Compared to the general population, socially disadvantaged patients have higher rates of chronic illness and require more complex medical care. They also endorse higher levels of psychological distress and tend to engage in behavioral risk factors such as poor diet, physical inactivity, and smoking. These issues are particularly concerning given that this population tends to adhere less to medical recommendations, has limited access to health resources, and receives poorer treatment from providers. In an effort to address this disparity, The Affordable Care Act will expand health care access to an additional 23 million uninsured and 17 million underinsured Americans. However, simply expanding access to health care without examining and improving upon factors related to the physician-patient relationship would not fully address the health care needs of this population. This study sought to improve the quality of care received by socially disadvantaged patients by better understanding the role of race and gender on the physician-patient communication process and patient outcomes in a safety net primary care clinic. The study sample consisted of 330 low-income, uninsured/underinsured African American and White patients and 41 resident physicians. Overall, African American patients and their doctors and White doctors and their patients were viewed as engaging in the highest levels of communication. South Asian physicians, and male South Asian physicians in particular, had the lowest levels of communication and the patients of these providers experienced less improvement in their physical health. Patient education level influenced physicians’ perceptions of their patients to the extent that patients with higher educational levels were viewed as engaging in lower levels of communication. Last, indicators of a good physician-patient relationship were associated with higher levels of patient reported adherence. Practice implications and areas for future research are discussed.

Every four years, in the middle of a cold winter night, devotees bearing images of 126 Buddhas, Bodhisattvas, and other important deities assemble in the Nepalese city of Patan for an elaborate gift giving festival known as Samyak Mahādāna (“The Perfect Great Gift”). Celebrated by Nepal’s Newar Buddhist community, Samyak honors one of the Buddhas of the historical past called Dīpaṅkara. Dīpaṅkara’s importance in Buddhism is rooted in ancient textual and visual narratives that promote the cultivation of generosity through religious acts of giving (Skt. dāna). During Samyak, large images of Dīpaṅkara Buddha ceremoniously walk in procession to the event site, aided by a man who climbs inside the wooden body to assume the legs of the Buddha. Once arranged at the event, Dīpaṅkara is honored with an array of offerings until dusk the following day. This dissertation investigates how Newar Buddhists utilize art and ritual at Samyak to reenact and reinforce ancient Buddhist narratives in their contemporary lives. The study combines art historical methods of iconographic analysis with a contextual study of the ritual components of the Samyak Mahādāna to analyze the ways religious spectacle embeds core Buddhist values within in the multilayered components of art, ritual, and communal performance. Principally, Samyak reaffirms the foundational Buddhist belief in the cultivation of generosity (Skt. dāna pāramitā) through meritorious acts of giving (Skt. dāna). However, the synergy of image and ritual performance at Samyak provides a critical framework to examine the artistic, religious, and ritual continuities of past and present in the Newar Buddhist community of the Kathmandu Valley. An analysis of the underlying meta-narrative and conceptualization of Samyak suggests the construction of a dynamic visual narrative associated with sacred space, ritual cosmology, and religious authority. Moreover, this dissertation demonstrates the role of Samyak Mahādāna in constructing Buddhist identity in Nepal, as the festival provides an opportunity to examine how Newar Buddhists utilize art, ritual, and performance to reaffirm their ancient Buddhist heritage.

This study is a detailed investigation of a number of issues in colloquial Sinhala morphosyntax. These issues primarily concern grammatical relations, argument structure, phrase structure and focus constructions. The theoretical framework of this study is Lexical Functional Grammar.¶Chapter 1 introduces the issues to be discussed, followed by a brief introduction of some essential aspects of colloquial Sinhala as background for the discussion in the following chapters. In Chapter 2 we present basic concepts of the theoretical framework of Lexical Functional Grammar.¶ The next three chapters mainly concern grammatical relations, argument structure and clause structure in colloquial Sinhala. Chapter 3 examines grammatical relations. The main focus lies in establishing the subject grammatical relation in terms of various subjecthood diagnostics. We show that only a very small number of diagnostics are reliable, and that the evidence for subject is weaker than assumed previously. All the subjecthood diagnostics that were examined select the most prominent argument in the argument structure as the subject, i.e. 'logical subject'. However, there appear to be no processes in the language that are sensitive to the subject in the grammatical relations structure, i.e. 'gr-subject'. Further, there is no evidence for other grammatical relations like objects. In Chapter 4 we discuss the agentless construction and related valency alternation phenomena. It was previously assumed that the agentless construction, valency alternation phenomena and the involitive construction are all related. We argue that the agentless construction should be treated as a different construction from the involitive construction. We also show that the agentless construction and the involitive construction have contrasting characteristics, and that treatment of them as separate constructions can account for some phenomena which did not receive an explanation previously. The valency alternation phenomena are related to the agentless construction, therefore there is no valency alternation in involitive constructions. It will be shown that verbs undergoing the valency alternation can be distinguished from the other verbs in terms of the lexical semantic properties of individual verbs. Chapter 5 examines the structure of non-verbal sentences in terms of a number of morphosyntactic phenomena. It was previously argued that verbal sentences and non-verbal sentences in colloquial Sinhala differ in terms of clause structure. However, the present study shows evidence to the contrary.¶ The next two chapters deal with modelling contrastive focus and the phrase structure of the language. Chapter 6 is a detailed analysis of the contrastive focus (cleft) construction in various clause types in the language, and proposes a unified syntactic treatment of contrastive focus. Contrastive focus is in some constructions morphologically encoded, while in others it involves both morphological and configurational assignment of focus. The complex interaction between focus markers and verb morphology in various focus constructions is accounted for by general well-formedness conditions applying to the f-structure, and the principles of Functional Uncertainty and Morphological Blocking. In Chapter 7, we discuss the phrase structure of the language, in particular such issues as its non-configurational nature and the lack of evidence for VP. We propose non-configurational S and some functional projections to account for word order freedom under S and to explain certain morphosyntactic phenomena, such as configurational focus assignment. Finally, Chapter 8 summarises the conclusions made in previous chapters.

Guru Dutt was one of the most important filmmakers in India, who worked for a little over a decade starting in 1951. He died prematurely in 1964. In those few years, he made some of Indian cinema?s most memorable films. Song and dance sequences are an integral part of the narrative structure of popular Indian cinema. Guru Dutt, working within that paradigm, devised innovative methods of using song sequences. In his films, the song sequences were not a distraction, but they served the purpose of carrying the narrative forward, expressing the inexpressible, and replacing scenes. He achieved this by his creative use of locations, lyrics, music, camera angles, and placement of the song within the narrative. This study critically analyzes song sequences from five of his films ? Aar Paar (Through and Through, 1954), Mr. and Mrs. 55 (1955), Pyaasa (The Thirsty One, 1957), Kaagaz ke Phool (Paper Flowers, 1959) and Saahib Biwi aur Ghulam (Master Mistress and Slave, 1962). Guru Dutt?s style of song direction focused on realistic depiction and the quality of storytelling. He used each feature of the song to his advantage never losing control of the larger narrative. This study also brings to the fore Guru Dutt?s conflicted views as an artist on the issues of tradition and modernity, and the position of women in the emerging nation.

This dissertation is intended to serve as a thorough examination of a particular debate between Lho pa Thugs rje dpal and Rong ston Shakya rgyal mtshan (1367-1449). According to the colophon of this medieval Tibetan debate record, which also appears to be the only currently surviving medieval Tibetan debate record in Tibetan literature, this debate took place in Sa skya and was recorded by both debaters' disciples without bias. The date of this debate was sometime between 1388 and 1393 during Rong ston's first visit to the Gtsang area.

This study examines the experiences of highly educated South Asian immigrant women working as home-based entrepreneurs within ethnic enclaves in Toronto, Canada. The importance of their work and experiences need to be understood in the context of two processes. On the one hand, there is the neoliberal hegemonic discourse of “enterprising self” that encourages individuals to become “productive”, self-responsible, citizen-subjects, without depending on state help or welfare to succeed in the labour market. On the other hand, there is the racialized and gendered labour market that systematically devalues the previous education and skills of non-white immigrants and pushes them towards jobs that are low-paid, temporary and precarious in nature. In the light of the above situations, I argue that in the process of setting up their home-based businesses, South Asian immigrant women in my study negotiate the barriers they experience in two ways. First, despite being inducted into different (re)training and (re)learning that aim to improve their deficiencies, they continue to believe in their abilities and resourcefulness, thereby challenging the “remedial” processes that try to locate lack in their abilities. Second, by negotiating gender ideologies within their families and drawing on community ties within enclaves they keep at check the individuating and achievement oriented ideology of neoliberalism. They, therefore, demonstrate how the values of an “enterprising self” can be based on collaboration and relationship rather than competition, profit or material success. The concept of “negotiation”, as employed in this thesis, denotes a form of agency different from the commonly perceived notions of agency as formal, large-scale, macro organization or resistance. Rather, the concept is based on how women resort to multiple, various and situational practices of conformity and contestation that often can blend into each other.

This study examines the experiences of highly educated South Asian immigrant women working as home-based entrepreneurs within ethnic enclaves in Toronto, Canada. The importance of their work and experiences need to be understood in the context of two processes. On the one hand, there is the neoliberal hegemonic discourse of “enterprising self” that encourages individuals to become “productive”, self-responsible, citizen-subjects, without depending on state help or welfare to succeed in the labour market. On the other hand, there is the racialized and gendered labour market that systematically devalues the previous education and skills of non-white immigrants and pushes them towards jobs that are low-paid, temporary and precarious in nature. In the light of the above situations, I argue that in the process of setting up their home-based businesses, South Asian immigrant women in my study negotiate the barriers they experience in two ways. First, despite being inducted into different (re)training and (re)learning that aim to improve their deficiencies, they continue to believe in their abilities and resourcefulness, thereby challenging the “remedial” processes that try to locate lack in their abilities. Second, by negotiating gender ideologies within their families and drawing on community ties within enclaves they keep at check the individuating and achievement oriented ideology of neoliberalism. They, therefore, demonstrate how the values of an “enterprising self” can be based on collaboration and relationship rather than competition, profit or material success. The concept of “negotiation”, as employed in this thesis, denotes a form of agency different from the commonly perceived notions of agency as formal, large-scale, macro organization or resistance. Rather, the concept is based on how women resort to multiple, various and situational practices of conformity and contestation that often can blend into each other.

This thesis focuses on the structural and behavioural factors that placed South Asian immigrant women living with HIV/AIDS in the Greater Toronto Area at risk. Informed by Connell's social theory of gender (1987), this study examined the role of hegemonic masculinity in legitimizing male power and contributing to the HIV risk of these women. By conducting one-on-one interviews with 12 HIV-positive immigrant women, meaningful constructions of the women's narratives and accounts of their experiences relative to HIV were created. This study examined the intersection of power ideologies such as gender, race and class in specific contexts as they generated particular experiences that affected women's risk for HIV. Following a community-based research approach, a collaborative relationship was established with the Alliance for South Asian AIDS Prevention where qualitative methods of analysis and an inductive approach with an iterative process were followed. Factors such as isolation, economic dependence on their husbands, discrimination, racism, investment in psychologically and emotionally abusive relationships, combined with the absence of support from their family of origin exacerbated the women's risk of HIV infection. The strong ties exhibited by most of the women to their religious/ethnic communities helped sustain a gender-based social hierarchy. To facilitate dialogue and social change for South Asian women, gender and culture need to be situated in social and historical contexts. As such, programs should be understood within a larger critical understanding of the social power relations and history of Canadian immigration patterns. Using anti-racist frameworks, initiatives should address violence against women, while tackling interrelated issues (i.e., housing, poverty, etc.). This work draws attention to oppressions through the experiences of a community of women who are rarely given a voice within the context of research on HIV/AIDS. It will be also helpful for Ontario’s HIV prevention strategy and the field of women's sexual health.

In an attempt to close the gaps between diaspora and regional studies an Afro-Asian comparative perspective on African and Indian identity will be explored in the countries of Guyana and South Africa. The overlying aim of the ethnographic research will be to see whether blackness can be used as a unifier to those belonging to enslaved and indentured diasporas. Comparisons will be made between the two race models of the Atlantic Ocean and Indian Ocean worlds. A substantial portion will be set aside for a critique of the concept of Coolitude including commentary on V.S. Naipaul. Further, mixing, creolization, spirituality and the cultural politics of Black Consciousness, multiculturalism, and dreadlocks will be exemplified as AfroAsian encounters.

This thesis focuses on the structural and behavioural factors that placed South Asian immigrant women living with HIV/AIDS in the Greater Toronto Area at risk. Informed by Connell's social theory of gender (1987), this study examined the role of hegemonic masculinity in legitimizing male power and contributing to the HIV risk of these women. By conducting one-on-one interviews with 12 HIV-positive immigrant women, meaningful constructions of the women's narratives and accounts of their experiences relative to HIV were created. This study examined the intersection of power ideologies such as gender, race and class in specific contexts as they generated particular experiences that affected women's risk for HIV. Following a community-based research approach, a collaborative relationship was established with the Alliance for South Asian AIDS Prevention where qualitative methods of analysis and an inductive approach with an iterative process were followed. Factors such as isolation, economic dependence on their husbands, discrimination, racism, investment in psychologically and emotionally abusive relationships, combined with the absence of support from their family of origin exacerbated the women's risk of HIV infection. The strong ties exhibited by most of the women to their religious/ethnic communities helped sustain a gender-based social hierarchy. To facilitate dialogue and social change for South Asian women, gender and culture need to be situated in social and historical contexts. As such, programs should be understood within a larger critical understanding of the social power relations and history of Canadian immigration patterns. Using anti-racist frameworks, initiatives should address violence against women, while tackling interrelated issues (i.e., housing, poverty, etc.). This work draws attention to oppressions through the experiences of a community of women who are rarely given a voice within the context of research on HIV/AIDS. It will be also helpful for Ontario’s HIV prevention strategy and the field of women's sexual health.