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- All Subjects: Mental Health
- Member of: Barrett, The Honors College Thesis/Creative Project Collection
Description
This study investigates how the patient-provider relationship between lesbian, gay, and bisexual women and their healthcare providers influences their access to, utilization of, and experiences within healthcare environments. Nineteen participants, ages 18 to 34, were recruited using convenience and snowball sampling. Interviews were conducted inquiring about their health history and their experiences within the healthcare system in the context of their sexual orientation. The data collected from these interviews was used to create an analysis of the healthcare experiences of those who identify as queer. Although the original intention of the project was to chronicle the experiences of LGB women specifically, there were four non-binary gender respondents who contributed interviews. In an effort to not privilege any orientation over another, the respondents were collectively referred to as queer, given the inclusive and an encompassing nature of the term. The general conclusion of this study is that respondents most often experienced heterosexism rather than outright homophobia when accessing healthcare. If heterosexism was present within the healthcare setting, it made respondents feel uncomfortable with their providers and less likely to inform them of their sexuality even if it was medically relevant to their health outcomes. Gender, race, and,socioeconomic differences also had an effect on the patient-provider relationship. Non-binary respondents acknowledged the need for inclusion of more gender options outside of male or female on the reporting forms often seen in medical offices. By doing so, medical professionals are acknowledging their awareness and knowledge of people outside of the binary gender system, thus improving the experience of these patients. While race and socioeconomic status were less relevant to the context of this study, it was found that these factors have an affect on the patient-provider relationship. There are many suggestions for providers to improve the experiences of queer patients within the healthcare setting. This includes nonverbal indications of acknowledgement and acceptance, such as signs in the office that indicate it to be a queer friendly space. This will help in eliminating the fear and miscommunication that can often happen when a queer patient sees a practitioner for the first time. In addition, better education on medically relevant topics to queer patients, is necessary in order to eliminate disparities in health outcomes. This is particularly evident in trans health, where specialized education is necessary in order to decrease poor health outcomes in trans patients. Future directions of this study necessitate a closer look on how race and socioeconomic status have an effect on a queer patient's relationship with their provider.
ContributorsRajan, Sindhu (Co-author) / Bradley, Arianna (Co-author) / Larson, Michelle (Co-author) / Alvarado, Aimee (Co-author) / Ingram-Waters, Mary (Thesis director) / Arnold, Michelle (Committee member) / School of Molecular Sciences (Contributor) / School of Social Transformation (Contributor) / T. Denny Sanford School of Social and Family Dynamics (Contributor) / College of Public Service and Community Solutions (Contributor) / School of Human Evolution and Social Change (Contributor) / School of Historical, Philosophical and Religious Studies (Contributor) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
Description
This paper explains what factors influence mental health issues and what type of care is provided in various countries. The countries in this study will include the United States, Japan, Ethiopia and South Africa, all of which have varying degrees of ethnic diversity, economic status and understanding of mental health issues. It discusses the specific healthcare systems in each country, as well as the attitudes and problems associated with depression and schizophrenia, two prevalent mental health disorders. This paper examines the different ways that a diagnosis is reached for schizophrenia and major depression in these different countries, as well as what methods are used for treating individuals with these disorders. It will also examine the prominent notion that schizophrenia has better outcomes in developing countries than in places that have wider medical care available. It then discusses what treatments are available in each country, as well as social constructs that exist regarding those treatments in order to understand the ways that treatments can be expanded to improve outcomes. This paper will then examine the different outcomes of these mental health disorders that are common in each country, and conclude with ideas on how to make global mental health a reality.
ContributorsOlsen, Rachel Lindsay (Author) / Gaughan, Monica (Thesis director) / Wood, Reed (Committee member) / Barrett, The Honors College (Contributor) / School of Politics and Global Studies (Contributor) / School of Human Evolution and Social Change (Contributor) / Department of Psychology (Contributor)
Created2015-05
Description
Maternal health and mental health have recently become globally recognized as critical areas of focus. The continued research into the relationship between maternal health and mental health—in particular, how they are affected by public policy and infrastructure—is vital to the improvement of general health outcomes. An investigation of literature, current health landscape and indicators, gray literature, and the current policy landscape in an exemplar country (Australia), Bangladesh and Nepal was done. Bangladesh and Nepal were chosen due to the recent amounts of change seen in each country’s maternal health status. Both Bangladesh and Nepal are severely lacking in official mental health services, facilities, and personnel. The analysis revealed flaws and disparities in each country’s current policy landscape. Despite these disparities it should be recognized that policies and programs are being implemented – just in a very piecemeal manner, and not entirely by each country’s respective government. Integration of maternal health services and mental health services is recommended to improve functionality of already existing services. The addition of minimal but necessary components to health systems is recommended.
ContributorsCiampaglio, Kaitlyn Rae (Author) / Gaughan, Monica (Thesis director) / Hagaman, Ashley (Committee member) / Barrett, The Honors College (Contributor) / School of Human Evolution and Social Change (Contributor) / School of Sustainability (Contributor)
Created2015-05
Description
This paper describes a mixed methods investigation of undergraduate mental health support practices at Arizona State University (ASU), as well as an outside look at peer and other leading institutions. Methods employed in this study include: ASU undergraduate student survey to assess perception of resources provided by ASU and the likelihood to disclose physical and mental health conditions, key informant interviews to understand ASU mental health support from the perspective of those who implement support measures, participant observation of study abroad events that provide resources to prospective and pre-departure students, and a document review of the study abroad website from peer and other institutions. The target population of this study is undergraduate students who participate or plan to participate in study abroad programs across the United States. The sample population for the undergraduate student survey is undergraduate students at ASU, as well as sixteen institutions for the document review. Significant findings from the research include student concerns about financial and academic barriers to study abroad, as well as a greater likelihood to disclose physical health conditions rather than mental health conditions due to fear of stigma or of being a burden to program coordinators. Additionally, it was found that there is a separation between available resources and student awareness and use of these resources. ASU can work to remedy this disconnect by explicitly presenting easily accessible resource information on the website and in pre-departure materials, as well as addressing mental health awareness abroad in an inclusive manner towards all students in addition to those with pre-existing mental health conditions. Overall, more work should be done to fulfill the vision of comprehensive mental health support at ASU.
ContributorsThuraisingam, Aryanna Devi (Author) / Gaughan, Monica (Thesis director) / Henry, Adam (Committee member) / Hart, Dan (Committee member) / School of Human Evolution and Social Change (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
Description
Chronic stress often leads to cognitive deficits, especially within the spatial memory domain mediated by the hippocampus. When chronic stress ends and a no-stress period ensues (i.e., washout, WO), spatial ability improves, which can be better than non-stressed controls (CON). The WO period is often the same duration as the chronic stress paradigm. Given the potential benefit of a post-stress WO period on cognition, it is important to investigate whether this potential benefit of a post-stress WO period has long-lasting effects. In this project, chronic restraint (6hr/d/21d) in Sprague-Dawley rats was used, as it is the minimum duration necessary to observe spatial memory deficits. Two durations of post-stress WO were used following the end of chronic restraint, 3 weeks (STR-WO3) and 6 weeks (STR-WO6). Immediately after chronic stress (STR-IMM) or the WO periods, rats were tested on various cognitive tests. We corroborated past studies that chronic stress impaired spatial memory (STR-IMM vs CON). Interestingly, STR-WO3 and STR-WO6 failed to demonstrate improved spatial memory on a radial arm water maze task, performing similarly as STR-IMM. Performance outcomes were unlikely from differences in anxiety or motivation because rats from all conditions performed similarly on an open field task and on a simple object recognition paradigm, respectively. However, performance on object placement was unusual in that very few rats explored, suggesting some degree of anxiety or fear in all groups. One possible interpretation of the unusual results of the 3 week washout group may be attributed to the different spatial memory tasks used across studies or external factors from the study. Further exploration of these other factors led to the conclusion that they did not play a role and the STR-WO3 RAWM data were anomalous to other studies. This suggests that a washout period following chronic stress may not be fully understood.
ContributorsFlegenheimer, Aaron Embden (Author) / Conrad, Cheryl (Thesis director) / Bimonte-Nelson, Heather (Committee member) / Ortiz, J. Bryce (Committee member) / School of Life Sciences (Contributor) / School of Human Evolution and Social Change (Contributor) / Barrett, The Honors College (Contributor)
Created2017-05
Description
Climate change presents a significant threat to human health, both mental and physical; as a result, it has become one of the most commonly discussed phenomena of the 21st century. As many people are aware, a wide range of social and physical factors affects mental health. However, many people fail to realize that these increases global temperatures also have a significant impact on mental health as a result of increased vulnerability that is often manifested through one's emotions. By analyzing perceptions of people across the globe, in the United Kingdom, New Zealand, and Fiji, we were able to pinpoint these emotions and trace them individual's feelings of worry, distress, and hope that resulted from their perceived impacts on climate change. Overall, we found that people tend to have overall more negative emotional reaction when it comes to the perceived effects of climate change. Of the respondents, more men than women expressed concern regarding the various negative implications. Finally, those in the United Kingdom exhibited a stronger emotional response, followed by those in New Zealand and Fiji, respectively.
ContributorsSmith, Austin Lee (Author) / Wutich, Amber (Thesis director) / du Bray, Margaret (Committee member) / Department of Psychology (Contributor) / Sanford School of Social and Family Dynamics (Contributor) / School of Life Sciences (Contributor) / School of Human Evolution and Social Change (Contributor) / Barrett, The Honors College (Contributor)
Created2017-05
Description
In my experience as a reader, depictions of depression or suicidal ideation in fiction are most often conveyed through social realism or otherwise realistically grounded writing. This makes sense given the subject matter, as one would intuitively think to depict mental or emotional trauma in a very sobering way, but I felt that one could merge the topic with a more absurdist, magical realist-inspired style while staying reverent to the emotional experience. I also find that stories that approach their subtext too seriously can stray very easily into plain didacticism, as opposed to a work that tries to entertain first. I concluded that conveying the experience of isolation and depression through metaphor would be the most emotionally rewarding or enlightening experience for the reader. The central premise of the story is, to me, a metaphor; a young man isolated from society, and haunted by past experiences, who comes to be literally haunted by ghosts with similar experiences. From that starting point I wanted to explore the perspectives of several of the ghosts in a multiple-protagonist format, structuring the present-day storyline around the flashbacks of three of the ghosts. I wanted each of the ghosts' backstories to present a kind of variation on the larger cultural "depression narrative", with some of them perhaps being more recognizable cultural symbols (such as Kryz in the role of the traumatized former soldier), but all being shown in specific, idiosyncratic ways. The content of each ghost's storyline came, again, from thinking of ways to metaphorically represent their particular emotional issues; Sarah, for example, literally has no shadow in a world of people with shadows, while Kryz's job on a film set full of artifice may mirror the artificiality that he sees in everyday interaction. These flashbacks making up the bulk of the narrative puts the ostensible lead character, Officer, in a backseat-narrator position a la Nick in The Great Gatsby, with the ghosts' experiences also working to inform his emotional status. I feel that the form of a work of fiction should reflect the nature of its content in some way, and given that my subject matter is mental illness, it made sense to me to arrange the various stories in a fragmented fashion, taking inspiration from authors like Thomas Pynchon and Irvine Welsh, as well as the non-fiction book A Brief Introduction to Madness. Finally, I wanted to convey a sense of absurdity in the events of the story, again taking influence from these authors. In my experience and observation, depression and mania are often responses to a world that makes little sense, from people unable to cope with the reality around them. I feel this goes hand-in-hand with an absurdist view of the world, and hopefully the unrealistic details of these stories, and the way character treat them as normal, should convey a sense of bafflement for the reader.
ContributorsWaller, Evan James (Author) / Soares, Rebecca (Thesis director) / Suk, Mina (Committee member) / Department of English (Contributor) / Barrett, The Honors College (Contributor)
Created2017-12
Description
This thesis examines statements made about immigration and mental health in Americanah by Chimamanda Ngozi Adichie and The Book of Unknown Americans by Cristina Henriquez. Americanah by Chimamanda Ngozi Adichie follows a young Nigerian immigrant as she navigates her move to the U.S. and explores the meaning of belonging and identity in the U.S. and Nigeria. Henriquez’s The Book of Unknown Americans is about a Mexican family that immigrates to Delaware in order to secure better treatment for their daughter and touches on the nuances of the Latinx immigrant identity in the U.S. Both of these texts feature the lack of resources and support available for immigrants of color which eventually lead the characters to return to their country of origin. This thesis posits that Adichie and Henriquez are both suggesting in their respective works that the U.S. fails to ensure the success and well-being of immigrants which leads to a deterioration of mental health and feelings of not belonging. A Portrait of Neglect considers the real life implications of Adichie’s and Henriquez’s ideas and the impact of their representations of immigration and mental health.
ContributorsJaiswal, Shivani (Author) / Soares, Rebecca (Thesis director) / Agruss, David (Committee member) / Barrett, The Honors College (Contributor) / Department of English (Contributor) / School of Social Work (Contributor)
Created2021-12
Description
Victim advocacy is a free and confidential service provided to individuals who have experienced sexual violence. Due to the intense expectations associated with this role, victim advocates often suffer from mental health issues, including compassion fatigue. Compassion fatigue occurs when individuals in helping professions become overly exposed to clients’ traumatic experiences and suffer from debilitating symptoms that impact their daily lives. Through this project, I identified aspects of the role that put victim advocates at a high risk for developing compassion fatigue. I then explored methods for mitigating the negative effects of compassion fatigue including The Accelerated Recovery Program for compassion fatigue, humor as a coping technique, Eye Movement Desensitizing and Reprocessing therapy, comprehensive training efforts, personal and organizational self-care, and social support. With an emphasis on the benefits provided by social support, I developed a resource guide about the prevalence of violence in our community, aimed to help create more open dialogue surrounding sexual violence.
ContributorsSagarin, Rosa (Author) / Sturgess, Jessica (Thesis director) / Soares, Rebecca (Committee member) / Barrett, The Honors College (Contributor) / Computer Science and Engineering Program (Contributor) / Dean, W.P. Carey School of Business (Contributor)
Created2024-05
Description
This thesis explores the various aspects of being an abortion provider during times of strife. Both before and after the overturning of Roe v. Wade, healthcare providers in this space have faced many obstacles. Whether it be protestors, continuous changes to regulation, the threat of prosecution or a number of other factors, the challenges that these professionals face undoubtedly have a negative impact on their mental and emotional wellbeing.
ContributorsPeterson, Anna (Author) / Soares, Rebecca (Thesis director) / Agu, Nnenna (Committee member) / Zhang, Xing (Committee member) / Barrett, The Honors College (Contributor) / College of Health Solutions (Contributor)
Created2024-05