Health service quality is understood to be a crucial determinant in successful patient-physician encounters and patient health. One common feeling that patients have reported experiencing during appointments is shame. We hypothesized that patients who experience appearance-based shame during an appointment are not likely to return to the same physician and that patients who do not experience appearance-based shame are likely to return to the same physician. This was assessed by conducting an anonymous online survey of 13 questions that served to establish a general foundation for understanding the participants' physical characteristics such as race, age, weight, and gender identity as well as their overall patient-physician relationship and experiences of shame, if applicable. 119 participants were recruited from Arizona State University and a case study was performed individually for five participants of interest. The data analyzed from this study suggests that while appearance-based shame does exist in healthcare spaces, it is not a significant determining factor in patients returning to their physicians. In addition, there was no significant evidence to suggest that patients who do not experience appearance-based shame are either likely or more likely to return to their physician. We hypothesize this could be due to confounding variables such as convenience, accessibility, or insurance limitations which patients may prioritize over feeling ashamed during an appointment. However, more research needs to be conducted to confirm these hypotheses.

South Asian students are known for having immense pressure on them due to parental expectation and oftentimes that stress can present in psychosomatic symptoms. This investigation aimed to better understand the physical presentations of stress and how South Asians compare to their white peers. An online study was conducted with both South Asian (n = 15) and White (n = 58) individuals that use the Perceived Stress Scale and the New York State United Teachers physical stress assessment to understand the differences in stress. It was found that South Asians have a higher average perceived stress core of 25 versus 20 for whites and experience headaches, sore neck, an overall feeling of worry and anxiety, and diarrhea more frequently than their white counterparts. This suggests that South Asians may in fact have more psychosomatic manifestations of stress. It is posited that this is due to South Asian students not having an adequate outlet in which they can express negative emotions.

The structure of this project will open with the dangers posed by inadequate screening techniques to both individuals with Body Dysmorphic Disorder and their plastic surgeons. This discussion will be followed by a summary of the existing mental health screenings implemented in plastic surgery clinics and their limitations. The assessments that will be examined include The Body Dysmorphic Disorder Examination, The Body Dysmorphic Disorder Examination - Self-Report, The Cosmetic Procedure Screening Questionnaire, The Yale-Brown Obsessive-Compulsive Scale Modified for Body Dysmorphic Disorder, and The Body Dysmorphic Disorder Questionnaire. These screening techniques were chosen based on a multitude of factors: frequency of use in psychiatric and cosmetic settings, innovation of screening methodology, and significance of studies that utilize the assessments. After describing the screening techniques, there will be a brief discussion of the limitations of developing a screening method for Body Dysmorphic Disorder, along with suggestions for methodology in future research. This thesis will demonstrate that no existing screening method for Body Dysmorphic Disorder in aesthetic surgery is flawless. Still, future research efforts should investigate combining questionnaires and clinical interviews to screen for the disorder within clinics efficiently and more reliably.

The term “Iraqi American” defines any person of Iraqi origin who is residing in the United States. From 1960 until 2014, Iraq experienced numerous armed conflicts and international sanctions. As a result, a great surge of Iraqis migrated out of the country to seek refuge elsewhere. The United States alone currently houses about 400,000+ persons of Iraqi descent, many of whom identify as its citizens. Despite that, Iraqi Americans remain severely understudied. Therefore, this study aims to understand the cultural barriers Iraqi American women face while seeking healthcare in the United States, and how these barriers can impact their behaviors. I collected data via semi-structured interviews with eight Iraqi American women. In this study, I identified five major themes that contributed to women’s healthcare seeking behaviors: societal/familial pressures, staying “pure,” shame associated with performing medical procedures, taboo surrounding discussions of female health conditions, and issues regarding being in the presence of male doctors. Many of these themes involved cultural stigmas and pointed to potential pathways to destigmatize women’s healthcare in the community. This study acts as an initiative to understanding Iraqi Americans better and lays groundwork for further research.

This study investigates the effects of familiarity and the size of a novel object on perception of depth. Familiar size is a visual depth cue that provides information about the distance of an object. This project explores if the familiar size illusion is a result of an automatic perceptual process or an intellectual thought process. This data was collected in two phases, a familiarization phase and a testing phase. The experimental participants were familiarized for 30 seconds with a novel object, while the control group was not shown any objects prior to presentation of test objects. The novel test stimuli were constructed in 5 sizes and participants in the familiar group were familiarized with the medium size object. Participants were then asked to indicate the perceived distance of different sized objects by moving a rod with a pointer at the end to match the distance. The smaller comparison objects subtended visual angles that participants had not previously experienced, while larger comparison objects produced a larger visual angle than the participants had seen during the familiarization phase. The testing phase was identical for both familiar and unfamiliar control groups. Apparent distance was influenced by the size of the objects. Larger objects were judged to be closer than the smaller objects. Participants not familiarized showed smaller effects of stimulus size than the familiarized group. The effect of familiarity was not significant for the smaller stimuli but was very significant for the larger stimuli. The results were not consistent with the cognitive theory which argues that familiar size is a result of a conscious thought process. These outcomes are predicted under the model of familiar size being an automatic perceptual process.

The study investigated unconscious biases in physicians regarding conflicts in developing care plans for patients related to religious restrictions in medicine. Fourteen physicians were interviewed to discuss their experiences with these patients and find patterns and factors that could lead to more negative attitudes from the physicians in the patient’s care. It was found that the gender, religious background, and location of residency had various impacts on the attitude of the physician regarding a religious concern; however, there was no outstanding demographic that led to a comparatively negative attitude. Additionally, the type of reasoning a patient used related to a religious concern had an impact on the attitude of the physician, and this was due to the logic and duration of the concern as well as the attitude of the patient. These factors and patient cases were thoroughly analyzed and discussed throughout the paper to shed light on possible factors that could negatively affect the patient’s care.