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

该奖项全部或部分由《2021年美国救援计划法案》（公法117-2）资助。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持的方式往往基于一刀切的模式，没有考虑个人和社区层面的属性如何影响对干预措施的反应。本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（hvip）如何与个人属性和个人暴力和治疗概念相交，以影响经历创伤性暴力的个人的健康和福祉。在此过程中，该项目提供了对暴力伤害幸存者经历的背景了解，为促进HVIP招募、保留和规划的改进提供了见解。这项研究将培养一名文化人类学科学和方法方面的博士生，并将成果广泛传播给学术和非学术受众以及感兴趣的利益相关者。本研究建立并扩展了情感、关怀、体现和应得性的人类学理论，通过三个具体目标来研究情感体验如何影响与暴力伤害相关的个人不适、健康和疾病感受：1)描述HVIP环境中创伤后应激障碍的情感体验；2)了解hvip如何概念化暴力并鼓励应对策略；3)研究暴力概念如何与护理和患者反应概念相互作用，以影响健康，福祉和获得心理社会支持。混合方法的方法是用来调查这些问题在两个创伤中心处理显著创伤暴力病人负荷。方法包括参与观察、人种学访谈、有效的心理健康定量测量和相关人口统计数据的描述性统计。研究结果揭示了受影响的个人理解和解释其情绪的方式，从而为受害者所经历的暴力状况提供了另一种理论。该奖项反映了美国国家科学基金会的法定使命，并通过使用基金会的知识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.