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Recognizing and Responding to Childhood Adversity in People with End-Stage Renal Disease
No full textAdverse childhood experiences (ACEs) have been shown to significantly impact health outcomes for individuals exposed to trauma. Despite the recognition that many chronic health conditions are strongly correlated to ACEs, there are substantial gaps in the literature related to the impact of ACEs on people with end-stage renal disease (ESRD). This is particularly concerning as patients with ESRD are often labeled as medically non-adherent to treatment, and there is often no consideration by providers that ACEs may be impacting their health beliefs, behaviors, and decisions. This banded dissertation addresses the gaps in the literature related to providers\u27 perspectives and knowledge on the potential impact of ACEs on adherence in individuals with ESRD and provider knowledge and training of trauma-informed care practices. Further, this banded dissertation introduces a trauma-informed care model specific to the care of patients with ESRD through a health belief model lens. The trauma-informed model of care was constructed to guide nephrology providers, specifically social workers, in providing traumainformed practices and interventions to best understand, treat, and care for patients with ESRD who may have histories of trauma
Righting Wrongs Through Posthumous Pardons: Max Mason, the Duluth Lynchings, and Lessons for the Future
Get PDFI Will Be A Witness: Bessie Harvey and Alternative Legacies in American Feminist Art Qualifying Paper
No full textBessie Harvey (1929-1994) was a Black American sculptor and multi-media assemblage artist working in Alcoa, Tennessee. Although not considered to be amongst Black feminist artists in the art historical record, by actively reclaiming her life after her childrearing years through her artistic practice, Harvey rose to be an unconventional and wholly unrecognized figure parallel to the feminist art movement of the late 20th century. Fiercely proud of her ancestral heritage, Harvey often sought to inculcate her diasporic legacy into her artworks while maintaining her contemporary identity and challenging the limitations of the white patriarchy. The outright ostracism of Black autodidact artists from the feminist art historical record mirrors the manner in which Black women have been and continue to be excluded from the feminist spaces that their ideologies help to construct and maintain. The prejudices against vernacular artists, alongside the limitations of feminist art history, result in a canonical failure to see the full complexity and sophistication of her work. Harvey actively sought to liberate her people from the hegemonic forces that act to simultaneously disempower and disenfranchise, a pursuit accomplished through her applied inherited diasporic African memory, critical knowledge of the Bible, and recognition of the stake that Black Americans have held in the construction of the United States
Therapist Attitudes Toward Individuals with Borderline Personality Disorder
No full textThe purpose of this study was to investigate attitudes individual therapists held toward clients with borderline personality disorder (BPD), as well as, to explore whether therapist attachment style or training discipline influenced the therapist’s attitudes. Participants were exposed to one of two vignettes, one of which presented a client with Major Depressive Disorder, the other of which presented a client with BPD. Participants then shared their attitudes toward working with the client presented. Data was analyzed using multiple linear regression to understand the influences of the attachment anxiety, attachment avoidance, and therapeutic discipline on the observed differences in the therapist attitude toward the client. Results revealed increased attachment avoidance had a small significant (p = 0.025) negative effect on therapists’ attitudes toward a client with BPD. Attachment anxiety, and therapeutic discipline did not show significant influences on therapist attitudes. In all of the regression models, which vignette the participant was exposed to led to significant results, demonstrating therapists held less positive attitudes toward working with individuals with BPD (p \u3c 0.000.) Standardized beta values revealed the most significant predictor of therapist attitude was the vignette they were exposed to. This research contributes to the lack of understanding about therapist attitudes toward individuals with BPD, and what factors might influence those attitudes. This has implications for practice and training, including a call for therapists to understand the attitudes they have toward individuals with BPD and be open to addressing those attitudes through introspection and supervision to be more effective in therapy with clients who present with this symptom cluster
The Impact of Preaching and Lack Thereof on the Writings of Medieval German Women Mystics
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The Cinematic Therapist: An Exploration of How the Portrayals of Mental Health Therapists in Films Impact Novice Therapist Trainees
No full textThis study is focused on the portrayals of mental health professionals in popular films and their impact on novice psychotherapist trainees. Three Master’s students enrolled in their first psychology practicum participated in three focus groups and individual interviews. Each focus group consisted of participants jointly viewing and discussing one of three films depicting a mental health professional. The choice of each film was consensually agreed upon by all participants. The three chosen films were Good Will Hunting (1997), Bad Therapy (2020), and One Flew Over the Cuckoo’s Nest (1975).
Interpretive phenomenological analysis of data suggested that movie portrayals impacted novice trainees on several levels, including the levels of emotions, awareness of the client experience, self-efficacy, professional identity, and views of the field of psychotherapy. Results indicated that novice psychotherapy trainees experienced the portrayals of mental health professionals in films as stereotypical, although a mix of both positive and negative qualities was identified. In response to the portrayals, participants experienced negative emotions of anxiety and anger, positive emotions of hope and commitment to their future careers, as well as increased awareness of the importance of diligence in ethical practice. Viewing the films helped participants develop a greater understanding of the client experience, including the effects of misinformation and stigma propagated through films. They discussed their personal experiences of stigma associated with the mental health profession, exploring how film portrayals of therapists perpetuated this stigma, and they also shared that watching the films evoked a sense of pride in their professional identities and a sense of connection to the field