Pain Management Commons^™

Storytelling As Self-Empowerment: A Case Study Of Avega Beneficiaries In Post-Genocide Rwanda, Lauren Garretson

Independent Study Project (ISP) Collection

This project is an assessment of the effectiveness of storytelling as a mechanism of self-empowerment in the context of post-genocide Rwanda. It concentrates on the effects of the storytelling that is done by female survivors of the 1994 genocide within one Rwandan organization, AVEGA Agahozo.[1] The research project aim is to understand how these women in contemporary Rwanda try to counter their oppression through the stories they tell others about themselves and reclaim agency over their own lives. I examine the possibilities for, and limitations of, storytelling as a means of self-empowerment for these women to counter the unjust …

The Traumatic State Of Psychology: An Investigation Of The Challenges Psychologists Face When Aiming To Help Trauma Survivors In Post-Apartheid South Africa, Rohan Arcot

Independent Study Project (ISP) Collection

This project will sought to investigate the difficult role that psychologists play in post-apartheid South Africa, particularly when they are trying to create meaningful change for trauma survivors from the apartheid era. Many survivors found the results of the Truth and Reconciliation Commission (TRC) unsatisfactory, and thus still suffer from trauma (Kagee, Naidoo, & Van Wyk, 2013). There is a clear need in the present society of South Africa for a system which helps these trauma survivors find reconciliation and make peace with the atrocities of the past. Part of this system is the counseling psychologists that focus on the …

Ouch, That Hurts: Childbirth-Related Pain Management And The Inappropriate Replacement Of Traditional Obstetrical Knowledge In Kumaon, Uttarakhand, India, Sabrina Zionts

Independent Study Project (ISP) Collection

Throughout India, obstetrical knowledge and practice has been developed and passed down by generations of women. In many Indian societies, traditional birth attendants, or dais, remain the gatekeepers of childbirth-related knowledge. Yet with the push towards institutional delivery, traditional knowledge and practices are being increasingly replaced with modern and Western ones. While the trend of hospital deliveries has yielded positive health outcomes, its socio-cultural consequences remain unclear. Situated in Uttarakhand’s Kumaon Himalayas, this study employs a bio-social framework and begins to reveal these consequences. Using labor pain management as an entry point, this study argues that the push towards institutional …

Deconstructing Counselling: The Complexity Of Psychosocial Support Services In Nakivale Refugee Settlement, Emily Luba

Independent Study Project (ISP) Collection

This research analyzes the psychosocial social support component of Mental Health and Psychosocial Support (MHPSS) services in Nakivale Refugee Settlement. The objectives are (1) to define psychosocial support (2) to contextualize what services are being provided in Nakivale (3) to analyze what challenges exist for providing adequate support and (4) to discuss some strategies being employed by refugees and service-providers to combat these difficult circumstances.

56 semi-structured individual and group interviews and 2 focus group discussions were conducted to reach 96 respondents. This total includes Congolese, Rwandan, Burundian, Somali, and Ethiopian male and female refugees and organization representatives from the …

God In Pre- And Post- Genocide Rwanda: Understanding People’S Perspectives, Ben Weinberg

Independent Study Project (ISP) Collection

After the slaughter of over a million Tutsi and moderate Hutu in Rwanda in 1994, God remains an important part in the life of many Rwandans. In this study, 11 Rwandans including survivors, perpetrators, and refugees, were interviewed to provide their perceptions of God before and after the genocide. Through the use of these interviews and various studies on evil, coping, and trauma, this research intends to understand both the shift in belief before to after the genocide and the factors that caused the shift to occur. Informant testimony provides evidence of the way that God and Christian theology has …

A Resistance, Remembered? Remembrance, Commemoration And The Parallel System In Prishtina, Kosovo, Conner Gordon

Independent Study Project (ISP) Collection

Though the 1999 war that liberated Kosovo from Serbian control is over fifteen years in the past, memories of the 1990s still remain in a state of chaos. This paper approaches the development of these collective memories through interviews with Prishtina residents about the memories and legacy of Ibrahim Rugova’s parallel structures in the 1990s. Though they draw from similar narratives as memories of the Kosovo Liberation Army’s armed resistance, memories of the nonviolent resistance play a vastly different and largely underrepresented role in current Kosovar Albanian public discourse. Through competing deployments of resistance memories, disproportionate memorialization of Kosovo’s violent …

Youth Narratives Of The Conflict In Northern Uganda, Ellen Eichelberger

Independent Study Project (ISP) Collection

Narratives are an essential method of communication that create windows into human experiences. Narratives are also responsible for generating the societies in which they are told, or are shaped indelibly by the societies generated by more powerful narratives. In a post-conflict environment where society has been destroyed by decades of violence, the power of narratives to influence society is heightened. Such a postconflict environment is that of northern Uganda, as it emerges from the violence of the war between the LRA and the UPDF. Due to the heightened powers of narratives, it is necessary to give attention to what those …

Uncovering Meanings Of Death, Trauma, And Loss As Experienced By Hospice Bereavement Coordinators: A Phenomenological Study, Rochelle S. Clarke

Department of Family Therapy Dissertations and Applied Clinical Projects

This study examined the experiences of Hospice Bereavement Coordinators (HBCs) and Hospice Chaplains working with grief narratives from patient-family units exhibiting signs of anticipatory or complicated grief. While a significant amount of research has been conducted on Hospice employees, no qualitative studies have examined the interpretation of meaning from employees whose primary role focused on the psychosocial-spiritual aspects of clients exhibiting anticipatory or complicated grief. The researcher identified shared meaning of death, trauma, and loss from six participants in the context of a high stress and high loss environment. This study‘s findings revealed ten central themes: Death is an earthly …

Learning To Combat Chronic Pain: Exploring The Effectiveness Of A Six-Week Patient Psychoeducation Course Teaching Self-Management Of Chronic Pain, Serita Backstrand

Doctor of Psychology (PsyD)

Abstract Chronic pain is a highly prevalent health problem in the U.S. and poses a large economic and temporal cost to the medical system (Institute of Medicine, 2011; Marcus, 2003). Patients with chronic pain typically report a decrease in emotional, social, and economic functioning (Bair et. al, 2009; Breen, 2002; Kang, Backstrand, & Parker, 2013). This study investigated the efficacy of a 6-week evidence-based group psychoeducation course for the self-management of chronic pain. Pre- and post-test measures were utilized to assess results of the course. Data were analyzed using a paired sample t-test in order to explore the relationship and …

The Feasibility Of Implementing A Novel Electrical Stimulation Device In The Self-Management Of Hand Burn Pain, Katrina Liddiard

Theses : Honours

Burns are widely acknowledged as one of the most painful injuries experienced, and poorly controlled pain following burn injury has been linked to reduced psychological adjustment, lower quality of life, and increased risk of developing a chronic pain state. Transcutaneous electrical nerve stimulation has been used for pain relief in a range of medical conditions, and may have the potential to reduce pain and analgesic consumption for burns patients. The burn care environment presents unique challenges to the introduction of new interventions, and the feasibility of introducing a novel form of electrical stimulation into this environment has not been tested. …

Trauma In Patients With Serious Mental Illness: The Acceptability And Impact Of A Brief Psychoeducational Intervention For Trauma In The General Acute Inpatient Psychiatric Setting, Kevin E. A. Giangrasso

PCOM Psychology Dissertations

Prevalence rates of posttraumatic stress disorder (PTSD) for individuals with serious mental illnesses (SMIs) are high, with an estimated 49% to 100% being exposed to potentially traumatic events. The consequences of these disorders are serious and lasting, with PTSD being the costliest of mental health disorders. At the same time, established evidence-based treatments for PTSD are often not feasible in treatment settings utilized by individuals with SMIs, namely the general acute inpatient psychiatric hospital. Psychoeducational approaches have been incorporated as a component of evidence-based interventions for trauma and have been feasibly implemented in the general acute inpatient psychiatric hospital. The …

The Precebo Illusion Of Pain Analgesia Using The Cold Pressor Task, Man Chun Kam

Bachelor of Social Sciences – Senior Theses

Everybody feels physical pain at some time in their life. Although physical pain can protect us from seriously harming ourselves, pain can also be harmful. Studies have revealed that unrelieved pain can have a long lasting harmful effect on both physical and psychological health (Australian and New Zealand College of Anaesthetists, 2006). Therefore, pain analgesia has long been an important issue in various fields, such as medical, biological and psychological field. In the current study, pain analgesia was studied through a psychological phenomenon called precebo illusion.

Subjective Vs. Objective Physical Pain In Individuals Who Report A History Of Nonsuicidal Self-Injury: A Closer Look At What It Means To Experience Pain, Cassandra A. Sturycz

Masters Theses & Specialist Projects

Non-Suicidal Self-Injury (NSSI) is the self-inflicted damage to one’s bodily tissues without the intent to die. Previous research has sought to discover the motivation of an individual to perform such behavior and differences in the experience of pain among those who self-injure. The goals for the current study were to reveal any relationships between the function of NSSI, the subjective experience of pain, and an objective measurement of pressure pain threshold. Participants completed the Inventory of Statements About Self- Injury (ISAS; Klonsky & Glenn, 2009), which measures the functions that NSSI serves, and a measure assessing subjective pain experience, specifically …

Examining Group Differences Between Suicidal Veterans Classified As Wish To Live, Ambivalent, Or Wish To Die Using The Suicide Index Score, Brittany D. Morris

Masters Theses & Specialist Projects

A persistent difficulty in the field of psychology is identifying which individuals are at the greatest risk for suicide. Veterans of the US Military are at elevated risk for suicide as compared to the general population. One approach for designating tiers of risk is applying the “Suicide Index Score” to discriminate individuals based upon their reported wish to live (WTL) and wish to die (WTD; Kovacs & Beck, 1977). Brown, Steer, Henriques, and Beck (2005) demonstrated those who indicated a complete WTD and no WTL were at greatest risk to die. The current study expanded on previous research by using …

The Cessation Of Nssi: Differences In Acquired Capability And Distress Tolerance, Rondel T. Kittleman

Masters Theses & Specialist Projects

The purpose of this investigation was to examine the role of cessation of NSSI in acquired capability and distress tolerance. It was hypothesized that individuals with longer time in-between assessment and NSSI would show lower levels of acquired capability and higher levels distress tolerance regardless of lifetime frequency. These hypotheses were tested by surveying 375 undergraduate university students (64% female; mean age = 20.3) Participants completed packets with self-report measures that included: Inventory of Statements about Self- Injury, Acquired Capability of Suicide Scale, Distress Tolerance Scale, and Demographics. Results suggested that individuals with longer amount of time since last NSSI …

Wilderness, Kathryn E. Bucolo

Celebration

The collection of short stories I have written focuses on how people process (or do not process) tragedy, especially as related to themes of grief, memory, and faith. Most of the stories I have written are dysfunctional narratives in that they do not necessarily provide solid conclusions or solutions for the characters or readers, reflecting current trends in literature to move away from the didactic and moralistic in favor of the ambiguous and unstable, the hopeless and sorrowful. In "Wilderness", one of the pieces I wrote for my collection, Robert struggles with the death of his wife when he realizes …

Oral Sucrose Is An Effective And Safe Analgesic For Painful Minor Procedures In Infants During Primary Health Care Visit, Tanveer Khan

Physician Assistant Scholarly Project Posters

Pain induced by minor office procedures are associated with infant and family’s distress with possible long term psychological effects. Despite this known fact, it is not adequately treated in common practice. American Academy of Pediatrics (AAP) recommends pre-procedural oral sucrose to alleviate pain during the procedures. The purpose of this study was to review published literature for the efficacy and safety of oral sucrose as a pre-procedural intervention in infants for mild to moderate procedural pain.

A PUBMED, MEDLINE and COCHRANE database search was performed using the terms analgesia, infant, neonatal, newborn, nociception, pain, sucrose and randomized controlled study. Thirteen …

How Patients' Self-Disclosure About Sickle Cell Pain Episodes To Significant Others Relates To Living With Sickle Cell Disease, Valerian J. Derlega, Louis H. Janda, Jeannie Miranda, Ian A. Chen, B. Mitchell Goodman Iii, Wally Smith

Psychology Faculty Publications

Objectives: This cross-sectional study examines to whom and how fully sickle cell disease (SCD) patients talk to others about sickle cell pain, how helpful it is to talk with others about these pain episodes, and the association between talking to others about sickle cell pain episodes and patients' psychological adjustment and coping strategies in managing the disease.

Methods: A convenience sample of 73 African American patients with SCD (30 men and 43 women), were recruited from two SCD clinics at the time of routine medical visits. Most participants had been diagnosed with hemoglobin SS, and they reported an average number …

Acute Cerebellitis With Hydrocephalus, Nida Amjad, Anwarul Haque, Khalid Ahmed

Department of Paediatrics and Child Health

We report a case of an 8 years old child who presented with sudden onset of headache and vomiting. He had broad-based gait and intention tremors on admission. MRI brain revealed isointense signals on T1-weighted imaging and hyperintense signals on T2-weighted imaging. Cerebellar swelling was also identified with significant mass effect obliterating the fourth ventricle. CT head showed prominent third and lateral ventricles. He was treated with high dose corticosteroids and required an external ventricular drain (EVD) insertion. He made an uneventful recovery and suffered no neurologic deficit. The clinical and radiologic findings in this boy were consistent with cerebellitis …

Lessons On Love From The Back Of The Pew, Ann M. Sasala

SURGE

Saturday marked the one year anniversary of the death of the most important man in my life, my paternal grandfather. Despite the desire of each of his grandchildren to be his one and only favorite, somehow, looking back, I now understand that he saw the same amount of value in each of us, and that is not something that can be quantified. I learned so much from him: how to shoot a gun, how to remove a splinter, and how to be a good, kind and compassionate human-being under any circumstances. [excerpt]