Medical Humanities Commons^™

What You Don't Hear About Barriers To Healthcare In The Deaf Community: Analyzing Interpreter Experiences In The Deep South, Ryan Augustine

Honors Theses

Deaf and hard-of-hearing individuals experience significant health disparities in the United States, yet the perspective of the ASL interpreter has remained largely absent regarding the barriers documented in existing literature. This pilot case study examined the barriers Deaf individuals face when seeking healthcare through the unique vantage point of eight ASL interpreters across the Deep South: Alabama, Georgia, Louisiana, and Mississippi. Guided by grounded theory methodology, eight semi-structured interviews were conducted and analyzed to find recurring themes. Findings confirmed and revealed barriers that would not have surfaced without the perspective of the interpreter. Four themes emerged from this study: healthcare …

A Narrative Of The Plague Doctor And How Its Historical Context Translates To The Modern View Of The Plague Doctor, Callie P. Johnston

Honors Theses

The Plague Doctor was once a historical figure who practiced medicine primarily on those infected with the bubonic plague. The plague doctor, as a historical figure and physician, has been transformed in modern culture and media. Originally perceived as a harbinger of both hope and death, the Plague Doctor has undergone a historical transformation from a masked physician to a more stylized character that appears in modern media, digital art, toys, costumes, video games, and popular culture. This thesis examines the evolution of the Plague Doctor from its historical role as a plague physician to its current iconography as a …

"It's A Dance": Examining Midwives As Choreographers Of Reproduction In Maine, Annie Goldstein

Honors Theses

This thesis examines the contemporary work of community-based Maine midwives through the theoretical framework of choreography. In the context of this work, choreography can be understood as the well-thought-out, purposeful undertaking of a process during which negotiation, coordination, and improvisation are required to adapt to constantly changing circumstances. Using choreography, this thesis attempts to understand how Maine midwives navigate global market processes and practice under authoritative forms of biomedicine, ultimately linking them to other midwives across various global sites. Situated within Maine’s maternal health landscape that is characterized by the ongoing closure of labor and delivery units and rural hospitals, …

A Regime Of Fear: Barriers To Healthcare Access In Times Of Intensifying Anti-Immigrant Rhetoric And Immigration Enforcement, Kathryn F. Masetti

Honors Theses

The U.S. immigration regime produces the conditions that deny immigrants equitable access to healthcare. The Trump administration’s second term, characterized by aggressive immigration enforcement and anti-immigrant rhetoric, continued to intensify these conditions, contributing to a widespread decline in healthcare utilization by immigrant patients throughout the United States. This thesis investigates how policies and rhetoric from the Trump Administration, including immigration enforcement, shape the barriers that immigrants with and without status encounter when accessing healthcare services in Maine, and how the fear of surveillance, detention, or deportation influences how immigrant communities perceive and utilize healthcare services. Two in-depth semi-structured qualitative interviews …

Imagined Afterlives: Anti-Black Medical Violences In Contemporary Black Arts, Katie Schadler

Honors Theses

“Imagined Afterlives: Anti-Black Medical Violences in Contemporary Black Arts” is a multi-genre exploration that studies the following works: Venus (1996) by Suzan Lori Parks, Get Out (2017) by Jordan Peele, and Dawn (1987) by Octavia Butler. I respectively study an experimental play, a psychological horror film, and a speculative novel to understand how Black creatives are depicting and responding to anti-Black violences, particularly medical violences. This work brings together Black art spanning from the late 1980s to 2017 as well as historical events and figures from the eighteenth century all the way to a not-so-distant future. While these works defamiliarize …

Interactions Between The Deaf Community And Healthcare, Sarah E. Mcfadden

Honors Theses

Background.

This study investigates the issues regarding interactions between the Deaf community and healthcare, focusing on communication barriers, negative experiences, and inaccessibility to health information. Despite the Americans with Disabilities Act (ADA) guidelines requiring healthcare offices to provide interpreters, many health care professionals (HCPs) do not comply for various reasons. The alternatives to an interpreter create gaps in conditions, treatment plans, or post-appointment care.

Methods.

This study involved a review of existing literature and interviews with Deaf individuals and HCPs, including a physician, nurse practitioner, dentist, and registered nurse. The interviewed HCPs work in various settings.

Results. …

Lack Of Patient-Centered Care Relative To Evidence-Based Practice In Clinical Diagnosis And Treatment Of Endometriosis In The U.S.: A Review, Piper E. Scoskie

Honors Theses

This scoping review examines the impact of combining Patient-Centered Care (PCC) and Evidence-Based Care (EBC) on clinical outcomes and patient satisfaction in the diagnosis and treatment of endometriosis in the United States. In particular, the review aims to (1) examine the body of research from the United States to learn more about the connection between PCC and EBC and their collective impact on patient satisfaction and clinical outcomes in the treatment of endometriosis; (2) identify the gaps in existing research and practice, specifically regarding PCC procedures, varying patient populations, and longitudinal investigations; and (3) provide recommendation for future research and …

Autopathography Across Media: Trauma And Fluid Embodied Subjectivity, He (Kristen) Shen

Honors Theses

Illness memoirs with first-person point of view have gained more attention in recent years among medical sociologists and anthropologists. Different from traditional “case histories”written by doctors that are in danger of ignoring patients’ voices, autopathograhical works delineate narrators’ transformative experiences of persons to patients, emphasizing the importance of gaining social understanding of illness. Focusing on three works within the category of autopathography across genres and media forms in the late 1950s and contemporary periods, The Cancer Journals (1980) written by Audre Lorde, The Collected Schizophrenias (2019) written by Esmé Weijun Wang, and The Diving Bell and the Butterfly (2007) directed …

The Physicians' Crusade: A Forgotten War On Abortion, Feminism, And The Diversification Of The United States, Lucinda B. Harden

Honors Theses

Abortion in the United States was accessible and widely practiced until the mid- nineteenth century. In 1857 the physicians’ crusade, an anti-abortion political movement led by prominent medical doctors around the country, instigated the widespread criminalization of abortion by the end of the century. I argue that physicians wielded their scientific authority to validate increasingly conservative attitudes about race and gender. They appealed to national xenophobic and sexist backlash that accompanied progressive changes like industrialization and the abolition of slavery, amplifying those fears and offering politicians a source of control over female sexuality and a growing immigrant population: the criminalization …

The Role Of Narrative Medicine In Patient Healing And Meaningful Clinical Practice, Elizabeth Gray Duperier

Honors Theses

The patient-clinician relationship is one that relies heavily on trust and understanding—both of which are reached through effective communication. As medicine advances, it is increasingly important to prioritize the human interaction in the clinical encounter. Illness is more than just a set of diagnoses; it is the culmination of one’s way of being and interacting with the world while experiencing these diagnoses—it is a narrative. In order for physicians to provide quality care, trust and understanding are of the utmost importance, but oftentimes these are not at the forefront of medical practice due to logistical barriers that the US healthcare …

America’S History Of Health Disparities: How Does This Affect The Future Of Healthcare In Mississippi?, Zuri O. Dixon Omere, Jazmin King

Honors Theses

America’s healthcare system runs rampant with healthcare inequalities that have an alarming effect on minorities and people of color. In order for people of color and marginalized groups to receive proper care and treatment, more attention needs to be brought to these inequalities. For example, Covid-19 reflected the health inequalities that are present in this country; minorities were more likely to become hospitalized due to Covid-19 than other non-minorities. In addition, minorities in women’s health, specifically black women, have been affected in various ways that are related to the inequalities in medicine like dying during childbirth and improper care. This …

Constructing The “Obesity Epidemic:” A Chronology Of The Pathologizing And Enfreakment Of Fatness, Brooklynn Smith

Honors Theses

The “obesity epidemic” is framed by medicine and media as a public health crisis that urgently demands medical intervention and policy. Despite this common narrative, the cultural and scientific dimensions, as well as the historical roots of the “obesity epidemic,” have been subject to much less scrutiny than necessary. Part of this inadequate scrutiny is due to the pervasive pathologizing of fatness that has roots back in 18^th- and 19^th-century ideals of normative bodies. While the contemporary American medical system holds the “obesity epidemic” as objective truth, scholars both within and outside of medicine have challenged …

Understanding The Role Of Race In American Medicine, Fariel C. A. Lamountain

Honors Theses

Long running inequity in health care and outcomes in the United States stem from failure to acknowledge the underlying role of the Transatlantic slave trade as it manifests in all facets of American society and commerce. This paper focuses specifically on the American medical system and its foundations to understand the precursors to generational trends in lack of access to healthcare and poor health for Black communities. This paper uses a three-pronged approach to understand the racist cycle of inequity, highlighting the history and origins of racism in American medicine, personal accounts and statistical evidence of inequity, and community and …

Science And Sadness: Critiques On How We Handle Alzheimer’S Disease And Dementia, Katherine Martinez

Honors Theses

In our society, an individual’s worth is tied to the state of their cognitive function which affects the discourse about neurodegenerative illnesses, causing it to mostly fall under two branches: “The Dread” and “Science as the Holy Grail”. “The Dread” addresses how Alzheimer’s Disease (AD) and other dementias are typically perceived as devastating illnesses to be feared. “Science as the Holy Grail” represents the hope and faith that is invested into potential technoscientific developments without the guarantee of any consequential results. Limiting the narrative to these two categories negatively impacts the quality of life (QOL) of AD patients, caregivers, and …

The Multifront Battle Waged Against Female Autonomy: A Comparative Study Of Ancient Medical And Literary Texts, Leah K. Montello

Honors Theses

Male authors have long waged a multifront campaign against female independence. In this thesis, I focus on two specific fronts: literary and medical texts of the Classical Greek period. This thesis intends to explore the varying strategies in a selection of works, employed to reinforce prescribed gender norms. I approach this with a feminist lens to critique attempts made by elite educated Greek men to define what a woman ought to be like. I do not, however, explore every single tactic a medical and literary writer has applied to uphold patriarchal norms. My two body chapters revolve respectively around two …

Coronary Artery Disease: An Analysis Of Its Biochemical, Physiological, And Sociological Causes And Effects, Alexander Velazquez

Honors Theses

Coronary Artery Disease (CAD) is a serious condition caused by a buildup of plaque in your coronary arteries, the blood vessels that bring oxygen-rich blood to your heart. It disproportionately affects millions of Americans and thousands of Mississippians. This study presents the results of an evaluation of causation factors of CAD, the physiological impact on the body, and the contributing determinants of CAD on Mississippi populations. Data on Mississippi populations were collected using the Center for Population Studies at the University of Mississippi. A multitude of individuals were evaluated when examining the causes and effects of CAD including men, women, …

Beliefs Of Translators About Medical Spanish Pamphlets, Margaret Coulter

Honors Theses

This paper addresses the beliefs of professional Spanish medical translators regarding the use of dialect variation in medical Spanish translation and the resulting effects on the level of healthcare attained by Spanish speaking patients in the United States. The health gap between English-speaking and non-English patients is explored as it relates to inadequate translation of medical information and instructions leading to poorer health outcomes and higher readmission rates among Spanish speakers.

To Care When There Is No Cure: Chronic Illness And Medicine, Skylar Nash

Honors Theses

Millions of people worldwide are suffering from chronic illness at this very moment. Just in the United States, a little less than half of the entire population has been diagnosed with a chronic illness, and a large portion of those patients have been diagnosed with multiple chronic diseases. Those stricken by incurable illness are forced to face and manage their unique illness experience along with the side-effects of the disease itself. For this subset of the population, everyday normal activity can become relatively impossible to work through. There are financial, psychological, social, and physical obstacles to overcome every day that …

Empathy In Aging, Morgan Kranz, James Charles Arendt

Honors Theses

Empathy in Agingis a project exploring how to show compassion for the inevitable aging process. This form of care is physical and mental. The concept for this work comes from my time working as a nursing assistantin a nursing home. Through my experiences, this project explores what I took away through observation and interaction

The Process Of Reclaiming Tribal Sovereignty Through Healthcare Autonomy, Karolina A. Serhan

Honors Theses

This honors thesis explores the complex interplay between health status, healthcare, and tribal sovereignty among native communities in the United States. These relationships are explored through analyzing the paradoxical and condescending nature of the Federal Trust Responsibility in relation to government-organized healthcare programs for natives. In establishing this relationship, the thesis goes on to illustrate how native communities have effectively fought to regain sovereignty through reclaiming autonomy of their healthcare systems through the use of the 1975 Indian Self-Determination and Education Assistance Act. The impact of tribal-led healthcare systems is further explored through an in-depth case study conducted regarding the …

Out Of The Attic: Agency And Narratives Of Mental Illness By David Foster Wallace And Lauren Slater, Erin L. Mcleod

Honors Theses

Studies of Prozac Diary and Lying: A Metaphorical Memoir illustrate how Slater adapts conventions of fiction to the memoir form to create agency for the mentally ill subject. This study will apply this approach of narrative therapy to David Foster Wallace’s Infinite Jest to determine if the autobiographical conventions of mental illness may be adapted to fiction. An analysis of these primary texts seeks to address issues related to the therapeutic dimensions of autobiography as these are complicated by the narrative conventions that distinguish memoir and fiction.

The Historical Evolution Of Endoscopy, Sarah Ellison

Honors Theses

INTRODUCTION: Minimally invasive surgery is on the rise and is becoming more common. Its advantage over traditional open surgery is a quicker recovery time and minimized risk of infection along with an aesthetically more pleasing smaller scar. Although many different scopes and instruments perform minimally invasive techniques, all minimally invasive instruments evolved from endoscopy. It wasn’t until the 20^th century that they began to diverge to separate studies. Therefore endoscopy is considered in regards to instrument evolution. History is full of twists and turns as different pieces of the scope progressed so its advancement has been separated into the …