjunct To Therapy, Sarah Maria Mcnulty

Theses, Dissertations, and Projects

The purpose of this exploratory/descriptive survey was to inquire of therapists who might or might not have a personal yoga practice, whether they recommend it to their clients as an adjunct to therapy. There has been an increasing research literature regarding the treatment of both physical and mental health issues with body work modalities that go beyond traditional –talking cure– interventions; yoga has been shown in some such studies to have positive influence on the lives of those who practice it, including clinicians themselves for purposes of self-care and avoiding burnout. Questions posed by the current survey were –Do clinicians …

The Invisible Home Front : Impact, Coping, And Needs Assessment Of Family And Friends Of Unmarried U.S. Military Service Members Deployed To Iraq And Afghanistan, Sarah Elizabeth Keyes

Theses, Dissertations, and Projects

Purpose: U.S. military institutions define service members' loved ones as including only dependent (married) spouse and children and provide information and support services to this group. However, around 50% of active duty military service members are unmarried and have "nondependent" loved ones such as parents, siblings, significant others, and friends who cannot access any of the military-provided information and support services. The aim of this study was to document the impact of war zone deployments on the family, significant others, and friends of unmarried service members and their coping methods, and to describe the support resources needed by this group. …

Environmental Racism : Exploring Suffering And Healing Through Collective Resistance, Brooke Allison Moore

Theses, Dissertations, and Projects

This theoretical study was undertaken to explore how trauma theory can broaden our understanding of the psychological impact of environmental racism, and how liberation theory could be utilized to better prepare social workers to identify and understand the impact of environmental racism in the lives of clients and elucidate the role the profession should play in alleviating this form of oppression. Aspiring to examine the phenomenon and each of the theories from the vantage point of a perspective that falls outside of a dominant lens, this study explored race-based traumatic stress as a crucial element of a comprehensive definition of …

An Exploration Of The Potential Interplay Between Mood Disorder And The Artistic Process, Daphne Nayar, Daphne Kaur Nayar

Theses, Dissertations, and Projects

The purpose of this qualitative study was to provide a deeper understanding of the complex reciprocal interplay between an artist's diagnosable mood symptoms and his or her creative process through the personal narrative of the artists. To this end, 15 artists of both solitary and performance orientated disciplines were interviewed utilizing a semi-structured open-ended interview format. These artists included painters, poets, an actor, a performing artist, vocalists and musicians, who had all considered themselves to be professional artists for at least five years. As part of the inclusion criteria, each of the artists had been diagnosed with either Depression (Dysthymia …

Can Analysis Align With Antiracism? : An Exploration Of The Experiences Of Psychoanalysts Working Toward Social Justice, Madeline Rae Nussbaum

Theses, Dissertations, and Projects

This research study is an exploration of the ways in which practicing psychoanalysts work towards antiracism in clinical practice. The study is based on an independent and in-depth investigation of 9 practicing psychoanalysts who self-identify as committed to the goals of antiracism. The study examines the ways in which theoretical orientation, analytic training, and clinical practice experience impact the analysts' commitment to antiracism and their ability to feel effective in their work. The study was designed using the constructivist grounded theory method for data collection and analysis. This method takes into account the social location of the participants and the …

The Implications Of Physical Beauty Norms On Gender Identity Development, Sexual Identity Formation, And Sense Of Self In The Femme Queer Community, Megan Oberdorfer

Theses, Dissertations, and Projects

This study sought to ascertain what physical beauty norms are present in the femme queer community and how these standards of beauty influence the experience of women who selfidentify as femme and queer. Utilizing semi-structured interviews with 10 participants that selfidentified as female, femme, and queer, this qualitative study examined how standards of beauty in the femme queer community affect one's sense of gender identity, the process of one's sexual identity formation, and one's sense of self. For the purpose of this study, the term queer serves an inclusionary function and is used to define a wide range of sexual …

The Lies That Bind : Heteronormative Constructions Of "Family" In Social Work Discourse, Cassie Maude Peterson

Theses, Dissertations, and Projects

The social work profession has a long, enduring history and commitment to American families, and has often led the way in embracing alternative family arrangements. Gay and lesbian families are gaining more political visibility and lobbying for the rights and protections from which they were previously excluded. Therefore, this study is an analysis of social work's contemporary, defining representations of gay and lesbian families. Twelve, gay and lesbian "family" research studies were culled from the database, Social Work Abstracts, and subjected to queer discourse analysis in order to illuminate how these alternative family forms are being constructed within the discipline …

"Living In Front Of A Mirror" : Staff Members' Perspectives On Living And Working In Residential Therapeutic Communities, Rebecca Sierra Shulman

Theses, Dissertations, and Projects

This qualitative study was developed in order to gather information on residential therapeutic communities for individuals in mental health recovery. Although there is much literature on the therapeutic community modality, little is written about residential therapeutic communities (RTCs) in which staff members alongside clients in the community. The researcher was interested in gathering perspectives of current and former staff members who have worked and lived in such communities. Ten participants from two separate residential therapeutic communities in New England were interviewed. Participants must have shared a home with clients for at least 3 months. All participants were asked open-ended questions …

Personal Experiences Of Formerly Obese Individuals Maintaining Significant Weight Loss : A Descriptive Study : A Project Based Upon An Investigation At The Weight Management Program Of San Francisco, Inc., San Francisco, California, Jennifer L. Simon

Theses, Dissertations, and Projects

This study explored and described how psychological processes relate to maintaining significant weight loss. The goals for this study were to add to the weight literature the personal experiences of individuals maintaining significant weight loss and to better understand the needs of these individuals so as to develop psychological interventions that are effective in assisting with successful weight loss maintenance (WLM) and in reducing the perceived difficulty of WLM. Twelve formerly obese adults currently engaged in WLM, recruited primarily from The Weight Management Program of San Francisco, Inc., were interviewed about their perceptions, thoughts, emotions, and self-concepts as they reflected …

Antisociality, Childhood Sexual Trauma, And Cognitive Distortions Surprisingly Not Predictive Of Deviant Sexual Arousal In Male Sex Offenders Who Have Abused Children, Amanda Klein Slatus

Theses, Dissertations, and Projects

In this study I examined potential predictive factors of deviant arousal. Variables were chosen based on the relationship shown in previous literature between variables and sex offending and recidivism. The sample for this analysis consisted of 100 incarcerated sex offenders who completed the Life History Survey (Burton, 2003). This is a subset of the sample surveyed by Burton (2003). The hypotheses of this study were that antisociality, childhood sexual trauma, and cognitive distortions would each be predictive of deviant arousal and the interaction between the variables would be the strongest predictor of deviant arousal. No predictive relationships were found and …

Listening For The Unconscious : An Exploration Of Lacanian Clinical Perspectives Applied To Social Work Practice, Katharine Barbey Thomas

Theses, Dissertations, and Projects

This qualitative study explores clinical perspectives based on the work of Parisian psychoanalyst Jacques Lacan (1901-1981) applied to social work practice. Through in-depth interviews with five Lacanian clinicians residing in North America, this study asks what the unconscious as a clinical reality offers social workers in incorporating and listening for yet another dimension of human experience. The findings from the interviews will contribute to a critical reflection on social work's core values outlined in the code of ethics under the headings of "service," "social justice," "dignity and worth of the person," and "the importance of human relationships". In turn, this …

Exploring The Experiences Of Lesbian Couples Using Fertility Services, Sarah Caitlin Williams

Theses, Dissertations, and Projects

This qualitative study explores the experience of lesbian couples that have used, are using, or attempted to use fertility services since 2003. Thirty-three self identified lesbian women who were in a lesbian relationship at the time of using fertility services participated in the study by completing an online survey consisting of primarily open ended questions. Demographic information such as age and race were asked about both member of the couple.. Findings were analyzed using content analysis. Participant narratives revealed the complexities, challenges, successes, supports relied upon and obstacles encountered when using fertility services; as well as the strength and resiliency …

Homing Geographies : Sexuality And Community Among Homeless Youth In Los Angeles, Heather Chelsey Wollin

Theses, Dissertations, and Projects

Scholarly literature on sexuality and homeless youth has focused almost exclusively on young people nested within a culture of risk on the streets. This study broadens the body of work on this population by exploring how homeless and runaway youth in Los Angeles make meaning of their sexualities. While these individuals are extremely vulnerable and fragile, they also display remarkable resilience. Researchers conducted two sets of in person, semi-structured interviews with six homeless youth at a homeless service agency in Los Angeles as part of an HIV peer intervention project. The interviews focused on sex education and messages about sexuality, …

Feelings Of Preparedness In Assessing, Preventing And Treating Suicide Among Social Work Graduates, Katherine H. O'Brien

Theses, Dissertations, and Projects

Research on suicide assessment and prevention is limited in the social work field although social workers are the largest group of mental health practitioners treating individuals experiencing suicidal ideation. Recent literature points out social workers receive less than two hours training in suicidology during their graduate training programs. This study evaluates levels of preparedness and comfort in assessing and preventing suicide based on graduate training opportunities for MSW's. The study analyzed data received from 58 completed online surveys. Major findings show that social workers who received training on suicide assessment and prevention in their field placement internships were more prepared …

What Factors Deter Self-Identified White Anti-Racist Social Workers From Interrupting Acts Of Racism In Interpersonal Interactions, Mary Jane Panke

Theses, Dissertations, and Projects

Current National Association of Social Workers codes, mandates, and policies require members to work to end racism. Although there is a strong need for social workers to consistently act against racism there are times social workers choose not to interrupt racism in interpersonal interactions. This study was interested in learning how social workers understand their decisions not to act against racism to gain a better understanding of the barriers to interrupting racism. This information may assist social workers in meeting their personal and professional obligations to combat racism. Ten self-identified White anti-racist social workers were interviewed for this qualitative study. …

Perceptions Of Treating Professionals : A Pilot Study Conducted With Employees Of The Edith Nourse Rogers Memorial Veterans Hospital In Bedford, Ma, Alanna Rose Sieck

Theses, Dissertations, and Projects

The objective of this study is to gather information from mental health professionals at the Edith Nourse Rogers Memorial Veterans Hospital in Bedford, Massachusetts about how they perceive patients with Borderline Personality Disorder (BPD). By building on research that has already been conducted, the purpose of this study is to understand if individuals with BPD are stigmatized against by medical professionals. The primary question is whether or not BPD is thought to be synonymous with "difficult" or "hard to treat," leading to less effective treatment. This research will be conducted through an anonymous survey that will be emailed to members …

The Door(S) Of No Return : How The Legacy Of Slavery Impacts Birth Outcomes For African American Women, Jennifer Baxendale Lally

Theses, Dissertations, and Projects

This theoretical study will explore the health disparity between the birth outcomes for white Americans and African Americans. Over the past five years there has been an increase in the literature coming out of the medical community examining this disparity. The recent interest has to do, in part, with the unresolved mystery these stark discrepancy posses. Through an exploration of historical developments beginning with the trans Atlantic slave through to the current state of African American women's reproductive health I will attempt to expand the understanding of how we as a society might better address the great imbalance in health …

Using Hip-Hop As An Empowerment Tool For Young Adults : An Exploratory Study : A Project Based Upon Independent Investigation, Jihan Danae Sims

Theses, Dissertations, and Projects

This qualitative study was developed to explore the role that hip-hop music plays in the lives of young adults and empowerment. The researcher was interested in clinical applications of hip-hop music to address high attrition rates of youth in traditional models of therapy. Although there is much literature on the topic of hip-hop music, there is less written about the role that hip-hop music plays in the development of an individual's sense of self and empowerment. The latter was the focus of this study. Twelve participants were interviewed in the Los Angeles area regarding their experience of listening to and …

'When The Ocean Begins' : Personal Narrative, Shifting Roles, And A Teenage Woman's Search Through The Wreckage, Lauren Michele Fazzio

Theses, Dissertations and Culminating Projects

I will argue that as the young women in this study approached graduation from high school, writing became a venue to write their identities in a safe space free from the expectations of others. The writing included in this study will show that early-adolescent identities, written from a senior-year perspective, value silence and passivity over confidence and voice. They were eager to use the written space provided to them in an elective writing course to script and negotiate their contradictory identities and ultimately transition into a more informed sense of self. Through personal writing completed in and out of school, …

Using A Wiki To Teach College Level Academic Writing, Dawn Moore

Theses, Dissertations and Culminating Projects

Teaching writing by employing the tools made available by Web 2.0 technology allows students to meet the changing educational requirements for writing with technology. This paper argues that the wiki is a facile tool for teaching academic writing at the college level. It theoretically and pedagogically situates the wiki in a threedimensional rhetorical context. This paper also demonstrates how and why the wiki functions as a collaborative writing tool adhering to a socially constructed view of knowledge. As a constructive hypertext, wikis can be used to teach, clarify, reinforce, and deepen many fundamental writing skills. This paper reviews the body …

Are Politics Good For Your Health? Adolescents’ Political Ideology And Health Seeking Behavior, George Olekson Jr.

Theses, Dissertations and Culminating Projects

Political ideology is now considered a factor that can influence one’s self-rated health status. However, to date, no studies have assessed the relationship between differences in political beliefs and a person’s health behaviors with respect to prevention of acquiring influenza. In the present study, college undergraduates were surveyed to determine how their political ideology, political associations, perception of influenza as assessed by the Health Belief Model (HBM) - here meaning perceived severity, perceived susceptibility, perceived benefits of and perceived barriers to treatment, and self rated health status (measured by the Short-Form 36 Health Survey) would influence their likelihood of taking …

Effects Of Vocal Toning And Bio Acoustics Assessment On Pain And Bio Acoustics Vocal Profile, Crista Marie Orefice

Theses, Dissertations and Culminating Projects

The objective of this research study was to investigate the effects of vocal toning interventions informed by a BioAcoustics assessment tool on the perceived pain and the vocal profile in a participant diagnosed with fibromyalgia. The study employed a single case study design. The participant (N=l) was a woman diagnosed with fibromyalgia, who underwent a series of ten 25-minute music therapy treatments of vocal toning, twice a week, for five weeks. Vocal profile was recorded and measured with the BioAcoustics nano Voice program for each session, pre- and post-treatment. Perceived pain was measured using the Brief Pain Inventory (BPI) questionnaire …

An Examination Of The Emerging Feminist Voice In Zora Neale Hurston's Their Eyes Were Watching God And Kate Chopin's The Awakening, Fran Shultz

Theses, Dissertations and Culminating Projects

Zora Neale Hurston and Kate Chopin lived and wrote in different eras, but each woman was ahead of her time in terms of her depiction of women s roles and responsibilities in the patriarchal societies in which she lived. Due to the similarities in the feminist themes depicted by the female protagonists in Hurston s Their Eyes Were Watching God and Chopin’s The Awakening, this paper will trace the beginnings of a distinctly feminist voice emerging through these two works. Hurston’s portrayal of Janie’s journey to achieve autonomy represents the empowerment of the nascent African- American female voice within the …

The Elusive Ideal Of Market Competition In U.S. Health Care, Nathan Cortez

Faculty Journal Articles and Book Chapters

This chapter, in the book Health Care and EU Law (TMC Asser Press 2011), explores how market competition has both driven and (somewhat ironically) undermined U.S. health reform efforts over the past few decades. More than its peers, the U.S. health care system looks to market-inspired theories and policy instruments, even in public programs like Medicare. But decades of promoting market ideals has not given Americans the health care system we desire. Still, the market question remains the basic dividing line in U.S. health policy.

This chapter explores how the U.S. health care system remains an international outlier, exploring American …

Judging Women, Mitu Gulati, Stephen J. Choi, Mirya Holman, Eric A. Posner

Faculty Scholarship

Judge Sonia Sotomayor’s assertion that female judges might be “better” than male judges has generated accusations of sexism and potential bias. An equally controversial claim is that male judges are better than female judges because the latter have benefited from affirmative action. These claims are susceptible to empirical analysis. Primarily using a dataset of all the state high court judges in 1998-2000, we estimate three measures of judicial output: opinion production, outside state citations, and co-partisan disagreements. We find that the male and female judges perform at about the same level. Roughly similar findings show up in data from the …

The Dogs That Did Not Bark: The Silence Of The Legal Academy During World War Ii, Sarah H. Ludington

Faculty Scholarship

During World War II, the legal academy was virtually uncritical of the government’s conduct of the war, despite some obvious domestic abuses of civil rights, such as the internment of Japanese-Americans. This silence has largely been ignored in the literature about the history of legal education. This Article argues that there are many strands of causation for this silence. On an obvious level, World War II was a popular war fought against a fascist threat, and left-leaning academics generally supported the war. On a less obvious level, law school enrollment plummeted during the war, and the numbers of full-time law …

The Creativity Effect, Christopher Buccafusco, Christopher Jon Sprigman

Faculty Scholarship

This Article reports the first experiment to demonstrate the existence of a valua­tion anomaly associated with the creation of new works. To date, a wealth of social science research has shown that the least amount of money that owners of goods are willing to accept to part with their possessions is often far greater than the amount that purchasers would be willing to pay to obtain them. This phenomenon, known as the endowment effect, may create substantial inefficiencies in many markets. Our experi­ment demonstrates the existence of a related "creativity effect." We show that creators of works value their creations …

Information Asymmetry And Information Failure: Disclosure Problems In Complex Financial Markets, Steven L. Schwarcz

Faculty Scholarship

Disclosure of information has been a key to regulation of the financial markets in the United States. Indeed, some have argued that the ‘exclusive focus [of federal securities regulation] is on full disclosure’ (Hazen, 2005). Yet there is relatively little dispute that although most if not all of the risks giving rise to the collapse of the market for structured securities backed by subprime mortgages were disclosed, the disclosure was ineffective. Disclosure failed because of the complexity of those securities and transactions.

This chapter examines disclosure’s insufficiency in addressing information asymmetry, arguing that complexity can cause information failure. There are …