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Articles 1 - 9 of 9
Full-Text Articles in Health Psychology
A Case Study On Factors Influencing Retention Of Mental Health Clinicians In A New Hampshire Community Mental Health Center, William E. Keating
A Case Study On Factors Influencing Retention Of Mental Health Clinicians In A New Hampshire Community Mental Health Center, William E. Keating
Antioch University Full-Text Dissertations & Theses
This study examined the perspectives of master-level clinical mental health providers and members of leadership at a Community Mental Health Center (CMHC) in New Hampshire, to understand clinician and leadership perspectives as to why master-level providers choose to continue working at CMHCs. Most prior research on turnover in such organizations has focused on why so many leave their positions, however this study instead focuses on factors related to the decision to stay at a specific CMHC in an urban area of New Hampshire. A single case study method was utilized to focus on masters-level mental health care providers with additional …
Self-Concept, Healthcare, And Leadership: Understanding The Lived Experiences Of Physician Leaders In Urban Community Healthcare Centers, Eric James Charlton
Self-Concept, Healthcare, And Leadership: Understanding The Lived Experiences Of Physician Leaders In Urban Community Healthcare Centers, Eric James Charlton
Antioch University Full-Text Dissertations & Theses
Reducing disparities in health services delivery and outcomes is a continued challenge. The consistence of healthcare disparities, despite advances in medical technology and increased awareness of the problem, poses an ongoing test to the nation. There is a growing body of work that demonstrates providing access to good primary care may be the most effective intervention at hand. For over 40 years, community health centers have been providing quality, comprehensive primary care focusing on reducing health outcome disparities. Increased awareness is now emphasizing primary care elimination of health disparities within disadvantaged, underserved populations. A major failing of the system that …
When Bad Genes Ruin A Perfectly Good Outlook: Psychological Implications Of Hereditary Breast And Ovarian Cancer Via Narrative Inquiry Methodology, Cammi Clark
Antioch University Full-Text Dissertations & Theses
Scientists debunked the belief that breast cancer is always viral with the mid-90s discovery of the first hereditary genetic mutation linked to a significantly higher-than average chance of breast and ovarian cancer. This genetic condition, called Hereditary Breast and Ovarian Cancer (HBOC), passes the mutation from generation to generation in a family. Thousands of variations of such mutations exist, and carriers account for 10 to 15% of all breast cancer, and up to 20% of ovarian (Childers et al., 2017). In addition, genetic testing uncovered a rapidly rising number of healthy people (never had breast/ovarian cancer) who are also carriers, …
Double Whammy: Interpretive Phenomenological Analysis Of Older African Americans Experiencing Hiv & Age Related Comorbidities, James W. Chavers
Double Whammy: Interpretive Phenomenological Analysis Of Older African Americans Experiencing Hiv & Age Related Comorbidities, James W. Chavers
Antioch University Full-Text Dissertations & Theses
HIV among older African Americans represents one of the fastest and largest growing populations of infected groups in America (CDC, 2008). With the availability of anti-retrovirals (ARV), or AIDS cocktail drugs, HIV has become a chronic illness. As African Americans are living longer with HIV, they are encountering the diseases that are consonant with aging. The effect of aging with HIV and an age-related comorbid condition can be physically and emotionally debilitating. Many of these older adults are also dealing with poverty, stigma, poor healthcare access, and limited social support. The purpose of this study was to explore how these …
The Role Of Heart Rate Variability In The Treatment Of Migraines, Thomas M. Ledoux
The Role Of Heart Rate Variability In The Treatment Of Migraines, Thomas M. Ledoux
Antioch University Full-Text Dissertations & Theses
This dissertation assessed the role of heart rate variability (HRV) in the treatment of migraine headaches. The extent of this relationship was measured through a 12-session HRV biofeedback protocol to increase HRV and decrease migraine frequency through resonance frequency breathing (RFB) training. This project used a single-case design methodology to analyze phase changes in physiological variables with a specific focus on changes in HRV and migraine symptoms from baseline to completion of the biofeedback protocol. The prevalence of migraine headaches is discussed, the history of biofeedback as an intervention for migraine is reviewed, and the rationale for the relationship between …
Worlds Of Connection: A Hermeneutic Formulation Of The Interdisciplinary Relational Model Of Care, Susana Lauraine Mccune
Worlds Of Connection: A Hermeneutic Formulation Of The Interdisciplinary Relational Model Of Care, Susana Lauraine Mccune
Antioch University Full-Text Dissertations & Theses
Despite a general agreement across health care disciplines that Advanced Care Planning (ACP) and Advanced Directives (ADs) add important elements to a patient's end-of-life care desires, and can inform their loved ones and advocates, help create ease of mind, and enhance quality of care, they continue to remain significantly underused. More than half of Americans transition to chronic and terminal illness without having completed them. The aim of this study was to increase the frequency and enhance the quality of communication about Advance Directives and Advance Care Planning within the clinical relationship. The resulting Interdisciplinary Relational Model of Care (IRMOC) …
Utilizing The Standard Trauma-Focused Emdr Protocol In Treatment Of Fibromyalgia, Tricia L. Teneycke
Utilizing The Standard Trauma-Focused Emdr Protocol In Treatment Of Fibromyalgia, Tricia L. Teneycke
Antioch University Full-Text Dissertations & Theses
Fibromyalgia is a syndrome characterized by chronic pain and fatigue. It notably impacts individuals and their families, creates notable opportunity costs for society, and places heavy demands on the medical system. Fibromyalgia has no cure. Its etiology is uncertain but likely biopsychosocial. In a subset of individuals experiencing Fibromyalgia, the experience of one or more traumatic experiences precipitates the onset of symptoms. Eye Movement Desensitization and Reprocessing (EMDR) is an evidence-based treatment for traumatic stress injuries. None of the handful of published accounts of EMDR treatment of Fibromyalgia have utilized the standard evidenced-based, trauma-focused EMDR (TF-EMDR) protocol, opting instead for …
Getting Back To My Life: Exploring Adaptation To Change Through The Experiences Of Breast Cancer Survivors, Charles A. Foster
Getting Back To My Life: Exploring Adaptation To Change Through The Experiences Of Breast Cancer Survivors, Charles A. Foster
Antioch University Full-Text Dissertations & Theses
The holding environment concept, developed by Donald Winnicott, has been used to represent the type of support that encourages adaptive change during psychosocial transitions. The leadership and change literature posited that the holding environment had the ability to shape the trajectory of the transition, yet did not test this empirically. The psychosocial breast cancer literature empirically researched support during and after treatments ended, but did not incorporate the holding environment concept. This presented the opportunity to inform both the leadership and breast cancer fields by studying holding environments in the breast cancer setting. This study had a twofold purpose: 1) …
Work Interrupted: A Questionnaire Assessing The Relationship Between Work-Related Distress And Psychological Adjustment To Cancer, Betsy A. Bates Freed
Work Interrupted: A Questionnaire Assessing The Relationship Between Work-Related Distress And Psychological Adjustment To Cancer, Betsy A. Bates Freed
Antioch University Full-Text Dissertations & Theses
Cancer is an increasingly survivable disease that significantly impacts the ability of individuals to negotiate successfully the developmental task most distinctly affiliated with middle adulthood: creating meaning through achievement, creativity, and service. For many adults, these goals are accomplished through employment. When cancer intrudes, patients may be deprived of the ability to participate fully in the “generativity” that developmental psychologist Erik Erikson deemed essential to a healthy adulthood. In qualitative studies, patients’ narratives speak of many work-related losses — of routine, normality, economic stability, social connection, purpose, and identity. While psychosocial issues and quality of life are viewed with increasing …