Thesis advisor: Pamela J. Grace / Purpose/Specific Aims: Van Manen’s hermeneutic phenomenological method was used to design this study aimed at better understanding the meaning of day-to-day living with advanced breast cancer in young women. Rationale/Significance of Study: There is a gap in knowledge about the particular needs and daily life experiences of this cohort. Very little data specifically addresses this population. The limited literature that exists suggests that, due to the particular stage of life, their needs differ from those at other life stages as well as those coping with earlier stages of breast cancer. These women have described themselves as being invisible and having to live with the knowledge that their future is uncertain. Thus, this qualitative study is an important initial step in expanding our understanding of what daily life is like for this population. Sample and Recruitment: Women aged 25–39 with Stage III or IV breast cancer were purposively recruited via private FacebookTM groups specifically for women with breast cancer. The final sample consisted of 12 participants from across the U.S. Incidentally, all were parents. Data Analysis: Data were collected through two or more semistructured interviews and written journals. Analysis followed van Manen’s method of immersion, reading, and rereading, and using manual coding and NVivo software to develop themes to capture the participants’ lifeworlds. Findings: The meaning of their experiences is captured by the overarching theme: Wearing the mask of wellness in the presence of life-threatening illness. Five major themes were identified: Wanting to be known as the person I am, I’m still Mom, Living is more than surviving, Getting through it, and Being connected to others. Conclusions: Findings highlight that these young women are managing multiple roles and responsibilities despite the ongoing challenges of treatment and symptom management. They feel that their needs and struggles are not well understood because to outsiders they do not look ill. This study provides a base for further research and eventually interventions. / Thesis (PhD) — Boston College, 2018. / Submitted to: Boston College. Connell School of Nursing. / Discipline: Nursing.

In the early decades of the twenty-first century William Shakespeare’s works and figure began to arise in Young Adult adaptations and transnarratives focusing upon the undead. These works of werewolf, vampire, and zombie fiction represented Shakespeare as a creature of the undead or as a heroic savior. I argue that the figure of Shakespeare appears as an ambivalent symbol of corrupt authority or redeeming power within these YA undead adaptations because we are unable to reconcile Shakespeare’s centrality in literary studies with our twenty-first century social, political, and moral ideals such as multiculturalism, gender equality, and race relations. Essentially, these undead adaptations manifest the figure of Shakespeare as a crisis of our own faith in the “dead white European male” model of authority. Many of the works offer a rather dim view of the author and the cultural authority that he once represented. And the image these YA narratives conjure is often that of a zombie Shakespeare who is both immortal and rotting. Or alternatively, the absolute power of a vampire Shakespeare: cold, white, male, feeding upon the blood of the living. I argue that the YA protagonists must destroy the corrupt authority figures who hold power over them to create a “new world order” in these narratives, and Shakespeare’s position as “the author of authors” serves as the prime target. Alternatively, the contrasting narratives place Shakespeare in opposition to the undead hordes that are attacking humanity. In these novels and films, the figure of Shakespeare is an iteration of viable knowledge and authority solving not only his era’s problems, but those of our own, as well. I argue that these narratives seek to renew and add to Shakespeare’s authority through a metaphor of undead hybridity. By analyzing the werewolf or zombie-hunter in both film and literature, I demonstrate that many narratives utilize Shakespeare as a hybrid of both historical/literary authority and our own modern ideals. Rather than simply wolf or slayer, the Shakespeare of these narratives is both early modern authority and twenty-first century social/political hero.

The research question is: How do young people experience having a family member in prison? This question is posed within the Scottish policymaking context, in which high rates of imprisonment and reoffending are entrenched problems for the Scottish Government. In relation to children and young people, there has been a focus on the performance measurement of holistic policies accessed through the universal services of health, education and social work. Although there has been a growing awareness of some key issues that affect families affected by imprisonment, concern tends to be focused on parental imprisonment, ignoring wider family relationships. In addition, older teenagers and young adults have largely been overlooked. This stage of development is an important one, because it represents the time when young people make the transition into adulthood. As such, it is highly intertwined with issues relating to self-­‐identity. The thesis addresses the policies that are most relevant to young people, as well as the policies that more generally relate to families affected by imprisonment. It takes an approach informed by critical discourse analysis to critique the construction of young people and families, arguing that Scottish policymaking fails to address the core needs of these young people, and that the Scottish Government only deals with families affected by imprisonment at arms length. This leaves a policy gap, which third sector organisations step in to fill. The research includes empirical data from young people, who described their experience in open-­‐structured interviews. A thematic analysis of the interview data shows the complexity of the emotional state that young people enter when faced with the imprisonment of a parent, sibling or partner. A discussion of the resultant psychological effects, with reference to classic sociology of imprisonment literature, demonstrates that imprisonment is potentially traumatizing, causing feelings of isolation and a sense of being ignored or even silenced. The empirical data also includes semi-­‐structured interviews with professionals from third sector organisations, whose evidence shows that the policy environment presents a number of obstacles that block the way to providing appropriate services to young people. In addition, the topic of family imprisonment is under-­‐explored by the professionals and this increases the risk that young people will feel the need to stay silent. In conclusion, the thesis reviews the theoretical framework, the policymaking environment and the lived experience of the young people and the professionals who work with them to conclude that there is a pressing problem, which is inadequately understood, and which requires the more insightful approach that research such as this can help to inform.

The aim of this study was to investigate the sexual health needs of undergraduate women aged 18-25 years old who were sexually active but not married or cohabiting; in order to put forward recommendations for a health promotion intervention which may be applied in the practice setting. The thesis consists of three linked qualitative studies. The Part 1 study was an in-depth exploration of the women’s sexual lifestyles and behaviours to identify their health promotion needs. This study was conducted using a phenomenological approach employing Interpretative Phenomenological Analysis (IPA). The Part 2 study was the systematic development of theoretically robust, evidence based intervention to respond to the health promotion needs identified in the Part 1 study. The third study was a consultation review of the initial materials with focus groups of undergraduate women aged 18-25 years old. The aim of which was to refine and amend the intervention to reflect the women’s perspectives. To undertake these tasks Intervention Mapping (IM) (Bartholomew et al., 2006) a health promotion programme planning framework was used as a guiding framework for the thesis. This study revealed the women traversed different types of sexual relationships. Within all types of relationships the women reported being risk averse and valued positive sexual health. Where a threat to sexual health was identified, they took action to reduce the threat. The threats identified differed depending on the relationship type. The distinct relationship types presented differing patterns of decision making, influenced by their values, emotional salience of the relationships and perception of sexual health risk. As such the different sexual health practices presented differing sexual health challenges and health promotion needs. This thesis suggests a quaternary model of female sexual agency outlining four distinct types of relationships - type (1) sexual debut and initial relationships, characterised by high emotion, type (2) casual sexual relationships, characterised by increasing sexual confidence and hedonistic attitudes, type (3) established but not permanent relationships, characterised by relationship stability but not sexual exclusivity (i.e. biological concurrency/behavioural concurrency) and type(4) marriage/cohabitation type relationships, characterised by increased sexual exclusivity. Many women described moving from type 1 relationships into type 2 relationships and then onto a type 3 relationship. However, once beyond type 1 the relationship types were not linear, the women described movement back and forth between type 2 and type 3 relationships. These were frequently with different partners, but could be with the same partner, for example; previous type 3 partners (established) could become a type 2 (casual partner). The study brought to light differing social constructs and expressions of female sexuality and sexual agency within the different relationship types. This enabled the identification of risk behaviours and their determinants, which in turn facilitated the process of intervention development. This enabled the creation of a tailored response to the women’s sexual health needs; thereby assisting the women to make fully informed contraceptive and sexual health choices. The study revealed how each step of the IM process contributes to the whole, augmenting the potential efficacy of the health promotion tools produced.

Training stress in the absence of adequate recovery has been associated with a decrease in well-being and performance. Thus, there is potential for the high training and competition loads that elite English youth football players experience to have a negative effect on wellbeing and performance. The aim of the thesis was to assess the utility of well-being and physical performance assessments in managing the development of elite English youth football players. The first study (Chapter 4) examined the sensitivity of a subjective well-being questionnaire (WQ; developed ‘in-house’ by sport science practitioners at a category two academy and only taking < 30 s to complete), by comparing the player’s next day responses between two acute training bouts of varied duration; 15 mins (low load) compared to 90 mins (high load) high intensity intermittent exercise (Loughborough intermittent shuttle test, LIST). WQ items showed small to large deteriorations following the high load compared to low load (d=0.4-1.5, P=0.03-0.57). The ability of the WQ to differentiate between responses to high and low training loads indicated that this questionnaire could be used to detect training induced stress prior to training on a daily basis throughout the season. Other modes of monitoring assessment evaluated were either not sensitive to differentiate between high and low loads (countermovement jump; CMJ) or detected differences between high and low training load responses (HR indices) but lacked utility in detecting individual changes. The second study (Chapter 5) applied well-being and physical performance assessments to elite English youth football players during a high intensity, low volume pre-season training period. Trivial changes in perception of WQ items of sleep, recovery, appetite, fatigue, stress and muscle soreness were observed across weeks (P=0.35-0.93, 2 P  =0.02-0.08) with no negative WQ responses evident. Internal training load was lower to a large extent in week 1 (P= < 0.001, 2P  =0.54) yet no differences in internal training load were evident across weeks two, three, four and five. Trivial to small associations (r=-0.21 to 0.19) between internal training load and WQ responses were observed. Small to moderate improvements in aerobic performance were evident post training in comparison with pre training (P < 0.001-0.53, d= 0.33 – 0.94) with a large to moderate improvement in submaximal HR measures (P < 0.001 – 0.09; 2 P  = 0.34 - 0.74) observed across the training weeks. Trivial to moderate impairments in neuromuscular performance were evident post training in comparison with pre training (P < 0.001 – 0.21; d=0.17 – 1.00). Collectively, the preservation of well-being prior to each training session during a pre-season period and improvements in aspects of physical performance were indicative of a balance between stress and recovery. The third study (Chapter 6) examined player perceptions of well-being and physical performance across a season in Elite English youth football players. Increases in training exposure (P < 0.05; 2 P  =0.52) and moderate to large deteriorations in perceptions of well-being (motivation, sleep quality, recovery, appetite, fatigue, stress, muscle soreness P < 0.05; 2 P  =0.30-0.53) were evident as the season progressed. A large improvement in Yo-Yo intermittent recovery test performance (Yo-Yo IRT; P < 0.05; 2 P  =0.93) and a small to moderate impairment in neuromuscular performance (P > 0.05; 2 P  =0.18 - 0.48) was observed as the season progressed. These findings show an imbalance between stress and recovery in English elite youth football players even when players experienced lower training exposure than stipulated by the elite player performance plan (EPPP). In summary, this thesis highlights the potential utility of subjective well-being assessments to inform the management English elite youth football player development. Furthermore, it highlights the high training volumes that English elite youth players are exposed can potentially lead to an imbalance between stress and recovery.

This thesis presents findings from a longitudinal study of young people living in poverty providing a unique insight into their lives. The research set out to explore three themes, namely how young people end contact successfully (or not) from support, their experiences of the ‘transition to adulthood’ and also what triggered, helped and hindered those who were trying to desist from offending. It was revealed that a small number never left Includem’s Transitional Support, a unique service set up in Scotland providing emotional and practical help for vulnerable young people in this age group. For those who did leave, many had limited to no other support in their lives and were reluctant to ask for help again even when they were in real need. They were all acutely aware of their precarious situation. ‘Adulthood’ denoted certainty for them and was not viewed as a feasible destination. Members of the group dealt with this differently. Almost all retained hope of achieving their goals and in doing so suffered a form of ‘cruel optimism’, conversely, a smaller number scaled back on their aspirations, sometimes even to the extent of focusing on their immediate day to day survival. Over the course of the study most participants became more hopeless, isolated and withdrawn. Although they still wanted to achieve their original ambitions of having a job, own place and being settled this appeared less likely over time. A key finding from this study is that those who managed least had accepted the idea that independence was about ‘going it alone’ and proving oneself by oneself, but on the other hand, those who coped better viewed independence as being interdependence and welcomed help from others. It emerged that those who had offended had done so to achieve a sense of belonging, rejected by home and education. By desisting they moved from having some element of status and respect to then living a legitimate but often impoverished existence overshadowed by their past. This study opens up a series of questions about the pains of desistance and the pains of poverty. It is suggested that considering desistance and adulthood in terms of citizenship would emphasise the individual’s and societies interdependence so that rights, responsibilities and potential are recognised. At present, I argue that there is a mutual dismissal. Society dismisses impoverished youth and they in turn do not see that society holds anything for them. I call for renewed hope so that inaction and continued poverty and inequality are not rendered inevitable, and for criminologists to also embrace the idea of interdependence so that this issue is dealt with beyond the parameters of this field.

Dissertação (Mestrado em Engenharia Mecânica) - Centro Universitário da FEI, São Bernardo do Campo, 2015

The purpose of this online cross-sectional study was to identify cannabis user profiles by administration method and examine how differential cannabis policies influence intentions among young adults. Participants were assigned randomly to one of three hypothetical cannabis policy conditions (recreationally legal; medically legal; illegal). Within conditions, participants completed measures regarding cannabis use, including administration methods, cannabis attitudes, norms, perceived behavioral control, self-efficacy, and intentions. Latent class analysis (LCA) was used to determine sub-groups of past 30-day cannabis users by administration method followed by sub-group comparisons. Condition effects on intentions and associated variables were examined using ANCOVA. Four classes (Low-Blunt, Low-Bong, Mod-Poly, High-Poly) differing in demographics and tobacco use were identified. Recreationally and medically legal policy conditions resulted in more favorable cannabis attitudes, higher selfefficacy, and higher intentions to use compared to the illegal policy condition. Results inform cannabis intervention efforts and longitudinal research on the effects of cannabis policy changes.

There are numernus social, emotional, and behavioral problems toddlers and preschool children can exhibit. Some of the more common problems reported by parents of young children are daytime behavior problems and sleep disturbances. This study investigated sleep difficulties in toddler and preschool-age children with (n = 31) and without (n = 59) significant behavior problems. Furthermore, the current study investigated the relationship between sleep difficulties and other psychological constructs (i.e., maternal general stress, maternal depression, and parenting stress), which might be related to sleep and behavior problems. Mothers of clinically referred children with behavior problems and nonclinically referred children without behavior problems completed measures regarding their children's sleep and behavior as well as their own general stress, parenting stress, and depressive symptomology. Overall, children with behavior problems showed significantly more sleep difficulties than children without behavior problems. Specifically, when compared to children without behavior problems, children with behavior problems took more time to initiate sleep, showed increased bedtime resistance, had more night wakings, and had shorter sleep durations. Additionally, the results showed that other factors (i.e., maternal depression, family stress, parent-child relationship stress) likely contribute to and/or maintain sleep disturbances in children. The findings from this study suggest a complex relationship between childhood sleep, daytime externalizing behaviors, and maternal health. Potential clinical implications of these findings and future directions for research are discussed.

Previous research has shown that social media impacts people's identities as well as their online communication as they maintain their online friendships. This study strives to further examine the relationship between daily Instagram usage in young adults’ life and its effect on their friendships and identities. The purpose of this study is to create an understanding of how young Instagram users' friendships function today, in order to achieve an understanding about the nature of the friendships as well as create an appreciation on whether Instagram usage influences a person's identity. The study is conducted through in-depth interviews with six young adults aged between 18-22 years. We analyze our respondents’ friendships through the application of Hartmut Rosa's framework, which describes the accelerating society (2014) and Sherry Turkle’s (2017) discussion on how friendships are affected by social media and not least the significant use of mobile phones. We found in our study that young Instagram users both have pure relationships as described by Anthony Giddens (1999) as well as superficial relationships. We also found that the character of the relationship depends on whether it occurs in real life or online through Instagram. Our study suggests that Instagram usage does not prohibit pure relationships but rather supplement them with superficial relationships that occur via Instagram. In addition, Instagram is utilized to present a desired identity (Goffman 2011). The users are to different degrees aware of whether this is their “true” identity or just a way of making an “impression”. Goffman (2011) is implying that the everyday presentation effect the self-image in different ways. / Tidigare forskning har visat att sociala medier påverkar människors identitet och deras online kommunikation, då de bibehåller sina vänskapsrelationer där. I denna studie fortsätter vi på denna forskningslinje och studerar unga vuxna som använder Instagram dagligen, för att se hur Instagram eventuellt påverkar deras vänskapsrelationer och identitet. Syftet med denna studie blir därmed att skapa förståelse för hur unga instagramanvändares vänskapsrelationer ser ut idag, detta för att studera vänskapsrelationernas karaktär samt om eventuellt identitetsskapande sker via användningen av Instagram. Vi undersöker detta genom kvalitativa intervjuer med sex unga vuxna i åldrarna 18–22. För att analysera detta använde vi oss av Hartmut Rosas teori om det accelererande samhället (2014) samt Sherry Turkles (2017) diskussion om hur vänskapsrelationer påverkas av sociala medier och inte minst mobilanvändningen. Resultatet av vår studie är att unga instagramanvändare har både rena relationer som Anthony Giddens (1999) beskriver samt ytliga. Relationernas karaktär är beroende av om de äger rum i verkligheten eller online via Instagram. Vi föreslår därför att instagramanvändningen inte utesluter rena relationer, men att de kompletteras med ytliga relationer som utspelar sig och bibehålls online. Resultatet gällande identiteten visar att individer tydligt skapar sina identiteter via instagram, dock är de olika medvetna om det, vilket är något som vi analyserar genom Goffmans (2011) teori om presentationen av jaget.