Medicine and Health Sciences Commons^™

Midrash Therapy: A Hermeneutical Inquiry, Robert T. Jury

Graduate Research Theses & Dissertations

This dissertation examines descriptions of Midrash Therapy as practiced in a continuing care group for Jewish people in recovery. Specifically, it analyzes interviews with participants who experienced Midrash Therapy, therapeutic documents from a continuing care group using Midrash Therapy, fieldnotes, and an action-reflection journal kept by the practitioner-researcher. Interviews were conducted with six individuals and the collective data was analyzed under applied hermeneutical practices. At the onset of the study, the author Midrash Therapy as an integration of narrative practices and rabbinic approaches to counseling. This examination found that Midrash Therapy is a Jewish integrated therapy with five distinctive aspects: …

Righting Health Policy: Bioethics, Political Philosophy, And The Normative Justification Of Health Law And Policy, D. Robert Macdougall

Publications and Research

In Righting Health Policy, D. Robert MacDougall argues that bioethics needs but does not have adequate tools for justifying law and policy. Bioethics’ tools are mostly theories about what we owe each other. But justifying laws and policies requires more; at a minimum, it requires tools for explaining the legitimacy of actions intended to control or influence others. It consequently requires political, rather than moral, philosophy. After showing how bioethicists have consistently failed to use tools suitable for achieving their political aims, MacDougall develops an interpretation of Kant’s political philosophy. On this account the legitimacy of health laws does …

Repressive Psychiatry As A Means Of Combating Religious Dissidents In The Soviet Union, Oksana Vysoven, Nina Brehunets, Tetyana Lohvynyuk

Occasional Papers on Religion in Eastern Europe

The article highlights the impossibility of the coexistence of modern civilization in conditions of impunity for crimes against humanity, which have no statute of limitations, but due to the lack of punishment and concealment of information it creates even greater crimes. Many of the unjustly convicted political prisoners have been rehabilitated since the condemnation of Stalin's cult of personality and his crimes in Soviet Ukraine since 1956. As a result of the mass rehabilitation of political prisoners, the regime gained serious opposition, some of whom сonsisted of evangelical Baptist communities who advocated genuine freedom of conscience. The Soviet regime used …

Experiences Of Queer Women And Nonbinary Individuals With Mental Health Care Services During The Covid-19 Pandemic, Elizabeth Claire Simpson

Antioch University Dissertations & Theses

Background: The COVID-19 pandemic has had a negative effect on mental health. Queer women and nonbinary individuals disproportionately experience mental health issues when compared to heterosexuals, often facing challenges in receiving care from providers who are sensitive to their concerns and competent in their care. Objective: To report experience of queer women and nonbinary individuals in the United States with mental health care services before and during the pandemic. Methods: Data were gathered via a 43-item survey about experiences with mental health care services before and during the pandemic that was posted on four social media sites, and flyers hung …

The Impact Of Community Violence Exposure On The Health Behaviors And Health Service Utilization Among High-Risk Black Men, Paris Willis

Graduate Research Theses & Dissertations

This qualitative study explored the lived experience of high-risk Black men exposed to community violence in hopes of understanding their health challenges and behaviors in highly violent communities. Eleven Black men considered high-risk participated in the study through individual semi-structured interviews addressing the research questions below:1. How do high-risk Black men perceive community violence? 2. How do high-risk Black men maintain their health residing in high violent communities? 3. How do high-risk Black men in high violent communities utilize healthcare? 4. Do high-risk Black men exposed to community violence trust healthcare providers? Community violence exposure is a complex multilayered topic …

“If I Had Felt Comfortable Or Accepted, I Would Have Made More Progress”: A Phenomenological Investigation Into The Experiences Of Lgbtq+ Persons In Clinical Professional Counseling, Valerie Moreno-Tucker

Graduate Research Theses & Dissertations

The counseling literature has indicated that LGBTQ+ persons have experienced fewer positive mental health outcomes than cisgender heterosexual persons. Professional counselors, despite their requirement to provide culturally sensitive counseling services for all communities, must learn how to better need the needs of LGBTQ+ persons and communities. This dissertation elevates LGBTQ+ persons’ voices by examining the experiences of LGBTQ+ persons in clinical professional counseling. Specifically, the IPA approach was utilized in analyzing data from six individuals who each participated in two interviews lasting 45-90 minutes each. This investigation found commonalities between each participant regarding both their helpful and unhelpful experiences in …

The Bulletin: Sidney Kimmel Medical College At Thomas Jefferson University, Volume 71, Issue 1, Winter 2022

The Bulletin (formerly the Jefferson Medical College Alumni Bulletin)

This issue includes:

• 5 - Dean's Column
• 6 - Time Capsule - The No Limits Klasko Era
• 14 - ICYMI (In Case You Missed It)
• 19 - A Message from Elizabeth A. Dale
• 20 - Discovery - University’s Global Reach Will Soon Extend into Space
• 21 - First Class of Med Students Completes JeffMD Curriculum
• 26 - Student Profile - Ryan Emoff
• 28 - Faculty Profile - Marc Altshuler, MD ‘01
• 30 - Reimagine
• 36 - Class Notes
• 38 - Alumni Weekend 2021
• 44 - Class Agent
• 46 - In Memoriam
• 48 - By the Numbers - SKMC Class of …

The Syndemic Landscape: A New Paradigm For Montana Suicide Prevention Grounded In Agricultural Renewal, Emory Chandler Padgett

Graduate Student Theses, Dissertations, & Professional Papers

Montana has had one of the highest suicide rates in the nation for half a century, and since 2000, it has risen almost 50%. Despite suicide’s alarming persistence in the state, there has been minimal academic study of suicide or mental health specifically in Montana, so this thesis attempts to answer a few questions: Why does Montana have such a high suicide rate? Is there something culturally, historically, or socially unique about Montana that contributes to suicide? Are current prevention efforts helpful, harmful, or lacking? Could a consideration of culture and land benefit an understanding of suicide in Montana? What …

Why A Women’S Domestic Violence Long-Term Shelter Is Needed, Markquatt Ford

Walden Dissertations and Doctoral Studies

This qualitative project provided a content analysis of primary and secondary data to do a need assessment of how a short-term shelter, a home for victims of domestic violence in Kansas City, Mo, can turn into a long-term shelter for victims of domestic violence. This organization was a short-term shelter, a not-for-profit organization that works for the positive social change and rehabilitation of female victims of domestic violence in Kansas City, Mo. The organization followed a traditional organizational model with a short-term scope of action. A long-term shelter is supposed to provide the residents with sufficient programs for recovery to …

Holistic Health Among African American Women Remaining In A Marriage After Infidelity, Nena Evette Harris

Walden Dissertations and Doctoral Studies

Infidelity has been noted as a major reason married women experience stress and seek therapy. Infidelity is a social problem that results in adverse outcomes for individuals, families, and society. Health disparities are noted in women who have experienced infidelity. Studies have been conducted on marital status and health, but little has been studied on the holistic health experiences of married African American women who stay in their marriage after a spouse’s infidelity. The purpose of this generic qualitative study was to explore how the experience of marital infidelity affects the holistic health of heterosexual African American women in the …

Overcoming Barriers To Executive Leadership Advancement Of Nurses From Racial And Ethnic Minority Backgrounds, Ena M. Williams

Walden Dissertations and Doctoral Studies

The social problem is the underrepresentation of nurses with racial and ethnic minority backgrounds in executive nursing leadership positions as compared to the general population. The management problem is that even when academically prepared, nurses with racial and ethnic minority backgrounds perceive that they face both singular and systemic barriers to promotional opportunities to executive nurse positions, which can lead to negative organizational and societal outcomes. A literature gap exists as to why this phenomenon persists. The purpose of this qualitative, narrative inquiry study was to explore the personal stories and lived experiences of a purposive sample of 17 executive …

Gestational Weight Gain, Level Of Education, And Infant Mortality Among African American Women, George Lee Amanambu

Walden Dissertations and Doctoral Studies

Abstract

African American (AA) women in Mississippi have a higher burden of infant mortality, especially those with low income and educational levels, as compared to other regions of the country. However, it is unknown if abnormal gestation weight gain (GWG) is contributing to this increased burden. This quantitative cross-sectional study examined the association between GWG (25-35lbs), level of education, income, and infant mortality among AA women with normal prepregnancy body weight who were between 30 to 47 years old in the state of Mississippi from 2016 to 2018. Biopsychosocial and ecosocial models were used as the theoretical foundation to design …

Factors That Influence Seeking Prostate Cancer Preventive Care In African Immigrants, Millicent N. Seilenga

Walden Dissertations and Doctoral Studies

AbstractProstate cancer is a major public health problem, being the second leading cause of cancer deaths in U.S. men, but mortality can be prevented with the use of early detection strategies. African American men are more than twice as likely to die of prostate cancer as compared to Hispanic and White men. African immigrant men as compared to African American men born in the United States have higher mortality rates of prostate cancer due to not seeking preventive care. However, little is known about the factors that prevent African immigrant men living in the United States from seeking prostate cancer …

Factors Associated With The Uptake Of Hiv Testing Among African American Male College Students, Brittney Sade Washington-Ball,Drph

Walden Dissertations and Doctoral Studies

HIV testing rates are much lower among African American male college students than male college students of other racial groups. Routine HIV testing on college campuses can decrease HIV rates among African Americans and increase students' awareness of their HIV status. This study was an investigation of factors associated with HIV testing among a sample of 140 African American male college students. The health belief model guided the research study and served as the theoretical framework to examine the influence of factors such as the location of testing, STD status, number of sexual partners, insurance coverage, health information, and alcohol …

Perceived Discrimination As A Moderator Of The Relationship Between Allostatic Load And Asthma Control, Vera Kern

Walden Dissertations and Doctoral Studies

While asthma prevalence in the United States is generally declining, African Americans tend to experience poorer outcomes regarding asthma severity and control. The purpose of the present study was to test whether discrimination (everyday and lifetime) moderated the relationship between allostatic load and asthma severity/asthma control (dyspnea and peak flow). In previous literature, researchers established the relationship between allostatic load and asthma severity/asthma control among African Americans. The biopsychosocial model and allostatic load theory served as the theoretical frameworks for this study. In this cross-sectional, nonexperimental, quantitative design, 201 African Americans between the ages of 34 and 82 years were …

Experiences Of Rural Female Caregivers Of Loved Ones Diagnosed With Chronic Pain And Mental Health Care, Anne Banner Hatfield

Walden Dissertations and Doctoral Studies

AbstractThe complex diagnosis of chronic pain can include both physiological and psychological symptoms resulting in a need for caregivers to assist their loved ones and become involved in their mental health care treatment. As the aging population and the number of individuals diagnosed with chronic pain increases, the number of caregivers who assist them also increases. Critical to addressing the psychological symptoms of chronic pain is knowing how caregivers experience their involvement in mental health treatment. This research addressed the need for an understanding of caregivers’ experiences of caregiving and involvement with health care providers of mental health treatment for …

Mental Health Counselors’ Use Of Complementary And Alternative Approaches For Treating Individuals With Anxiety Disorders, Jane Rose Simmons

Walden Dissertations and Doctoral Studies

Anxiety disorders are one of the most prevalent mental health disorders worldwide. Traditional counseling approaches do not address the evolving needs of individuals with anxiety disorders, and information is scarce regarding counselors’ use of complementary and alternative approaches in treating anxiety disorders. The purpose of this quantitative survey study was to investigate whether counselors’ knowledge, perceptions, intentional practices, and openness predicted their use of complementary and alternative approaches in counseling individuals with anxiety disorders. The integrative mental health model for the conceptual framework guided this study. The research questions examined how five variables—spirituality, specialization, types of anxiety disorders treated, training, …

Black Women, Mental Health Treatment, And Spiritual Healing: A Transcendental Phenomenological Study, Grace M. Abraham Lewis

Walden Dissertations and Doctoral Studies

Counselor educators are ill-equipped to train counselors to prepare to meet the needs of Black Christian Pentecostal Women (BCPW) because there is a lack of information on this population. To increase cultural competency, counselors need to be more aware of the experiences of this population. The purpose of this study was to explore the lived experiences of BCPW who sought community mental health counseling concurrent with deliverance practices through the church. Using Edmund Husserl’s transcendental phenomenological approach as the conceptual framework, semi-structured interviews via zoom were conducted with 4 BCPW who were active members of the Christ Throne International Ministries …

American College Of Obstetricians And Gynecologists Postpartum Hemorrhage Protocol, Rasheedat Romoke Adewumi

Walden Dissertations and Doctoral Studies

Postpartum hemorrhage (PPH) is the most significant cause of maternal deaths during or after childbirth. Due to a high PPH rate, a tertiary care facility in the Southwest United States implemented the Association of Obstetricians and Gynecologist (ACOG) protocol anticipating decreasing PPH rates. This quality improvement project was designed to evaluate whether implementation of the ACOG PPH protocol reduced the incidence of PPH. The practice-focused question was “What is the effect of the implementation of the ACOG PPH protocol on the incidence of PPH?” The Iowa model was selected to guide the project toward accomplishing its goals. The incidence of …

Hysterectomy And Self-Esteem Among African American Women, Gibson T. Green

Walden Dissertations and Doctoral Studies

AbstractOver 600,000 hysterectomies are performed each year in the United States. Studies have shown that African American women are disproportionately impacted by hysterectomy and that most African American women treated with hysterectomy are young and of childbearing age. As a result, some African American women’s spouses have negative perceptions about the surgery. The purpose of this study was to examine the impact of hysterectomy on self-esteem or satisfaction among African American women and feelings of partner rejection after a hysterectomy. Sociometer theory (the study of self-esteem) was used to examine an association between hysterectomy and self-esteem or satisfaction. The study …

Crisis Intervention Team Training On Autism Among Female Cit-Trained Police Officers, Julie Hall

Walden Dissertations and Doctoral Studies

The problem addressed in this qualitative case study was the lack of documentation that supports the perceptions and experiences of crisis intervention team (CIT) trained female police officers related to their encounters with persons with mental illness (PwMI) with autism. Using Giles’s communicative accommodation theory (CAT), the purpose of this study examined the perceptions of CIT-trained female police officers of PwMI with autism during encounters. Giles’s CAT was aligned closest with the teachings of CIT training. Seven participants provided data which comprised of completed questionnaires and transcribed interviews. The method of analysis used was a combination of inductive coding and …

A Journey To Finding Space In The Tension: Experience Of Instructors' Relationship With Religion And Spirituality In Doctoral Psychology Programs, Samantha Mcgee

Antioch University Dissertations & Theses

Religion and spirituality, when viewed through a holistic lens, can reflect important aspects of a person’s identity. It can be a source of well-being and also struggle. The fields of religion, spirituality and psychology have had a history of being polarized, with some efforts to integrate the two fields. Tensions exist at multiple ecological levels around the topic of religion and spirituality, which can make it easier to avoid discussing it in classrooms and therapy rooms. It is important to address and create room for discussion of experiences around religion and spirituality in classrooms that are training psychologists so they …

Beyond The Controversy: An Exploration Of Cultural Socialization Behaviors In Transracial Adoptive Families, Karmen Smith

Antioch University Dissertations & Theses

The voices of the families that have successfully raised transracially adopted children with a positive cultural identity are missing from the literature: “Further research is needed on adoption from the perspective of the adoptee” (Clark et al., 2006, p. 192). There are methodological shortcomings that inhibit our ability to definitively determine adjustment outcomes for this population. Such shortcomings, combined with a failure to address additional variables that influence outcomes, have left identified gaps in the research unaddressed. The purpose of this grounded theory study is to identify the cultural socialization behaviors that contributed to the development of the participant’s positive …

Associations Between Body Dissatisfaction And Relationship Functioning Among Same-Sex Female Couples: An Actor-Partner Interdependence Model, Cassidy M. Sandoval, Kelly A. Romano, Kristin E. Heron, Charlotte A. Dawson, Tiphanie G. Sutton, Barbara A. Winstead, Robin J. Lewis

Psychology Faculty Publications

Nearly all past research about body dissatisfaction and romantic relationship factors is among heterosexual couples; little is known about these associations in sexual minority couples. The present study aimed to fill gaps in the current literature by using actor-partner interdependence models (APIMs) to examine dyadic patterns of association between body dissatisfaction and different aspects of relationship functioning among same-sex female couples. Participants were 163 same-sex female romantic dyads (326 women) between the ages of 18-35 years who completed measures of body dissatisfaction and relationship factors. Results from significance testing of actor and partner effects indicated higher levels of women's own …

Casting And Splinting Options For Pseudo-Jones Avulsion Fractures: An Evidence-To-Practice Review, Amber M. Kingsley, Aysha B. Reyes, Zachary K. Winkelmann

Clinical Practice in Athletic Training

Avulsion fractures of the fifth metatarsal bone occur when a portion of the bone is broken or pulled off the rest of the bone. These fractures are often seen in athletes, especially those of a young age. Avulsion fractures of the fifth metatarsal bone are commonly treated non-surgically with immobilization of the foot. There are several different options for immobilization of the foot with no clear result as to which immobilization method is the most effective. The purpose of this evidence-to-practice review was to summarize a systematic review on comparative outcomes of immobilization interventions on avulsion fractures of the fifth …

The Influence Of Shoe And Cleat Type On Lower Extremity Muscle Activation In Youth Baseball Pitchers, Jacob R. Gdovin, Chip Wade, Lauren A. Luginsland, Charles C. Williams, Riley Galloway, John C. Garner

Human Movement Studies & Special Education Faculty Publications

Background: Baseball pitching is a dynamic movement where the lower extremities generate and sequentially transfer energy to the upper extremities to maximize ball velocity. The need for lower body muscular strength to produce adequate push-off and landing forces has been documented; however, the influence footwear and surface inclination has on muscle activation remains unknown.

Objectives: Determine how pitching in molded cleats and turf shoes from a pitching mound and flat ground affects stride-leg muscle activation in youth baseball pitchers while determining percent activation during each pitching phase.

Methods: Cross – sectional study analyzing mean muscle activity and percent activation of …

Family Relationships And Academic Performance Via Belongingness Among Cuban Medical Students: Examining Family Legacy And Sex As Moderators, Maria J. Cisneros-Elias

Theses and Dissertations

Medical diplomacy is a foundational part of Cuban domestic and foreign policy (Feinsilver, 2010). Cuba has an abundance of doctors, encouraged by the country’s free medical education program (Hand et al., 2020), and has made a significant impact with its well-established healthcare system, provision of healthcare for all of its citizens, and healthcare support internationally. The current study aims to focus on processes underlying Cuban medical students’ academic performance, as they are a critical component of this successful system, and a population that has received limited empirical attention. Thus, the current study used path analyses to examine the relations between …

Defiantly Childlike: Using Aesthetic Resistance To Heal, Sarah K. Reagan

Theses and Dissertations

This thesis examines an alternative processing mechanism surrounding the act of healing after traumatic experiences in life. Using a methodology of iterative patterning and tool-pathing, a collection of inflatable garments and wooden mannequins analyzes defense mechanisms learned in early childhood development. This work highlights an essential body of recent scholarship that takes cuteification seriously to restore a childlike approach to mastering fear. This paper will review the definitions of cuteness and childlike humor and then describe how visual culture has implemented these components to subvert established power.

Locating Uncertainty In Hospital Leader Sensemaking And Sensegiving Of Organizational Change: A Single Case Study, Sara E. Barry

Antioch University Dissertations & Theses

Leaders planning strategic change face significant ambiguity and uncertainty due to the complex, fast-paced, and volatile nature of organizational life. What one leader sees as an opportunity, another may view as a threat depending on their past experiences, their existing mental models, and their perceptions of uncertainty. Sensemaking and sensegiving theories provide a framework for how leaders retrospectively make sense of new and disorienting information through recursive cycles of interpretation, action, and learning, and seek to influence the meaning-making of others towards a shared vision of the strategic change. Despite decades of research using these theories, studies have yet to …

Sentience And Sentient Minds, John Anthony Webster

Animal Sentience

My commentary builds on Rowan et al.’s (2022) comprehensive review to address the question ‘what do we mean by sentience?’ It suggests how we might recognise degrees of sentience within the animal kingdom, ranging from primitive sensations such as hunger and pain to more complex emotions that determine quality of life.