Medicine and Health Sciences Commons^™

Locus Of Control, Activity Level, And Living Situation Among The Elderly, Jennifer L. Birchenough

Masters Theses

The focus of this study was to investigate the relationships among locus of control, activity level, and living situation in the elderly. The participants in this study consisted of 62 elderly individuals who resided in one of three living situations: (1) independent living, (2) assisted living, and (3) comprehensive care centers. All participants were screened for cognitive status using the Mini-Mental State Assessment (Folstein, M., Folstein, S., & McHugh, 1975). Individuals who scored in the normal range then completed a Locus of Control Scale (Rotter, 1966) and the Index of Occupational Behavior (Gregory, 1983) to address the meaningfulness of, and …

Cultural Considerations In Clinical Reasoning: An Occupational Therapy Case Study, Sandra M. Winter

Masters Theses

This study looked at an occupational therapist's work with clients from varied cultural backgrounds. Qualitative research strategies and a phenomenological approach were used to gather data through interviews with a single respondent and observation of treatment. This methodology was used to examine the process utilized to acquire cultural knowledge and integrate that knowledge into treatment planning. Research focused on: (a) how the cultural background of a client influenced an occupational therapist as she planned and implemented treatment, (b) how the treatment process was influenced by cultural differences between the therapist and the client, and (c) how training or education helped …

The Effects Of Animal Assisted Therapy When Used As An Adjunct To Occupational Therapy In The Rehabilitation Of Persons Who Have Had Cerebral Vascular Accidents, Alice Arlene Briggs

Masters Theses

Occupational therapists can use animals to assist their clients in achieving goals in treatment. Most often dogs are used as they are more easily trained. The dog may fetch a ball thrown by the client or stand still and allow the client to brush it. These activities with the animal increase the client's range of motion, endurance and strength. Dogs as well as other animals are used in various ways to elicit the desired response from the client. No studies were found in the literature that examined the use of animals as adjuncts to, or as modalities in occupational therapy …

The Morality Of Intimate Faculty-Student Relationships, Nicholas Dixon

Center for the Study of Ethics in Society Papers

Presented September 19, 1996 for the Center for the Study of Ethics in Society

Perceived Differences Between Male And Female Occupational Therapists’ Treatment And Other Related Gender Issues, Dennis Robert Jones

Masters Theses

This study explored how occupational therapy clients perceive the treatment they receive from male and female occupational therapists. The study was conducted in a qualitative manner. Occupational therapy supervisors who have supervised both female and male occupational therapists were interviewed to gain an initial understanding of the relevant issues. More structured interviews were then conducted with clients who have been treated by both a female and a male occupational therapist. Therapists and clients were also observed during four treatment sessions.

Analysis of the data collected through interviews revealed that supervisors and clients do notice some behavioral differences in male and …

The Biography Of A Scale: Contextual Factors That Influence The Measurement Of Family Functioning, Ludwig Geismar

The Journal of Sociology & Social Welfare

The subject of instrument relevance is addressed by examining issues that have arisen in the use of a single scale over a forty year period. The issues revolve around the impact of varying social conditions, changing ethos, differential respondent receptiveness, and evolving research technology. Extended use of an instrument, it is argued, yields information that transcends the conventional techniques for testing instrument adequacy. The lack of opportunities in social work for accessing information on extended use of measurement tools is due, among other factors, to a preoccupation with working on subjects that are new and original and to a lack …

Critical Thinking Attributes Of Undergraduate Nursing Faculty, Julie A. Coon

Dissertations

The purpose of this study was to examine the critical thinking skills of undergraduate nursing faculty to determine how these skills compared with the established critical thinking skill norms for undergraduate nursing students and if the critical thinking skills of nursing faculty were related to the type of program they teach in, their years of experience in nursing education, their level of formal education, their preferred methods of instruction, and their level of formal training in critical thinking. Nursing faculty from 17 Associate Degree Nursing (ADN) programs and 11 Bachelor of Science in Nursing (BSN) programs in the State of …

The Clastogenic Effects Of Cyclophosphamide And A Sixty Hertz Electromagnetic Field On Bone Marrow Cells Of Cd-1 Mice, Kevin K. Block

Dissertations

Extremely low frequency (ELF) electromagnetic fields (EMF) have been correlated with the induction of cancer in a number of epidemiological studies (Feychting and Ahlbom, 1993; T,m and Lee, 1994; London e t al. 1991; Lovely et al., 1994; Tomenius, 1986; Wertheimer and Leeper, 1979, 1982). Two hypothesis were tested in the present study. The first hypothesis tested was that exposure to a 7.3 G magnetic field for 24 hours would increase the frequency of clastogenic and/or mutagenic events in bone m arrow cells of mice. The second hypothesis tested was that exposure to a 7.3 G magnetic field for 24 …

The Role Of Alcohol And Stress On Measures Of Depression And Anxiety Among College Students, Jeffrey F. Porter

Masters Theses

In clinical literature regarding the effects of regular alcohol use, psychological benefits of moderate consumption have been suggested (Neff & Husaini, 1982; Neff, 1984; Neff & Husaini, 1985; Neff, 1985; Neff, 1986; Neff, 1993, Lipton, 1994). Despite the diverse groups with which this theory has been examined, no published studies have lookeq specifically at the high-risk group of college undergraduates. Subjects were surveyed to assess their typical drinking behavior, the number of stressful events they had experienced within the past 12 months, their perceived social support, and depressive and anxiety symptoms they experienced within the seven days leading up to …

Rethinking The Nursing Paradigm: The Ethics Of Gatekeeping In American And British Nursing, David C. Grandy

Honors Theses

In the British National Health Service (NHS), the general practice physician (GP) serves as gatekeeper to resources.1 In the United States, managed care physicians, who attempt to contain health care expenditures by establishing priorities and strictly regulating treatment accessibility, necessarily employ gatekeeping responsibilities in practice.2 However, both systems of health care generally overlook the potential contribution of nurses in identifying and implementing effective methods of resource allocation. The central focus of this thesis includes two primary assertions. First, I will argue that nurses currently function as gatekeepers both in England and the United States, and that the traditional nursing paradigm …

Oral Cancer Screening, Damon Omar Watson

Honors Theses

Cancers of the oral cavity and pharynx have increased throughout the decades. Since oral cancer represents a small percentage of the total cancers in the United States, it is often overlooked. Though this is the case, the results of this cancer can be devastating. To address this issue, an Oral Cancer Screening was organized on August 14, 1996 at the West Michigan Cancer Center in Kalamazoo. This was a joint collaboration between the author, the West Michigan Cancer Center, and the Kalamazoo Valley Dental Society. This event allowed research to take place concerning the data obtained. Confidential results and information …

Privacy And Information Technology, Judith Wagner Decew

Center for the Study of Ethics in Society Papers

Presented March 17, 1997 for the Center for the Study of Ethics in Society

Musicians' Upper Extremity Musculoskeletal Problems: Medical Care From The Patients' Perspective, Susan Gail Stephenson

Masters Theses

This study was conducted to add to the body of knowledge concerning musicians' musculoskeletal problems and to investigate whether an occupational therapy specialty is warranted for this field of medicine. An original questionnaire was constructed and administered to the members of three symphony orchestras. Three primary sections of the questionnaire address participants' demographic and occupational characteristics, symptom and treatment experiences, and opinions on medical care. Descriptive data are reported for all sections of the questionnaire. Particular attention is given to the effectiveness of traditional occupational and physical· therapy treatments. Data are provided regarding the relationships between variables: (a) certain personal …

Estimating Ibnr Reserves With Robust Statistics, Daniel Cheung

Dissertations

There is often a considerable time lag between an incurred of an accident, such as medical malpractice or product liability, and the time it is reported to the insurance company. These Incurred But Not Reported (IBNR) losses need to be predicted in order to determine the necessary loss reserves. Many actuarial methods have been developed for IBNR reserves estimation. However, none of the methods being used for loss reserving is robust to outliers, nor do they provide adequate statistical inferences to support the actuarial decisions. The rank-based method proposed in this thesis is robust to outliers, and provides statistical inference …

Indochinese Mental Health In North America: Measures, Status, And Treatments, Thanh V. Tran, Donna L. Ferullo

The Journal of Sociology & Social Welfare

The massive influx of Indochinese refugees and immigrants to North America since the end of the Indochina war, especially to the United States of America, has resulted in numerous multi-disciplinary efforts to document and study their mental well-being. As a group, Indochinese Americans arrived from war-torn countries where many had experienced various forms of trauma, poverty, and oppression. Their pre-migration experiences, and experiences in adjusting and adapting to the new life in the host society have influenced their mental health status and overall quality of life in various ways. This paper analyzes and synthesizes a wealth of multi-disciplinary research on …

Assessing The Pragmatic Skills Of Adolescents With And Without Learning Disabilities On A Dramatization Task, Amy L. Juergens

Masters Theses

This study was designed to compare the pragmatic skills of adolescents with and without learning disabilities as measured by a dramatization task. Seventeen high school students with learning disabilities and 17 normal-achieving high school students participated in this study. Twenty scenes were presented verbally to the participants who were instructed to act out the part of a character in each scene, making up the dialogue to fit the scene. The responses were scored for their pragmatic appropriateness and linguistic quality. Task reliability and validity analyses indicated that the dramatization task was an effective measure of key aspects of pragmatic skills. …

Reconstructing Sex Offenders As Mentally Ill: A Labeling Explanation, Rudolph Alexander Jr.

The Journal of Sociology & Social Welfare

A growing number of states are being pressured to keep incarcerated sex offenders behind bars longer. The response to this pressure has been to look to the mental health system and retrieve civil commitment for sex offenders, a policy largely abandoned in the 1960s. In the 1970s, the courts ruled that civil commitment to a mental institution required that the individual be both mentally ill and dangerous. So legislators, with the support of a few mental health professionals, met this requirement by legislatively reconstructing sex offenders as mentally ill and permitting their indefinite commitment to mental institutions. The author discusses …

Degreed And Nondegreed Licensed Clinical Social Workers: An Exploratory Study, John T. Pardeck, Woo Sik Chung, John W. Murphy

The Journal of Sociology & Social Welfare

This exploratory study focuses on 155 randomly selected respondents who obtained a clinical license in social work with or without the Master of Social Work (MSW) degree. Ninety-seven of the respondents obtained a license with an MSW degree;fifty-eight obtained a license without the MSW degree. The two groups of respondents completed a survey instrument that explored their basic demographic characteristics, their attitudes and behaviors related to practice, and their philosophical and political attitudes toward practice. The researchers found few statistically significant differences between the two groups of respondents. The article offers implications of these findings for the profession of social …

Personal Narrative And The Social Reconstruction Of The Lives Of Former Psychiatric Patients, Robin M. Gilmartin

The Journal of Sociology & Social Welfare

This study explores ways in which high-functioning former patients integrate the experience of prior psychiatric hospitalization into their lives and find meaning from that event. The narratives of two individuals are presented and discussed in relation to social role theory, social constructionism, and labeling theory. The narratives underscore that the process of integrating and making meaning of important life events such as psychiatric hospitalization occur within a social context. Understanding mental illness and psychiatric hospitalization in familial, social, and political terms was instrumental in helping these individuals to reconstruct personal narratives in order to overcome shame and internalized stigma and …

The Effect Of The Hapad Longitudinal Metatarsal Arch Pad On Ground Reaction Forces And Rear Foot Angle, William F. Rocker

Masters Theses

The effectiveness of the Hapad Longitudinal Metatarsal Arch Pad (HLMAP) to correct for pronation was investigated using 30 female volunteer student subjects. The investigation consisted of measuring ground reaction forces measured by a force plate and rear foot angle (RFA) measured by video digitization. The repeated measures design consisted of l grouping variable with 3 levels, supinators, mildpronators, and over pronators, and 2 research variables, 10 trials, and pad/no-pad. The results indicated (a) no significant difference for medial or lateral force, propulsive force, vertic al thrust, negative torque among groups, or between pad/no-pad; (b) a significant difference was found for …

Family Functioning And Psychological Well-Being In Vietnamese Adolescents, Quang Duong Tran, Cheryl A. Richey

The Journal of Sociology & Social Welfare

This paper presents an exploratory study that examines the influences of family functioning on the psychological well-being in a sample of Vietnamese adolescents. Thirty Vietnamese families from the King County area in the state of Washington participated in this study. Thirty adolescents between 13 and 19 years of age and 53 parents (27fathers and 26 mothers) responded to self-reported questionnaires. Data analysis was conducted to provide a descriptive "picture" of family and individual characteristics associated with Vietnamese adolescents' psychological well-being. Gender differences were apparent with Vietnamese female adolescents reporting higher mean scores on depressive symptoms and lower mean scores on …

Moral Theory And Moral Life, Michael Pritchard

Center for the Study of Ethics in Society Papers

This paper was originally presented as The Distinguished Scholar Award Lecture, January 25, 1996.

Addressing Spirituality In Occupational Therapy Treatment, Barbara R. Howe

Masters Theses

Literature review identified confusion in the definitions of spirituality with religion. However, there have been attempts to separate the two definitions by professionals who consider holism an important concept of clinical practice. This · study was designed to identify occupational therapists' definitions of spirituality in clinical practice. Also under investigation was the therapist's assessment and use of spirituality for treatment purposes.

A survey was sent to a random sample of occupational therapists in order to gather data about their spiritual activities, their personal definitions of spirituality and their use of spirituality in evaluation and treatment of clients.

Occupational therapists who …

Pain Levels And Rating Of Perceived Exertion Of People With Herniated Lumbar Disc While Walking In Two Environments, Brenda L. Cunningham-Boerger

Masters Theses

The purpose of the study was to investigate if walking in water is an effective substitute for walking on land as an aerobic exercise for people with herniated lumbar disc. The study involved the dependent variables o f perceived pain levels (PPL) and ratings o f perceived exertion (RPE). Independent variables were walking condition and work intensity. Land walking was performed on a treadmill; water walking was performed in an indoor pool 4.5 ft deep and 90*F. Work was set at four different intensities, based on the formula for predicting maximum heart rate (MHR), 220 minus age. The graded work …

Improving Social Work Practice With Persons Who Are Homeless And Mentally Ill, Carol T. Mowbray, Shirley P. Thrasher, Evan Cohen, Deborah Bybee

The Journal of Sociology & Social Welfare

Despite a proliferation of programs targeted for persons who are homeless and mentally ill, few reports in the literature detail the challenges experienced or strategies utilized by workers, the majority of whom are social workers. The present study reports results from two focus group sessions held with staff running a model service intervention for this population at two separate sites. The methodology that was utilized quanitified results, allowing presentation of themes, as well as comparisons of the frequency of responses across categories and by site. Staff perceived barriersa ssociatedw ith client behaviors and characteristicsp redominated at both sites. However, systemic …

A Study Of The Emotional Responses And Coping Strategies Of Male And Female Athletes With Moderate And Severe Injuries, Donna S. Eaton

Dissertations

Emotional responses and coping strategies of injured athletes was the focus of the study. Several emotions have been identified in injured athletes such as frustration, depression, anger, and shock. Questions remain whether males and females feel similar emotions and engage similar coping strategies and whether severity of injury is a significant factor in responses and coping.

Quantitative data were obtained on emotional responses and coping strategies using the Emotional Response of Athletes in Injury Questionnaire (ERAIQ), the Profile of Mood States (POMS), and the COPE. The study examined whether gender and severity of injury may influence emotional responses and coping …

Predictors Of Depression Among Workers At The Time Of A Plant Closing, Nancy R. Vosler, Deborah Page-Adams

The Journal of Sociology & Social Welfare

Using an ecological theoretical perspective, this study of white male UAW workers stressed by a plant closing explored predictors of depression at multiple systems levels. The five best predictors of workers' depression were family strengths, age, economic strain, health, and social support. Additional bivariate predictors included self-esteem and having an alcohol problem at the individual level, marital status and family satisfaction at the family system level, and household income, home ownership, and key relationships at the social-environmental level. Implications for collaboration between direct-service and policy-practice social workers are discussed.

Coherency Among Substance Abuse Models, Stephen Kauffman, John Poulin

The Journal of Sociology & Social Welfare

Social policy decisions are often made based upon socially constructed models of human behavior. As such, understanding the social constructions in a given policy area is of utmost importance. This study examines three competing models within the substance abuse area: the moral model, the disease model, and the biopsychosocial model. Utilizing survey data from a random sample telephone survey of 1,019 residents of Delaware County, Pennsylvania, the study examines a) the degree to which individual models are internally consistent between beliefs about causes and beliefs about solutions, b) whether the assumptions in competing models are in fact different; and c) …

Incarnating Heaven: Making The Hospice Philosophy Mean Business, Mark A. Mesler, Pamela J. Miller

The Journal of Sociology & Social Welfare

Hospice providers in the U.S. are on the horns of a dilemma. Survival of individual programs may require accreditation for third party reimbursement, but this stronger alignment with the business world of medicine may jeopardize their unique philosophy of care for dying persons. Hospice's current business/philosophy dilemma was expressed succinctly by a study participant as attempting to incarnate heaven. Data gathered through an ongoing participant observation study reveals the effects of current third party reimbursement on hospice practice. Further, these effects have implications for current U.S. health care reform efforts which are discussed in conclusion.

Our Publication Series, Joseph Ellin

Center for the Study of Ethics in Society Papers

Presented to the WMU Center for the Study of Ethics in Society, September 28, 1995.