This study investigated the developing identities of first generation Canadian female adolescent women. Using qualitative methodology, it seeks to illuminate the intersectionalities of race, gender and sexuality in its analysis. Transnational feminist frameworks are used as theoretical lenses from which to critically examine the ways in which identity development research has been portrayed in psychology, child and youth care, and related disciplines. This analysis was used as a means to complicate objective, hierarchical models of identity development as they apply (or do not apply) to the stories of first generation Canadian women. Five women between the ages of 19-26 of Chinese, Latin American, Vietnamese and Indian decent participated in this study. Semi-structured interviews were conducted, covering family background and traditions, gender role negotiation, sexuality and identity development. Findings support transnational feminist notions of multiplicity, hybridity and fluidity in identity development. They provided context and storied analysis to issues of identity development that are often silenced in traditional psychology literature. The stories of first generation Canadian women are important contributions to identity development research. They highlight the need for situated knowledges and the need for anti-racist research frameworks in psychology, child and youth care, and social science disciplines.

Thesis (PhD)--University of South Australia, 1999

Thesis (Ph. D.)--York University, 2005. Graduate Programme in Sociology. / Typescript. Includes bibliographical references (leaves 335-361). Also available on the Internet. MODE OF ACCESS via web browser by entering the following URL: http://gateway.proquest.com/openurl?url_ver=Z39.88-2004 & res_dat=xri:pqdiss & rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation & rft_dat=xri:pqdiss:NR11605.

Thesis (M.Soc.Sc. Psychology)--University of Waikato, 2007. / Title from PDF cover (viewed May 1, 2008) Includes bibliographical references (p. 68-76)

Thesis (M.A.) -- Central Connecticut State University, 2009. / Thesis advisor: Joanne diPlacido. "... in partial fulfillment of the requirements for the degree of Master of Arts in Health Psychology." Includes bibliographical references (leaves 73-87). Also available via the World Wide Web.

Thesis (M.S.)--Eastern Illinois University, 2008. / Includes bibliographical references (leaves 74-78).

Thesis (Ph.D.)--Northwestern University, 1997. / Source: Dissertation Abstracts International, Volume: 58-04, Section: A, page: 1341. Adviser: Toinette M. Eugene.

Rural populations are traditionally understudied, especially as it is concerned with the experiences of sexual minority women and the experiences of internalized stigma (negative attitudes towards the self) are often related to poor health outcomes within the LGBTQ+ community (Meyer, 2003). This relationship has been found to be mediated by rumination, suppression, and social isolation, which has been generalized to cognitive, coping, and social mediators (Hatzenbuehler, Nolen-Hoeksema, & Dovidio 2009). The current study examines the indirect effect of internalized stigma on self-rated health and quality of life through cognitive mediators (self-esteem, self-compassion, and feelings of guilt and shame) in sexual minority women located in northeast Tennessee (N=134). Participants completed the following scales: Perceived Self Stigma Scale (Mickelson, 2001), Rosenberg Self-Esteem Scale (Rosenberg, 1965), Self-Compassion Scale- Short Form (Raes, Pommier, Neff, & Van Gucht, 2011), Personal Feelings Questionnaire (Harder & Zalma, 1990), WHOQOL-BREF (World Health Organization, 1998), and the SF-36v2 (Health Survey, 1996). Results suggested that only self-esteem mediated the relationship between internalized stigma and both self-rated health and quality of life. Analyses were conducted via the data software SPSS. Internalized stigma was found to predict self-esteem (b = -0.153, p =.023). In turn, self-esteem was then predictive of self-rated health (b = .399, p =.043) and quality of life (b = 0.438, p = .007). A mediational analysis was conducted using a PROCESS (Hayes, 2014) macro to test the hypothesis that self-esteem acts as a mediator between internalized stigma and quality of life and self-rated health. There was an indirect effect of internalized stigma on quality of life (effect = -.067, 95% CI (-.157, -.016)) and self-rated health (effect = -.061, 95% CI (-.151, -.013)) through self-esteem. All other regression and mediational analyses with self-compassion, shame, and guilt were nonsignificant. With these findings, clinical therapy may be improved for sexual minority women by focusing on internalized stigma as an underlying cause of lower self-esteem and poor health. If the focus of therapy becomes internalized stigma, based on our findings, reduction of internalized stigma could increase self-esteem and in turn increase self-rated health and quality of life in sexual minority women.

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The present study aimed to explore the objective and subjective experiences of “mistreatment” in maternity care in a diverse cohort of women who gave birth in New York City hospitals to identify the prevalence and risk factors of mistreatment and measure the relationship between mistreatment and mental health (Bohren et al., 2015). The study utilized a mixed-methods cross-sectional approach. To collect the quantitative data, 109 participants <1 year postpartum completed an anonymous online survey comprising a self-report measure of demographic, health and mental health information, several mental health questionnaires and two measures of mistreatment in maternity care. 8 of these participants were interviewed about their childbirth experience. The quantitative data was analyzed utilizing linear regression, moderation analysis and path analysis, and the qualitative data was thematically coded then analyzed using Reflexive Thematic (RT) analysis. These data were then triangulated using a mixed-methods model of mistreatment. In total, 10-15% of the sample experienced mistreatment in the form of Low to Very Low respect and/or autonomy in decision making in their maternity care. Forms of mistreatment included unwanted procedures, provider pressure to undergo procedures, dismissal of women’s concerns, racial discrimination, abandonment, and medical neglect. Approximately 25% of respondents received an unwanted intervention; this was the most significant predictor of mistreatment. This relationship was moderated by race, parity and birth plan. Black, Latinx and Hispanic women experienced the lowest levels of respect in maternity care. Mistreatment in maternity care was correlated with increased risk for postpartum mental illness: decreased respect and autonomy in childbirth was associated with increased postpartum depression and PTSD symptoms. Eight themes were identified in the qualitative analysis: Discrimination and Unfair Treatment, Confusion and Abandonment, Disregard for Patient Autonomy, Hospital-Level Drivers of Mistreatment, Women Treated as Passive, Normalization of Mistreatment, Self-Advocacy and Vulnerability and, Reclaiming Power through Knowledge. Together, the triangulated mixed- methods data were fit to render a comprehensive “model of mistreatment” to illustrate direct and indirect relationships between mistreatment, mental health, race, trauma history, and childbirth preparation. These findings demonstrate that mistreatment is a multi-determined phenomenon that is interdependent with mental health and requires systematic measurement in healthcare treatment, the integration of anti-racist and patient-centered care and improved childbirth education for patients.