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The Conscious Dancer: A Brief Discussion on Political Powers of Dance Makers
No full textThis research focuses on two specific political critiques of capitalism and neoliberalism, one by Terry Eagleton through his analysis of Marxism and the other by Pierre Bourdieu with his commentary on the state of globalism and the role of the intellectual. Supporting thought comes from the writing of Bill Bissell, Linda Caruso Haviland, Judith Butler and Jill Dolan concerning the qualities and culture of performance. Engaging with these voices is an attempt to deepen the discussion in the dance field around “postmodernism” and, in turn, the role of the dance artist in an increasingly complex and problematic global market. Although the philosophical foundation to the research appears large in scope, the hope is to funnel the wide-ranging data generated from being in discussion with these sources to a more granular level in order to glean applicable thinking models for both dancers and the public
Current Practice Behavior Surrounding Recurrent Pregnancy Loss
Get PDFRecurrent pregnancy loss (RPL) is not clearly defined, and conflicting recommendations exist in terms of what testing or evaluations should be performed. Due to these discrepancies in the guidelines for RPL care, it is unclear what guidelines clinicians are following in practice. The current study aims to compare current practice behaviors of clinicians that evaluate patients with RPL to the guidelines, in order to understand what gaps in care may exist for these patients. A retrospective chart review was conducted by filtering the Northwell Health database for patients with two or more products of conception (POC) testing performed (n=429), and a total of 229 patient charts were examined for genetic testing, lab results, and provider notes. POC microarray was most often not performed but was warranted almost 50% of the time. Of the entire POC data available from Northwell Health’s database, maternal karyotypes were only performed 29.1% of the time when the lab recommended parental karyotypes based on the POC sample results. Specific lab tests for RPL, including antiphospholipid antibody testing, which accounts for up to 20% of RPL cases (ASRM, 2012), were not performed the majority of the time (60-67%). Overall, only 20.1% of the sample was found to have a complete RPL evaluation. The other 79.9% of the sample did not have a complete evaluation. These results demonstrate that patients experiencing RPL are not receiving all the care they need, which leaves patients without an explanation and at increased risk for underlying diseases
Connection, Collaboration, and Care: Using Creative Choreographic Approaches to Promote Adolescent Agency Within Therapeutic Structures
Get PDFAdolescence is a critical stage of development which is defined by significant psychological, physical, cognitive, and social changes. Considering the complexities of this life stage environmentally and physically, it is the case that many adolescents are vulnerable to experiencing mental health issues and can benefit from therapy, including acute care in an inpatient setting. The adolescent life stage is also characterized by a desire to be independent and take risks, and therefore presents a unique challenge to therapists for a variety of reasons, including mental health stigmas, feelings of mistrust, and the lack of agency associated with being a teenager. Adolescents are also driven towards creative expression, and research suggests that they can benefit from holistic, embodied, artistic, and nonjudgmental group environments that foster their growing sense of agency while providing a supportive structure. Creative arts therapy groups offer this balance of self-expression and safety for adolescents in the inpatient setting. Dance/movement therapy specifically focuses on embodied techniques that allow clients to process emotional issues and experience connectedness, both in relation to their bodies and other people. A choreographic approach to dance/movement therapy within adolescent inpatient psychiatry offers a holding structure within which adolescent clients can explore aspects of their identity, their relationships, and their feelings through the creation and practice of defined movements and gestures
Analyzing the Physician Experience of Incorporating Population Genomic Screening Results in the Continuity of Care for Patients
Get PDFHealthy population genomic screening using whole exome and whole genome sequencing (WGS) is now used routinely in both clinical and research settings. Many studies return clinically actionable results to patients based on the ACMG list of 79 genes with pathogenic variants along with pharmacogenomic recommendations. Return of results in these settings is often done by providers without genetics training, who are then responsible for any resultant changes to patient care. The Providence Genomics and Genome Medical Geno4ME study provides patient-driven WGS, with results returned through a portal to their primary providers. This study was intended to investigate the efficacy and utilization of Just In Time (JIT) provider resource documents, along with the overall physician experience with Geno4Me results. We received survey responses from 35 of the 422 eligible providers who have received patients’ Geno4ME results. Of those who recalled receiving results, over half discussed the results with patients, while approximately a quarter enacted a change to patient care. Many noted barriers to integrating results into care, including lack of confidence in their knowledge of genetics and tailored care, logistical barriers such as time, and challenges in locating and utilizing resources. When surveyed about all genetic testing experiences, about half of all respondents described themselves as neutral or not confident in discussing hereditary risk and pharmacogenomics results. On average, those with the least and most clinical experience were most confident in discussing genetics results. Zero providers utilized or knew of JIT documents, highlighting underuse of this resource in the return of Geno4ME results. Our results suggest that more genetic training and better explanation of resources may help non-genetics providers integrate genetic testing into clinical care
Psychiatrists\u27 Percepitions of and Reactions to a Simulated Psychiatric Genetic Counseling Session
No full textPsychiatric genetic counseling (pGC) is a small specialty within genetic counseling which aims to help people with psychiatric illnesses and their families by addressing misconceptions, promoting help-seeking behaviors and improving a patients’ perceived sense of control over their illness. Genetic testing is offered among most other specialities of genetic counseling, but it is not yet clinically available to diagnose or recognize predispositions to psychiatric conditions. Little research has evaluated psychiatrists practice of discussing genetics with patients and their understanding of pGC. After viewing a recorded pGC simulated session, 12 psychiatrists who practice in Ontario, Canada were interviewed for this study. Interpretive description was used as an inductive approach to data analysis which allowed for the creation of two theoretical models. The first model described the decision-making pathway psychiatrists follow when determining when to talk about genetics and referral practices. Within this model, three scalable concepts were determined to be crucial influencers in how psychiatrists discuss genetics with patients. These include psychiatrists’ perceived value of discussing genetics and their understanding, available time and awareness of the genetic counseling profession. Before watching the video, psychiatrists did not recognize the psychosocial skillset of genetic counselors and further advocacy for the profession is needed to facilitate the growth of pGC. Barriers to referral to genetic counseling were identified to be lack of access, perceived patient vulnerability and perceived patient disinterest. Facilitators of referral were identified to be trust, available funding and outcome data. An additional theoretical model described future directions for pGC within Ontario, as proposed by psychiatrists. Psychiatrists identified genetic counselors focusing on psychiatry to have utility in primary care, public health interventions and specialty psychiatric centers. Increased awareness of the profession and the skillset that genetic counselors bring is essential to future growth of the profession. This study identifies future directions for growing pGC within the Ontario healthcare context
Investigating Perceived Barriers and Challenges to Using Virtual Genetic Assistants Among Genetic Counselors
Get PDFBackground: There is a shortage of genetic counselors working in direct patient care in the U.S. Virtual Genetic Assistants (VGA’s) can be used to widen accessibility of genetic counseling services by perform various parts of a genetic counseling session and reduce the workload of genetic counselors. There is a lack of understanding about the views and experiences of genetic counselors that have used VGA’s. This study investigates perceived barriers and challenges faced by genetic counselors using VGA’s.
Methods: This study received status of exemption from review by the Sarah Lawrence College Institutional Review Board (IRB). A survey was developed consisting of Likert scale and free-text items. Likert scale questions were analyzed using non-parametric tests. Free-text responses were analyzed using open coding method and Delve software.
Results: Eleven participants completed the survey. The most common concerns cited by participants were 1.) inability to assess patient’s understanding of the information provided by the VGA and 2.) lack of psychosocial counseling/rapport building. Participants cited email access, needing platform update, system error, patient uptake, and a lack of resources as primary barriers or challenges to integrating VGA’s into practice. Participants reported that risk assessment and education for pre-test counseling as potential future uses of VGA’s.
Conclusion: VGA’s have the potential to streamline and improve efficiency of genetic counseling interactions. VGA’s are generally viewed positively by genetic counselors with experience using these technologies. Future studies may incorporate in-depth interviews about the barriers or challenges of integrating VGA’s into their practice. Having a clearer understanding of genetic counselors’ experience with using VGA’s will be critical for improving access to genetic counseling and increasing efficiency of genetic counseling sessions
PHAROAHS AND EMBARGOS: EGYPTOMANIA SONGS AS RE-INTERPRETATIONS OF THE NEW KINGDOM IN ANGLOPHONE CULTURAL MEMORY.
No full textTwentieth-century Anglophone waves of Egyptomania - in the second and seventh decades forms the basis for much of our cultural understanding of the New Kingdom. The songs Old King Tut and King Tut provide an examples of this aforementioned narrative surrounding the life of Tutankhamen, an eighteenth-dynasty Pharaoh.Their extremely inaccurate lyrics do more than induce eye-rolling from scholars of Ancient Egyptian history, these subversions of the truth reveal the politics behind both twentieth-century waves of Egyptomania.This essay, written for the Sarah Lawrence Programme at Wadham College, University of Oxford, examines these songs as examples of cultural attitudes towards the New Kingdom with the relevant social context.https://digitalcommons.slc.edu/undergrad_selectedworks/1015/thumbnail.jp
“Nope. Don’t Like That.” In Search Of Justice And Commitment To Nonmaleficence In Dance/Movement Therapy
Get PDFThe American Dance Therapy Association (ADTA) and Dance/Movement Therapy Certification Board (DMTCB) have ensured those dance/movement therapists who have been educated, registered, and board-certified share a commitment to equity, justice, and nonmaleficence according to the ADTA and DMTCB’s Code of Ethics and Standards (The Code) (ADTA, 2015). “Nope. Don’t like that,” has been the actual, verbal, expression of the embodied experience of intersectional harm from a lack of assessed, decolonized dance/movement therapy practice and pedagogy. The ADTA, students, educators, and credentialed dance/movement therapists hold an established, ethical responsibility to justice and nonmaleficence, and as such, must demonstrate a commitment to the pedagogy and practice of assessment of intersectional cultural competence. The effort toward intersectional cultural competence has spanned decades (Chang, 2015), but has the effort been critically examined? Has dance/movement therapy sought to dismantle the oppressive systems in which White, Western culture has been rooted (Nichols, 2019)? Disrupting the status quo, dismantling White supremacy, and decolonizing dance/movement therapy has been the requirement to demonstrate commitment to justice, nonmaleficence, and The Code in the United States.
Keywords: race, intersectional cultural competence, dance/movement therapy, decolonization, social justice, intersectionalit