Theses and Dissertations from UMD

Permanent URI for this communityhttp://hdl.handle.net/1903/2

New submissions to the thesis/dissertation collections are added automatically as they are received from the Graduate School. Currently, the Graduate School deposits all theses and dissertations from a given semester after the official graduation date. This means that there may be up to a 4 month delay in the appearance of a give thesis/dissertation in DRUM

More information is available at Theses and Dissertations at University of Maryland Libraries.

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2012 - 20133

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    TRAINING THE BODY FOR HEALTHISM: REIFYING VITALITY IN AND THROUGH THE CLINICAL GAZE OF THE NEOLIBERAL FITNESS CLUB
    (2013) Wiest, Amber Lynn; Andrews, David L; Kinesiology; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)
    Against the backdrop of changing understandings of (public) `health' and `fitness' in the contemporary United States, and through a nuanced critique of healthism (Crawford, 1980; Kirk & Colquhoun, 1989; Skrabanek, 1994), the aim of this project is to investigate how mediated renditions of `healthiness' are constructed and maneuvered in the for-profit fitness industry--and interrogate the non-necessary interrelationship between health, fitness, and (bio)citizenship in the historical present (Grossberg, 2006). This is examined through a critical explication of Amber's experiences and observations drawn from her period of (ethnographic) employment in the fitness industry. Focusing specifically on personal training as a biotechnological and pedagogical tool, we explicate how personal training becomes complicit in the communication of particular "healthist" understandings, which unerringly benefit private enterprise (as well as corroborate a pervasive political individualism) through the normalization of the individual's moral responsibility to embody, practice, and ultimately consume healthist practices and ideologies.
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    Technoscientific Knowledge Practices of Adolescent Mental Health Care Work
    (2013) Nelson, Amber Dawn; Falk, William W.; Sociology; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)
    This study examines the technoscientific knowledge-practices of adolescent psychotherapy. Employing an interpretive, feminist version of grounded theory, 40 interviews with psychotherapists were analyzed. Building on Science and Technology Studies and the Sociology of Health and Illness, the following research questions are asked: How are adolescent mental illnesses defined and approached within and across social worlds? How do practitioners negotiate social processes of diagnosis? In what ways does the Diagnostic and Statistical Manual (DSM) as a technology, shape the diagnostic and treatment work of mental health practitioners? In what ways does Managed Care (MC) shape adolescent mental health care? Social worlds define psychotherapy as an art and science, resist biomedicine and embrace eclectic theoretical orientations to treatment. Psychotherapists utilize Evidence Based Practices (EBPs) in their treatment plans but critique how EBPs privilege scientific evidence over patient subjectivity, social contexts and the therapeutic relationship. Psychotherapists challenge the cultural authority of the DSM and downplay its significance for clinical work. While the DSM is a socially-scripted technology, its significance is interpretively flexible. Psychotherapists employ work-arounds to the problems posed by biomedical and bureaucratic standardization, and participate in processes of cribbing. Cribbing signifies the collective knowledge building and translation work necessary to learn the codes that facilitate therapeutic service authorizations and minimize denials. The DSM technology and MC privilege a therapeutic focus on surface level symptoms and behaviors whereas psychotherapists focus on communication, relational and emotional issues. The assemblage of the DSM and MC creates diagnostic dissonance for psychotherapists--a conflict between their own theoretical orientations and the biomedical model. Biomedicalization processes are uneven and actively resisted. MC governs the clinical practices of psychotherapists. For-profit MC companies have shifted care from intense psychodynamic therapy towards short-term surface level medications and behavioral programs. MC policies limit services, over-manage treatment and harm the therapeutic relationship. MC stratifies providers and patients by encouraging seasoned professionals to leave public forms of insurance. The least experienced practitioners care for those with the most intense mental illness while those with experience opt-out and treat the worried-well.
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    Lifestyle Sex Selection: Reproduction, Transnational Flows, and Inequality
    (2012) Bhatia, Rajani; Thornton Dill, Bonnie; Women's Studies; Digital Repository at the University of Maryland; University of Maryland (College Park, Md.)
    This dissertation examines new practices and technologies of sex selection with a particular focus on the interrelationship between the scientific products that enable these practices; the discursive production of these practices through news media, promotional literature and self-help communication; and the institutional operations of U.S. clinics both within and across national borders. In the late 1990s mass print and television media began heralding the emergence of new technologies as the answer to a long quest for scientifically proven methods for selecting the sex of a child. MicroSort and preimplantation genetic diagnosis gained considerable attention as methods of sex selection that diverged from earlier technologies because they do not require an abortion. Instead, both methods are applied before pregnancy and must be used in conjunction with assisted reproduction such as in-vitro fertilization. Along with the technologies appeared new discourses that make-meaning of these practices and new institutional mechanisms that embed them within a larger phenomenon of cross-(national) border reproductive practices. Using a genealogical approach, I trace how these three processes (material, discursive and institutional) configure a new form of sex selection at the same time as they construct a stratified system of global sex selection practices, contrasting reasonable, lifestyle motivations in the West with gender-biased forms in the East. The research uses qualitative, multi-sited modes of analysis and extends feminist STS scholarship on reproductive technologies by shifting focus to a transnational realm as manifested in what is currently conceptualized as "cross-border" reproductive practices. Against a shifting terrain of transnational reproductive practices, the study aims to displace a dichotomous framing of global sex selection practices that polarizes western from eastern practices with the more varied and complex movements that take place in cross -bordered sex selection. The study examines an emerging form of sex selection as an optic through which to theorize and reframe the meanings and interconnections among reproduction, transnational, and inequality, thereby generating new directions in feminist theorizing on reproduction.