Indiana University-Purdue University Indianapolis (IUPUI) / People with severe mental illness (SMI) often suffer from comorbid physical conditions that result in chronic morbidity and early mortality. Physical health decision-making is one area that has been largely unexplored with the SMI population. This study aimed to identify what factors contribute to the physical healthcare decision-making autonomy preferences of persons with SMI, and to identify the impact of these autonomy preferences on medication adherence. Ninety-five adults with SMI were recruited from an integrated care clinic located in a community mental health center. Fifty-six completed a three-month follow-up. Multiple linear regression for hypothesis 1 (n=95) and hierarchical regression for hypothesis 2 (n=56) were used to analyze data on personal characteristics, physical health decision-making autonomy preferences and medication adherence. For the open-ended questions, thematic analysis was used to uncover facilitators and barriers to medication adherence. With this sample, being male predicted greater desired autonomy, and having less social support predicted less desired autonomy. When background characteristics were held constant, autonomy preferences and perceived autonomy support from the physician only contributed an additional 1% of the variance in medication adherence. Lastly, participants reported behavioral factors and having family/personal support to take medications as facilitators to medication adherence for physical health care, while citing financial and other resource limitations as barriers.

Submitted by Filipe dos Santos (fsantos@pucsp.br) on 2018-08-22T12:16:55Z No. of bitstreams: 1 Joseílda do Nascimento Bezerra.pdf: 1137100 bytes, checksum: 57c096979cfb48f6814b8b488d2ac2e0 (MD5) / Made available in DSpace on 2018-08-22T12:16:55Z (GMT). No. of bitstreams: 1 Joseílda do Nascimento Bezerra.pdf: 1137100 bytes, checksum: 57c096979cfb48f6814b8b488d2ac2e0 (MD5) Previous issue date: 2018-04-27 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / The Radio Program has followed the lives of all the people in our country for decades. Especially in places where, at present, digital technologies take place gradually in the daily lives of the elderly, radio continues to be the way people get information, have their entertainment in it, occupy their ears at last, while they are busy with other activities. At this threshold of the 21st century, with the elderly segment experiencing the privilege of longevity, and aspiring to a more active participation in society, a question arises: Will a radio program manage to move the elderly to a more active participation by interacting with your presenter / speaker? Or: Would the elderly participate in a collaborative way with a radio-media directly addressed to those of their age group? It is a qualitative, descriptive-explanatory study, whose answers to the open questions made to the elderly were analyzed according to the interactionist-gerontological approach. The general objective is to describe and evaluate the subjective / social effects / resonances, a proposal involving the production, and the weekly broadcast of a radio program for the elderly, where they have the opportunity to speak out, raising questions and receiving the answers, through their direct participation, in real time. Specific objectives: (i) Introduce the conceptual discussion of media education for aging through radio; (ii) To verify, in the programming offered by the radio, how the production of the most critical and / or more participative content (polemics) is produced, precisely to recover those who say the most about the needs of the elderly; (iii) Explain how programming can promote the participation of the elderly, leading them to be co-producers of the radio program; (iv) To make it more objectively possible for elderly radio listeners to receive answers to their questions about the problematic they are experiencing, including by intensifying intergenerational dialogue in their homes. It was concluded that the elderly, when given the opportunity to present themselves live on a radio program: (i) they receive answers to their questions about the problematic they experience, increasing sociability, intergenerational dialogue; (ii) they began to collaborate pari passu for the construction of specific radio programming, becoming as co-producers in providing ideas for topics to be discussed, gaining, and enthusiasm for the new practice practiced voluntarily; (iii) by this way, these elderly reinforce their socialization, their social emancipation by empowering their autonomy, promoting, in short, the citizenship of these elderly, through these socio-cultural practices of media interaction / O Programa de Rádio acompanhou a vida de todas as pessoas em nosso país, durante décadas. Especialmente em lugares onde, no presente, as tecnologias digitais acontecem de forma gradativa no cotidiano dos idosos, o rádio continua a ser a forma de as pessoas receberem, prontamente, informações, terem nele seu entretenimento, ocuparem seus ouvidos enfim, enquanto continuam ocupados com outras atividades. Neste limiar do século XXI, com o segmento idoso vivenciando o privilégio da longevidade, e aspirando a uma participação mais ativa na sociedade, uma pergunta se coloca: Será que um programa de rádio conseguiria mover os idosos para uma participação mais ativa, ao interagirem com seu apresentador/locutor? Ou: Participariam os idosos de forma colaborativa com uma mídia-rádio diretamente dirigida àqueles de sua faixa etária? Trata-se de um estudo qualitativo, descritivo-explicativo, cujas respostas às questões abertas feitas aos idosos foram analisadas segundo a abordagem interacionista-gerontológica. São Objetivos Gerais: (i) Descrever e avaliar os efeitos/ressonâncias, de ordem subjetivo-social, obtidos por meio da idealização de uma proposta de produção e veiculação semanal de um programa de rádio, destinado ao segmento idoso; (ii) Possibilitar a participação do ouvinte-idoso de modo direto e em tempo real, a fim de interagir com o programa radiofônico e receber resposta às suas dúvidas. São Objetivos Específicos: (i) Introduzir a discussão conceitual da educação midiática para o envelhecimento, por meio de rádio, discutindo seus efeitos em uma comunidade; (ii) Explicitar como a programação radiofônica pode promover a discussão e participação dos ouvintes idosos, conduzindo-os a serem como co-produtores de um programa de rádio; (iii)Propiciar que os ouvintes idosos da rádio possam receber respostas às suas indagações sobre as problemáticas que vivenciam, recrudescendo o diálogo intergeracional. Concluiu-se que os idosos, ao terem a oportunidade de se manifestarem ao vivo em um programa de rádio: (i) recebem respostas às suas indagações sobre a problemática que vivenciam, incrementando a sociabilidade, o diálogo intergeracional; (ii) eles passaram a colaborar pari passu para a construção da programação da rádio específica, tornando-se como que co-produtores ao fornecerem ideias para tópicos a serem discutidos, ganhando, entusiasmo pela nova prática exercida voluntariamente; (iii) por essa via, esses idosos reforçam sua socialização, sua emancipação social ao potencializar sua autonomia, promovendo-se, em suma, a cidadania desses idosos, por meio destas práticas socioculturais de interação midiática

Submitted by Filipe dos Santos (fsantos@pucsp.br) on 2018-11-09T10:22:56Z No. of bitstreams: 1 Maristela Sousa e Freitas.pdf: 2947668 bytes, checksum: 06d576c74249991fe333ef5a0fb4ed77 (MD5) / Made available in DSpace on 2018-11-09T10:22:56Z (GMT). No. of bitstreams: 1 Maristela Sousa e Freitas.pdf: 2947668 bytes, checksum: 06d576c74249991fe333ef5a0fb4ed77 (MD5) Previous issue date: 2018-09-14 / Conselho Nacional de Pesquisa e Desenvolvimento Científico e Tecnológico - CNPq / This study aims to investigate the identity process of young people who have been institutionalized in some period of their lives. By apprehending the meanings which were disclosed, we highlight how much being institutionalized hinders metamorphosis movements toward emancipation and which other emancipatory possibilities, around these young people, allow them to constitute and selfdetermine themselves overcoming the adversities. We stem from the empirical experience, using life trajectory narratives, and historical materialism as method to make a social group visible. From all histories heared which contextualized this work, we chose one to conduct a study on the identity process. The theoretical framework is sustained by the sintagma identity-metamorphosis-emancipation of Ciampa ([1987] 2011), besides other authors such as Goffman (1961), Habermas (1987), Berger and Luckmann (2014) and others who brought contributions aligned to the Critical Social Psychology. In the analysis of one of the histories with emancipatory characteristics, Sofia”s revealed that emancipation and activity are the focus of this study. Sofia”s story made possible to understand that in her narrative, there were many difficulties which produced the process of sameness for a long time. Sameness was only overcome when Sofia began to be heard and recognized by others in her rights. By performing her activities and being recognized, the narrator kept modifying herself, allowing metamorphosis with emancipatory direction. When gathered the possibilities around her, of being loved and cherished by a family, Sofia came to a quality in the metamorphosis indicated as mesmidade, the integration of thinking/doing. The singularity of Sofia”s history, representing the universal, revealed that metamorphosis with emancipatory fragments are possible if there are possibilities around the individual / Este estudo buscou investigar o processo identitário de jovens que passaram pelo acolhimento institucional em alguma fase de suas vidas. Ao apreender os sentidos revelados, trouxemos o quanto ser institucionalizado impede movimentos de metamorfose em direção à emancipação e quais outras possibilidades de caráter emancipatório, ao entorno destes jovens, permitem se constituírem diferentes e se autodeterminarem vencendo as adversidades. Partimos do empírico, por meio das narrativas de história de vida e do materialismo histórico dialético, como método para tornar visível um grupo social. De todas as histórias ouvidas que contextualizaram esse trabalho, escolhemos uma delas para fazer um estudo do processo identitário. O arcabouço teórico está sustentado pelo sintagma-identidade-metamorfose-emancipação de Ciampa (1987; 2011), além de outros autores, Goffman (1961), Habermas (1987), Berger e Luckmann (2014) e outros que trouxeram contribuições alinhadas à Psicologia Social Crítica. Da análise de uma das histórias com características emancipatórias, a história de Sofia revelou-nos que as categorias atividade e emancipação são o foco deste estudo. A história de Sofia possibilitou compreender que em sua narrativa ocorreram várias dificuldades que produziram o processo de mesmice durante muito tempo. A mesmice foi vencida apenas quando Sofia começou a ser escutada e reconhecida pelos outros, em seus direitos. Ao desempenhar suas atividades e se ver reconhecida, a narradora foi se modificando, permitindo metamorfoses com sentidos emancipatórios. Ao ser reunido em seu entorno, as possibilidades de ser amada e querida por uma família, Sofia chegou a uma qualidade na metamorfose indicada como mesmidade, a integração do pensar/fazer. A singularidade da história de Sofia, representando o universal, revelou que metamorfoses com fragmentos emancipatórios são possíveis se houver possibilidades no entorno do sujeito

Typescript (Photocopy) / Bibliography: leaves 307-320 / vii, 320 leaves ; 30 cm. / Title page, contents and abstract only. The complete thesis in print form is available from the University Library. / Thesis (Ph.D.)--Dept. of Community Medicine, University of Adelaide, 1992

Thesis (M.A.)--Indiana University, 2009. / Department of Philosophy, Indiana University-Purdue University Indianapolis (IUPUI). Advisor(s): Peg Brand, James Capshew, Richard Gunderman, Jane E. Schultz. Includes vitae. Includes bibliographical references (leaves 117-122).

Presenting and applying an ideal developmental model for the classical existential hero, or main character, provides a functional paradigm for discrimination between essentialist and existential texts. In particular it allows for degrees of fine existential differentiation amongst the hero's acts of any literary work. The paradigm does so by making it possible clearly to discern and describe the "recuperation" that a reader must do to render an "impaired" text intelligible. The paradigm covers four phases of transformational activity by the hero, more or less successfully negotiated, depending on the given work under analysis; vacillation/bad faith; crisis/arrest; abrogation/nothingness; and nihilation/project choice. Only one of the three novels so analyzed, Camus' The Stranger, contains a hero, Meursault, who is able to engage this paradigm successfully. The other two novels, not generally associated with existentialism, Heller's Something Happened and Chopin's The Awakening, reveal important and explicable variations of the model, but neither finally gives an exemplary authentic hero. The value of this paradigm is the way it functions as a dynamic heuristics, as a template, to isolate and render meaningful the dimensions of the career of each main character of these works as an "existential murderer." After an introduction of the paradigm, the thesis analyzes the tragic suicide of Mrs. Edna Pontellier, the comic infanticide of Bob Slocum, and the tragicomic homicide of Meursault.

Indiana University-Purdue University Indianapolis (IUPUI) / This project contributes to the improvement of the healing encounter between physician and patient and broadens the scope of medical ethics via application of a methodology that creatively communicates patient experience. Contemporary medical training and socialization can create emotional distance between patients and physicians, which has both positive and negative effects. A physician’s “detached concern” often renders patients’ ways of knowing irrelevant to their care. This has a negative effect on patient autonomy, trust, and the healing encounter in general. Herwaldt (2008) developed a pedagogical tool of distilling patient interviews in narrative form into “found poems,” in which the patient experience is expressed in verse; Herwaldt contends that the resulting poems hold the possibility of cultivating empathy in medical practitioners. My research extends Herwaldt’s work with a new set of ten patients currently in cancer treatment, translating their stories of illness into verse. The resulting poems have the potential to empower patients by legitimizing their narrative or experiential ways of knowing as complementary to physician perspectives and approaches to treatment. Clinical and feminist ethics are similar in their attention to case context, empathy, and legitimacy of narrative. However, there are aspects of feminist ethical theory that are not thoroughly delineated in clinical ethics—specifically, attention to power imbalances in medical structures and variations in ethical perspectives. When the poems are examined using a feminist bioethical framework, patients are empowered by expanding both the idea of justice and the principlist definition of autonomy to include the feminist conception of relational autonomy.

Summaries in Afrikaans and English / Text in Afrikaans / Hierdie navorsing het die verband tussen vroee adolessenterugbyspelers se doelorientering en selfkonsep, empiries en in die literatuur, ondersoek. Die literatuurondersoek het getoon dat doelorientering oar twee komponente beskik, naamlik taakbetrokkenheid en egobetrokkenheid. Taakbetrokke sportdeelnemers fokus op vaardigheidsontwikkeling en gebruik hulle eie prestasies as maatstaf vir sukses. Hulle beleef sukses wanneer 'n taak bemeester is, leer plaasvind, of daar 'n verbetering in die uitvoering van die taak is. Sukses word toegeskryf aan die mate van inspanning gelewer. Egobetrokke sportdeelnemers fokus op die wenmotief, gebruik normatiewe vergelyking as maatstaf vir prestasie, en beleef sukses wanneer hulle eie prestasies gunstig met die van ander kan vergelyk. Sukses word aan aangebore talent toegeskryf. Die empiriese ondersoek het bevind dat taakbetrokkenheid positief verband hou met die globale, persoonlike, en sosiale self. Egobetrokkenheid hou negatief verband met die fisieke self, en positief verband met kompetisie-angs. / The research investigated, in the literature and empirically, the possible relation between the goal orientation of male adolescent rugby players and their self-concept. The literature study indicated that goal orientation has two components, namely task involvement and ego involvement. In task-involved sport participation, skills development is emphasized, evaluation of achievement is self-referenced, and success experienced when learning takes place, a task is mastered, or when there is improvement in the execution of tasks. Success is attributed to effort. In ego-involved sport participation objective outcomes are emphasized (i.e. winning), evaluation of achievement is norm-based, and success experienced when own achievements are favourably compared to those of other sport participants. Success is attributed to natural ability. The empirical study indicated a positive relation between task-involved sport participation and the global, personal, and social self. A negative relation between ego-involved sport participation and the physical self, and a positive relation between ego involvement and competition-anxiety was found. / Educational Studies / M.Ed. (Spesialisering in Voorligting)

This collective case study explored the impact of a later-in-life learning disability (LD) diagnosis on women in poverty. The study focused on the perspectives of four women who were not identified with LD as children but accessed assessment services as adults receiving Oregon's Temporary Assistance for Needy Families (TANF). All four reported painful awareness of learning differences as youths; as adults they voluntarily engaged in a "labeling event," furthering a process toward personal transformation and enhanced well-being initiated by their own awareness and curiosity. The women described critical social and emotional support systems and relationships that helped them integrate understanding of the LD construct, education and employment opportunities that came in the wake of the diagnosis, and decisions made regarding disclosure. Self- determination theory and interpersonal neurobiology undergird reflections on narratives and themes. Recommendations for practice include providing low-income women assessed with LD (1) access to an LD specialist; (2) case planning and case management with a strength-based focus; and (3) assistance working with the public schools for those who are parents. The study underscores the significant services provided by Oregon DHS to low-income women with learning disabilities who have not been identified by K-12 school systems and recommends that DHS undertake further quantitative and qualitative research in collaboration with a research institution.

Summaries in Afrikaans and English / Text in Afrikaans / Hierdie navorsing het die verband tussen vroee adolessenterugbyspelers se doelorientering en selfkonsep, empiries en in die literatuur, ondersoek. Die literatuurondersoek het getoon dat doelorientering oar twee komponente beskik, naamlik taakbetrokkenheid en egobetrokkenheid. Taakbetrokke sportdeelnemers fokus op vaardigheidsontwikkeling en gebruik hulle eie prestasies as maatstaf vir sukses. Hulle beleef sukses wanneer 'n taak bemeester is, leer plaasvind, of daar 'n verbetering in die uitvoering van die taak is. Sukses word toegeskryf aan die mate van inspanning gelewer. Egobetrokke sportdeelnemers fokus op die wenmotief, gebruik normatiewe vergelyking as maatstaf vir prestasie, en beleef sukses wanneer hulle eie prestasies gunstig met die van ander kan vergelyk. Sukses word aan aangebore talent toegeskryf. Die empiriese ondersoek het bevind dat taakbetrokkenheid positief verband hou met die globale, persoonlike, en sosiale self. Egobetrokkenheid hou negatief verband met die fisieke self, en positief verband met kompetisie-angs. / The research investigated, in the literature and empirically, the possible relation between the goal orientation of male adolescent rugby players and their self-concept. The literature study indicated that goal orientation has two components, namely task involvement and ego involvement. In task-involved sport participation, skills development is emphasized, evaluation of achievement is self-referenced, and success experienced when learning takes place, a task is mastered, or when there is improvement in the execution of tasks. Success is attributed to effort. In ego-involved sport participation objective outcomes are emphasized (i.e. winning), evaluation of achievement is norm-based, and success experienced when own achievements are favourably compared to those of other sport participants. Success is attributed to natural ability. The empirical study indicated a positive relation between task-involved sport participation and the global, personal, and social self. A negative relation between ego-involved sport participation and the physical self, and a positive relation between ego involvement and competition-anxiety was found. / Educational Studies / M.Ed. (Spesialisering in Voorligting)