Prisons are organized to hold and control inmates. Inmates traditionally oppose authority, and the social ecology of prisons resists change-oriented programs. Successful educational programs appear to neutralize certain negative aspects of the social ecology while engaging inmates in setting and working toward pro-social goals. One initiative is the Simon Fraser University prison-based baccalaureate program in the humanities. Inmates in this program appear to develop positive student roles. Explanations for the program's apparent success had not previously examined the interaction between inmates and the social ecology of the program. Previous accounts of the program relied on anecdotal reviews and psychological explanations of inmate development. To bridge this gap, this study was designed to explicate a theoretical model to explain student roles and associated feeling states and expectations, to operationalize it, and to examine relationships with various socio-demographic and carceral variables. Three approaches were used. The first involved formulating the model, drawing on previous studies and experience with inmates in this program, literature about the program, and role theory. A model of role development was posited. It has five stages: (1) Recruitment, (2) Disorientation, (3) Separation, (4) Transition, and (5) Solidarity. The second phase involved operationalizing the model. Seventy written statements were constructed representing inmates' feelings toward prison, and the university program, at each stage of the model. They were judged by five experts in correctional education who strongly concurred in assigning the 70 statements into respective stages. The second phase also involved a card sort of these 70 statements by 33 inmate university students in one prison. They sorted the cards according to: (1) "how I feel now"; (2) "how I used to feel, but not now"; (3) "never felt like this"; and (4) "don't know." For the third phase, data were analyzed using Pearson correlations and ANOVA statistical procedures. The major conclusions which emerged from the study pertained to the three purposes. With regard to the explication of a model of role development, it was concluded that (1) Role theory is an appropriate framework for articulating a model of prison ecology, and (2) Inmates experience five distinct and sequential stages of role development. With regard to the operationalization of the model, it was concluded that (1) Judges found the overall model plausible and workable, (2) Judges were able to reliably discriminate items into stages, and (3) Inmates' responses confirmed intra-stage reliability. With regard to relationships between scores obtained from operationalizing the model and various socio-demographic and prison-related variables, it was concluded that (1) The expected associations were not confirmed, (2) Inmates' forwarding of feelings from previous incarcerations supports the Importation model, (3) A counter-intuitive finding (university term by Recruitment) is probably an artifact of previous penitentiary experience, and (4) The university program does foster pro-social role development, thus providing support for the "some things work" position. / Education, Faculty of / Educational Studies (EDST), Department of / Graduate

This study investigated differences among racial groups and between sex groups on psychometric test performances, demographic data, and vocational potential ratings of an adult rehabilitation client sample. Also, the psychometric and demographic variables were included in discriminant function equations to predict the vocational potential ratings of the white, Hispanic, and black groups and of the total sample. The sample in this study was composed of 99 adult rehabilitation clients who completed comprehensive vocational evaluations between January, 1980, and July, 1983. Each case included complete psychometric and demographic data. Also, a vocational potential rating based on this data, other aptitude and ability testing, work sample performances, behavior observations, and other information obtained by the vocational evaluator was reported for each case. Analysis of variance procedures found no significant differences between the male group and the female group of the total sample on the psychometric and demographic variables, or on the cumulative vocational potential rating. Significant differences were found among the racial groups on mean performance of reading comprehension and arithmetic computation, and on years of education attained. Tukey HSD procedures specified that these differences exist between the white group and the Hispanic group on reading comprehension, between the white group and the black group on arithmetic computation, and between the white and black groups and the hispanic group on years of educaton attained. Also, no significant differences were demonstrated among the racial groups on general mental ability, age, or cumulative vocational potential ratings. Discriminant function analysis procedures applied the psychometric and demographic variables to the prediction of vocational potential ratings of the racial groups and of the total sample. Observation of the resulting prediction equations indicated that some external bias may exist in the use of these equations for predicting vocational potential in white, Hispanic, and black groups. Also, no single predictor variable was the primarily selected variable in all of the discriminant function equations of vocational potential ratings in the total sample. Overall, the predictive power of the discriminant function equations was not sufficient to recommend their use in clinical practice.

Stroke is the leading cause of disability in the United States. The majority of stroke survivors have persistent arm dysfunction, which impedes their daily task performance. Mirror therapy (MT) as an adjunct to occupational therapy (OT) has been shown to be effective in upper extremity (UE) recovery post-stroke. Two protocols, unimanual mirror therapy (UMT) and bimanual mirror therapy (BMT), have been used in OT practice; however, research specifically comparing these two intervention protocols is absent. The purpose of this study was to compare: (a) home-based UMT and BMT protocols, and (b) both MT protocols to home-based traditional occupational therapy (TOT) regarding upper limb recovery post-stroke. Twenty-two chronic stroke participants were randomized into one of three groups: UMT, BMT, or TOT. The Action Research Arm Test (ARAT), Fugl-Meyer Assessment (FMA), ABILHAND, grip strength, and the Stroke Impact Scale (SIS) were administered pre- and post-intervention. Participants received outpatient OT 2 days/week for 45 minutes, plus a home program 30 minutes a day, 5 days/week for 6 weeks. A repeated measure ANOVA, Kruskal-Wallis Test, and Wilcoxon Ranked-Signed Test were used to compare the three groups, and 95% confidence intervals (CI) and effect sizes were calculated. There was a main effect of time for all groups, except for SIS-strength and activities of daily living (ADL); however, no group differences were noted on any of the measures. When comparing UMT and BMT, the effect size for all measures, except for grip strength, favored UMT. In comparing both mirror groups to TOT, UMT had a moderate to large effect size on the ARAT, FMA, and ABILHAND, as compared to the small effect size for BMT. Furthermore, 95% CI data for the ABILHAND showed clinical significance in favor of UMT compared to TOT, but not for BMT. This study showed that all groups improved over time and UMT may be more beneficial for UE recovery in chronic stroke individuals, compared to either BMT or TOT. However, given the small sample size, future studies comparing the two mirror protocols are necessary for more definitive conclusions to better inform clinicians of the optimal mode of MT treatment.

The debate on the quality of services has continued since the establishment of related legislation, and more recently, the implementation of the Workforce Innovation and Opportunity Act (WIOA; Sect. 412, 2014). Prior studies revealed that rehabilitation counselors with a master’s degrees achieve significantly better outcomes than their counterparts with bachelor’s degrees and unrelated master’s degrees (Sherman, Eischens, Leierer, Meola, & Scroggs, 2017; Szymanski, 1991; Szymanski & Parker, 1989) and tend to have higher competitive closure rates for severe disabled consumers (Cook & Bolton, 1992; Szymanski & Danek, 1992; Van Houtte, 2013). Additionally, knowledge domains central to effective rehabilitation practices of professionals in state Division of Vocational Rehabilitation (DVR) agencies and cluster of Vocational Rehabilitation (VR) programs (Chan et al., 2003; Saunders & Leahy, 2010) continue to be of interest. Empirical studies recognized the importance of data-driven research in all states and have suggested that future research in this area should include participants from each state VR (Beveridge, Leconte, Shain, Del Toro & Penrod, 2015; Froehlich & Linkowski, 2002). Therefore, the purpose of this study was to examine the relationship between successful employment outcomes for Florida (a) significantly, (b) severe, and (c) non-severe disabled consumers. Furthermore, the rehabilitation counselors’ (VRC) perceived importance of rehabilitation knowledge as measured by the Knowledge Validation Inventory-Revised (KVI-R; CRCC, 2016), and the VRC’s educational level. Fifty-eight (N = 58) rehabilitation counselors employed within Florida DVR agencies volunteered to participate in this study. The diverse participants reported having earned a bachelor’s (n = 12, 20.7%), master’s (n = 44, 75.9%), and doctoral (n = 2, 3.4%) degrees. The majority of the counselors obtained their degree in rehabilitation counseling (n = 22, 37.9%), followed by degrees in psychology or other fields (n = 13, 22.4% each), social work (n = 5, 8.6%), education (n = 3, 5.2%), and sociology (n = 2, 3.4%). This was the first study in the state of Florida to explore the correlation between the VRC education and employment outcomes in DVR. Non-statistically significant correlations resulted between the criterion and predictor variables. The relationship between the VRCs education, client outcomes, and perceived importance of rehabilitation knowledge was measured using bivariate regression analysis. The implications of the findings, study limitations, and recommendations for future research are discussed. / Includes bibliography. / Dissertation (Ph.D.)--Florida Atlantic University, 2019. / FAU Electronic Theses and Dissertations Collection

The time course of peri-infarct diaschisis following a focal ischemic infarct and the effects of delayed rehabilitation on behavioral and functional recovery were examined. Intracortical microstimulation (ICMS) was used to derive topographical maps of forelimb representations within the rat motor cortex and ischemia was induced via bipolar coagulation of surface vasculature. At one hour there was a dramatic expansion of reprentations in control but not ischemic animals. A significant loss of forelimb representations within peri-infarct dysfunction indicates the need for immediate administration of therapeutic interventions following an ischemic event. These results indicate that the timing of rehabilitation does not effect functional and behavioral recovery but does support the need for rehabilitative interventions of facilitate these types of recovery. / 132 leaves : ill. ; 28 cm.

The occurrence of total knee replacements is increasing in the United States for persons over the age of 45 because they are inexpensive and a very effective method for treating degenerative joint diseases. Rehabilitation requires regular access to a wide variety of resources and personnel and, as the demand for post-operative, rehabilitative care increases, the ability to marginally relieve the healthcare system by offloading resources to the patient is necessary. Tools to enable tracking a patient’s rehabilitative progress at home are an essential method to help unload the healthcare system. The purpose of this project is to design and develop a wearable home rehabilitation device for knee replacement. This thesis utilizes design ethnography tools such as expert interviews, rehabilitation observation, a participatory design workshop, iterative development, and an idea feedback study. Leveraging advancements in technology and the field of eTextiles, this study investigates the product feasibility and acceptance of discreet on-body sensors to provide a product that enables patients to better perform rehabilitation on their own, but also to allow for a feedback loop for physicians and therapists to view patient progress.

M.A.

M.Cur. / The emotional state of health of pre-operative patients about to have coronary artery bypass graft (CABG) is a decisive factor in the outcome of the procedure. Nel (1989) carried out quantitative research to determine the effect of a pre-operative education programme on CABG patients. This education programme is based on the fact that a person's emotional disposition is a critical variable in his successful recovery from coronary disease. However, the researcher is of the opinion that although Nel's study made a positive contribution regarding this phenomenon, a quantitative research design does not reflect the real experience of the patients that follow a pre-operative education programme. In the researcher's view, a qualitative research design is more appropriate. The aim of the present qualitative, exploring, descriptive, contextual research is to explore and describe the experience of CABG patients exposed to a pre-operative education programme and to lay down guidelines for nursing staff in practice The research was conducted in three phases. One private hospital in Pretoria was use for the research.

M.Cur. (Psychiatric Nursing) / The purpose of this study was to explore the experiential world of the chronic psychiatric patient In a rehabilitation centro and to sot guidelines for the psychiatric nurso to utilize the principles of restoration of merital health. Various stumbling blocks In the recovery process of chronic psychiatric patients were noticed in a rehabilitation centre. The centre Is highly structured and democratic decision making does not always transpire. The external environment Is In a residential area characterised by violence. The question arising, was to what degree the chronic psychiatric patient's experience of his/herworld In the rehabilitation centre, can contribute towards the mobilization of resources In order to facilitate the restoration of mental health of the chronic psychiatric patient and reintegration Into society. The approach followed, was that of the Nursing Whole Person Theory. With this theory as basis, the chronic psychiatric patient Is viewed as a whole In Interaction with his/her Internaland external environment In his/her questfor mental health as Integral part of wholeness. An exploratory and descriptive qualitative study, contextual of nature, was used as research design. The method for research was phenomenological, semi· structured interviews with chronic psychiatric patients In a rehabilitation centre. The participants In this study were selected In a purposive and non-selective manner. Botes' Model for Nursing Research was used to structure the research of this study. Measures used for reliability and validity, were that of Woods and Catanzaro. The central question "How do you experience living In this rehabilitation centre?" was asked. Similar studies were Investigated In order to ascertain similarities and unique aspects of this study. Categories of experience within the unit of assessment and diagnosis from the Nursing for the Whole Person Theory, Indicated both stumbling blocks and facilitating elements. Stumbling blocks In chronic psychiatric patients' (In a rehabilitation centre) quest for wholeness were experiences of avoidance, frustration, anxiety, lack of motivation, Inability to maintain longstanding relationships and dispute.

M.A. / The line between the postmodernism and modernism is largely unbridgeable. The line between left and right sides is also division. Sometimes there is a narrow and rapid point of crossing, and then it is gone. Modernism and post modernism are only alike in their sharing of a common semantic. The line is a division in thinking. Both sides are isolated by the lack of a significant bridge. The line also signifies that there can either be one or the other way of thinking, the two cannot exist on the same page - but they do. And they do it in life, too. Psychology has, by it's very attempts to prove itself a science, isolated the individuals uniqueness and connection with other humanity, by inadvertently developing a therapeutic stance of separateness and isolation. What makes this doubly sad is that psychology has rationalised that this is not the case. The right side of the text speaks clearly of human input, and pro-active contact on a physical and caring level, and the residents grow. The left hints at what might be the case, because it is, after all, only a theory. The research conducted looks good, but may not be correct... No theory will put itself on the line. The right side is on the line every second of every day. Lives are being built here. By sitting and reflecting at a person, in a 'therapeutic environment', the person is immediately isolated from any human social interaction or input. By studying the individual and his behaviour with a view to dissect cause, effect and totality have become victims. The person of needs be must become 'abnormal'. He becomes different, an anomaly. Then both himself and the community scream for an end to stigmatization. This text is a metaphor for the conflict experienced between being humans and psychology. There are many other ways to view this text.