Medicine and Health Sciences Commons^™

Understanding Occupational Therapy: Medical Doctors And Doctors Of Osteopath’S Knowledge About Occupational Therapy In An Acute Care Hospital, Shereen A. Metwalli

Masters Theses

The purpose of this study was to discover whether medical doctors (MD) and doctors of osteopath (DO) at two large hospitals in the Midwest have adequate knowledge about the roles and functions of occupational therapy, its services and benefits to patients and its implications on interdisciplinary team success. Increasing the knowledge in these three areas could influence occupational therapy referral rates and, as a result, impact the quality of patient care. This study used a descriptive survey to collect data from 55 physicians. Respondents acquired their knowledge of occupational therapy through secondary sources within informal sources of information. A statistically …

Resiliency Factors Related To Substance Use/Resistance: Perceptions Of Native Adolescents Of The Southwest, Margaret A. Waller, Scott K. Okamoto, Bart Miles, Donna E. Hurdle

The Journal of Sociology & Social Welfare

This exploratory, qualitative study examined risk and protective factors influencing drug and alcohol use and/or resistance of Native youth in the Southwest. Thirty-two Native middle school students participated in 10 focus groups that explored their experiences with alcohol and drugs in their school and reservation communities. The findings indicate a complex interaction of both risk and protective factors related to substance use. Respondents' cousins and siblings, in particular, played a key role in their decisions to use or resist drugs. Implications for social work practice are discussed.

Political Correctness Today, Joseph Ellin

Center for the Study of Ethics in Society Papers

Paper presented to the Center of the Study of Ethics in Society Western Michigan University, November 14th, 2003.

The Lived Experience Of Welfare Reform In Drug-Using Welfare-Needy Households In Inner-City New York, Eloise Dunlap, Andrew Golub, Bruce D. Johnson

The Journal of Sociology & Social Welfare

Welfare reform has transformed a needs-based family income support into temporary assistance for persons entering the workforce. This paper uses observations from an ethnographic study covering the period from 1995- 2001 to examine the impact on drug-using welfare-needy households in inner-city New York. The analysis suggests that studies may underestimate the extent to which substance use is associated with welfare problems. Nearly all of these already distressed households lost their AFDC/TANF benefits, had difficulty with work programs, and were having more difficulty covering expenses. The conclusion highlights ways to better study this population and policy initiatives that could help them …

The Social Problem Of Depression: A Multi-Theoretical Analysis, Rich Furman, Kimberly Bender

The Journal of Sociology & Social Welfare

The purpose of this paper is to discuss the social problem of depression from a multi-theoretical perspective. It explores depression through the lens of two psychologically based theories of human behavior, existential theory and cognitive theory, as well as through the vehicle of two sociological theories, Marxist theory and the theory of oppression. By understanding how each of these theories explains depression, social workers may be helped to see the complexity of treating the problem. It is the belief of the authors that social work literature, which is often dominated by reductionist, quantitativelybased research studies, has increasingly ignored theoretical explorations …

Bridging Oceans: An Occupational Therapist's Journey Toward Client-Centeredness, Anna Liedberg Miron

Masters Theses

This study blends an autobiographical approach with a person's own narrative about her recovery experience to create an analytic framework for exploring how narratives of clients and practitioners can be used to inform occupational therapy practice. Beth and I shared 12 hours of audio-taped conversations about her recovery/rehabilitation experience one year after she had experienced a stroke. Beth was intimately involved in the process of editing her story during the research process. Narrative analysis that takes into account the flow of time was used in addition to identification of key stories that Beth felt were important in her recovery-process. Congruence …

Athletic Trainers' Perceptions Of Competence In Therapeutic Exercise, Christopher J. Jones

Masters Theses

As the athletic training profession continues to expand, it is necessary to evaluate the preparedness of the entry-level certified athletic trainer (ATC). The purpose of this research is to determine if entry-level certified athletic trainers perceive that they have the knowledge and skills necessary to perform specific tasks related to therapeutic exercise.

An online questionnaire was sent out to 450 entry-level certified athletic trainers in District Four. A total of 69 subjects returned the survey for a response rate of 15.3%. The questionnaire utilized a Likert-type scale consisting of questions derived in the area of therapeutic exercise of the NATA …

Effect Of Proprioceptive Input Combined With “Handwriting Without Tears” On The Handwriting Of Children With Learning Disabilities, Jodie M. Guy

Masters Theses

The purpose of this study was to investigate the effectiveness of"Handwriting Without Tears" on students' handwriting, and to explore if providing proprioceptive input before implementing "Handwriting Without Tears" has an effect on the legibility and accuracy of handwriting. Three first-grade and three second-grade students who received direct occupational therapy services were divided into two treatment groups. Those students in treatment group A received a combination of proprioceptive input and the "Handwriting Without Tears" program during their treatment session. Those students in treatment group B received only the "Handwriting Without Tears" program. Each student completed the Minnesota Handwriting Test (MHT) before …

Response To Craniosacral Therapy In An Infant With Plagiocephaly, Amy Taylor Johnson

Masters Theses

Objective

The purpose of this study was to examine the effect of utilizing craniosacral therapy (CST) techniques to influence head symmetry and motor skill development of an infant with plagiocephaly. The study is an ex post facto single case study, analyzing the results of data from previously conducted intervention utilizing a craniosacral therapy approach.

Method

The infant in this case study received gentle hands on treatment using the cranium and sacrum to influence the membrane system that encloses the cerebrospinal fluid. Developmental positioning, myofascial release, and sensorimotor techniques were incorporated. The student investigator treated the infant 8 times over a …

An Evaluation Of Methylphenidate Preference In Adults Diagnosed With Attention-Deficit/Hyperactivity Disorder, Emily Kathleen Macdonald

Dissertations

Methylphenidate (MPH) is widely used in the treatment of ADHD, and is associated with positive effects across a wide range of domains. In spite of the clinical effectiveness of MPH, concern has arisen with respect to its abuse potential. The present study examined the reinforcing effects and participant-rated effects of MPH in adults diagnosed with ADHD. Participants included 10 volunteers (ages 18-22) diagnosed with ADHD who were receiving MPH treatment. The reinforcing effects were assessed using a double-blind choice procedure with 4 sampling and 8 choice sessions. During sampling sessions, participants completed a self-report questionnaire before receiving either placebo or …

Investigation Of Parental/Caregiver Concerns Of Children With Spasticity, Lynda Johnson-Cross

Masters Theses

Although there is capacious documentation on the concerns associated with parenting/care giving the disabled child, the concerns of parents/caregiver of children with the specific condition of spasticity is lacking. Therefore, the purpose of this study was to begin to determine the concerns of parents/caregivers of children with spasticity as they specifically relate to care giving. An extensive qualitative based survey interview was utilized to gather information from three informants. Analysis revealed clusters of concerns in the Nature of Caregiving, Spasticity Encounters, and Parental/Caregiver Comments.

The First Four Months In A New Foster Placement: Psychosocial Adjustment, Parental Contact And Placement Disruption, James G. Barber, Paul H. Delfabbro

The Journal of Sociology & Social Welfare

Intake and four-month follow-up measures were obtained for 235 children referred into a new foster care placement over a 12-month period in the Australian State of South Australia. Twenty-five percent of the sample returned home within 4-months, and for those who remained in care throughout, there had been modest gains in behavior, psychological adjustment and adjustment at school. On the other hand, there were considerable levels of placement disruption, a high degree of non-compliance with parental visiting plans, and a high proportion of children fell outside ninety-five percent confidence intervals for the general adolescent population on most well-being measures, particularly …

Review Of The Environment: Its Role In Psychosocial Functioning And Psychotherapy. Carolyn Saari. Reviewed By Timothy Page., Timothy Page

The Journal of Sociology & Social Welfare

Book review of Carolyn Saari, The Environment: Its Role in Psychosocial Functioning and Psychotherapy. New York: Columbia University Press, 2002. $49.50 hardcover, $22.00 papercover.

The Ethics Of Apology And The Role Of An Ombuds From The Perspective Of A Lawyer, Sharan Lee Levine, Paula A. Aylward

Center for the Study of Ethics in Society Papers

Papers presented for the Center of the Study of Ethics in Society Western Michigan University, March 20, 2003.

Evaluation Of The Systems Theory Based Interdisciplinary Patient Safety Practice Guideline On Restraint Reduction And Fall Prevention, Steven D. Eberth

Masters Theses

Patient safety remains one of the most profoundly complex and important issues in healthcare systems especially regarding the use of restraint and the prevention of falls. Current topic guidelines suggest a "systems approach." These guidelines, however, oriented toward solution application using analytical problem-based approach. The development of this practice guideline was in response to a desire for theory-based practice that could guide outcomes. This practice guideline transforms systems theory into a guide for use by a leader/manager and a tool for the practitioner to rethink patient safety in a more holistic manner. This study was conducted in critical care, older …

Right Hemisphere Effects On Language Processing: Suppression Or Activation Deficit, Sarah A. Orjada

Masters Theses

This study was designed to add to the body of research that examines the possibility of semantic activation or suppression deficits as underlying right hemisphere communication disorders. Modified treatment techniques for activation and suppression deficits proposed by Myers (1999) were used as stimuli for the experimental tasks. A total of four RHD participants and four control participants matched in age, gender, and level of education were included in the study. The study aimed to answer the following questions. Do RHD or control participants have higher scores on the suppression tasks? Do RHD participants have longer reaction times? Do RHD or …

The Immediate Effects Of Vestibular Stimulation On The Language Performance Of A Child With Autism, Jennifer L. Sova

Masters Theses

There is a proposed link between sensory processing abilities and language performance in children with autism. Research evaluating such a relationship is limited. This study sought to evaluate the hypothesis that language expression is facilitated by the application of vestibular stimulation in a child with autism. The purpose of the present study was to implement language interaction techniques and measure the outcome of language performance in a 4-year-old child with autism and sensory integration dysfunction. The child was evaluated in regards to vestibular stimulation and its facilitative effect on language production for social communicative purposes. Direct observation was used to …

Evaluation Of The Pediatric Test Of Brain Injury, Heather K. Koole

Masters Theses

This study was designed to evaluate the Pediatric Test of Brain Injury (PTBI), as well as to examine information obtained from informal measures in assessing children and adolescents with traumatic brain injury (TBI). Three students with TBI and three grade- and gender- matched subjects participated in this study. All six students were administered the PTBI, and their performances were given raw scores, rated for level of difficulty in performing the tasks, and compared among and across the two groups. The students with TBI were interviewed by the graduate student researcher regarding self-perceptions of their strengths and weaknesses. In addition, their …

"Are You Beginning To See A Pattern Here?" Family And Medical Discourses Shape The Story Of Black Infant Mortality, Elaine R. Cleeton

The Journal of Sociology & Social Welfare

Postmodern and poststructuralist theorizations of the interrelations of the particular and the universal have identified women's bodies to be the last frontier for scientific discovery leading to and satisfying the modern compulsion to stabilize and control life from birth to death. This institutional ethnography of one city's response to an elevated infant mortality rate among the babies of African American urban, impoverished women explores their discursive transformation from single mothers who cannot begin prenatal care before the second trimester because too few physicians will treat Medicaid patients, into sexually-immoral, illegaldrug- using women who deliberately harm their babies. The study locates …

A Child's Death: Lessons From Health Care Providers' Texts, Nancy M. Bell, Marie L. Campbell

The Journal of Sociology & Social Welfare

This article originates from a research study that explores 'what happened' to a 10-year-old child with Rett syndrome, who died from "severe malnutrition" according to a Coroners Service inquest jury. The inquest evidence analyzed, using institutional ethnography, shows that approximately one week prior to this child's death three health care providers (an emergency physician, a hospice volunteer and a home care nurse) conducted individual assessments of the child. Child protection workers were also involved. Textual analysis of the health care providers' records shows how the child was officially and textually constructed as 'dying from a terminal illness' in contrast to …

Co-Occurring Disorders And Selective Substance Use In Females Ages 10 To 25 Diagnosed With Attention Deficit Hyperactivity Disorder, Nancy A. Clinton

Dissertations

The paucity o f research on females diagnosed with attention deficit hyperactivity disorder (ADHD) precipitated this exploratory investigation into co-occurring disorders and selective substance use in females (n = 70), ranging in age between 10 and 25, diagnosed with ADHD and substance use disorder (SUD). Data extracted from archived substance abuse treatment center records were tested via chi-square analyses to determine proportional differences between frequencies in predetermined co-occurring disorder groups (disruptive behavior disorders, moodanxiety disorders, and learning disorders) and predetermined substance groups (stimulant, depressant, and cannabis) for the total ADHD cohort and for specific diagnoses (inattentive, hyperactive-impulsive, combined, and with …

Roles And Regulation Of Nf-Κb In Platelet-Derived Growth Factor Transformed Cells, Takeshi Shimamura

Dissertations

Platelet-derived growth factor (PDGF) is overexpressed in various cancer cells and the overexpression may be correlated with the prognosis of several types of cancers. Binding of PDGF to its receptors induces receptor dimerization and subsequent autophosphorylation of tyrosine residues in the receptor’s cytoplasmic domains. The phosphorylated tyrosine residues interact with the secondary signaling molecules to initiate signaling cascades that trigger cellular changes by affecting downstream effectors. In our recent publication, we have shown that a NF-κB mediates the transformation of mouse fibroblast cells overexpressing PDGF B chain. Though there is a significant correlation between PDGF stimulation and NF-κB activity, it …

Specifying The Psychomotor Domain Of The Construct Of Nursing Competence, Joni L. Jones

Dissertations

The measurement of an individual's predicted performance in his/her field is a requirement of many professions. The NCLEX-RN® is the measurement tool used to determine whether or not new graduates of registered nursing programs are competent to enter the profession. Although there are three domains of learning in nursing (cognitive, affective, and psychomotor) the only domain tested for licensure is the cognitive. Many factors contribute to the lack of testing in the psychomotor area. One of the major impediments is that the entry-level psychomotor domain for registered nursing has yet to be defined. The purpose of this study was to …

Health Services Social Workers' Activities With People With Disabilities: Predicters Of Community Practice, Richard L. Beaulaurier

The Journal of Sociology & Social Welfare

The purpose of this study was to explore the extent to which hospital based social workers were actively involved in community practice on behalf of disabled people. The study attempted to identify what variables influence social workers in health settings to engage in community practice. A sample of 286 social workers employed in 57 different hospital and rehabilitation settings participated in a survey that focused on advocacy and related topics. A questionnaire explored participants' perspectives and the levels and kinds of practice activities they engaged in relation to the needs of people with disabilities. Most respondents indicated that community practice …

Review Of Family Group Conferencing: New Directions In Community-Centered Child And Family Practice. Gail Buford And Joe Hudson (Eds.). Reviewed By Richard P. Barth., Richard P. Barth

The Journal of Sociology & Social Welfare

Book review of Gail Buford and Joe Hudson (Eds.), Family Group Conferencing: New Directions in Community-Centered Child and Family Practice. New York: Aldine DeGruyter; $25.95, papercover, 2002.

Substance Abuse Treatment: Substance Abuse Counselors' Belief Systems And How These Beliefs Impact Treatment, Ann Crabb

Dissertations

The treatment of substance abuse is an anomaly within the mental health field. Historically, the treatment of addicted people has relied more on the personal experiences of those who have recovered than empirical findings (Shaffer, 1987). The founding of Alcoholics Anonymous sparked the creation of a belief system regarding substance abuse and recovery that, despite contradictory research findings, remains strong today (McElrath, 1997). This study was conducted to explore the belief systems of both recovering and nonrecovering substance abuse counselors today to determine what their beliefs are, how these beliefs were formed, and whether their belief system has changed over …

The Development Of Occupational Therapy In Kenya, Mindy C. Owens

Masters Theses

Occupational therapy is a profession that is growing throughout the world. Kenya is one country in which occupational therapy is fairly well established. The purpose of this study was to document how occupational therapy has evolved over recent years. A major focus of this study was to identify the educational levels of occupational therapists in Kenya, types of practice settings, prominent diagnoses of patients treated, utilization of rehabilitation services, current trends and practice in occupational therapy, and acquisition, use, and maintenance of adaptive equipment.

The Development of Occupational Therapy in Kenya survey was sent to 28 practicing occupational therapists in …

The Clinical Irrelevance And Scientific Invalidity Of The "Minority" Notion: Deleting It From The Social Science Vocabulary, Doris Wilkinson

The Journal of Sociology & Social Welfare

A systematic socio-linguistic and historical analysis of the minority label reveals its multiple irregularities and imperfections. These encompass a misleading array of vastly dissimilar nationality or group designations and the erroneous comparison of behaviors and life styles with racial status. As it is currently applied in U.S. political culture and in a variety of disciplines including sociology and social work, the concept has virtually no substantive meaning nor reality-linked usefulness. A thorough appraisal of the consequences of the perpetual reliance on the notion demonstrates that it eradicates ethnic cultural diversity and ignores historical antecedents and the "lived" experiences of oppressed …

The Impact Of Systematically Varying The Duration Of Breath Samples During Infrared-Based Alcohol Breath Testing, Chris C. Clatterbuck

Dissertations

The present study set out to investigate the reliability and performance of the BAC DataMaster®, an infrared-based alcohol breath testing instrument. The focus of this study was to determine: (a) the impact of varying breath sample duration during testing, (b) if Blood Alcohol Concentration (BAC) levels produced by the DataMaster® (BAC_DM) are significantly different from BAC levels produced by analysis of whole blood (BAC_WB), and (c) if the relationship between BAC_DM estimates and BAC_WB is influenced by the amount of alcohol an examinee has ingested. Each of 27 participants was randomly assigned to one …

The Disease Model Of Alcoholism: A Kuhnian Paradigm, Brian E. Bride, Larry Nackerud

The Journal of Sociology & Social Welfare

Despite the fact that the disease model of alcoholism has lost its status as paradigm in international circles, the alcoholism research and treatment community in the United States maintains steadfast allegiance to the tenets of the disease model. The disease model and the related treatment goal of abstinence continue to overwhelmingly dominate the treatment of alcoholism in the U.S. Critics have suggested that financial and political motives have served to maintain the dominance of the disease model, despite findings that violate its basic tenets. This paper presents an alternative explanation of the reluctance of the alcoholism treatment community to relinquish …