Medicine and Health Sciences Commons^™

The Art Of Surviving: Alchemy Of Healing Trauma In Relation To Identity: A Self Study., Rebecca Morgan

Electronic Theses and Dissertations

The following thesis explores trauma’s physical and psychological aspects concerning identity as an artistic practice. Through exploring materials, subject matter, and media, my approach to trauma is based on personal and socially engaged experiences and my attempt to re-conceptualize that experience through the language of contemporary art. Extensively this work is governed by childhood memories and the critical aspect of being raised as a female in a patriarchal society. Being raised female comes with a certain number of expectations and requirements. This work creates a physical and spiritual connection between trauma and the identity of what is female. Discussing these …

Going Flat: Challenging Gender, Stigma, And Cure Through Lesbian Breast Cancer Experience, Beth Gaines

USF Tampa Graduate Theses and Dissertations

This paper explores the decision-making process of reconstruction surgery among lesbian breast cancer patients to better understand how identity impacts healthcare decisions. Breast cancer patients experience the disease in unique ways due to gender, sexuality, race, and class, impacting their individual decisions regarding treatment plans. Many breast cancer patients face mastectomy surgery as the first plan of treatment after diagnosis. By exploring the impact of gender, sexuality, stigma, and ideas of cure, this research aims to advance research about breast cancer by recognizing why some lesbian breast cancer patients forego reconstruction surgery and instead choose to “go flat.

No One Should Have To Give Birth Alone: An Analysis Of The Efficacy Of Community-Based Doula Programs Serving Ethnic Minorities In San Francisco, Maria Margaret Nelson

Master's Projects and Capstones

Adverse birth outcomes for both the parent and the child disproportionately affect people of color. Evidence demonstrates that one of the ways to mitigate these negative consequences is through the utilization of a doula, a trained birth companion that is not a medical provider but whose role it is to physically and emotionally support the patient through pregnancy, birth, and postpartum. Community-based doula programs, where the doula is of the same cultural background as the client, are particularly effective in improving birth outcomes in communities of color by providing culturally competent care and helping to navigate a healthcare system that …

Health Of Transgender Adults, 2020, Addie Furrer

University Honors Theses

Transgender and gender diverse individuals are known to experience barriers to accessing medical care while also being at higher risk of chronic conditions. In this study, the health conditions, disabilities, and health care access of 1,017 transgender and gender diverse(TGD) respondents to the 2020 Behavior Risk Factor Surveillance System were examined in relation to both cisgender men and cisgender women. This analysis was done to further the effort of understanding the health disparities experienced by TGD populations. Transgender and gender diverse individuals were more likely to have poor overall health and mental health, have multiple chronic health conditions, and have …

“The Worst Part About My Pregnancy Was Stuff That Didn’T Have To Do With My Pregnancy”: Medicaid Beneficiaries’ Pregnancy Intentions & Experiences In South Carolina, Andrew Michael Chen

Senior Theses

Low-income women and women of color experience adverse birth outcomes at disproportionately higher rates in the United States than most people who give birth. This thesis examines individual interviews conducted with 30 low-income women whose most recent birth was covered by Medicaid, the United States’ largest means-tested public health insurance program. The aim of this thesis is to examine how the women in the study thought about pregnancy, and how they described their intentions to become or avoid becoming pregnant at various times in their life. While public health researchers often frame pregnancy as an event that is either intended …

Where I’M From: Internal Manifestations Among Cambodian Women Using The Expressive Arts A Literature Review, Noeun Chhim

Expressive Therapies Capstone Theses

Chronic mental illness has affected many Cambodian people, but, culturally, Cambodians aren’t accustomed to opening up and discussing their feelings, rather defining mental illness to craziness and seeking help is presumed taboo. Thus, Cambodians are often reluctant to talk about their experiences and/or their related illnesses. Though Cambodians have experienced inconceivable suffering and violence during the Khmer Rouge era, for the purpose of this thesis, I will be discussing the role of Cambodian women and investigate the extent of what they’ve witnessed and experienced. Cambodian women have suffered through many years of trauma and grief, during and after the Khmer …

F. Scott Fitzgerald’S Homme Épuisé: Usurping The “Madwoman” In Tender Is The Night (1934) [2022], Emma Hill

Master's Theses

Nineteenth-century women writers commonly use themes of entrapment and madness in what are now classified as gothic novels. In texts such as Jane Eyre, Frankenstein, and The Yellow Wallpaper, confinement and madness are synchronous in developing the figure of “the madwoman.” These texts were written during a time when it was uncommon for female writers to seek publication, and many used pseudonyms to get their works published or to be taken seriously by critics. The “madwoman” emerged as a powerful trope to articulate what writing under a patriarchal system feels like. That is to say, confinement scenarios resulting from female …

The Glass Coffin: Gothic Adaptations And The Formation Of Sexual Subjectivity., Colton T. Wilson

Electronic Theses and Dissertations

It is now an almost foregone conclusion that classic depictions of vampirism resonate with contemporary queer audiences. A sympathetic response to the monster’s persecution is often the key factor in these arguments, yet little attention is paid to the textual details that prompt such a process of identification. This study posits that the iconography used to establish a connection between monstrosity and non-normative sexuality has its origins in Victorian Gothic fiction, whose descriptions of vampirism were assimilated into the discourse of the fin-de-siècle medical field known as sexology. Theories that defined homosexuality as an illness with physical and psychological symptoms …

“In The Skin I’M In…I Represent A Different Version Of What Help Looks Like:” Black Women Sport Psychology Professional’S Experiences In Applied Sport Psychology, Sharon R. Couch

Doctoral Dissertations

Black Feminist Applied Sport Psychology (BFASP) is a culturally inclusive theoretical framework for centering Black women’s experiences in applied sport psychology (Carter et al., 2020; Couch et al., 2022). For the past two decades, (White) Feminist applied sport psychology professionals (FASPPs) described the experiences of Black women as unique but were overlooked in research and participant pools due to the prioritization of White women's and Black male sport experiences. (Carter & Davila, 2017; Carter & Prewitt-White, 2014; Gill, 2020; Hyman et al., 2021). The purpose of this study was to explore the life and work experiences of BASPPs (i.e., faculty, …

Mental Health Needs Among Latina Migrant Farmworkers In The State Of Wisconsin - A Colonial Legacy, Maria Del Carmen Graf

Theses and Dissertations

Latinos have an increased risk for mental health problems due to several factors, including immigration, socio-economic and cultural barriers (Espeleta et al., 2019). Besides mental health risk factors such as gender, lower education attainment, and poverty (Espeleta et al., 2019), Latina migrant farmworkers also face the demands of their domestic roles, which result in work-family conflicts and stress (Arcury et al., 2018). Furthermore, persistent stigma perpetuated primarily by poor health literacy and traditional cultural perceptions and beliefs about mental health hinders their decision to seek mental health treatment (Lopez et al., 2018). To date, there are no scholarly works published …

The Effects Of Hormonal Contraceptive Use On Perceptions Of Social Stress In Women, Ashton Jones

Biological Sciences Undergraduate Honors Theses

Hormonal contraceptives are widely used due to their efficiency in preventing pregnancy. Although women are often informed of the physical effects of hormonal contraceptives, there is little emphasis on mental effects, such as increased rates of depression and changes in social perception. The current study examined perceptions of social stress among women before beginning hormonal contraceptives, and two months after using hormonal contraceptives. I hypothesized that women would experience increased social stress after beginning hormonal contraceptives, compared to a control group of women who were also assessed twice. Results did not support this hypothesis; there was no difference in interpersonal …

Body Appreciation, Gender, Motivation, And Competitive Success In Competition Climbing, Marissa Frost

All Theses

The focus of this study was to examine the relation between the constructs of body appreciation, gender, motivation, and competitive success in competition climbers. To gather data for this study, a Qualtrics survey was created and distributed amongst the competition climbing community through USA Climbing’s Facebook page and member email list. Data was then collected from competition climbers between the ages of thirteen and sixty over 45 days in the winter of 2017. A total of 236 competition climbers participated in the survey and 202 of those responses were used in this study. Body appreciation in this study was analyzed …

If I Can't Dance To It, It Isn't My Revolution: The Intersection Of Feminist Theory & Dance/Movement Therapy, Paige Kliewer-Mcclellan

Dance/Movement Therapy Theses

Feminism is a social, cultural, and political movement and set of theories which highlight the impact of gender inequality in order to push for equal rights in all spheres. Dance/movement therapy is a method of psychotherapy which utilizes movement rather than verbal language to identify and process emotional material, centering the lived, embodied experience of the client. Both dance/movement therapy as a practice and profession and feminism as a movement and ideology have faced difficulties in being recognized as legitimate, worthwhile areas of focus, and they have also faced similar challenges in embracing diversity and inclusion. The ideological similarities between …

Communicating Pain Unseen: Addressing Health Outcomes In Sexual Activity For Women With Endometriosis, Madison Wiese

UNLV Theses, Dissertations, Professional Papers, and Capstones

Roughly 160 million women live with endometriosis, a chronic disease involving the uterine lining shedding on the outside of the uterus causing immense physical and emotional pain (Becker et al., 2020). One common symptom of endometriosis is dyspareunia, or painful sex (Ballard et al., 2008). This study aims to uncover how gender expectations from society impact women with endometriosis specifically in sexual encounters. Informed by the traditional sexual script theory and sexual script theory, the study examines how traditional gender norms might influence women’s prioritization of their own health needs as well as the physical, emotional, and relational health outcomes …

In The Image Of… Towards A Trans Talmud, Laurence Myers Reese

UNLV Theses, Dissertations, Professional Papers, and Capstones

In the Image of... (towards a Trans Talmud) is a body of work by artist Laurence Myers Reese that works to examine Jewish paradigms of gender through the transgender lens. Reading the archive diagonally, he examines historical Jewish writings, from poet and Rabbi Kalonymous Ben Kalonymous to “false Messiah” Shabbatai Tzvi. Contextualizing contemporary Jewish with notable exhibitions from the Jewish Museum New York and Spertus Museum, Chicago, In the Image of… draws from artists, writers, and Rabbis who use a gendered lens to interrogate Judaism. These include Yael Kanarek, who has worked to re-gender the entire Torah, Rena Yehuda Newman, …

The Lived Experiences Of Transmasculine Speakers: A Phenomenological Investigation Of Vocal Quality And Function In Relation To Gender, Micah Wylie

Graduate Theses and Dissertations

The objective of this study was to learn how transmasculine individuals perceive the quality and function of their voices, and how those perceptions influence how they experience gender identity and communicate with others. This qualitative study adopted a hermeneutical phenomenological approach that involved using content analysis and thematic analysis to describe and interpret phenomena. This approach assumes that the researcher is not biased, but is a part of the world being studied and, therefore, understands the phenomenon by interpretive means. Saturation was achieved when all relevant information was introduced, and patterns of information had been identified. Sixteen interviews were conducted. …

Exploring Higher Weight Women's Experiences Of Provider Weight Stigma, Meredith W. Moore

Graduate Theses and Dissertations

The purpose of this phenomenological study is to explore the phenomena of weight stigma as experienced by higher weight women in mental health treatment who also engage in restrictive eating behaviors. Women in larger bodies who are emotionally or behaviorally restrictive in their eating behaviors face a unique set of challenges and barriers. These include challenges due the disordered eating behaviors themselves, along with barriers related to weight stigma perpetuated by the mental health providers treating them (Harrop, 2019). Distinct hurdles to proper treatment including delay of diagnosis, longer duration of symptoms, and increased distress related to eating and body …

The Need For Specialized Substance Abuse Treatment For Gay Men In The United States, Sarah Nance

Health, Human Performance and Recreation Undergraduate Honors Theses

Substance misuse and abuse is a global public health issue that affects sexual minority populations at a higher rate than the heterosexual population. Many popular gay socialization strategies include gay bars and chemsex, or sexualized drug use, in which substance use is common in both. The Minority Stress Model provides an explanation as to how stigma embedded in a society and within a person can act as a stressor and manifest into a substance abuse disorder. This stigma acts for many as a barrier to seeking healthcare out of fear of discrimination, causing many to hide their identity when seeking …

Healing Through Mother Earth, Taylor A. Russell

Dance (MFA) Theses

This thesis deals with mental health, with a focus on Black women. Historically, Black women are often so compromised, being constant caregivers and helping everyone else, that they forget to help themselves, not having the time and financial means to do so. If we go back in the time of slavery, many Black women were taking care of slave owners' children and suckling the white women’s babies instead of their own. By the time they got home and after diligently caring for other people’s children they were focused on their own children, who they had been away from for hours …

Staff Education On Perinatal Depression, Kirenia Santiuste

Walden Dissertations and Doctoral Studies

Perinatal depression (PND) is a global mood disorder affecting women transitioning into parenthood and is closely related to extensive psychosocial and financial consequences for the family. Ten to twenty percent of new mothers in the US are affected by PND in the year after giving birth. The problem identified for this Doctor of Nursing Practice project was the need for staff education on knowledge of and screening for PND in the obstetrical clinic for which the project was developed in a southeastern state of the US. Using the analysis, design, development, implementation, and evaluation model, the purpose of this Doctor …

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 …

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 …

The Longevity Of A Law Enforcement Career Post Critical Incident, Alyce E. Clark

Walden Dissertations and Doctoral Studies

Law enforcement officers experience traumatic events that can have an impact on their health and their career. Regardless of the continued research on police and mental health, challenges persist. The stigma is that law enforcement officers are tough and keep their emotions to themselves; however, they are human, like the community they serve. Due to possible consequences related to officers discussing having mental health problems after critical incidents, police officers may be reluctant to seek help due to backlash. Interviews were completed in a two-tier format that led to follow-up questions with surveys specifically related to alcohol and burnout found …

“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 …

Help-Seeking Behaviors For Depression Among Native Hawaiian Women In The Western Region Of The United States Mainland, Marlana Glover

Walden Dissertations and Doctoral Studies

Help-seeking for depression, as with other mental illnesses is contingent upon stigmas that one perceives. Although causes for depression differ among indigenous populations, native Hawaiians suffer from the Western acculturation and colonization of their homeland. With lack of trust in the U.S. healthcare system, many native Hawaiians are reluctant to seek help for depression. Furthermore, research has shown that most studies on native Hawaiians are conducted in their native environment when many Hawaiians relocate to the U.S. mainland. Because of the current depression crisis, it is critical to explore depression among native Hawaiians, particularly women on the mainland to see …

Christian U.S. Army Female Combat Veterans Diagnosed With Ptsd Experiencing A Moral Injury Of War, Kathaleen Graham-Young

Walden Dissertations and Doctoral Studies

Warzone exposure potentially impacts the mental and physical health of veterans who receive a diagnosis of PTSD. There is limited research addressing the adjustments of the potentially morally injurious event(s) (PMIEs) experienced by Christian U.S. Army female combat veterans diagnosed with PTSD who returned home from Iraq and Afghanistan warzones post - 9/11. To better understand the impact of PMIEs experienced by the target population, a study of the integration of the transpersonal-existential meaning-based model was used. A general qualitative research design was selected to understand the complex social phenomena. In-depth telephone interviews were conducted to gather viable data. These …

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 …

Experiences Of Women In Sierra Leone Relating To Accessing Breast Cancer Treatment, Anne Neville

Walden Dissertations and Doctoral Studies

There has been a lack of consistent access to breast cancer care and treatment for women in developing countries, especially in Sierra Leone. Limited access to breast cancer care and treatment is a significant problem for women diagnosed in the later stages of the disease. The purpose of this research was to understand the experiences of women diagnosed with different stages of breast cancer, how they went about accessing breast cancer care and treatment, and how those experiences can be used to improve access to breast cancer treatment in Sierra Leone. Andersen and Newman’s healthcare utilization model guided the study’s …

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 …

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 …