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Full-Text Articles in Medicine and Health Sciences

The Relationship Between Emotional Intelligence And Literacy Achievement Of Secondary Students, David P. Jones Jan 2011

The Relationship Between Emotional Intelligence And Literacy Achievement Of Secondary Students, David P. Jones

Walden Dissertations and Doctoral Studies

Proficiency in language arts and communication skills is essential to success in the global workforce. Most states assess students in language arts literacy (LAL) through standardized tests that assess a student's ability to read, interpret literature, and write expressively. Although educational reformers strive to improve the foundations that prepare students in literacy, reforms have not fully incorporated the theory of emotional intelligence (EI), which explains a student's ability to use, understand, perceive, and manage their emotions in order to think critically, make decisions, and solve problems. Although it is not known whether EI directly correlates to literacy, emotional skills are …


Evaluation Of Bureau Practice For Illegal Drugs Use Among Teens, Sharon D. Heard Jan 2011

Evaluation Of Bureau Practice For Illegal Drugs Use Among Teens, Sharon D. Heard

Walden Dissertations and Doctoral Studies

The Bureau of Substance Abuse Treatment Recovery and Prevention, which oversees drug intervention services for Detroit residents, has found the city's illegal drug use among teens to mirror national rates. Illegal drug use is associated with addiction, major health problems, and stigma. Incorporating evidence-based screening during all teen health care visits would decrease missed opportunities to identify at-risk behaviors, the number of teens that do not receive intervention, and the stigma associated with screening. The purpose of this project was to develop evidence-based policy and practice guidelines for teen screening services for illegal drug use. The Plan-Do-Study-Act (PDSA) model was …


A Concept Mapping Needs Assessment Of Young Families With Parental Cancer, Richard P. Durant Jan 2011

A Concept Mapping Needs Assessment Of Young Families With Parental Cancer, Richard P. Durant

Antioch University Dissertations & Theses

The purpose of this research is to investigate the support needs of young families living with and beyond a parental diagnosis of cancer. The sample includes 56 participants comprised of 31 professional stakeholders and 25 patient stakeholders affiliated with the Charles R. Wood Cancer Center. It was hypothesized there would be differences in how the groups of stakeholders rated needs in terms of importance, satisfaction, and utilization. Differences in ratings are thought to be barriers to effective program development. While not a formal research hypothesis, it was anticipated other program development barriers germane to naturalistic clinical settings would emerge from …


Descending Into And Out Of The Maelstrom: Soma And The Survival Struggle, Rachel M. Urbano Jan 2011

Descending Into And Out Of The Maelstrom: Soma And The Survival Struggle, Rachel M. Urbano

Antioch University Dissertations & Theses

The purpose of this qualitative phenomenological study is to highlight the ways “surviving therapists” adapt to the inner-spaces in which they are still affected by their traumas. Surviving therapists are defined as therapists who identify as having experienced a trauma caused by another human being while maintaining an observational stance in relation to their body and self-experience. Therapists are not immune to the lasting effects of trauma: they may experience somatic reactivity and painful affective states in working with trauma patients. As surviving therapists have experienced events they may unconsciously choose to keep out of awareness, they may rely on …


Effect Of Stress, Emotional Lability And Depression On The Development Of Pregnancy Complications, Servitje, Estibalitz Laresgoiti Servitje Jan 2011

Effect Of Stress, Emotional Lability And Depression On The Development Of Pregnancy Complications, Servitje, Estibalitz Laresgoiti Servitje

Walden Dissertations and Doctoral Studies

Chronic stress and other emotional factors may have relevant impacts on pregnancy outcomes because they are related to neuroendocrine changes that lead to alterations in immunomodulation during pregnancy. In this quantitative prospective cross-sectional study, the relationship of emotional lability, depression, and stress during pregnancy and the development of preterm labor, preeclampsia, placental abruption, and low birth weight for gestational age babies was examined. Additionally, social support scores were compared to levels of stress/anxiety, depression, and emotional lability in pregnant women. Two hundred and forty two pregnant women who received prenatal services at the National Institute of Perinatology in Mexico City …


Polyamine Modulation In Alcoholism: Examination Using A Novel Screening Procedure Designed To Predict Anti-Relapse And Neuroprotective Efficacy, J. Ben Lewis Jan 2011

Polyamine Modulation In Alcoholism: Examination Using A Novel Screening Procedure Designed To Predict Anti-Relapse And Neuroprotective Efficacy, J. Ben Lewis

University of Kentucky Doctoral Dissertations

Alcohol dependence is a major public health concern. Despite the FDA’s approval of multiple anti-relapse drugs, relapse rates remain unacceptably high. Furthermore, cognitive deficits among chronic drinkers are evident and are suggested to contribute to relapse risk. Current evidence suggests that several critical features of alcoholism and alcohol-associated neurodegeneration are mechanistically linked to glutamatergic actions; specifically, they appear positively affected by glutamatergic inhibition, particularly inhibition via polyamine modulation of a subpopulation of n-methyl-d-aspartate receptors. The current project was designed to evaluate the performance of two putative polyamine modulators (JR-220 and CP-101,606) in a variety of screens designed …


The Technology Of Grief: Social Networking Sites As A Modern Death Ritual, Jordan Ciel Fearon Jan 2011

The Technology Of Grief: Social Networking Sites As A Modern Death Ritual, Jordan Ciel Fearon

Antioch University Dissertations & Theses

Technology plays a significant role in the socialization and development of society. One popular technology includes Facebook, a Social Networking Site (SNS). As Facebook has become a common site for reaching out to others for a sense of support and connection, it has also become a site to express grief and bereavement through the creation of Memorial Groups. Through a qualitative survey design, descriptive information regarding the impetus to create a Memorial Group as well as the desired utility was examined through the perspective of the creator. An online questionnaire consisting of open and closed-ended questions was completed by 68 …


Adapting An Evidence-Based Intervention To Improve Social And Behavioral Competence In Head Start Children: Evaluating The Effectiveness Of Teacher–Child Interaction Training, Christopher Campbell Jan 2011

Adapting An Evidence-Based Intervention To Improve Social And Behavioral Competence In Head Start Children: Evaluating The Effectiveness Of Teacher–Child Interaction Training, Christopher Campbell

Department of Psychology: Dissertations, Theses, and Student Research

Empirical studies indicate that as many as 35% of Head Start children meet the diagnostic criteria for oppositional defiant disorder or conduct disorder (Webster-Stratton & Hammond, 1998). Without early intervention, these problematic behaviors may become stable across childhood and adolescence (Campbell, 1995), increasing the likelihood of academic problems, school drop-out, substance abuse, delinquency, and violence (Snyder, 2001). Head Start children are also more likely to enter school with significant deficits in social-emotional readiness, with a many as 40% demonstrating delays in social competencies and communication abilities (Kaiser et al., 2000). Longitudinal research indicates that early gaps in social competence for …


The Recovery Of Cognitive And Social Cognitive Functioning In Response To Social Cognition Interaction Training Administered In Community Settings: A Longitudinal Study, Lena Reddy Jan 2011

The Recovery Of Cognitive And Social Cognitive Functioning In Response To Social Cognition Interaction Training Administered In Community Settings: A Longitudinal Study, Lena Reddy

Department of Psychology: Dissertations, Theses, and Student Research

Psychosocial rehabilitation for persons with Serious Mental Illness (SMI) encompasses recovery of functioning in a broad array of domains, including neurocognitive, social cognitive, interpersonal, occupational, and self-care abilities. There is extensive evidence that improvements in these domains are possible as a result of targeted interventions, and that these improvements may generalize to other areas of daily functioning. The current study explored rehabilitative change over time among adults with SMI that were attending outpatient day centers. Social Cognition and Interaction Training (SCIT), a cognitive-behavioral skills-training modality, was implemented during the time period in which the data was collected. Forty adults participated …


The Role Of Perceptual Processes In The Use Of And Willingness To Use Professional Health Care Services, Luis Omar Rivera Jan 2011

The Role Of Perceptual Processes In The Use Of And Willingness To Use Professional Health Care Services, Luis Omar Rivera

Open Access Theses & Dissertations

To better address ethnic health disparities, it is imperative that we understand the psychological processes that shape people's use of and willingness to use professional health care services. The current research proposes and tests a model in which people's attentional orientation toward context discourages them from seeking professional health care services because (a) attentional orientation toward context encourages people to attribute symptoms of illness to external/environmental factors and (b) attributing symptoms of illness to external/environmental factors is associated with less use of professional health care services. The results of two studies show mixed support for the proposed model. Consistent with …


Effects Of Two Group Approaches On Life Satisfaction And Mood Of Older Females In Nursing Homes, Bede Redpath Ryan Jan 2011

Effects Of Two Group Approaches On Life Satisfaction And Mood Of Older Females In Nursing Homes, Bede Redpath Ryan

Wayne State University Dissertations

The purpose of this study was to examine the effects of two group counseling therapy interventions on levels of life satisfaction and mood disturbance of older women, age 65+, living in two Detroit-based skilled nursing home facilities. This quasi-experimental, two-treatment group design examined the pretest-posttest data of two group counseling therapy interventions, Group Art Therapy (GAT) and Group Life Stories Narrative Therapy (GLSNT). Seventeen participants completed the bi-weekly, 90-minute sessions, over a four-week period. A univariate ANCOVA with group membership as fixed independent variable was used to compare life satisfaction post scores with pre scores as covariates. Mean scores were …


Maternal Exposure To The Holocaust And Health Complaints In Offspring, Janine D. Flory, Linda M. Bierer, Rachel Yehuda Jan 2011

Maternal Exposure To The Holocaust And Health Complaints In Offspring, Janine D. Flory, Linda M. Bierer, Rachel Yehuda

Publications and Research

Although the link between chronic stress and the development of cardiovascular and metabolic diseases of adulthood has been known for some time, there is growing recognition that early environmental influences may result in developmental programming via epigenetic mechanisms, thereby affecting the developmental trajectory of disease progression. Previous studies support the idea that offspring of Holocaust survivors may have been subjected to early developmental programming. We evaluated the relationship between parental exposure to the Holocaust and selfreported health ratings and disorders made by their adult offspring (i.e., second generation Holocaust survivors). A total of 137 subjects were evaluated. Regression analyses demonstrated …


Intrapsychic Predictors Of Professional Quality Of Life: Mindfulness, Empathy, And Emotional Separation, Jacky T. Thomas Jan 2011

Intrapsychic Predictors Of Professional Quality Of Life: Mindfulness, Empathy, And Emotional Separation, Jacky T. Thomas

University of Kentucky Doctoral Dissertations

A growing literature documents the inherently stressful nature of working with persons who are suffering or traumatized, and the potential for the development of stress disorders among social workers and other helpers. Previous studies of compassion fatigue and burnout have provided important information about professional and workplace variables that might influence risk, but little attention has been given to studying intrapersonal skills/abilities that might reduce risk and/or increase resilience and work satisfaction among helping professionals. This exploratory study asked whether levels of mindfulness, empathy, and emotional separation would influence professional quality of life, including compassion fatigue, burnout, and compassion satisfaction. …


Understanding Psychosocial Rehabilitation Workers' Perceptions Of Difficult Psychiatric Situations, James B. Arnold Jan 2011

Understanding Psychosocial Rehabilitation Workers' Perceptions Of Difficult Psychiatric Situations, James B. Arnold

Walden Dissertations and Doctoral Studies

Psychosocial rehabilitation (PSR) is a community-based service that addresses the challenges faced by people diagnosed as having psychiatric disabilities. While working with co workers and clients, PSR workers may harbor perceptions that could lower the effectiveness of their work and hinder recovery by their clients. Although cognitive-behavioral theory has suggested an association, research has not yet connected PSR worker attitudes about psychiatric situations to their feelings and behavior. In this nonexperimental factorial design, 196 PSR workers were surveyed about the frustrations presented by stressful interpersonal job situations using the Psychiatric Situations Scale to identify whether occupation (case workers, residential workers, …


Perspectives Of Close Relatives In Pediatric Palliative Care: A Grounded Theory Approach, Janelle Marie Feyh Jan 2011

Perspectives Of Close Relatives In Pediatric Palliative Care: A Grounded Theory Approach, Janelle Marie Feyh

Walden Dissertations and Doctoral Studies

Pediatric palliative care has recently become a priority in the healthcare field and is implemented at the time of diagnosis rather than days or weeks before the child's death. Social constructivism theory in which humans generate meaning from their experiences was utilized as a general framework to determine the impact of pediatric palliative care on close relatives. The purpose of this grounded theory study was to generate a substantive theory that explains how close relatives such as grandparents, aunts, and uncles of a child with cancer experience palliative care. The participants of the study included close relatives of children in …


Union And Nonunion Employment: An Investigative Study Of Factors In The Employment Setting That May Influence The Development Of Burnout, Rachel Elizabeth Costello Jan 2011

Union And Nonunion Employment: An Investigative Study Of Factors In The Employment Setting That May Influence The Development Of Burnout, Rachel Elizabeth Costello

Walden Dissertations and Doctoral Studies

The primary goal of this two-phased, sequential mixed-methods study was to discover whether union affiliation is associated with a lower occurrence of burnout in factory workers by comparing union and nonunion workers. The objective was to determine levels of burnout in union and nonunion employees as well their perception of social support in the workplace. The theoretical synthesis consisted of conservation of resources theory and the theory of reasoned action. The Oldenburg Burnout Inventory (OLBI) and the Quality of Worklife Questionnaire were used to identify the characteristics of the workplace (job demands and job resources) and the level of burnout. …


The Impact Of Company Grade Officer Self-Sacrificial Behavior On Subordinate Assessments Of Leader Charisma, Danjel Bout Jan 2011

The Impact Of Company Grade Officer Self-Sacrificial Behavior On Subordinate Assessments Of Leader Charisma, Danjel Bout

Walden Dissertations and Doctoral Studies

Newly commissioned officers in the U.S. Army are taught to lead their soldiers from the front and to voluntarily make personal sacrifices in the service of the nation. Although this facet of military culture is seen as critical to the integrity of the force, there are few research studies describing the impact of leader self-sacrifice in the U.S. Army. Research evolving from the transformational leadership literature indicates that civilian leaders who engage in self-sacrificial behavior are viewed as more charismatic than their counterparts and that this perception is particularly pronounced in crisis situations. The current study extended this research to …


The Impact Of Personalization-Based Tailored Instructional Communications On College Student Persistence, Nichole Gibbs Jan 2011

The Impact Of Personalization-Based Tailored Instructional Communications On College Student Persistence, Nichole Gibbs

Walden Dissertations and Doctoral Studies

The low graduation rate of degree-seeking students at public community colleges is an important crisis facing communities across the United States. College satisfaction and withdrawal cognitions in students have been identified as key factors in college persistence by researchers. However, a review of the literature revealed no study in which a college-persistence intervention based on the personalization principle theory or using tailored messages has been conducted. The purpose of this study was to test the effectiveness of a college-persistence intervention, based on the personalization principle theory and Mashburn's theory, for students at a community college. This study used between-groups experimental …


Exploration Of The Project Management Practitioner's Emotional Intelligence Competencies, Linda A. Hooper Jan 2011

Exploration Of The Project Management Practitioner's Emotional Intelligence Competencies, Linda A. Hooper

Walden Dissertations and Doctoral Studies

The success rate of information technology projects is on a downward trend, with reported losses in the billions of dollars. Recent studies indicate a 50--56% project success rate based on quality, budget, and on-time criteria. Building upon the conceptual framework of the emotional intelligence and knowledge management theories, the purpose of this phenomenological study was to explore how project management practitioners apply self- and cultural-awareness competencies to affect project outcomes. Using a purposeful sampling method, 24 experienced U.S.-based project management practitioners participated in a web-based questionnaire. Following Giorgi's data reduction process resulted in numeric data coding. Thematic analysis revealed themes …


A Test Of An Evolutionary Theory Of Adiposity Gain Induced By Long Sleep In Descendants Of European Hunter-Gatherers, Oleksiy Chadyuk Jan 2011

A Test Of An Evolutionary Theory Of Adiposity Gain Induced By Long Sleep In Descendants Of European Hunter-Gatherers, Oleksiy Chadyuk

Walden Dissertations and Doctoral Studies

Researchers have identified inadequate sleep duration as one of the factors contributing to global obesity. The purpose of this study was to test a hypothesis deduced from a new sleep-duration-based evolutionary theory claiming that sleep extension in response to lengthening night duration in early fall evolved into a behavioral marker of an approaching winter; this adaptive trait was theorized to produce adiposity gain in White men in response to sleep extension. The hypothesis was that White Americans would show a greater increase in the age-adjusted fat mass index per unit of sleep duration compared to that of Black Americans. Data …


Prediction Of Air Traffic Controller Trainee Selection And Training Success Using Cognitive Ability And Biodata, Karen D. Fox Jan 2011

Prediction Of Air Traffic Controller Trainee Selection And Training Success Using Cognitive Ability And Biodata, Karen D. Fox

Walden Dissertations and Doctoral Studies

The Federal Aviation Administration (FAA) has experienced decreased return on investment caused by hiring too many air traffic controller specialists (ATCSs) who performed poorly in field training, thus failing to become certified professional controllers (CPCs). Based on Schmidt and Hunter's theory of job performance and biodata theory, this quantitative, archival study examined whether factors of cognitive ability and biodata could predict job performance status of 2 generations of ATCSs, poststrike (PS) and next generation (NG) controllers. For each generation of controllers, binary logistic regression analysis was conducted to determine if any of the independent variables---transmuted composite (TMC) score for PS …


Discrete Trial Instruction: Comparing The Abbreviated Performance Feedback And Lecture Test Models, Tammy J. Dobbs Jan 2011

Discrete Trial Instruction: Comparing The Abbreviated Performance Feedback And Lecture Test Models, Tammy J. Dobbs

Walden Dissertations and Doctoral Studies

Growing media attention and a high diagnosis rate of autism places significant demand on the service industry to provide qualified staff to work with individuals who have autism. Discrete trial instruction (DTI) is one of the most sought-after treatment approaches for those individuals. However, there is a gap in research regarding the efficacy of training methods for those who train direct staff to implement DTI. This quantitative study used an applied behavior analysis basis, deriving from foundations of behavior theory, to compare the abbreviated feedback form (AFF) to the lecture test model (LTM) to understand which will improve direct staff's …


Adolescent Depression And Social Support, Religiosity And Spirituality In A Faith-Based High School, Angela P. Ekwonye Jan 2011

Adolescent Depression And Social Support, Religiosity And Spirituality In A Faith-Based High School, Angela P. Ekwonye

Seton Hall University Dissertations and Theses (ETDs)

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"Out Of The Mouths Of Sibs"... A Phenomenological Study Of The Experience Of Being A Well School-Age Sibling Of A Child With A Traumatic Injury, Mary Jo Bugel Jan 2011

"Out Of The Mouths Of Sibs"... A Phenomenological Study Of The Experience Of Being A Well School-Age Sibling Of A Child With A Traumatic Injury, Mary Jo Bugel

Seton Hall University Dissertations and Theses (ETDs)

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2011-2012 Unlv Mcnair Journal, Cyndy Anang, Sajar Camara, Pamela Cornejo, Carla Antonieta Farcello, Ilse Anahi Garcia, Natiera Magnuson, William L. Mccurdy, Lorena Munoz, Maxym V. Myroshnychenko, Ricardo Rios, Theodore Waldeck, Barbara Wallen, Ana Zuniga, Brenda M. Aguilar, Tiffany Alexandra Alvarez, Daniel N. Erosa, Paige C. Espinosa, Carla Antonieta Farcello, Julienne Jochel Paraiso, Nathaniel Derek Phillipps, Carmen Vallin, Jacent N. Wamala, Ernesto Zamora-Ramos Jan 2011

2011-2012 Unlv Mcnair Journal, Cyndy Anang, Sajar Camara, Pamela Cornejo, Carla Antonieta Farcello, Ilse Anahi Garcia, Natiera Magnuson, William L. Mccurdy, Lorena Munoz, Maxym V. Myroshnychenko, Ricardo Rios, Theodore Waldeck, Barbara Wallen, Ana Zuniga, Brenda M. Aguilar, Tiffany Alexandra Alvarez, Daniel N. Erosa, Paige C. Espinosa, Carla Antonieta Farcello, Julienne Jochel Paraiso, Nathaniel Derek Phillipps, Carmen Vallin, Jacent N. Wamala, Ernesto Zamora-Ramos

McNair Journal

Journal articles based on research conducted by undergraduate students in the McNair Scholars Program

Table of Contents

Biography of Dr. Ronald E. McNair

Statements:

Dr. Neal J. Smatresk, UNLV President

Dr. Juanita P. Fain, Vice President of Student Affairs

Dr. William W. Sullivan, Associate Vice President for Retention and Outreach

Mr. Keith Rogers, Deputy Executive Director of the Center for Academic Enrichment and Outreach

McNair Scholars Institute Staff


Integrating Morita Therapy And Art Therapy: An Analysis, Ayako Sato Jan 2011

Integrating Morita Therapy And Art Therapy: An Analysis, Ayako Sato

Antioch University Dissertations & Theses

This study presents therapeutic interventions combining Morita Therapy with art therapy techniques. The author presents literature reviews of art therapy as well as the original Morita Therapy formulated by Shoma Morita, M.D. A new art therapy technique based on the work of Kenji Kitanishi, M.D. (2008) for outpatient treatment is also presented. A case illustration of an eleven‐year‐old Vietnamese‐American boy who presented with high anxiety and school refusal is used as an example of the effective integration of Morita Therapy with art therapy techniques formulated by the author. Even though the boy was not familiar with Morita Therapy principles, the …


A Conceptualization Of Treatment Stigma In Returning Veterans, Jason B. Flick Jan 2011

A Conceptualization Of Treatment Stigma In Returning Veterans, Jason B. Flick

Antioch University Dissertations & Theses

The dissertation project combines three theoretical models that inform conceptualizations of the origins, manifestations, and consequences of stigma: the Social Psychological model (SPM), the Sociological model (SM), and the Cognitive-behavioral model (CBM). These models merge into a single, integrative lens, through which stigma can be examined on both cultural and individual levels. This lens is then applied to the cultural and individual manifestations of the stigma of seeking psychological treatment experienced by veterans who have served in Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF). Through this lens, an understanding of the inception, maintenance, and effects of this treatment …


A Self-Psychological Exploration Of Multiple Sclerosis In Its Biopsychosocial Context, Elisabeth Anne Parrott Jan 2011

A Self-Psychological Exploration Of Multiple Sclerosis In Its Biopsychosocial Context, Elisabeth Anne Parrott

Antioch University Dissertations & Theses

This theoretical dissertation constructs a new frame of reference for understanding relapsing-remitting multiple sclerosis (RRMS) using self psychology to develop a biopsychosocial formulation of the illness in order to better inform the medical treatment of patients. After conducting a critical exploration of MS in its historical context and providing a brief overview of the etiology of MS, this paper examines the phenomenology of the illness using the concepts of self psychology to further develop the theory of Engel’s (1977) biopsychosocial model. The relationship among biological, intrapsychic, and social factors and coherent conceptualization and medical treatment of multiple sclerosis is addressed. …


A Task Analysis Of Metacommunication In Time-Limited Dynamic Psychotherapy, Theodore Matthew Austin Jan 2011

A Task Analysis Of Metacommunication In Time-Limited Dynamic Psychotherapy, Theodore Matthew Austin

Antioch University Dissertations & Theses

This study examined how successful metacommunication unfolded in time-limited dynamic psychotherapy (TLDP) using the task-analytic paradigm developed by Greenberg (2007). Specifically, the purpose of the study was to discern the elements, themes, and temporal sequences that were common to effective metacommunication. In accordance with the paradigm, this was accomplished by the creation of a rational model, which combined existing theoretical literature on metacommunication and anecdotal clinical evidence. Next, the distilled components of metacommunication in six high-quality (HQ) sequences were contrasted to the distilled components of six low-quality (LQ) sequences in order to generate an empirical model. These sequences were selected …


Work Interrupted: A Questionnaire Assessing The Relationship Between Work-Related Distress And Psychological Adjustment To Cancer, Betsy A. Bates Freed Jan 2011

Work Interrupted: A Questionnaire Assessing The Relationship Between Work-Related Distress And Psychological Adjustment To Cancer, Betsy A. Bates Freed

Antioch University Dissertations & Theses

Cancer is an increasingly survivable disease that significantly impacts the ability of individuals to negotiate successfully the developmental task most distinctly affiliated with middle adulthood: creating meaning through achievement, creativity, and service. For many adults, these goals are accomplished through employment. When cancer intrudes, patients may be deprived of the ability to participate fully in the “generativity” that developmental psychologist Erik Erikson deemed essential to a healthy adulthood. In qualitative studies, patients’ narratives speak of many work-related losses — of routine, normality, economic stability, social connection, purpose, and identity. While psychosocial issues and quality of life are viewed with increasing …