Graduate Theses & Dissertations

What’s the trouble with women? Fostering female engagement in substance abuse programming
Although Canada’s healthcare system is designed for everyone to access services regardless of the person’s gender, age, or income, there are significant barriers for individuals accessing substance abuse services that live in areas outside of urban centres (Adbool, et al., 2017; Hardill, 2011). Women are particularly stigmatized by the lack of anonymity in smaller communities and often avoid engaging in substance abuse programs (Ashley, Marsden, & Thomas, 2003). The aim of the current thesis was to explore RedPath, a grassroots initiative in Port Hope, Ontario, geared to engaging individuals and encourage them to participate in substance abuse programming. This initiative employs a member from the community, called an Activator, who is tasked with engaging their peers. A qualitative study was conducted to explore the role of a hired RedPath Activator in facilitating access of female community members with substance abuse issues to services in the Port Hope community. Her role in supporting women was a specific interest, as the selection of a female Activator was a strategy to support the engagement of women to the program. The data was analyzed using a thematic content analysis approach. The most significant of these themes were (1) barriers and challenges in the community and (2) building trust to facilitate engagement and maintain attendance in the program. Author Keywords: activator, community, mental health, substance abuse, woman, women
It’s a Mad, Mad, Mad, Mad World
The purpose of this study was to understand the lived experiences of mental health and illness in Kuwait. Twenty-six participants were interviewed, including mental health professionals, family physicians, and service users. Findings suggest that inequality, oppression, and human rights violations may drive mental health issues in Kuwait. However, rather than addressing these factors, many healthcare providers are endorsing psychological testing and psychiatric medication, which may be resulting in the same iatrogenic (physician-induced) drug dependence that is seen in North America. An analysis of mainstream psychological theory, research and practice is provided, along with a bioethical critique of the World Health Organization’s efforts to reduce the global ‘burden’ of mental disorders. This study cuts across disciplinary boundaries and 1) supports medical anthropologists’ criticisms of the ‘advancement’ of global mental healthcare; 2) provides participant-driven, community-based alternatives that are specific to Kuwait; and 3) informs culturally defined notions of ‘care’ and ‘ethics’. Author Keywords: Clinicians' narratives, Critical Psychology, Human rights, Kuwait, Qualitative research, Transcultural psychiatry
Childhood Precursors of Adult Trait Incompleteness
Previous research has suggested that childhood sensory sensitivity may predict adult obsessive compulsive (OC) behaviours. To date, however, research has not addressed how the separate dimensions – harm avoidance and incompleteness - may influence this relationship or why it exists. The current study used a retrospective design to test a) if sensory sensitivity in childhood predicts trait incompleteness in adulthood, as well as b) if emotion regulation variables mediate this relationship. Questionnaires pertaining to OC dimensions and childhood anxieties were completed independently by 172 undergraduate participants and their primary childhood caregiver. Results showed a linear relationship between sensory sensitivity in childhood and incompleteness in adults. Emotion regulation variables failed to mediate this relationship, although a trend for mediation was present. Additionally, exploratory analysis found perfectionism in childhood to be a predictor of trait incompleteness but not harm avoidance, whereas physical anxieties predicted harm avoidance and not incompleteness. Results are discussed in the context of clinical and theoretical implications. Author Keywords: Distress Tolerance, Harm Avoidance, Incompleteness, Obsessive Compulsive Disorder, Sensory Sensitivity, Symmetry

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2011 - 2021
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