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Full-Text Articles in Psychology

Trends In The Effect Of Economic Insecurity On The Allocation Of Household Expenditures In The U.S., 1980-2005, Kirsten Bartlett Lauber Jan 2014

Trends In The Effect Of Economic Insecurity On The Allocation Of Household Expenditures In The U.S., 1980-2005, Kirsten Bartlett Lauber

Legacy Theses & Dissertations (2009 - 2024)

The transition to late-capitalism in the U.S. has generated extensive societal change. This paper examines the intersection of three of these changes: the transition to a consumer-oriented economic and societal model, the increase of economic insecurity experienced by individuals and households and the heightened emphasis on a short-term orientation in individual decision-making. A review of literature from the fields of Sociology, Economics and Psychology describes differing understandings of how individuals react to the heightened economic insecurity that households experience under late-capitalism. Within mainstream Economics', theoretical and empirical work suggests that individuals respond to insecurity by reducing spending and maximizing long-term …


Work-Family Conflict, Family-Supportive Supervisor Behaviors (Fssb), And Sleep Outcomes, Tori Laurelle Crain, Leslie B. Hammer, Todd Bodner, Ellen Ernst Kossek, Phyllis Moen, Richard Lilienthal, Orfeu Buxton Jan 2014

Work-Family Conflict, Family-Supportive Supervisor Behaviors (Fssb), And Sleep Outcomes, Tori Laurelle Crain, Leslie B. Hammer, Todd Bodner, Ellen Ernst Kossek, Phyllis Moen, Richard Lilienthal, Orfeu Buxton

Psychology Faculty Publications and Presentations

Although critical to health and well-being, relatively little research has been conducted in the organizational literature on linkages between the work-family interface and sleep. Drawing on Conservation of Resources theory, we use a sample of 623 information technology workers to examine the relationships between work-family conflict, family-supportive supervisor behaviors (FSSB), and sleep quality and quantity. Validated wrist actigraphy methods were used to collect objective sleep quality and quantity data over a one week period of time, and survey methods were used to collect information on self-reported work-family conflict, FSSB, and sleep quality and quantity. Results demonstrated that the combination of …


A Mother's Paradox: Choosing A Birthing Method In The 21st Century, Jenae Franklin Jan 2014

A Mother's Paradox: Choosing A Birthing Method In The 21st Century, Jenae Franklin

Pitzer Senior Theses

Investigating childbirth, one of the biggest moments of a woman’s life, this thesis examines the reasons behind women’s preferred birthing methods. This research explores the fundamental decisions women make during the birthing process: the amount of prenatal care mothers will receive, the type of health care provider they will use, picking the place of delivery, views on technological and medical interventions, and outlooks on natural childbirth. In addition to an extensive literature review, in-depth interviews with mothers, midwives, and obstetricians are used to examine the various controversies of childbirth. This thesis begins with a review of the transition from midwives …


Wearing Different Hats: Micro Role Transitions In Two Contexts, Opal Man-Ching Leung Jan 2014

Wearing Different Hats: Micro Role Transitions In Two Contexts, Opal Man-Ching Leung

2014

Individuals make transitions between roles everyday as they move from home to work to other settings. This dissertation extends the work of Goffman (1959), Hall & Richer (1988), and Ashforth et al. (2000, 2001) on the topic of micro role transitions, which are the "frequent and usually recurring transitions, such as the commute between home and work" (Ashforth et al., 2000: 472). While the context of most of the research on micro role transitions has typically been focused on the work-home boundary (e.g. Rothbard et al., 2005; Nippert-Eng, 2008; Greenhaus & Powell, 2006; Hall & Richter, 1988), the three studies …


Dating Violence On Small Rural College Campuses: Are Administrator And Student Perceptions Similar?, Jean Allen Oldham Jan 2014

Dating Violence On Small Rural College Campuses: Are Administrator And Student Perceptions Similar?, Jean Allen Oldham

Theses and Dissertations--Kinesiology and Health Promotion

In recent years dating violence has become more and more prevalent on college campuses. Reports of the range of dating violence vary widely, with studies reporting from 20% to 85% of college women experiencing dating violence. However, almost all research has been conducted among urban and/or large colleges and universities, with virtually no attention to what is happening on small and/or rural college and university campuses.

When a possible 20% of college women have experienced dating violence on college campuses, there becomes a crucial need for administration at a college to have an accurate assessment of the college’s liability, and …


Contemporary Franco Americans: A Study Of Ethnic Identity, Help-Seeking Attitudes, And Values, Jessica L. Mayo Jan 2014

Contemporary Franco Americans: A Study Of Ethnic Identity, Help-Seeking Attitudes, And Values, Jessica L. Mayo

Antioch University Dissertations & Theses

Given the proximity to Canada, many French Canadians who immigrated to the United States between 1850 and 1950 settled within New England. This immigration resulted in a large population of French Canadian descendants, now considered Franco Americans, within this region. Despite the number of Franco Americans, mental health professionals in New England are offered limited knowledge on conceptualizing and treating this population. To respond to this need, the present study investigated the cultural values, ethnic identity, and professional psychological help-seeking attitudes of contemporary Franco Americans. It was hypothesized that Franco Americans would prioritize values in line with the group’s traditional …


Therapists’ And Interpreters’ Perceptions Of The Relationships When Working With Refugee Clients, Janet Ann Robertson Jan 2014

Therapists’ And Interpreters’ Perceptions Of The Relationships When Working With Refugee Clients, Janet Ann Robertson

Antioch University Dissertations & Theses

This dissertation consists of two articles focusing on foreign language interpreters in mental health. The first article is a literature review examining the existing research on mental health professionals working with foreign language interpreters while conducting therapy with refugee clients. After excluding articles that were not research studies and those that focused on physicians rather than therapists, 19 articles fit the search criteria. The majority of the articles that did not fall into the research category focused on recommendations and protocols for treatment. Those that did fit within the criteria were categorized into 5 main themes. Those themes were: effectiveness …


Relationships Between Traditional Music Audience Participation And Pro-Social Behaviors, Donald J. Polzella, Jeremy S. Forbis Jan 2014

Relationships Between Traditional Music Audience Participation And Pro-Social Behaviors, Donald J. Polzella, Jeremy S. Forbis

Psychology Faculty Publications

In order to investigate the relationship between music audience participation and pro-social behaviors, this study analyzed data from 6239 households who took part in the 2008 U.S. Department of Commerce Current Population Survey: Participation in the Arts Supplement. The data were analyzed using logistic regression, in which three specific pro-social behaviors (i.e., voting in the most recent presidential election, making charitable donations or volunteering time, and attending community meetings) were regressed on participation in music (i.e., attending classical, jazz, or opera music concerts). After controlling for the effects of age, race, sex, income, education, marital status, and occupation class, it …


The Life Course Perspective Of Delinquency: An Empirical Analysis Of Female Juvenile Offending From The National Youth Survey, Doshie Piper Jan 2014

The Life Course Perspective Of Delinquency: An Empirical Analysis Of Female Juvenile Offending From The National Youth Survey, Doshie Piper

Contemporary Issues in Juvenile Justice

No abstract provided.


Coping Responses And Mental Health Symptoms In Incarcerated Juvenile Males, Jennifer Renae Newhard Jan 2014

Coping Responses And Mental Health Symptoms In Incarcerated Juvenile Males, Jennifer Renae Newhard

Antioch University Dissertations & Theses

Coping responses develop throughout the lifespan of an individual. Unfortunately for some, difficult life circumstances may lead to the use of maladaptive forms of coping. This study investigated coping responses amongst male incarcerated juvenile offenders and examined which specific mental health symptoms may occur with specific coping responses. The goal of this study was to determine whether male incarcerated juvenile offenders utilize avoidant coping responses over approach coping responses. Also, this study investigated whether specific mental health symptoms, such as depression, anxiety, anger, and disruptive behaviors, were more prevalent amongst those who utilize avoidant coping responses. De-identified, archival data for …


From Alarm To Action: Closing The Gap Between Belief And Behavior In Response To Climate Change, Kathryn Laing Doherty Jan 2014

From Alarm To Action: Closing The Gap Between Belief And Behavior In Response To Climate Change, Kathryn Laing Doherty

Antioch University Dissertations & Theses

The degree to which the climate continues to change will largely be determined by choices made by individuals and nations regarding greenhouse gas emissions. Many Americans engage in energy conservation actions. But, the political will in the United States to adopt emissions reduction policies is unlikely to exist without public demand. Therefore, public mitigation actions of individuals (e.g., contacting elected officials in support of emissions reduction) are critical to induce legislative response. The majority of individuals who are most concerned about climate change (the “Alarmed” segment) do not engage in public mitigation actions, but some do. The purpose of this …


The Politics Of The Face-In-The-Crowd, Mark S. Mills, Kevin B. Smith, John R. Hibbing, Michael Dodd Jan 2014

The Politics Of The Face-In-The-Crowd, Mark S. Mills, Kevin B. Smith, John R. Hibbing, Michael Dodd

Department of Psychology: Faculty Publications

Recent work indicates that the more conservative one is, the faster one is to fixate on negative stimuli, whereas the less conservative one is, the faster one is to fixate on positive stimuli. The present series of experiments used the face-in-the-crowd paradigm to examine whether variability in the efficiency with which positive and negative stimuli are detected underlies such speed differences. Participants searched for a discrepant facial expression (happy or angry) amid a varying number of neutral distractors (Experiments 1 and 4). A combination of response time and eye movement analyses indicated that variability in search efficiency explained speed differences …


Assessing Transgender Attitudes Toward Health Care: Can These Attitudes Help Predict Health Outcomes?, Sara M. Shane Jan 2014

Assessing Transgender Attitudes Toward Health Care: Can These Attitudes Help Predict Health Outcomes?, Sara M. Shane

PCOM Psychology Dissertations

Research has identified the fact that race/ethnicity, sexual orientation, gender identity, socioeconomic status, education level, geographic location, help seeking behaviors, and experiences of discrimination are associated with health outcomes. In addition, attitudes towards providers can also help determine health outcomes. The transgender community experiences barriers to health care services and therefore their overall health is affected. There is not a sufficient amount of literature that assesses, using standardized measure, the attitudes of the transgender community and their health. The present study will assess the attitudes of the transgender community toward health care (mental and medical health) and, using standardized measures, …


Academically Resilient Minority Doctoral Students Who Experienced Poverty And Parental Substance Abuse, Marcia Boatman Jan 2014

Academically Resilient Minority Doctoral Students Who Experienced Poverty And Parental Substance Abuse, Marcia Boatman

Walden Dissertations and Doctoral Studies

There is a lack of research on the academic resilience of minority, first-generation, online doctoral students (MFOD) who experienced poverty and parental substance abuse (PSA). The purpose of this study was to explore how MFOD who overcame poverty and PSA developed academic resilience. Resilience theory and Kember's model of attrition in online programs provided a conceptual framework for this study. The research questions guiding this qualitative study concerned how MFOD perceive and interpret their academic resilience and protective factors. A purposeful sample of 6 students participated in semistructured interviews. An interpretative phenomenological analysis was conducted, which included a case by …


Feminist Stereotypes: Communal Vs. Agentic, Emily R. Lindburg Jan 2014

Feminist Stereotypes: Communal Vs. Agentic, Emily R. Lindburg

Scripps Senior Theses

This study examined relationships between facial appearance, gender-linked traits, and feminist stereotypes. Naïve college students rated traits based on facial appearance of female CEO's whose companies appeared in the Forbes 1000 list. The photos of each female CEO (n=35) were randomly combined with two descriptive identifiers; an occupation (n=9) and an interest area (n=9), including 'feminist'. Participants then rated the head shots of the CEO's on a 7 point Likert scale of communal (expected feminine) traits like attractiveness, warmth, compassion and cooperativeness, and on agentic (expected masculine) traits like ambition, leadership ability and intelligence. If college students hold negative stereotypes …


An Analysis Of Racial Identity, Internalized Racial Oppression, Self-Esteem, And Media Consumption In African American Students, Latoya Higginbottom Jan 2014

An Analysis Of Racial Identity, Internalized Racial Oppression, Self-Esteem, And Media Consumption In African American Students, Latoya Higginbottom

Williams Honors College, Honors Research Projects

The goal of this investigation was to gain greater insight into the racial attitudes and media usage behaviors of African American college students. Racial identity, internalized racial oppression, self-esteem, and media consumption were measured in a sample of African American college students (n = 59). Racial identity was measured with The Multidimensional Model of Black Identity, internalized racial oppression was measured using The Internalized Racial Oppression Scale, self-esteem was measured using the Rosenberg Self-Esteem Scale, and media consumption was measured via a researcher-designed survey. The results revealed significant correlations between constructs. Self-esteem was correlated to the racial identity subscales of …


Sex And Gender Identity: A New Perspective For College Student Development, Steven Ray Wise Jan 2014

Sex And Gender Identity: A New Perspective For College Student Development, Steven Ray Wise

Theses and Dissertations--Educational Policy Studies and Evaluation

One of the goals of college student development professionals is to help undergraduate students develop a meaningful sense of personal identity. Early in the history of the profession, practitioners borrowed freely from related fields such as sociology and psychology to guide their practice, but beginning around the 1960s, scholars began in earnest to develop their own unique body of literature. In this work I examine the development of that scholarly work as it relates to identity development—specifically the evolution of understanding around the issues of sex and gender identity development.

Beginning with William Perry, whose work has impacted so many …


Efficacy Of Cultural-Based Psychoeducational Group Therapy For Increasing Marital Satisfaction Among Latino Couples, Maria Jesus Ampuero Jan 2014

Efficacy Of Cultural-Based Psychoeducational Group Therapy For Increasing Marital Satisfaction Among Latino Couples, Maria Jesus Ampuero

Walden Dissertations and Doctoral Studies

Previous research has indicated the importance of providing marriage education to ethnic minority couples who are struggling with their marital relationships. Despite this known importance, significantly fewer resources are available for Latino couples, who have a high rate of divorce. The purpose of this quantitative, randomized, wait-list control group trial design was to determine whether Couples in Contact, a culturally-based, psychoeducational intervention group program for Latino couples, increases marital satisfaction, as measured by the Marital Satisfaction Inventory, Revised (MSI-R). This study drew on cognitive behavioral therapy applied to couples, and the supportive theories underlying family systems theory and Gottman's theory. …


Predictors Of Head Start And Child-Care Providers’ Healthful And Controlling Feeding Practices With Children Aged 2 To 5 Years, Dipti A. Dev, Brent A. Mcbride, Katherine E. Speirs, Sharon M. Donovan, Hyun Keun Cho Jan 2014

Predictors Of Head Start And Child-Care Providers’ Healthful And Controlling Feeding Practices With Children Aged 2 To 5 Years, Dipti A. Dev, Brent A. Mcbride, Katherine E. Speirs, Sharon M. Donovan, Hyun Keun Cho

Department of Child, Youth, and Family Studies: Faculty Publications

Few child-care providers meet the national recommendations for healthful feeding practices. Effective strategies are needed to address this disparity, but research examining influences on child-care providers’ feeding practices is limited. The purpose of this study was to identify determinants of child-care providers’ healthful and controlling feeding practices for children aged 2 to 5 years. In this cross-sectional study, child-care providers (n = 118) from 24 center-based programs (six Head Start [HS], 11 Child and Adult Care Food Program [CACFP] funded, and seven non-CACFP) completed selfadministered surveys during 2011-2012. Multilevel multivariate linear regression models were used to predict seven feeding practices.Working …


Examining Identity Consolidation Processes Among Ethnic Minority Gay Men And Lesbians, Heather R. Kennedy, Rochelle L. Dalla Jan 2014

Examining Identity Consolidation Processes Among Ethnic Minority Gay Men And Lesbians, Heather R. Kennedy, Rochelle L. Dalla

Department of Child, Youth, and Family Studies: Faculty Publications

Past scholarship has demonstrated shortcomings in developmental theories for both sexual and ethnic identity. Furthermore, identity development may be especially challenging for members of multiple minority groups facing significant social stressors. The primary goal of this study was to explore identity consolidation processes among individuals with intersecting minority identities. Using in-depth, personal interviews and self-report measures, data were collected from 16 ethnic minority gay men and lesbians. Themes such as acceptance, invisibility, and fear confirm the influence of social context on identity integration. Findings revealed differing magnitudes of consolidation. Greater social support and educational endeavors were critical factors in distinguishing …


Children’S Attitudes Towards Peers With Disabilities: Associations With Personal And Parental Factors, Soo-Young Hong, Kyong-Ah Kwon, Hyun-Joo Jeon Jan 2014

Children’S Attitudes Towards Peers With Disabilities: Associations With Personal And Parental Factors, Soo-Young Hong, Kyong-Ah Kwon, Hyun-Joo Jeon

Nebraska Center for Research on Children, Youth, Families, and Schools: Faculty Publications

The purpose of this study was to investigate the following: (i) associations among children’s prior contact with people with disabilities and the three dimensions of children’s attitudes towards people with disabilities: children’s understanding of and their feelings about people with disabilities and their behavioral intentions to make inclusion decisions; (ii) the relation between children’s behavioral intentions to make inclusion decisions and the demands of activity contexts and the types of disabilities; and (iii) the association between parents’ attitudes and children’s attitudes. Participants included 94 typically developing four- and five-year-old preschoolers. Children’s understanding of disabilities and their prior contact with people …


Rural Latino Adolescent Health: Preliminary Examination Of Health Risks And Cultural Correlates, Timothy D. Nelson, Katherine M. Kidwell, Brian E. Armenta, Lisa J. Crockett, Gustavo Carlo, Les B. Whitbeck Jan 2014

Rural Latino Adolescent Health: Preliminary Examination Of Health Risks And Cultural Correlates, Timothy D. Nelson, Katherine M. Kidwell, Brian E. Armenta, Lisa J. Crockett, Gustavo Carlo, Les B. Whitbeck

Department of Psychology: Faculty Publications

Latino adolescents living in rural settings may be at increased risk of health problems; however, data describing the health status of this population are limited. This study examined 60 rural Latino adolescents and found high rates of health risk, including at-risk/clinical results for hemoglobin A1C (23.3%), high-density lipoprotein cholesterol (55%), systolic blood pressure (21.7%), and overweight/obesity (55%). Time in sedentary behaviors was high and physical activity was limited. Adolescent language use was associated with health risk status, with greater use of English associated with lower risk. Health psychologists could promote improved health by providing health behavior interventions to this underserved …


Disputed Paraphilia Diagnoses And Legal Decision Making: A Case Law Survey Of Paraphilia Nos, Nonconsent, Christopher M. King, Lindsey E. Wylie, Eve M. Brank, Kirk Heilbrun Jan 2014

Disputed Paraphilia Diagnoses And Legal Decision Making: A Case Law Survey Of Paraphilia Nos, Nonconsent, Christopher M. King, Lindsey E. Wylie, Eve M. Brank, Kirk Heilbrun

Department of Psychology: Faculty Publications

Paraphilia diagnoses applied in forensic settings are an ongoing subject of debate among psycholegal professionals and scholars. Disagreements pertain to both means-related issues having to do with issues of diagnostic reliability and validity, and ends-related issues regarding the consequences inherent to the legal contexts in which the diagnoses arise. To provide a fresh outlook on some of the issues, the present study entailed a systematic survey of U.S. case law to investigate the history, extent, and nature of forensic uses of a controversial paraphilia diagnosis, paraphilia not otherwise specified, nonconsent. Descriptive analyses revealed that use of the diagnosis, which occurred …


Sustainability Policy’S Inherent Dilemmas – Exemplified Via Critical Examination Of The Las Vegas Metropolitan Sustainability Campaign, Kathryn A. Zimmerman Jan 2014

Sustainability Policy’S Inherent Dilemmas – Exemplified Via Critical Examination Of The Las Vegas Metropolitan Sustainability Campaign, Kathryn A. Zimmerman

All Master's Theses

In response to a dual problem of critical water scarcity and rapid population growth, leaders of metropolitan Las Vegas implemented a region-wide, internationally marketed sustainability campaign. Preliminary studies found that, while sustainability policy attains its rhetorical goals, solutions initiated not only perpetuate but also purposefully expand the original dual problem to justify continuous water resource acquisitions. To examine this sustainability conundrum constructed by leadership—problem-perpetuation rather than problem-resolution—a critical examination in resource management asked two basic questions: what is being sustained and by what means? Via this inquiry, specific processes by which leaders perpetuate problems can be identified; and, so-informed, new …


A Comparison Of Alexithymia Levels Of Male Intimate Partner Abuse Perpetrators And Men From The General Community, James Strickland Jan 2014

A Comparison Of Alexithymia Levels Of Male Intimate Partner Abuse Perpetrators And Men From The General Community, James Strickland

Theses : Honours

Intimate partner abuse (IPA) is a significant social issue with diverse and complex risk factors. Recent attention, however, has been placed on the individual psychological and emotional factors associated with IPA, including deficits in the processing of emotions. The construct of alexithymia, which involves difficulties identifying and describing emotions, integrates some of these emotional deficits. Currently, no published research has examined the levels of alexithymia among Australian men who perpetrate IPA. The aim of the current study was to compare the alexithymia levels of IPA perpetrators (n = 31) with those of men from the general community (n = 34) …


An Investigation Into The Psychological Impact Of Informal Aged Care: The Lived Experience Of Older Female Informal Aged Carers, Emma Stein Jan 2014

An Investigation Into The Psychological Impact Of Informal Aged Care: The Lived Experience Of Older Female Informal Aged Carers, Emma Stein

Theses : Honours

It has been estimated that 196,000 (38%) informal carers in Australia are aged over 65 years, with the majority of these carers providing care to someone in their own age group. In particular, it is women who have been providing most informal care. Recognition of this has highlighted women’s needs for psychological support in their caregiving roles. However, research into women’s experiences of this phenomenon is scarce. The present study aimed to explore the lived experiences of women in this context, asking the question “what are the perceived psychological impacts of aged care on older women who are informal carers?” …


Interdisciplinary Perspectives On Corruption, David Jancsics Jan 2014

Interdisciplinary Perspectives On Corruption, David Jancsics

Publications and Research

Corruption has become one of the most popular topics in the social scientific disciplines. However, there is a lack of interdisciplinary communication about corruption. Models developed by different academic disciplines are often isolated from each other. The purpose of this paper is to review several major approaches to corruption and draw them closer to each other. Most studies of corruption fall into three major categories: (i) rational-actor models where corruption is viewed as resulting from cost/benefit analysis of individual actors; (ii) structural models that focus on external forces that determine corruption; and (iii) relational models that emphasize social interactions and …


A Multivariate Analysis Of Consumers’ Beliefs, Attitudes, And Behaviors Associated With Locally Produced Food And Farmers’ Market Patronage, Sara Williamson Jan 2014

A Multivariate Analysis Of Consumers’ Beliefs, Attitudes, And Behaviors Associated With Locally Produced Food And Farmers’ Market Patronage, Sara Williamson

Theses and Dissertations--Agricultural Economics

While farmers’ market vendors rely on loyal and frequent patrons to purchase their products, it is unclear how the intrinsic differences among farmers’ market shoppers serve as indicators of potential shopping frequency at farmers’ markets. The objectives of this thesis are to identify consumers’ intrinsic values associated with characteristics of local foods, examine how these values are reflected in consumption behaviors among farmers' market shoppers, and explore the relationship between consumption activities and shopping frequency at farmers' markets. Results suggest that the differences between frequent and infrequent farmers’ market shoppers could be explained by the individual’s levels of high and …


Quality Of Peer Relationships Among Children With Selective Mutism, Marielle Leo, Rachele Diliberto, Christopher A. Kearney Jan 2014

Quality Of Peer Relationships Among Children With Selective Mutism, Marielle Leo, Rachele Diliberto, Christopher A. Kearney

McNair Poster Presentations

The current study examined the quality of peer relationships among children with selective mutism. Previous research suggests that children who are selectively mute have difficulty making friends and have poor outcomes in treatment. Participants were derived from the UNLV Child School Refusal and Anxiety Disorders Clinic. An initial assessment was conducted by the Clinic therapist. The study utilized a demographic form, the Child Behavior Checklist, and the Anxiety Disorders Interview Schedule—Parent Version. The current study found that children who are selectively mute ranged in the quality of friendships, and this knowledge may be used to help treatment outcome.


Why Restrictions On The Immigration Of Health Workers Are Unjust, Javier S. Hidalgo Jan 2014

Why Restrictions On The Immigration Of Health Workers Are Unjust, Javier S. Hidalgo

Jepson School of Leadership Studies articles, book chapters and other publications

Some bioethicists and political philosophers argue that rich states should restrict the immigration of health workers from poor countries in order to prevent harm to people in these countries. In this essay, I argue that restrictions on the immigration of health workers are unjust, even if this immigration results in bad health outcomes for people in poor countries. I contend that negative duties to refrain from interfering with the occupational liberties of health workers outweighs rich states’ positive duties to prevent harm to people in sending countries. Furthermore, I defend this claim against the objection that health workers in poor …