Thèse (Ph. D.)--Université Laval, 2002. / Bibliogr.: f. 159-168. Publié aussi en version électronique.

Thesis (Ph.D.)--University of Missouri-Columbia, 2004. / Typescript. Vita. Includes bibliographical references (leaves 119-136). Also available on the Internet.

Thesis (D. Min.)--Gordon-Conwell Theological Seminary, South Hamilton, MA, 2004. / Abstract and vita. Includes bibliographical references (leaves 107-108).

Diss.--Fachbereich Kulturgeschichte und Kulturkunde--Universität Hamburg, 1997. Titre de soutenance : Wilde Ehen. Zur Lebensweise der Unterschichten zwischen städtischer Bevölkerungspolitik und polizeilicher Repression. Die Freie Hansestadt Hamburg und ihre Schwesterstädte Bremen und Lübeck 1814-1871. / Bibliogr. p. 521-544.

Magister Public Health - MPH / Background: HIV counselling and testing is important as a gateway to accessing prevention, treatment, care and support services. Studies have shown that couples who are married or are in a stable heterosexual relationship are at risk of transmitting HIV infection to each other if one partner is infected. The uptake of couples counselling and testing (CHCT) by males in Livingstone is very low despite the fact that they are the decision makers in most homes. Aim: The aim of the study was to assess the factors determining the uptake of CHCT amongst males in a long term heterosexual relationship who came to a health facility for HIV counselling and testing in Livingstone, Zambia and their perceived benefits of CHCT. Methodology: A case control study was conducted with cases being men age 21 years and above, who were married/cohabiting or were in a steady heterosexual relationship for six months and more and had jointly tested for HIV as a couple, and controls were men age 21 years and above, who were married/cohabiting or were in a steady relationship for six months and more and came to be tested for HIV alone without a partner. The structured questionnaires were administered to a total of 294 participants (147 controls, 147 cases) who were recruited from three public health facilities and one private facility in Livingstone between August and September 2013.Results: The only 2 factors independently associated with testing for HIV via CHCT was, talking about HIV as a couple‟ which positively affected CHCT and „had a previous HIV test as a couple‟ which negatively affected CHCT. Findings indicate that „talk about HIV as a couple‟ was a strong independent predictor of CHCT in the multivariate analysis; however it was uncertain whether it was a predictor of CHCT or a consequence of CHCT. It is probable that having already „had a previous HIV test as a couple‟ the participants would not see the need for testing via CHCT again. Other factors that were significantly associated with uptake of CHCT on bivariate analysis but were not significant on multivariate logistic regression analysis included those that are associated with a greater likelihood of CHCT: think CHCT is beneficial /useful, know partners HIV status, know positive things about CHCT and talk about sexual issues as a couple. Other factors negatively associated with uptake of CHCT were: ever tested for HIV before, informed partner about HIV status, think partner is at risk of contracting HIV, think self is at risk of contracting HIV, low self-risk-rating of HIV infection and marital status. Conclusion: The decision for a couple to go for CHCT is probably relatively complex, because most of the factors measured were linked to each other and it was difficult to separate them to identify if a factor on its own was able to influence the uptake of CHCT. However a couple that communicates with each other about HIV issues is likely to be motivated to go for CHCT.

There is increasing acknowledgement that problematic interpersonal relationships and negative emotions are key factors in the development and maintenance of various forms of psychopathology. Emotionally Focused Therapy (EFT) for couples centers on changing attachment behaviours as a means to improve distressed relationships by helping partners access underlying emotions and foster positive interactions that promote accessibility and trust. EFT is a highly effective therapeutic approach that encourages the development of adaptive emotion regulation observed in secure attachment. The development and emergence of non-invasive neuroimaging techniques, in particular functional magnetic resonance imaging (fMRI), provides a unique opportunity to investigate neural adaptations underlying successful psychotherapeutic change. Eighteen distressed couples received an average of 23 sessions of EFT, and the resulting functional and structural differences in the neural processing of threat were investigated before and after therapy using MRI methods. Female participants engaged in a stressful task in which they were confronted with the threat of electric shock, while they held their partner’s hand, a stranger’s hand, or were alone in the scanner. Results offered preliminary evidence that EFT can significantly impact emotional dysregulation, promote attenuation of neural threat by their partner, and result in structural change in a key region of emotion circuitry. Moreover, physiological data demonstrated that following EFT for couples, female partners were effectively soothed by their male partners, as demonstrated by decreased cortisol levels.

While a substantial number of studies exist in the medical and mental health fields reflecting the physical and psychological implications for couples with chronic back pain, studies thus far have focused on the independent perceptions of each partner. Research investigating how couples jointly perceive the impact of chronic back pain on their relationship is absent. This qualitative study explored eight couples' joint perceptions of how chronic back pain has impacted their relationship. Using thematic analysis, dominant themes to emerge included (1) relationship changes, (2) influential relationship factors, and (3) making sense of pain. Limitations of the study as well as future research and clinical implications are also discussed. / Master of Science

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This study explores the experience of couples, married five or more years, of the Preventative and Relationship Enhancement Program (PREP). This study examined specific skills the couplesâ gleaned from the workshop, as well as, the relational impact that PREP had on the couples' marriage. Six couples were surveyed, ranging in age from mid-forties to mid-fifties and ranging in years married from 8.5 to 29 years. Content analysis was employed to examine the data. Two themes emerged—motivation and impact, and results were organized under these themes. Clinical implications were identified concerning working with couples married five or more years in therapy and future research is discussed. / Master of Science