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Background: Empathy is essential to forming strong patient-physician relationships that enable physicians to provide better healthcare. In the medical education literature, empathy consists of cognitive, affective, behavioural, and moral domains. Studies have measured declines in empathy during medical training. Researchers speculate that factors within formal, informal, and hidden curricula contribute to empathic decline. Several frameworks suggest that empathy in the moral domain (i.e., the inner motivation to accept patients unconditionally, commit to understanding patients, and help patients achieve their needs) is the most fundamental to the empathic response. Studying the factors that influence moral empathy during training is important to developing insights into the reasons for the demonstrated declines in resident empathy. Methods: Descriptive phenomenology was used to address the research objective. Medical residents from various specialties participated in lightly structured interviews concerning their experiences. Interview transcripts were inductively and collaboratively analyzed to construct a preliminary set of factors that influence moral empathy. These factors informed the creation of a script for a verbatim theatre play that was performed for an audience of residents, educators, learners, researchers, and scholars. Following the play, audience participants completed a survey that served as a member-check of the factors that contributed to the final construction of factors. Results: The results were constructed as three categories under which seven factors are nested. These categories are: Innate Capacity, Previous Personal Encounters, and Specific Patient Encounters. With the exception of a few, most factors do not directly influence residents’ moral empathy but rather challenge their ability to act on their moral empathy. Discussion: These results offer unique insights into the declines in empathy that have been previously reported in the medical education literature, while also highlighting a moral-behavioural tension that has implications for competency-based medical education, the four-factor model of empathy, and the assessment of empathy in medical education. Future work may build on the results of this study to develop an assessment tool for moral empathy and to elucidate the relationships between the domains of empathy in order to arrive at a more refined conceptualization of the construct. / Thesis / Master of Science (MSc) / Empathy—the ability to comprehend the experiences of others—is an important tool that enables physicians to build relationships with patients, which helps them provide better healthcare. Studies have shown that empathy declines during medical training due to a variety of factors. Frameworks describing the empathic response suggest that one’s inner motivation to accept patients unconditionally, commit to understanding patients, and help patients achieve their needs may be fundamental to providing clinical care with empathy. As such, the goal of this study was to explore the factors that influence these inner motivations of residents in order to gain insights about the evidence that purports residents to demonstrate less empathy as they progress in their training. To address this objective, 10 medical residents from various specialties were interviewed about their experiences, the data were analyzed by way of a descriptive phenomenological methodology, and the initial findings were presented as a verbatim theatre play as a means of member-checking the proposed results. After viewing the play, an audience of medical residents, educators, learners, researchers, and scholars provided feedback through a survey that contributed to the final conclusions of the study. In this regard, the study shows that, apart from a few factors, residents’ inner motivations to be empathic are not significantly influenced during medical training. Rather, certain factors associated with residency affect their ability to deliver on their inner motivations. This study offers insights into the role of motivation in empathic decline, assessment of empathy during medical training, and potential significance of a tension between one’s motivation to be empathic and the opportunities that they are afforded to be empathic during residency.

Purpose: In Ontario, there is a steady rise in the HIV incidence among South Asian women. However, the health-related challenges and the disability experienced by this population are under reported. Hence, this study aims to understand the disability experience and utilization of rehabilitation services by the South Asian women living with HIV in Southern Ontario, Canada. Method: I used an interpretive phenomenological study design to explore the ‘lived experience’ and ‘meaning’ of disability experienced by South Asian women living with HIV. I recruited English-speaking immigrant South Asian women living with HIV through the Alliance for South Asian AIDS Prevention (ASAAP). I conducted in depth face to face interviews using body mapping and photo-elicitation techniques. All the interviews were transcribed verbatim and a thematic analysis approach was utilized to understand the disability experiences and rehabilitation needs of the women. Findings: Eight women volunteered for this study with six agreeing to be interviewed on a second occasion. The mean age was 47.1 years (s.d=5.8), and mean length of time since HIV diagnosis was 15.1 years (s.d=6.7). Analysis resulted in four major themes: “experiencing disability”, “building resilience”, “experiencing discrimination” and “accessing health care”. The women described several health challenges due to the side effects of anti-retroviral medications, compounded by challenges associated with immigration, HIV stigma, and discrimination. The complex intersection of illness, gender, ethnicity, and discrimination affected their overall disability experience. Despite these challenges, the women manifested resilience by re-constructing their identities, specifically by exhibiting perseverance in the midst of their health challenges, isolation, and patriarchal culture. Women lacked understanding about rehabilitation services in the context of HIV. Conclusion: This study draws attention to marginalized women living with HIV whose voices are rarely heard, and profiles their experiences of disability. Understanding the disability needs of marginalized women living with HIV, through a phenomenological lens could help to facilitate the development of culturally safe treatment approaches and health care policies, which can lessen their disability and improve their quality of life. / Thesis / Doctor of Science (PhD)

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This dissertation provides an account of the ways seven preadolescent boys with autism spectrum disorders describe friendship. This study extends previous research by providing more in-depth descriptions of friendship gleaned through iterative interviews. In addition to multiple interviews with each of the boys, I collected interview data from their parents, and one teacher of each boy. In order to convey friendship from the boys' perspectives, I present data across three broad themes: (1) Establishing and maintaining friendships, (2) Social reciprocity, and (3) Conflicts. The findings indicate that some important components of close friendships, (i.e., frequent and varied interactions, relative equality and reciprocity, maintenance over an extended period of time, and emotional support), that are commonly included in descriptions of preadolescent relationships in the general literature were evident in the close friendships of these boys with autism spectrum disorders. Not only does this study help increase the understanding of the construct of friendship, but of autism spectrum disorders as well. Specifically, my findings challenge the deficit perspective of autism spectrum disorders in several ways: (1) these preadolescents described ways that they socialize with friends rather than ways to avoid social situations in favor of isolation (Kanner, 1943); (2) the majority described same-age friendships as opposed to failing to develop peer relationships (American Psychiatric Association, 2000); and (3) four boys either are developing or have developed social reciprocity with friends, instead of demonstrating a lack of social reciprocity (American Psychiatric Association, 2000). Researchers are just beginning to understand how preadolescents with autism spectrum disorders describe friendships. This study provides an important addition to the extant literature by providing insight into how a small group of highly verbal, preadolescent boys labeled with autism spectrum disorders describe friendship. Further research is necessary and will add to the sparse body of literature that just begins to depict how people with autism spectrum disorders understand and experience friendship. / Ph. D.

New fundamental observables are becoming accessible with the Leading Proton Spectrometers (LPS) of ZEUS and H1. This enables us to test more thoroughly the pQCD mechanism of diffractive Deep Inelastic Scattering (DIS). Calculations of the diffractive cross-section in the small Bjorken x limit have been performed. We have used the microscopic QCD formalism of diffractive DIS to find higher twist corrections to the transverse structure functions and predict the diffractive slope and azimuthal asymmetries. We establish duality correspondence between diffraction into low-mass continuum and vector meson production, and calculate the diffractive contribution to the spin structure functions. / Ph. D.

The purpose of this study was to explore the lived experiences of elementary school counselors working with students adopted transracially (SATr) and their families. Previously, the voices of elementary school counselors have been omitted from the limited scope of professional literature available related to school counseling practice with SATr. Using a phenomenological method, research questions were developed to capture the perceptions, needs, and practices of elementary school counselors working with SATr and their families. The purposeful sample of 11 participants represented elementary school counselors from Northern and Southern Virginia and West Virginia. The participants had professional school counseling experience ranging from one to 27 years where they worked with a range of one to over 200 SATr and their families. A structured analysis process was used that included coding (i.e., open, axial, selective), writing textural and structural descriptions that were verified by participants, and developing composite summaries. This structured process uncovered the categories, sub-categories, and themes leading to a core category. Bracketing was used to maintain the trustworthiness of the research study. The findings included eight themes as continuums reflecting the various perceptions, needs, and practices of the participants in working with SATr and their families. The shared lived experiences can best be described as a 'CONTINUUM OF COMFORT AND CONFIDENCE' whereby elementary school counselors relied on using foundational counseling skills, understanding human development, applying multicultural competency, and being sensitive to adoption related practices. Additionally, they continually refined their practice strategies in being responsive to the needs of SATr and their families. Although the findings of this study cannot be generalized, the narratives of these elementary school counselors offer important insight and generate recommendations for practice. Salient recommendations include frequent collaboration among school and mental health counselors, the need for elementary school counselor advocacy to promote acceptance and inclusion of SATr and their families, and the necessity for counselor educators to include coursework on transracial adoption. Future research with middle and high school counselors, SATr and their families who have used school counseling services, and professional development training will deepen our understanding for inclusive comprehensive, developmentally appropriate school counseling programs. / Ph. D.

The present study employed interpretive phenomenology analysis to explore the lived experiences of young mothers as it pertains to intergenerational family support within the Appalachian context. Informed by symbolic interactionism, the life course perspective, and the kinscripts framework, the present study sought to uncover the meanings attributed to help from family for young mothers. Nine women (ages 18-28; M= 23.33) who had children between the ages of 15 and 19 were interviewed for present study. Through detail-rich narratives, meanings ascribed to help were uncovered. Help was equated with love, and it was presented as a paradox. Help was also conceptualized as a pathway to facilitate young mothers’ autonomy in their new parental roles. Having autonomy, that is defined as the ability to make parenting decisions, along with support from family was associated with feeling confident and adequate as mothers. Mothers who were refused autonomy described distress and struggled with identifying in their new parental role. These findings and their implications are discussed further. / M.S. / The present study explores the experiences of young mothers as it pertains to intergenerational family support, or help from family. Young mothers discussed the ways in which they received or did not receive help from family. Nine women (ages 18-28; M= 23.33) who had children between the ages of 15 and 19 were interviewed for present study. Through detail-rich narratives, meanings ascribed to help were uncovered. Help was equated with many different emotions, including love. Help was also understood as a pathway to facilitate young mothers’ independence in their new parental roles. Having autonomy (i.e., independence), that is defined as the ability to make parenting decisions, along with support from family was associated with feeling confident and adequate as mothers. Mothers who were refused autonomy described distress and struggled with identifying as mothers. These findings and their implications are discussed further.

Contemporary aesthetics includes a project directed at understanding the nature of pictorial representation. Three types of theories enjoy recent favor. One explains pictorial representation by way of resemblance or experienced resemblance between the picture and what it represents. A second employs interpretation: the spectator looks at a picture and interprets conventionally determined symbols found therein to mean what it represents. The third describes pictorial representation as a matter of experience. On this approach, when the spectator looks at a picture she has a visual experience of the thing represented. Key components of representation include the representation bearing artifact and the human activity that produces it. An adequate account of pictorial representation must neglect neither. Theories focusing on resemblance fail to account for the human role in representation so that a picture may represent only what it can resemble. Theories making interpretation of conventional symbols the key fail to account for the role visible properties play in grounding representation. Wollheim's experience based theory, however, unifies the visible properties of the artifact and the intentions of the artist in a single experience, called seeing-in, whereby a spectator sees in a picture what an artist intends to represent. Wollheim fails to specify just how visible properties of the artifact ground seeing-in. His account of seeing-in raises other curiosities as well. These issues can be dealt with if we apply phenomenological concepts developed by Merleau-Ponty in his Phenomenology of Perception to our experience of pictures as a method of enriching Wollheim's account of seeing-in. / Master of Arts

This study intends to evaluate the extent to which gender inequality permeates representation in the media. By drawing on the literature of feminist phenomenology I define subjectivity as the tendency of characters to interact with the world around them rather than merely have that world act upon them. I use the themes of sexual spectacle, motivation, and violence and protection to evaluate the gender differences among superbeing characters from the DC and Marvel franchises. Through the use of a qualitative content analysis this study has shown that the dichotomous gender hierarchy actively subordinates female superbeing characters through their diminished subjectivity. A character's ability to act upon the world through act-break motivations, direct capacity for violence, and the protection of others defines them as subjects. Conversely, a character's inability to do those actions as well as their instances of sexual spectacle and unmotivated sexual displays in costuming and gender performance relegates them to the role of object. The subjectivity score is used to more clearly show a definitive ranking of these characters. Female superbeing characters often hold negative scores. This means that their total deductions from categories that diminish their subjectivity, such as instances of sexual spectacle or revealing costumes, outweigh any points they earn from categories that award them more subjectivity, such as protection/rescuing others. The male characters hold double or triple the scores of their female counterparts, which perfectly highlights the gendered division of the attributes that inform subjectivity. By allowing superbeing characters to transcend gender dichotomy and engage with the full human spectrum of emotion and wellbeing, we could celebrate people as fully human and disrupt the gender normativity that maintains inequality. / Master of Science / Marvel and DC Comics are two of the most popular comic book companies in the US. They are responsible or the creation of well-known characters such as Superman and Iron Man. Within the last few decades the comics because popular film franchises. Both companies release several films every year from their respective cinematic universes. These are highly grossing movies and popular enough to have character costumes produced for purchase. Popular cultural phenomenon such as these film franchises provides an opportunity to study social topics such as gender inequality and heteronormativity. This study focuses on the on-screen depictions of these superbeing characters in order to establish a connection between gender and subjectivity in these super-human bodies. Subjectivity, defined by Iris Marion Young’s conceptualization of a feminist phenomenology uses the themes of motivated action, violence and protection, and sexual spectacle to determine if there is a gendered difference in the ways these characters are able to be super and how that impacts their overall subjectivity level. The data supports the theory that male superbeing character are allowed to be full subjects who are able to act upon the world while female superbeing characters are still relegated to the sphere of objectification.