Transmission, Legitimation, and Adaptation: A Study of Western Lamas in the Construction of ‘American Tibetan Buddhism’

This thesis presents a study of the role of western lamas within Tibetan Buddhism in America, arguing that the role of the lama is as an influential and central aspect in the development and transformation of the Tibetan Buddhist tradition in the west. This thesis argues how western lamas holding a position of authority act as a catalyst of change within their group and in the overall process of change and adaptation of the Tibetan Buddhist tradition in America, creating what may become ‘American Tibetan Buddhism.’ Three relevant areas regarding the role of the lama within the transforming tradition are identified: 1) the basis of authority of the lama, or how authority is obtained; 2) the use of such authority as a tool for change; and 3) transmission of the teachings and lineage.

Knowledge of HIV transmission risk behavior, and perceptions of risk among Haitian women living in Miami, Florida

This study was conducted to gain a more comprehensive understanding of HIV risk among Haitian women. The variables measured were: knowledge of HIV transmission, sexual risk behaviors, and perceptions of risk among Haitian women. The sociocultural aspect of the Haitian women's lives with regard to their risky behaviors was also examined. A total of 101 Haitian women (aged 25-53) who attended two comprehensive health clinics were interviewed. A combined questionnaire derived from both the ARM-Q and the RBA was used. In general, the women had good knowledge of the sexual transmission of HIV I AIDS and indicated that they were susceptible to HIV infection. However, knowledge and perceptions of risk were not translated into sexual risk-reduction behaviors with their partners. Multiplicity of partners and low incidence of condom use were the two major sexual risk factors isolated in this study. Results indicate Haitian women were more likely to use condoms if they possessed greater HIV knowledge and their sexual partners held more positive attitudes toward using condoms. Also, Haitian women may have failed to protect themselves because behavior changes could have involved threats to their social and economic survival, relationships and culturally sanctioned roles. This suggests the need to include male partners in HIV prevention interventions with Haitian women. Future research should focus on preventing high-risk behavior by improving knowledge, altering the male partners' attitudes toward condoms, and enhancing communication and negotiation skills. Nursing implications and recommendations for culturally sensitive and relevant AIDS prevention efforts are discussed.