Doctoral Dissertation Research: Violence, Structural Inequality, and Institutionalization

从19世纪庇护的兴起到20世纪50年代的去机构化努力，美国的州立医院在从业者、政府官员和公众中引起了相当大的讨论。这个博士论文项目将通过对过去被机构收容的人的骨骼分析来研究机构收容的生物学影响。这项研究将推进我们对制度化的理解，超越仅仅从历史记录中收集的内容，并为未来的生物人类学研究提供一个框架，以纳入跨学科的方法。这项研究可能会提高人们的心理健康意识，并提出了一种创新的方法，将过去制度化样本中的健康差异与现代精神病治疗联系起来。该项目将支持研究生培训以及公众和后裔社区的科学engagement.This论文研究使用骨骼样本从庇护在四个州（科罗拉多，密西西比，密苏里州，和俄亥俄州），以了解监禁如何影响制度化妇女的健康和它是如何差异体现在整个祖先和地理区域。在生物考古学中，证据可以通过不同的骨骼病理学来观察，这些病理学反映了人们在生活中所经历的负面条件的健康差异。该分析将侧重于骨骼创伤、疾病和骨折分析，将通过分层对数线性分析和二项逻辑回归进行统计学检查。该项目强调了过去的心理制度化在其社会文化和历史背景下的异质性生理影响。它调查了机构化地理样本中是否存在骨骼健康和流行病学差异或趋势，并试图确定非裔美国人和欧洲人之间的创伤和疾病模式是否存在差异。美国团体的存在是为了深入了解种族主义和种族隔离在机构设置的影响。这个奖项反映了NSF的法定使命，并已被认为是值得通过评估使用的支持，基金会的学术价值和更广泛的影响评审标准。

State hospitals in the United States have generated considerable discussion among practitioners, government officials, and the general public, from the rise of the asylum in the 19th-century through deinstitutionalization efforts originating in the 1950s. This doctoral dissertation project will examine the biological impact of institutionalization through skeletal analysis of persons who were institutionalized in the past. The research will advance our understanding of institutionalization beyond what can be gleaned from historical accounts alone, and offers a framework for future biological anthropology research to incorporate interdisciplinary approaches. The research may raise mental health awareness and presents an innovative method of linking health disparities in past institutionalized samples to modern-day psychiatric treatment. The project will support graduate training as well as public and descendant community science engagement.This dissertation research uses skeletal samples from asylums in four states (Colorado, Mississippi, Missouri, and Ohio) to understand how incarceration impacts institutionalized women’s health and how it is differentially embodied across ancestry and geographical region. In bioarchaeology, evidence can be seen through varying skeletal pathologies that reflect health disparities indicative of negative conditions that people endured during life. The analysis will focus on skeletal trauma, disease, and fracture analysis which will be statistically examined through hierarchical log-linear analysis and binomial logistic regression. The project highlights the heterogeneous physiological impact of past mental institutionalization in their socio-cultural and historical contexts. It investigates whether skeletal health and epidemiological differences or trends exist across institutionalized geographical samples and attempts to determine if differences in trauma and disease patterns between African-American and Euro-American groups are present in order to gain insight into the impact of racism and segregation within the institutional setting.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.