Doctoral Dissertation Research: Intersections of The Mind and the Body in Hospital-Based Violence Intervention Programs

该奖项的全部或部分资金来自《2021年美国救援计划法案》(公法117-2)。暴力对某些社区的影响不成比例。向受暴力影响的个人和社区提供支助的方式往往是基于一刀切的模式，没有考虑到个人和社区一级的属性如何影响对干预措施的反应。这项博士论文研究利用医学和心理人类学的理论来研究基于医院的暴力干预计划如何与个人属性和个人的暴力和治疗概念相交叉，从而影响经历过创伤性暴力的个人的健康和幸福感。通过这样做，该项目提供了对在暴力伤害中幸存下来的个人经历的背景信息的了解，为促进改善HVIP的招募、保留和规划提供了见解。这项研究培养了一名文化人类学科学和方法的博士生，并将向学术和非学术受众以及感兴趣的利益攸关方广泛传播成果。本研究以人类学的情绪、关怀、体验性和应得性理论为基础，通过三个具体目标来考察情感体验如何影响个人的不适、幸福和与暴力伤害相关的疾病的感受：1)描述创伤后应激障碍在HVIP环境中的情绪体验；2)理解HVIP如何概念化暴力并鼓励应对策略；3)考察暴力概念如何与护理和患者反应的概念相互作用，从而影响健康、福祉和获得心理社会支持。在处理重大创伤性暴力患者负荷的两个创伤中心内，使用混合方法来调查这些问题。这些方法包括参与者观察、人种学访谈、有效的心理健康量化测量，以及相关人口统计数据的描述性统计。这些发现提供了受影响的个人理解和解释他们的情绪的方式，以提供受害者经历的暴力条件的替代理论。这一裁决反映了NSF的法定使命，并通过使用基金会的智力价值和更广泛的影响审查标准进行评估，被认为值得支持。

This award is funded in whole or in part under the American Rescue Plan Act of 2021 (Public Law 117-2).Violence disproportionately affects certain communities. The ways by which support is offered to individuals and communities affected by violence is often based on one-size-fits-all models that fail to consider how individual- and community-level attributes affect responses to interventions. This doctoral dissertation research uses theory from medical and psychological anthropology to frame an investigation of how hospital-based violence intervention programs (HVIPs) intersect with individual attributes and personal concepts of violence and healing to impact health and well-being among individuals who have experienced traumatic violence. In doing so, this project offers a contextually informed understanding of the experiences of individuals who survive violent injury, offering insights to facilitate improvement of HVIP recruitment, retention, and programming. This research trains a doctoral student in cultural anthropological science and method and will disseminate results widely to academic and non-academic audiences and interested stakeholders. This research builds upon and extends anthropological theories of emotion, care, embodiment, and deservingness to investigate how affective experiences influence personal feelings of discomfort, wellbeing, and illness related to violent injury via three specific objectives: 1) characterizing the emotional experiences of PTSD in HVIP settings; 2) understanding how HVIPs conceptualize violence and encourage coping strategies; and 3) examining how concepts of violence interact with concepts of care and patient response to impact health, well-being, and access to psycho-social support. A mixed methods approach is used to investigate these issues within two trauma centers dealing with significant traumatic violence patient loads. The methods include participant observation, ethnographic interviews, validated quantitative measures of mental health, and descriptive statistics of relevant demographic data. The findings inform the ways in which affected individuals understand and interpret their emotions to provide alternative theorizations of conditions of violence as experienced by victims.This award reflects NSF's statutory mission and has been deemed worthy of support through evaluation using the Foundation's intellectual merit and broader impacts review criteria.