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A Proposal for the Use of Motivational Interviewing in Discussion Between Oncologists and Late-Stage Cancer Patients When Discussing Next Steps
No full textMotivational Interviewing (MI) has been used in a variety of settings starting in substance use and now in medical settings such as primary care and palliative care. The main goal of MI is to address ambivalence around behavior change through values-based client centered conversation. Currently, MI is not known to be used between oncologists, their care teams, and patients when discussing next steps after ending curative treatment. Beginning with a literature review of what Motivational Interviewing is, where it has been useful in the medical field, current gaps in training for oncologists surrounding end of life conversations, and potential benefits for the use of a new tool for providers, this paper then proposes the novel implementation of MI in follow up appointments to help resolve ambivalence surrounding having conversations around next steps when curative treatment has ended. Following the proposed process of implementation is a discussion of the potential barriers, special considerations, cultural considerations, ethical considerations, and future research and next steps in the implementation of this novel approach
Considering How Filial Piety and Collectivism Affect Second Generation Chinese American Adult Attachment in Familial Relationships
No full textSecond generation Chinese Americans fit in a unique overlap between cultures that attachment research commonly overlooks. Attachment theory, though valuable and useful to understand individuals’ relational patterns, neglects valuable cultural factors and has been critiqued for its Western-centric views on healthy connection. Factors including family history, immigration stories, and acculturation are rarely considered when discussing attachment. Because second generation Chinese Americans exist between two cultures, clinicians who are familiar with the Chinese values of collectivism and filial piety may better work with and understand familial attachment in this population. This paper evaluates the use of attachment theory in East Asian cultures, specifically exploring how filial piety and collectivism interact with mainstream Western culture and the impact on Chinese American adult attachment. The paper then details a clinical case example that illustrates both the successes and struggles in working with a second generation Chinese American adult client. Lastly, this paper presents examples on how to tailor conceptualization and treatment to consider filial piety and collectivism when working with this population
Understanding the Nuances of Transit Accessibility: Temporal and Spatial Resolution, and Neoliberalism
No full textThis dissertation explores accessibility via public transit through several lenses. In doing so, some of the lesser known nuances of accessibility are better understood. These nuances are explored in several ways. First, various demographic variables and their relationship to accessibility to jobs via public transit are modeled at a fine spatial resolution in an exploratory analysis across several cities in the United States. Next, temporal and spatial resolution and their impacts on accessibility to jobs via public transit are analyzed and quantified in several cities across the United States. Finally, the relationship between neoliberalism and public transit accessibility is explored in a qualitative discourse analysis of public transit planning in Denver, Colorado. The dissertation concludes with a discussion of contributions to the literature, research limitations, and policy recommendations based upon the findings
A Force to be Reckoned with: Testimonios from Latina/e Senior Leaders Across Psychology Contexts
Get PDFLatinas currently make up 76% of overall Latino/a/e participation in psychology (American Psychological Association, 2022); however, the numbers of Latinas in top echelon leadership positions are low (National Center for Education Statistics, 2021, 2022). Notedly, the information on the current state of Latine representation in the field of psychology is even more limited. The purpose of this qualitative study is to explore the testimonios of eight Latina/es regarding their professional development, decision making process, pursuit, and persistence in leadership positions, particularly within the field of psychology. This study is guided by Testimonio (Huber, 2009) as the methodological approach and analysis, along with the Social Cognitive Career Theory (Lent et al., 1994; Lent & Brown, 2013) and Critical Latinx Theory (Bernal, 2002) as frameworks.
Implications and recommendations developed by Latinas for Latinas are reported. This research offers an opportunity to disseminate information from Latina/es in top echelon level roles with the hope to inspire and equalize opportunities so that all people can advance in their careers, regardless of their identities
The Effect of Financial Disclosure Medium and CEO Gender on Perceptions of Overconfidence and Credibility
No full textI experimentally examine how investors react to an unexpected negative earnings announcement delivered using video versus audio by an overconfident female CEO versus an overconfident male CEO. The results show that the CEO\u27s gender does not matter in terms of the delivery medium. I predict and did not find that CEO overconfidence is lower for a financial disclosure delivered by video as opposed to audio only. Further, the hypothesis that the perception of female CEO overconfidence is higher versus male CEO overconfidence was not supported. Overall, the participants in the study did not find either the male or the female CEO to be overconfident. I investigate and find that the participants view the unexpected negative earnings news favorably. The earnings announcement contained aggressive forward-looking financial information meant to increase the salience of overconfidence, however it appears the positive perceptions of the firm’s future outlook may have diminished the impact of the explicit signals of overconfidence and bolstered the credibility of the CEOs. To expand on the theme of credibility, I conduct a supplemental analysis and find that female investors find the female CEO to be significantly more credible than the male CEO. To explain this finding, I apply social identity theory which suggests there is evidence of strong female in-group favoritism. In a separate credibility and delivery medium analysis, I find that honesty is significantly greater when the male participant views the male CEO, and the female participant views the female CEO via video. These findings emphasize the powerful nature of gender as an NVC particularly when a firm considers the medium of delivery for a financial disclosure
Participant 05 – Vietnamese, English, and Chinese
No full textAn interview with a multilingual undergraduate student at the University of Denver about the benefits and challenges of multilingualism in education as part of Professor Kamila Kinyon\u27s Multilingual DU study
Spatial Analysis of Transgender and Gender Diverse Students’ Mental Health and School Board Policies in Colorado and Montana
Get PDFAs the number of policies impacting transgender and gender diverse (TGD) people increase among school boards, understanding the impacts these policies have on mental health is important. These policies can be positive or negative. Using geographic information systems (GIS) to analyze where better mental health and TGD impacting policies are correlated can offer clear results on where students mental health is affected by these policies in Colorado and Montana. This study found that TGD impacting policies did not explain the majority of variation in mental health index score. Positive or negative correlations between the mental health index and policy positivity were calculated. No school districts’ TGD impacting policies accounted for more than 30% of the variation in mental health
Raising Their Voices: Lived Experiences of Gifted Women with ADHD
Get PDFGiven the imbalance in the ratio of male to female ADHD diagnosis, there is a dearth of information on the profile for women with ADHD, especially in adulthood and with those of higher intelligence levels (Rommelse et al., 2016). Each, if not all, diagnoses of ADHD or giftedness come from a parent, teacher, or outside observer’s scale of symptoms and behaviors (Hay et al., 2007; Klesfjo et al., 2020; Polderman et al., 2007). In this study, ten gifted women with ADHD aged 29-77 completed semi structured interviews to examine their lived experiences of education, career, and relationships. Using a dual framework of neurodiversity and self-concept, a narrative storytelling methodology was used to frame each perception of giftedness, ADHD, and intersectionality. Key findings from this study included the humanization of giftedness and ADHD characteristics, a societal mistrust of intuition, a need for stable, low maintenance relationships, and the purpose of masking when defining how individuals construct their personal definition of giftedness and ADHD. New terms were determined to frame the twice-exceptional individual\u27s lived experiences, including neurobordering, neurojuxtaposition, neuromixture, neuro-opposition, and social mistrust of intuition. Implications of this study include a need for more robust vignettes of giftedness and ADHD, understanding twice-exceptional communication needs, therapy and identification protocols, consideration of heritability in diagnosis, and representation in film, literature, and media. Future research consists of an auto narrative of the researcher, demographic variable isolation, widening of inclusion criteria, the impact of adverse life outcomes, intersectional narrative research, and lifetime perspectives
Diagrams in Involutive Residuated Lattices
No full textFirst, we show that every distributive lattice-ordered pregroup can be embedded into a functional algebra over an integral chain, thereby improving the existing Cayley/Holland style embedding theorem. Using this result, we demonstrate that the variety of all dis tributive lattice-ordered pregroups is generated by the functional algebra on the integers. Additionally, we prove that the equational theory of this variety is decidable.
Next, we establish that DLP is equal to the join of its subvarieties LPn, where ∈ ℤ+, consisting of -periodic ℓ-pregroups. We also prove that every algebra in LPn can be embedded into the subalgebra (Ω) of -periodic elements of (Ω), for some integral chain Ω. This representation shows that, for every , the variety LPn is generated by the single algebra (ℚ →⨯ℤ), noting that the chain ℚ →⨯ℤ is independent of .
We further establish that every algebra in LPn can be embedded into the wreath product of an ℓ-group and (ℤ), highlighting the significant role of the simple -periodic ℓ-pregroup (ℤ). We also show that the join of the varieties ((ℤ)) equals DLP and thus matches the join of the varieties LPn, even though ((ℤ)) ≠ LPn for any single . In this way, DLP has two different well-behaved approximations. Additionally, we demonstrate that, for every , the equational theory of (ℤ) is decidable. Using the wreath product decomposition, we establish that the equational theory of LPn is also decidable.
Applying similar strategies, we investigate certain varieties of full weakening relations on a chain and prove the decidability of these varieties. We also present the construction of a potential non-distributive ℓ-pregroup and provide preliminary results towards proving this claim