Social and Behavioral Sciences Commons^™

Medical Student Experiences Implementing Bias Reduction Strategies: A Qualitative Study, Chrysan Hoyt

Loma Linda University Electronic Theses, Dissertations & Projects

Research has shown that health care provider bias negatively impacts the provider-patient relationship and health outcomes. Studies have identified strategies effective at reducing bias, but there is minimal research implementing these strategies in health care settings, and little is known about effective curricular interventions to teach strategies to medical students. The purpose of the present study was to explore medical students’ experiences implementing evidence-based bias reduction strategies with their patients after participating in a bias reduction didactic. The study aimed to 1) determine which bias-reduction strategies medical students most frequently used, and 2) explore student perceptions of the effects of …

Community Resiliency Model Treatment Manual For Loma Linda University Healthcare, Ann White

Loma Linda University Electronic Theses, Dissertations & Projects

Burnout is a national phenomenon on the United States, effecting between 60% and 78% of healthcare professionals (21) across a variety of settings. Burnout results in increased cost to the healthcare industry, significantly decreased quality of patient care, and increased malpractice claims. At the same time, healthcare providers are increasingly under demands to their time that limit their ability to access wellness resources to mitigate the effects of burnout, such as outpatient psychotherapy. In order to address this growing crisis and respond to the specific needs of healthcare providers, we have utilized the biological basis and six skills comprising the …

Dsm-5 Eating Disorders And Disordered Eating Behaviors In The Lgbt Population, Lacie Parker

Loma Linda University Electronic Theses, Dissertations & Projects

According to Meyer’s sexual minority stress model (2003), LGB individuals experience a higher prevalence of psychopathology, which is attributable to the increased stress (i.e., stigma and prejudice) adult sexual minority individuals experience. This model was later adapted by Hendricks and Testa (2012) to include transgender and gender non-conforming individuals. More specifically, this literature review examined the empirical literature regarding the rates and types of, and risk and protective factors for eating disorders and disordered eating behaviors in the general LGBT adolescent and adult populations, in addition to each individual subgroup (i.e., lesbians, gay men, bisexuals, transgender individuals). The results of …

Parent-Child Relations, Sleep, And Externalizing Problems In Clinical Youth, Tiffany Thao Vo

Loma Linda University Electronic Theses, Dissertations & Projects

Sleep problems are a major prevailing concern in clinical youth populations. Research has shown that poor sleep is correlated with mental health problems, while parent-child relationships are associated with externalizing behaviors. The aim of this study was to (1) replicate these findings; (2) extend on previous research on the relationships between sleep, parent-child relationships, and externalizing problems; and (3) analyze moderating effects of parent-child relationships on the relationship between sleep and externalizing problems in youth (N = 25) ages 6 to 11 presenting to mental health treatment. Bivariate analyses indicated average objective sleep duration is related to parent-child relations and …

Legal And Ethical Issues In Telepsychology: A Handbook For Psychologists, Dexter Chia

Loma Linda University Electronic Theses, Dissertations & Projects

This doctoral project sought to examine the various aspects of the modality of telepsychology in a handbook that can be referenced by licensed psychologists. Telepsychology’s growth in the general psychology community has caused greater attention towards its unique legal and ethical considerations when working with clients. We analyze legal and ethical issues inherent to the domains of licensure, clinical practice liability coverage, billing/payment, competence, client welfare, consent, confidentiality, and boundary navigation. After this analysis, we introduce a series of scenarios for readers to apply the discussed considerations to exercise critical thinking.

Dietary Fatty Acids And The Brain: Mechanisms Behind Neurodegeneration And Neuroprotection, Bianca Kdeiss

Loma Linda University Electronic Theses, Dissertations & Projects

The impact of dietary fat intake on cognitive function has generated growing interest as the incidence of neurodegenerative disorders continues to increase. No known cures for neurodegenerative disorders exist at this time and available pharmacological treatments are limited in their efficacy. As such, prevention and early detection have been emphasized, particularly in the context of modifiable lifestyle factors, such as diet. Despite a recognized association between dietary fat intake and cognition, limited research exists delineating the impact of different types of fat on cognitive function. In this review, research examining the association between cognition and specific dietary fatty acids—such as …

Shelter Staff Perceptions Of Physicians Seeking Services For Intimate Partner Violence, Gabriela Bagnara

Loma Linda University Electronic Theses, Dissertations & Projects

Research indicates there are a significant number of instances of intimate partner violence (IPV) in the United States, with current prevalence rates impacted by a substantial amount of underreporting due to stigma, difficulty disclosing, and complex love and fear of abusive partners (Breiding et al., 2014; Ellsberg & Heise, 2005; Overstreet & Quinn, 2013). A large body of IPV research exists more generally, but there is little understanding about the help-seeking behaviors of high socioeconomic status (SES) individuals within IPV shelter systems. While several studies have demonstrated the equal impact of abuse across demographic contexts (Satyen, Rogic, and Supol, 2018; …

Stress And The Validity Of Parent Report Measures, Katharine Fabro

Loma Linda University Electronic Theses, Dissertations & Projects

Data collected from self-report measures can be problematic as participants may misunderstand questions, misremember information, or misrepresent themselves when answering questions. Bias in self-report data is particularly concerning for parents of children with DD, as these measures are often used as part of diagnostic decisions and service allocations. Parents of children with DD typically experience higher levels of stress than parents of typically developing children. Stress has been shown to decrease cognitive functioning and bias parent perceptions, making it more likely that parents will inaccurately respond to self-report measures inquiring about their own parenting behaviors and their child’s maladaptive behaviors. …

The Community Resiliency Model In Health Decision-Making, Michelle Ngo

Loma Linda University Electronic Theses, Dissertations & Projects

This doctoral project reviews the literature to support the utilization of the Community Resilience Model (CRM) for health-related decision making, such as health behavior change and medication adherence. Research has shown that decision-making under significant stress can lead to making less advantageous choices, as the nervous system becomes dysregulated. The evidence in this literature review suggests that self-regulation using skills in the CRM Model can increase one’s ability to effectively making decisions.

Parent Treatment Manual For Adolescent Self-Harm, Miriam Mokhless Rizk

Loma Linda University Electronic Theses, Dissertations & Projects

This doctoral project is a treatment manual that was created for parents of self-harming adolescents. To date, no treatment manual currently exists to aide these parents in fostering healthy environments for adolescents completing Dialectical Behavioral Therapy (DBT) intensive outpatient treatments; however, the literature describes the importance of creating validating environments as an important factor in positive treatment outcomes of adolescents who self-harm. This ten-week treatment manual was designed to provide these parents with DBT skills in order to learn the foundations of providing a positive environment in the home. The results of this treatment manual are projected to reduce parenting …

Effects Of Parents’ Mbsr On Internalizing Problems In Children: Asd As Moderator, Hadley Mcgregor

Loma Linda University Electronic Theses, Dissertations & Projects

Children with autism spectrum disorders (ASD) are at high risk for increased levels of behavior problems and developing internalizing problems. Previous literature has highlighted the impact of parental stress on the development of behavioral problems in children with ASD; however, little research has examined the relation between parenting stress and internalizing problems in children with ASD. The current study utilized data from the Mindful Awareness for Parenting Stress (MAPS) study which consisted of families of 80 preschool children with developmental delays (DD) (N = 31) and children with ASD (N = 49) whose parents reported high levels of stress. Specifically, …

Front Matter

Comparative Civilizations Review

No abstract provided.

The Future Of Civilization: A Systems Approach, Robert Bedeski, Ph.D.

Comparative Civilizations Review

Civilization is one of several stages of human evolution and forms a system of interaction. Its past dominance is now challenged by growth of three subsystems — state, economy, and science/technology. These three subsystems have matured through application of rational knowledge. The vertically integrated state now dominates society and demarcated territory. The horizontally integrated global economy and global science/technology society have become worldwide in scope. State domination is reinforced by autonomous global science and international capital. The remaining subsystem of Moral Knowledge occupies present non-material civilization and is characterized by organic knowledge and embracing the unprovable, which includes religion, art, …

Editor's Note, John Berteaux, Executive Editor

Comparative Civilizations Review

From July 28 to July 30, 2022, it was my pleasure to serve as the Program Chair of the 51st International Society for the Comparative Study of Civilizations conference — The Future of Civilization(s). This issue of the Comparative Civilizations Review contains a selection of articles presented at the conference.

Our New Iscsc Social Media Presence, Bibi Pelić

Comparative Civilizations Review

Social media presence is essential, we could say even critical to any organization today. Social media can for itself be a topic for a discussion on civilization, as social media is today shaping mindsets, for better or worse.

Realizing this major development in our ever-more digitalized world, the ISCSC has undergone, in the past year, significant changes in the direction of establishing its social media presence.

First Responder Coping And Its Impact On Resilience, Ptsd Symptomology, And Hypervigilance, Bianca Bullock

Dissertations

The present study investigated coping strategies utilized by first responders and how those strategies relate to resilience, PTSD symptomology, and hypervigilance. The purpose of this study is to help provide more detailed information as to how first responders’ coping impacts their overall functioning. First responders (N = 181), including law enforcement officers, firefighters, paramedics, and emergency medical technicians, completed online surveys measuring whether engaged or disengaged coping strategies were used to manage stressful situations. Self-perceived resilience, PTSD symptoms, and hypervigilance were also measured. A one-way between-groups multivariate analysis of variance was performed to test the relationships between engaged versus disengaged …

Cerebrovascular Impairment As A Potential Target For Neuromodulation Therapy In Moderate-Severe Traumatic Brain Injury, Naomi L. Gaggi

Dissertations, Theses, and Capstone Projects

The main purpose of this dissertation is to characterize noninvasive neuroimaging biomarkers of neurovascular injury in moderate-severe traumatic brain injury (msTBI) as potential treatment targets for neuromodulation therapy. In Chapter 1, I aim to introduce msTBI and two known sequelae of neurovascular damage in msTBI: reduced cerebral blood flow (Ware et al., 2020; Julliene et al., 2016) and altered low frequency fluctuations in blood oxygen level-dependent signal (Zhou et al., 2021; Palacios et al., 2013). Chapter 2 aims to identify the regional pattern of altered resting cerebral blood flow from a cohort of 29 patients with msTBI assessed at 3, …

Purity, Exclusion, And Political Order In Colombia, Osha Smith-Gittelman

Dissertations, Theses, and Capstone Projects

This dissertation examines the relationship between purity and order, and the ways this relationship informs and reproduces exclusionary forms of governance. The starting point for this analysis is the puzzling use of the language of limpieza social [social cleansing] as a justification for violence in Latin America. Such language is publicly disseminated by vigilantes, criminal organizations, paramilitaries, and other extralegal armed actors as a frame for violence against those presumed to be criminals, drug users, sex workers, unhoused, LGBTQ, or mentally ill. Much has been written on criminal and political violence in the region, but there has been less emphasis …

The Cognitive, Behavioral, Affective, And Physiological Components Of Social Cognition In Esports And Education, Daisy Reyes

Dissertations, Theses, and Capstone Projects

Prior research has shown that collaborative learning, or groups of two or more individuals working together towards a shared outcome, and Computer-Supported Collaborative learning has the potential to positively impact learning outcomes. This study aims to add to existing literature on collaborative learning by looking at how novices and experts learn and perform in esports (electronic sports) teams, or highly coordinated digital teams that often compete in stressful environments. Based on Carron’s Model of Cohesion in Sports Teams and Hanin’s Model of Individualized Zones of Optimal Functioning (IZOF), the current study looks at the relationship between cohesion (i.e., task and …

Relationships Between Sensory Reactivity, Restricted And Repetitive Behaviors, And Autonomic Nervous System Activity In Autistic And Non-Autistic Individuals, Sapir Elimaliah

Dissertations, Theses, and Capstone Projects

The current dissertation includes seven chapters. Chapter 1 includes my professional background and describes the experiences that led me to study restricted and repetitive behaviors. It also briefly describes my personal journey as an international graduate student. Chapter 2 is devoted to the rich literature that this dissertation is based on. The literature review covers both the foundational and most recent findings in the fields of sensory reactivity, restricted and repetitive behaviors, and autonomic activity, as well as the known relationships between these areas in autistic and non-autistic individuals. In Chapter 3, I describe in detail the methodology used in …

The Relative Cost Of Codeswitching: An Electrophysiological Study Contrasting Language Switching Versus Lexical Predictability, Iris Strangmann

Dissertations, Theses, and Capstone Projects

Neurophysiological sentence processing studies are inconsistent about the additional costs that language switching within sentences (i.e., codeswitching) may bring about (cf. Valdés Kroff et al., 2020; Yacovone et al., 2021). There is discussion about whether there are, in fact, additional costs and, if so, about the origins of those costs, since some findings are consistent with effortful processing when comprehending single-language (not switched) words observed in monolingual studies. Specifically, studies are divided on whether codeswitched words are more difficult to lexically access than single-language equivalents of similar semantic predictability, as indexed by an increased N400 effect. The same studies, however, …

Operation Lone Star: The Spectacle Of Immigration Federalism, Danielle Puretz

Dissertations, Theses, and Capstone Projects

Texas Governor Greg Abbott launched Operation Lone Star in March 2021 to respond to the “crisis” at the United States/Mexico border. While in the US immigration is usually thought of as a federal responsibility, different states have worked to expand their capacity to welcome or exclude immigrants. Operation Lone Star is an example of how one state is working to restrict immigration to the US and build notoriety for its republican governor. Drawing on press releases, executive orders, news articles, opinion pieces, and other sources I highlight the performative politics within this initiative. Operation Lone Star is an example of …

Oxytocin, A Lover And A Fighter: Maternal Trauma Exposure And Mother-Child Coregulation, Patricia M. Pehme

Dissertations, Theses, and Capstone Projects

The placenta is responsible for regulating the fetal growth and environment in preparation for the anticipated external life. To succeed, it continuously adapts and weaves in a variety of neuroendocrine signals from the maternal organism. If a mother was exposed to trauma and her physiology sustained a change in the functioning of the immune, autonomic and/or endocrine systems, the placenta may anticipate different external environments for her children as compared to children of mothers without trauma exposure. This dissertation examined possible underlying mechanisms of psychosocial trauma transmission from one generation to the next via the placental oxytocinergic pathway. Encompassing three …

The Moral Economy Of Ordinary Belarussians And A Critical Examination And Re-Evaluation Of The 2020 Post-Electoral Uprising, Geoffrey Blank

Dissertations, Theses, and Capstone Projects

This study is three studies in one: First, a qualitative study of the moral economy of ordinary Belarussians based on E.P Thompson’s class-based economic conception of moral economy, as applied to complex socio-economic systems by Reinarman (1987). Second, a critical and broad examination and re-evaluation of the August 9, 2020 post-electoral uprising. And third, an examination of both the West’s hostility toward Belarus’ largely state-owned socially-oriented economic model (often considered market socialism) and toward President Lukashenka, and, of the West’s commitment to overthrowing President Lukashenka and Belarus’ largely state-owned socially-oriented economic model, through its sponsorship of color revolution, “democratization,” regime …

The International Academy Of Language And Culture: The Global (Pre)K-12 Charter School Network, Dree-El Simmons

Dissertations, Theses, and Capstone Projects

The International Academy of Language and Culture (IALC) is a charter school based on the original concept of charter schools by Ray Budde and Albert Shanker, as an academic environment dedicated and designed to improving the educational outcomes for its students through innovative pedagogy. Committed to American (and global) education reform, the IALC incorporates elements from higher education into the early childhood and adolescent settings. We accomplish this by utilizing an interdisciplinary approach in our language and culture-based program.

The IALC is a multilingual, full-immersion program. Food Studies (including culinary arts), the Arts, the Humanities, Social Sciences, and Martial Arts …

The Euro And Bumps In The Road: Historical Patterns Of Nonresident Holdings In Eurozone Bonds, 1980–2018, Michael H. Scarlatos

Dissertations, Theses, and Capstone Projects

A developed bond market which attracts nonresident investors both enables and reflects a host currency’s transition from domestic to international status. My analysis of historical private nonresident holdings of Eurozone portfolio debt securities spanning the euro’s 1999 creation and its subsequent 2008 crisis reveals diverging patterns.

This analysis, complemented by coefficient stability tests, discovers that the conversion of national currencies to the euro was reflected by a pickup in nonresident holdings of bonds issued by countries adopting the euro, especially those of the periphery (Portugal, Ireland, Italy and Spain) relative to the core (Germany, Austria, Belgium, Finland, France, and the …

El Poder De Las Tierras Estatales: Conflictos De Propiedad, Formaciones Estatales Y La Construcción De Los Llanos En Colombia, Julio Arias Vanegas

Dissertations, Theses, and Capstone Projects

This work examines different conflicts over the definition, delimitation, and use of state lands in Colombia. It focuses on the conflicts over three places, which have been produced as state properties and “baldíos” (public, untitled lands) from the 1940s to the 2010s in Los Llanos region. This dissertation departs from two premises. First, the making and unmaking of state lands are unique windows to examine how the limits between state and non-state properties, actors, and spaces are defined and disputed. Second, state lands, and especially baldíos, have been a key form of state territorialization and appropriation of marginalized regions. Thus, …

Pervasive Nonarbitrariness: Meaning From Form In Natural Language, David J. Neely

Dissertations, Theses, and Capstone Projects

It is generally assumed that the expressions of a natural language are largely arbitrary. That is, any expressions that display a nonarbitrary connection between what their utterances sound like and what they mean are small in number and of no real theoretical importance.

This thesis challenges such a position. I argue that nonarbitrariness is a pervasive feature of natural language and that understanding the sound/meaning connections that exist in language is necessary if to appreciate how languages work.

I begin, in Chapter 1, by showing that many theorists are committed to the idea that nonarbitrary sound/meaning connections are of little …

Essays On Inequality, Growth, And Economic Policy, Philipp E. Erfurth

Dissertations, Theses, and Capstone Projects

This dissertation consists of three chapters that study inequality and regional economics in a historical and development context.

The first chapter examines regional inequality among Habsburg regions from the 19th century to today’s EU by using Geographic Information Systems (GIS) software to recreate historical regions in present-day projections. The findings suggests that regional disparities are markedly higher today than in the 19th century, despite rapid convergence in the past two decades. The study thus provides evidence of retrospective determinism in the study of the Habsburg economy and suggests that, although regional EU policy has been successful over the past two …

The Bright And Dark Sides Of Upward Social Comparison: Knowledge Sharing And Knowledge Hiding Directed At High Performers, Soohyun (Ashley) Lee

Dissertations, Theses, and Capstone Projects

The present research investigated when and why employees might share or hide their work information from coworkers who perform better than themselves. Drawing from social comparison theory (Festinger, 1954) and social exchange theory (Blau, 1964), I predicted that upward social comparison would lead to both pleasant reactions (inspiration, perceived gain of work resources) and unpleasant reactions (envy, perceived loss of work resources), which in turn would differentially affect knowledge sharing/hiding behaviors targeting high-performing coworkers. I further predicted that individual differences in directing behaviors toward goals (goal orientation) and task structures requiring reliance on coworkers (task interdependence) would moderate the relationships …