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Searching For Nooks And Crannies: Geometric And Mechanistic Perspectives On Transformer Language Model Interpretability, Anna Marbut Jan 2026

Searching For Nooks And Crannies: Geometric And Mechanistic Perspectives On Transformer Language Model Interpretability, Anna Marbut

Graduate Student Theses, Dissertations, & Professional Papers

Large language models (LLMs) have demonstrated remarkable linguistic capabilities, but the internal mechanisms driving their performance and behavior remain poorly understood. This dissertation investigates the interpretability of transformer-based language models from two complementary perspectives: the geometric organization of model internals in encoder-only models, and the mechanisms underlying safety behavior in decoder-only generative models.

In Part I, we address the challenge of measuring geometric properties in high-dimensional latent spaces, proposing and evaluating alternative measures of data spread that improve upon commonly used metrics. We then apply these measures alongside quantization-based metrics to examine the relationship between latent space geometry and downstream …


The Birth Of Afghanistan: From Ancient Persia To A Modern-Day Multiethnic And Linguistic Country, Tyler A. Worm Jan 2026

The Birth Of Afghanistan: From Ancient Persia To A Modern-Day Multiethnic And Linguistic Country, Tyler A. Worm

Graduate Student Theses, Dissertations, & Professional Papers

This thesis offers a comprehensive historical analysis of the formation and evolution of Afghan identity from antiquity through the early medieval period, emphasizing the region’s role as a dynamic crossroads of civilizations. It traces the origins of Afghan populations to Indo-Iranian pastoralist migrations and examines the successive influence of major imperial formations, including the Median and Achaemenid Persian empires, the conquests of Alexander and the Seleucid period, and the rise of the Kushan, Parthian, and Sasanian states. Through this longue durée approach, the study demonstrates how Afghanistan’s geographic position facilitated continuous cultural interaction, economic exchange, and political contestation, producing a …


Pestilent Air, Contagious Evil: Infectious Disease In Early Modern Poland, Danielle Marie Airola Jan 2026

Pestilent Air, Contagious Evil: Infectious Disease In Early Modern Poland, Danielle Marie Airola

Graduate Student Theses, Dissertations, & Professional Papers

The individuals buried in the cemetery of Czysty Square and the population of the vanished village of Gać lived and died during the early modern period in what is now modern-day Poland. Epidemics broke out repeatedly during this time, and the skeletal remains of several individuals buried in Czysty Square’s cemetery display pathological changes suggestive of infectious disease. These non-specific morphological changes created a need for DNA testing to search for pathogens associated with these lesions. In contrast, Gać’s population declined over time until the village’s abandonment. This has led to a hypothesis of an epidemic having contributed to the …


Promoting Hope And Resilience: Measuring The Psychological Effects Of An Undergraduate Climate Change Education Course, Clare Bridgett Maguire Jan 2026

Promoting Hope And Resilience: Measuring The Psychological Effects Of An Undergraduate Climate Change Education Course, Clare Bridgett Maguire

Graduate Student Theses, Dissertations, & Professional Papers

The psychological effects of climate change are increasing, which has led to an increase in advocacy to research these effects. Current literature has included a focus on categorizing and understanding the psychological impacts, creating psychometrically sound instruments to measure the effects, and education as a tool to enhance coping strategies. However, limited research exists on measuring the emotional outcomes for students who engage in climate change education at the post-graduate level.

This dissertation explores the effects of an undergraduate-level climate change course on participants’ experiences of eco-anxiety, ecological grief, resilience, and hope to better understand the psychological effects of climate …


Distributional Reinforcement Theory, Girardeau A. Spann Jan 2026

Distributional Reinforcement Theory, Girardeau A. Spann

Georgetown Law Faculty Publications and Other Works

As Donald Trump’s assault on Diversity, Equity, and Inclusion (DEI) reveals, the concept of racial equality is sufficiently malleable that what used to be viewed as remedies for discrimination against racial minorities can now be recharacterized as reverse discrimination against the White majority. Such recharacterization is possible because the concept of equality itself lacks any stable meaning that exists independent of one’s normative preferences about race. In a democracy, normative disputes are properly resolved through the political process, unless there is some representation reinforcement defect that makes judicial intervention necessary to ensure compliance with our second order constitutional equality principle. …


Creation And The Republican Revival, William M. Treanor Jan 2026

Creation And The Republican Revival, William M. Treanor

Georgetown Law Faculty Publications and Other Works

Gordon Wood's classic book Creation of the American Republic has long influenced legal thought and originalist scholarship in particular. It played a central role in the Republican Revival movement, an effort by leading scholars such as Cass Sunstein and Frank Michelman to recover a progressive originalism at the same time as conservative originalism was starting to shape constitutional jurisprudence. But, while the Republican Revival nominally relied on Wood, it misread central elements of his book - his concept of virtue and his belief that republicanism had largely been displaced at the time of the drafting of the Constitution.

The time …


The Civil Justice Business, J. Maria Glover Jan 2026

The Civil Justice Business, J. Maria Glover

Georgetown Law Faculty Publications and Other Works

Our civil justice system rests on certain foundational commitments: to make rights real for those the law protects, regardless of their station; to hold wrongdoers accountable, no matter their power; and to deter misconduct in a landscape that depends, above all, on private enforcement for the regulation of wrongdoing. We put great faith in these values.

Civil justice, for all its lofty goals, is also a business. Attorneys and liability insurers have long had their own economic stakes in litigation, under their own professional and regulatory norms. But now, a new litigation finance industry has arisen: outside investors provide equity …


Rethinking Legal Models For Aligning U.S.-African Trade And The Afcfta, Katrin Kuhlmann Jan 2026

Rethinking Legal Models For Aligning U.S.-African Trade And The Afcfta, Katrin Kuhlmann

Georgetown Law Faculty Publications and Other Works

The U.S.-African trade relationship has become increasingly volatile and conditional, with significant implications for supply chains, trade corridors, and regional and global markets. This relationship has historically been based on a unilateral, preferential legal approach through a trade preference programme – the African Growth and Opportunity Act (AGOA) – under which individual countries petition for eligibility to receive duty-free treatment. AGOA expired in September 2025 in the midst of U.S. tariffs, but in early 2026 the programme was retroactively reauthorised through December 2026, with further application subject to “modernisation” and alignment with the “America First” policy. While many see reauthorisation …


Voluntary Legal Obligations: From Contract To Cohabitation, Gregory Klass Jan 2026

Voluntary Legal Obligations: From Contract To Cohabitation, Gregory Klass

Georgetown Law Faculty Publications and Other Works

Although cohabitants often live together in ways indistinguishable from those who are married, the law treats them differently than it does spouses. In Toward a Private Law of Intimates’ Obligations, Emily Stolzenberg asks why, identifies the need for reform, and brings the law of cohabitation into conversation with recent work in private law theory. This Response builds on Stolzenberg’s excellent article to think more about the different types of obligations involved in contract, marriage and cohabitation. Although the moral and legal obligations attaching to these relationships are all voluntary, they exhibit different degrees of choice-dependence, and choice figures into …


Nanoparticle Albumin-Bound Paclitaxel And Nivolumab For Pd-1 Inhibitor-Refractory Recurrent Or Metastatic Head And Neck Squamous-Cell Carcinoma, Douglas Adkins, Jessica C Ley, Christine Auberle, Brendan Knapp, Jesse Zaretsky, Jingxia Liu, Peter Oppelt Jan 2026

Nanoparticle Albumin-Bound Paclitaxel And Nivolumab For Pd-1 Inhibitor-Refractory Recurrent Or Metastatic Head And Neck Squamous-Cell Carcinoma, Douglas Adkins, Jessica C Ley, Christine Auberle, Brendan Knapp, Jesse Zaretsky, Jingxia Liu, Peter Oppelt

2020-Current year OA Pubs

INTRODUCTION: Standard therapy for PD-1 inhibitor-refractory recurrent or metastatic head and neck squamous-cell carcinoma (RM-HNSCC) has limited activity. Drugs bound to albumin selectively target cancer cells with upregulated macropinocytosis, a process driven by constitutively hyper-activated EGFR/RAS/PIK3CA signaling, which is common in HNSCC. Nanoparticle albumin-bound (nab)-paclitaxel is active in PD-1 inhibitor-naïve RM-HNSCC and alters immune cells to potentially prime tumor response and reverse resistance to PD-1 inhibitors.

METHODS: In a single-arm phase 2 trial, patients with PD-1 inhibitor-refractory RM-HNSCC received nab-paclitaxel and nivolumab given in 28-day cycles. The primary endpoint was objective response rate (ORR), using RECIST1.1. Key secondary endpoints were …


Development Of Colonic Polyposis In A Woman With Chronic Myeloid Leukemia Treated With Dasatinib, Guido Pelaez, Behram Suha Yildiz, Mert Candan, Mohammad Ismail, Francesca Vacca, Marianna B Ruzinova, Samuel Ballentine, Kathleen Byrnes, Armin Ghobadi Jan 2026

Development Of Colonic Polyposis In A Woman With Chronic Myeloid Leukemia Treated With Dasatinib, Guido Pelaez, Behram Suha Yildiz, Mert Candan, Mohammad Ismail, Francesca Vacca, Marianna B Ruzinova, Samuel Ballentine, Kathleen Byrnes, Armin Ghobadi

2020-Current year OA Pubs

INTRODUCTION: Chronic myeloid leukemia (CML) is a hematopoietic malignancy driven by constitutive tyrosine kinase activity. Dasatinib, a second-generation (2G) tyrosine kinase inhibitor (TKI), is a preferred treatment due to its superior, durable, and rapid response rates. While dasatinib has known gastrointestinal (GI) side effects, colonic polyposis is a rare complication, not well described in the literature.

CASE PRESENTATION: Upon routine colonoscopy, a 66-year-old woman with chronic-phase CML was incidentally discovered to have asymptomatic colonic polyposis after 11 months of dasatinib therapy. Histopathology revealed reactive inflammatory changes without evidence of dysplasia or neoplasia. The polyposis resolved completely after cessation of dasatinib. …


Evaluating Artificial Intelligence Large Language Mocdels In Dental Education: A Cross-Sectional Survey On Usage, Perceptions, And Integration At A U.S. Dental Scho, Celine Sheng, Camie Mcfarland, Nikola Angelov, Sridhar V K Eswaran, Richard Halpin, Jennifer Chang Jan 2026

Evaluating Artificial Intelligence Large Language Mocdels In Dental Education: A Cross-Sectional Survey On Usage, Perceptions, And Integration At A U.S. Dental Scho, Celine Sheng, Camie Mcfarland, Nikola Angelov, Sridhar V K Eswaran, Richard Halpin, Jennifer Chang

Faculty, Staff and Student Publications

Introduction: The adoption of artificial intelligence (AI) in higher education presents opportunities and challenges for dental education. This study explores the use of Large Language Model (LLM) based AI tools, including ChatGPT and Grammarly AI, among faculty and students at the UTHealth School of Dentistry in Houston (UTSDH). This research assessed usage patterns, perceived benefits and concerns, and AI training demand.

Methods: A piloted, cross-sectional survey was administered via email. The survey included Likert-scale, multiple-choice, and open-ended questions. Respondents provided demographics and rated their LLM-based AI tools for use and perceptions in educational, clinical, and research contexts. Data was analyzed …


Amyloidoma Of The Palate, Philip Bacigalupo D.D.S., Nora Odingo B.D.S., D.M.D., M.P.H. Jan 2026

Amyloidoma Of The Palate, Philip Bacigalupo D.D.S., Nora Odingo B.D.S., D.M.D., M.P.H.

The New York State Dental Journal

There have been 17 reported cases of isolated amyloid deposition (amyloidoma) of the hard palate (Table 1). We present an 18th case, with a review of the literature on amyloidosis. Systemic conditions, such as multiple myeloma, must be ruled out when amyloid deposition is present. However, localized amyloidoma of the palate is rare, and there are few cases reported in the literature.


N Y State Dent J January 2026 Jan 2026

N Y State Dent J January 2026

The New York State Dental Journal

In the January 2026 issue, the reader will find the following feature articles:

  • No Need to Travel the Road to Licensure Renewal Alone
  • IPS Subperiosteal Implant for the Maxilla and Mandible
  • Amyloidoma of the Palate
  • Titanium Hypersensitivity as Possible Cause of Dental Implant Failures

This issue includes regular columns with regional news impacting the New York membership including editorial and perspectives columns, legal, association activities, component news, continuing education opportunities, and classifieds.


N Y State Dent J June 2026 Jan 2026

N Y State Dent J June 2026

The New York State Dental Journal

In the June/July 2026 issue, the reader will find the following feature articles:

  • HIV Screenings in Dental Settings: Feasibility, Challenges and Opportunities
  • Oral Myeloid Sarcoma
  • Generational Differences in Dentistry and Dental Practice

This issue includes regular columns with regional news impacting the New York membership including editorial and perspectives columns, legal, association activities, component news, continuing education opportunities, and classifieds.


Commercial Determinants Of Health Revisited: Integrating Business Scholarship For Greater Public Health Impact, Junghoon Park, Bryan W. Husted Jan 2026

Commercial Determinants Of Health Revisited: Integrating Business Scholarship For Greater Public Health Impact, Junghoon Park, Bryan W. Husted

Management Faculty Works

In her influential 2020 review in Globalization and Health, Mialon synthesizes the commercial determinants of health (CDOH) literature and underscores how commercial actors are connected to public health through the institutional environments in which they operate. Much of this research conceptualizes firms as institutionally embedded but relatively homogeneous actors, emphasizing external practices such as the production and promotion of harmful commodities, lobbying, and corporate social responsibility initiatives. While recent CDOH scholarship has begun to recognize the importance of organizational-level factors, few studies analyze the internal processes through which corporate conduct with public health consequences emerges. We argue that integrating insights …


Insect Farming Innovations: A Pathway To Self-Reliance In Agrifood Systems In Africa, Zewdu Abro, Menale Kassie, Dennis Beesigamukama, Shaphan Yong Chia, Ermias Engida Legesse, Subramanian Sevgan, Julius Ecuru, Chrysantus M. Tanga Jan 2026

Insect Farming Innovations: A Pathway To Self-Reliance In Agrifood Systems In Africa, Zewdu Abro, Menale Kassie, Dennis Beesigamukama, Shaphan Yong Chia, Ermias Engida Legesse, Subramanian Sevgan, Julius Ecuru, Chrysantus M. Tanga

All Peer-Reviewed Publications

Insect farming as an innovative approach to transforming agrifood systems

Insect farming has emerged as a transformative and sustainable approach to addressing the interconnected challenges of food insecurity, environmental degradation, and economic vulnerability in Africa’s agrifood systems. By converting organic waste into high-value products (protein-rich feed, frass fertilizers, and bioactive compounds), insect farming offers an efficient circular economy solution that bridges nutrition, livelihoods, and ecological resilience (Lalander et al. 2025; Mei et al. 2024; Barragán-Fonseca et al. 2022; Xia et al. 2021; Van Huis 2020; Barragán-Fonseca et al. 2017; Van Huis and Oonincx 2017; Yi et al. 2014). Almost all …


Was The Early U.S. Tax Treaty Program A One-Man Show?, Wei Cui Jan 2026

Was The Early U.S. Tax Treaty Program A One-Man Show?, Wei Cui

All Faculty Publications

This article examines the origins of the U.S. tax treaty program from the mid-1930s to the early 1950s. Drawing on congressional records and previously unexamined Treasury and State Department archives, it argues that the program was shaped to an extraordinary degree by a single Bureau of Internal Revenue official, Eldon P. King. Far from merely administering treaty policy, King effectively created and directed it: he developed legal justifications for treaty negotiations, selected negotiating partners, led negotiations, managed relations with the State Department, and helped secure Senate acceptance of the resulting agreements. The article shows how King transformed the limited treaty-related …


Alternative English Language Development Scheduling In High School: Long-Term English Learners’ Attitudes And Perceived Control, Kira Rashada Jan 2026

Alternative English Language Development Scheduling In High School: Long-Term English Learners’ Attitudes And Perceived Control, Kira Rashada

University of the Pacific Theses and Dissertations

This explanatory sequential mixed-methods study examined whether an alternative English Language Development (ELD) scheduling model influenced ninth-grade Long-Term English Learners’ (LTELs) attitudes toward school and perceived control at a California high school operating on a block schedule. Guided by Self-Determination Theory (Ryan & Deci, 2000), the study explored how differing ELD scheduling models may shape students’ experiences related to autonomy, competence, and relatedness. Specifically, the study compared ninth-grade LTEL students who participated in a traditional 90-minute ELD course during the 2023-24 school year with students who participated in an alternative scheduling model during the 2024-25 school year in which designated …


Words That Heal Or Harm: A Narrative Review On Language Use In Nursing Care.", R. Sudha, A.S. Neya Jan 2026

Words That Heal Or Harm: A Narrative Review On Language Use In Nursing Care.", R. Sudha, A.S. Neya

Manipal Journal of Nursing and Health Sciences

No abstract provided.


Predicting Smes’ Credit Risk Using Artificial Intelligence Applications: Evidence From The Uk Smes, Fatima Badi Jan 2026

Predicting Smes’ Credit Risk Using Artificial Intelligence Applications: Evidence From The Uk Smes, Fatima Badi

Plymouth Business School Theses

Financial distress is a state in which businesses struggle to pay their debts, whichfrequently results in bankruptcy or company failure. Small and medium-sizedenterprises are an essential part of economies, making substantial contributions toproductivity growth, innovation and employment. Evaluating financial health iscrucial to preventing possible hardship, reducing systemic risks and ensuring long-term stability because of its significant contribution to national and internationaleconomies.Bankruptcy prediction models play a critical role as early warning systems that enablefirms, lenders and policymakers to identify financial distress at an early stage and takecorrective action before failure becomes inevitable. These warning indicators mayresult from internal issues, such as …


In Trust We Trust: Role Of Trust In Business Negotiations In The Context Of Switzerland As A High-Trust Country, Aksana Babich Jan 2026

In Trust We Trust: Role Of Trust In Business Negotiations In The Context Of Switzerland As A High-Trust Country, Aksana Babich

Plymouth Business School Theses

The present research examines the role of trust in business negotiations in the context of Switzerland, a high-trust country. Using a qualitative, practitioner-oriented design grounded in template analysis, the research draws on semi-structured interviews with thirty professionals from diverse sectors of the economy of the canton of Geneva. Switzerland’s high-trust environment provides an empirical context in which trust mechanisms are particularly visible and operational.The research advances conceptual, empirical and methodological knowledge of trust in negotiations. Conceptually, it clarifies the meaning of trust, demonstrating that trust is not a one-dimensional construct centred on risk and vulnerability, but a multifaceted moral value …


Integrated Seismic And Sequence Stratigraphic Analysis Of The Abu Madi Formation, Baltim Field, Nile Delta, Egypt, Nouran Mostafa Eissa, Mostafa Toni, Alhussein Adham Basheer, Amr Talaat, Amir Ismail Jan 2026

Integrated Seismic And Sequence Stratigraphic Analysis Of The Abu Madi Formation, Baltim Field, Nile Delta, Egypt, Nouran Mostafa Eissa, Mostafa Toni, Alhussein Adham Basheer, Amr Talaat, Amir Ismail

Trends in advanced sciences and technology

Despite the economic significance of the Messinian Abu Madi Formation as a primary gas reservoir target in the Nile Delta Basin, a high-resolution, field-scale integration of seismic sequence stratigraphy with quantitative petrophysical characterization remains lacking for the Baltim area. This study addresses this gap by presenting an integrated seismic sequence stratigraphic and petrophysical analysis of the Upper Miocene Abu Madi Formation within the prolific Baltim gas fields, offshore Nile Delta, Egypt. The objectives are to characterize its depositional architecture, delineate reservoir distribution, and assess hydrocarbon potential. The workflow synthesizes well log data from five key wells with a grid of …


Does Digital Innovation Matter For Hospital Efficiency? Evidence From U.S. Hospitals, C. Christopher Lee, Shihui Fan, Jung Young Lee, David W. Hwang Jan 2026

Does Digital Innovation Matter For Hospital Efficiency? Evidence From U.S. Hospitals, C. Christopher Lee, Shihui Fan, Jung Young Lee, David W. Hwang

Journal of International Technology and Information Management

Purpose – This study examines the impact of digital innovation on hospital performance, providing evidence to guide healthcare administrators and policymakers in making informed decisions regarding digital investment.

Design/Methodology/Approach – Using data from the 2020 American Hospital Association (AHA) U.S. Hospital Survey and the 2019 AHA Information Technology Survey, we empirically analyze the relationship between five dimensions of digital innovation—automation, cybersecurity, telehealth, health information exchange (HIE), and IT spending—and three efficiency indicators: occupancy rate, capacity productivity, and manpower productivity.

Findings – The results show that digital innovation has varying effects on hospital efficiency. Automation is positively associated with capacity and …


Inspiring Voices: The Impact Of Poetry Education, Nancy Aide Gonzalez St.Clair Jan 2026

Inspiring Voices: The Impact Of Poetry Education, Nancy Aide Gonzalez St.Clair

University of the Pacific Theses and Dissertations

Poetry education is frequently viewed as an enrichment activity rather than a critical practice that supports academic, emotional, and social development. This qualitative exploratory case study examined how participation in a nonprofit creative writing program in northern California influenced the cognitive development, emotional well-being, communication skills, empathy, and perspective taking of young adults. The study was guided by constructivism, radical constructivism, and symbolic interactionism. It centered on the lived experiences of six poetry program alumni aged 18 to 25. The researcher collected data through semi-structured Zoom interviews and poetry portfolios containing three poems selected by each participant. I used inductive …


A Qualitative Study Of Teacher Perceptions Of Reading Proficiency, Latia Tyler Jan 2026

A Qualitative Study Of Teacher Perceptions Of Reading Proficiency, Latia Tyler

Theses and Dissertations

This applied qualitative dissertation was constructed to provide insight into the experiences of teachers who provide reading instruction for third grade students at the target school. Seven teachers engaged in semi structured interviews that sought to examine their perceptions on their abilities in teaching reading instruction, their perception on school supports, their perceptions on reading proficiency and factors that contribute to it. Additionally, comprehensive reading plans, published by the state of Florida, were examined to further understand the perceptions of teachers alongside district intended approach for reading instruction.

Thematic analysis of data revealed eight key themes including gaps in foundational …


How Do Female Artists In The Middle East Navigate Art Market Legitimacy, And How Do Experiences Differ Between The Levant And Gulf Regions?, Noura Alzaim Jan 2026

How Do Female Artists In The Middle East Navigate Art Market Legitimacy, And How Do Experiences Differ Between The Levant And Gulf Regions?, Noura Alzaim

MA in Art Business Dissertations

This dissertation examines the journeys and challenges faced by female artists in the Middle East as they strive for recognition and legitimacy within the region’s evolving art markets. By comparing the lived experiences of artists from the Levant, where creativity often flourishes in grassroots and diaspora circles, to those cultivating their careers amid the state-driven, rapidly expanding cultural landscape of the Gulf, the research brings distinct artistic perspectives into conversation. Combining interviews, theoretical inquiry, and analysis of press releases, essays, and market data, the study highlights how history, political context, and institutional structures shape opportunities and obstacles. Central chapters show …


An Imperial Pivot: How The Qing Court Shaped The Kapāla And Its Global Value, Haiyi Wang Jan 2026

An Imperial Pivot: How The Qing Court Shaped The Kapāla And Its Global Value, Haiyi Wang

MA in Art Business Dissertations

This thesis examines the journey of the kapāla, a Tibetan Buddhist ritual skull cup, from a sacred implement to a global commodity. It argues that the modern identity, display, and commercial value of the kapāla in the Western world are not a natural extension of its original religious meaning but are fundamentally a product of its aesthetic and political re-creation by the Qing imperial court. This study posits the Qing court's intervention as the "decisive pivot" that systematically replaced the object's native "religious value system," based on ritual efficacy, with a new "imperial value system" rooted in craftsmanship, precious materials, …


Subliminal Nature: Dialogues In Performance, Carlos A. Carvajal Jan 2026

Subliminal Nature: Dialogues In Performance, Carlos A. Carvajal

College of Graduate Studies: Theses & Dissertations

I will discuss how my artwork sets for the development of various layers of experience within the same context and space, to stimulate the subconscious of the audience. This layering is a combination of stimuli of senses (the inclusion of sound and active participation) and the syntax of the dynamics of audience interaction. Sound and visuals create a performance to acknowledge and read, while also pertaining to participation by a sort of instruction for the viewer to partake in the work. These are all different layers of experience that happen simultaneously within a piece, setting up different possible outcomes from …


‘Prov[Ing] What You Already Know’: The Overreliance On Medical Evidence In Adjudicating Ontario Disability Support Program Applications, Alison Imrie Jan 2026

‘Prov[Ing] What You Already Know’: The Overreliance On Medical Evidence In Adjudicating Ontario Disability Support Program Applications, Alison Imrie

Journal of Law and Social Policy

The Ontario Disability Support Program (ODSP) relies heavily on medical evidence when adjudicating applications. In doing so, it positions healthcare providers as the undisputed experts on applicants’ disabilities. This poses particular challenges for applicants with under-recognized or misunderstood medical conditions like Myalgic Encelphalomyelitis/Chronic Fatigue Syndrome (ME/CFS), who may struggle to obtain adequate medical care and thus adequate medical evidence for the purpose of ODSP applications. Through qualitative interviews with five individuals with ME/CFS who applied for ODSP, this paper illuminates the particular challenges faced by those with ME/CFS and other under-recognized disabilities in the ODSP application process. Drawing on literature …