The institutional and archival social ecologies of a state mental hospital’s records, 1870 to present

In this dissertation, I construct the social ecologies of records from a state mental institution in order to explicate the impact and value of the records to different groups and individuals over time, with a focus on the social implications of the organizational records becoming archival objects. I engage with the repercussions of the Health Insurance Portability and Accountability Act of 1996 on the access of health information, and posit what are the social complexities underlying potentially sensitive institutional records in general. My research site is a still-active facility that arose out of the Reconstruction South, and exclusively served the state’s African American population until it was desegregated after the Civil Rights Act of 1964. Through the theoretical frameworks of social constructionism, and specifically Actor-Network Theory, I examine the discursive work that mental hospital records perform in order to mediate relationships between people. The design of the research is rooted in sociological and archival activist research so that I can focus purposefully on the power inequalities and silent participants within record ecologies. I collected data for my study from archival registers and minutes from several distinct eras in the hospital’s history and from interviews with people who currently have or had substantive connections to the creation, management, or use of the archival collection, including former and current facility personnel. In order to construct themes from the data, I use grounded theory with an emphasis on situational analysis and critical discourse analysis. By employing multiple means of analysis, I form a longitudinal picture of the human and non-human participants involved in record-creation and record-keeping work at the hospital. I also develop several major themes, including accountability, classification, the development of psychiatry, and power, which point to the overarching institutional use of records to help bureaucratic bodies control various populations and maintain hierarchies. In illustrating how the records support and perpetuate hegemonic structures, I advocate for a pluralization of the stakeholders who have the right to be included in the discussions about if and how the historical records are to be preserved and accessed.  Informatio

Family Participation and Involvement in Early Head Start Home Visiting Services: Relations with Longitudinal Outcomes Executive Summary

Home visiting is an intervention approach used widely to provide individualized services to families living in poverty and children facing risks for poor development. Home visiting programs are often, by design, an indirect means to promote healthy child development and employ a variety of strategies ranging from checking child health and safety to encouraging positive parenting to helping parents access education and employment opportunities. Most home visiting programs, however, state that promoting child development is their overarching goal. Most home visitors work with parents to facilitate “developmental parenting,” a term introduced by Roggman, Boyce, and Innocenti (2008) to describe healthy parent-child interactions likely to support positive outcomes for their children. Promoting developmental parenting captures the overall approach of Early Head Start (EHS) home-based programs (Administration on Children and Families, 2002), the focus of this report

Sensory Communication

Contains table of contents for Section 2, an introduction, reports on nine research projects and a list of publications.National Institutes of Health Grant 5 R01 DC00117National Institutes of Health Grant 2 R01 DC00270National Institutes of Health Grant 1 P01 DC00361National Institutes of Health Grant 2 R01 DC00100National Institutes of Health Grant FV00428National Institutes of Health Grant 5 R01 DC00126U.S. Air Force - Office of Scientific Research Grant AFOSR 90-200U.S. Navy - Office of Naval Research Grant N00014-90-J-1935National Institutes of Health Grant 5 R29 DC0062

Sensory Communication

Contains table of contents for Section 2, an introduction, reports on ten research projects and a list of publications.National Institutes of Health Grant 5 R01 DC00117National Institutes of Health Grant 5 R01 DC00270National Institutes of Health Grant 5 P01 DC00361National Institutes of Health Grant 2 R01 DC00100National Institutes of Health Grant 7 R29 DC00428National Institutes of Health Grant 2 R01 DC00126U.S. Air Force - Office of Scientific Research Grant AFOSR 90-0200U.S. Navy - Office of Naval Research Grant N00014-90-J-1935National Institutes of Health Grant 5 R29 DC00625U.S. Navy - Office of Naval Research Grant N00014-91-J-145

Communications Biophysics

Contains reports on seven research projects split into three sections, with research objective for the final section.National Institutes of Health (Grant 2 PO1 NS 13126)National Institutes of Health (Grant 5 RO1 NS 18682)National Institutes of Health (Grant 1 RO1 NS 20322)National Institutes of Health (Grant 1 RO1 NS 20269)National Institutes of Health (Grant 5 T32 NS 07047)Symbion, Inc.National Institutes of Health (Grant 5 RO1 NS10916)National Institutes of Health (Grant 1 RO1 NS16917)National Science Foundation (Grant BNS83-19874)National Science Foundation (Grant BNS83-19887)National Institutes of Health (Grant 5 RO1 NS12846)National Institutes of Health (Grant 5 RO1 NS21322)National Institutes of Health (Grant 5 RO1 NS 11080

Communications Biophysics

Contains research objectives and reports on eight research projects split into three sections.National Institutes of Health (Grant 2 PO1 NS13126)National Institutes of Health (Grant 5 RO1 NS18682)National Institutes of Health (Grant 5 RO1 NS20322)National Institutes of Health (Grant 1 RO1 NS 20269)National Institutes of Health (Grant 5 T32 NS 07047)Symbion, Inc.National Institutes of Health (Grant 5 R01 NS10916)National Institutes of Health (Grant 1 RO NS 16917)National Science Foundation (Grant BNS83-19874)National Science Foundation (Grant BNS83-19887)National Institutes of Health (Grant 5 RO1 NS12846)National Institutes of Health (Grant 1 RO1 NS21322-01)National Institutes of Health (Grant 5 T32-NS07099-07)National Institutes of Health (Grant 1 RO1 NS14092-06)National Science Foundation (Grant BNS77-21751)National Institutes of Health (Grant 5 RO1 NS11080

Communication Biophysics

Contains reports on six research projects.National Institutes of Health (Grant 5 PO1 NS13126)National Institutes of Health (Grant 5 RO1 NS18682)National Institutes of Health (Grant 5 RO1 NS20322)National Institutes of Health (Grant 5 R01 NS20269)National Institutes of Health (Grant 5 T32NS 07047)Symbion, Inc.National Science Foundation (Grant BNS 83-19874)National Science Foundation (Grant BNS 83-19887)National Institutes of Health (Grant 6 RO1 NS 12846)National Institutes of Health (Grant 1 RO1 NS 21322

Screening ethnically diverse human embryonic stem cells identifies a chromosome 20 minimal amplicon conferring growth advantage

The International Stem Cell Initiative analyzed 125 human embryonic stem (ES) cell lines and 11 induced pluripotent stem (iPS) cell lines, from 38 laboratories worldwide, for genetic changes occurring during culture. Most lines were analyzed at an early and late passage. Single-nucleotide polymorphism (SNP) analysis revealed that they included representatives of most major ethnic groups. Most lines remained karyotypically normal, but there was a progressive tendency to acquire changes on prolonged culture, commonly affecting chromosomes 1, 12, 17 and 20. DNA methylation patterns changed haphazardly with no link to time in culture. Structural variants, determined from the SNP arrays, also appeared sporadically. No common variants related to culture were observed on chromosomes 1, 12 and 17, but a minimal amplicon in chromosome 20q11.21, including three genes expressed in human ES cells, ID1, BCL2L1 and HM13, occurred in >20% of the lines. Of these genes, BCL2L1 is a strong candidate for driving culture adaptation of ES cells

A genome-wide association study of anorexia nervosa

Anorexia nervosa (AN) is a complex and heritable eating disorder characterized by dangerously low body weight. Neither candidate gene studies nor an initial genome wide association study (GWAS) have yielded significant and replicated results. We performed a GWAS in 2,907 cases with AN from 14 countries (15 sites) and 14,860 ancestrally matched controls as part of the Genetic Consortium for AN (GCAN) and the Wellcome Trust Case Control Consortium 3 (WTCCC3). Individual association analyses were conducted in each stratum and meta-analyzed across all 15 discovery datasets. Seventy-six (72 independent) SNPs were taken forward for in silico (two datasets) or de novo (13 datasets) replication genotyping in 2,677 independent AN cases and 8,629 European ancestry controls along with 458 AN cases and 421 controls from Japan. The final global meta-analysis across discovery and replication datasets comprised 5,551 AN cases and 21,080 controls. AN subtype analyses (1,606 AN restricting; 1,445 AN binge-purge) were performed. No findings reached genome-wide significance. Two intronic variants were suggestively associated: rs9839776 (P=3.01×10−7) in SOX2OT and rs17030795 (P=5.84×10−6) in PPP3CA. Two additional signals were specific to Europeans: rs1523921 (P=5.76×10−6) between CUL3 and FAM124B and rs1886797 (P=8.05×10−6) near SPATA13. Comparing discovery to replication results, 76% of the effects were in the same direction, an observation highly unlikely to be due to chance (P= 4×10−6), strongly suggesting that true findings exist but that our sample, the largest yet reported, was underpowered for their detection. The accrual of large genotyped AN case-control samples should be an immediate priority for the field