Submitted by Fabiano Vassallo (fabianovassallo2127@gmail.com) on 2017-04-20T19:09:12Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) DISSERTACAO-LuizaMonteiro.pdf: 3560286 bytes, checksum: ad8c0fa7a9b1fc3a2a2d5137f21a3174 (MD5) / Approved for entry into archive by Josimara Dias Brumatti (bcgdigital@ndc.uff.br) on 2017-04-25T14:52:26Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) DISSERTACAO-LuizaMonteiro.pdf: 3560286 bytes, checksum: ad8c0fa7a9b1fc3a2a2d5137f21a3174 (MD5) / Made available in DSpace on 2017-04-25T14:52:26Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) DISSERTACAO-LuizaMonteiro.pdf: 3560286 bytes, checksum: ad8c0fa7a9b1fc3a2a2d5137f21a3174 (MD5) / A presente dissertação de mestrado propõe-se a analisar, por meio do aparato da semiótica francesa, a série de televisão Breaking bad, transmitida entre 2008 e 2013 pelo canal norte-americano AMC. Parte da chamada nova “era de ouro” da televisão americana, a série criada por Vince Gilligan apresenta uma narrativa inventiva que conquistou tanto público quanto crítica, sobretudo pelo apelo de seu protagonista, Walter White. A partir do percurso gerativo de sentido de Algirdas Greimas, a análise concentrase nos níveis narrativos e discursivos para acompanhar quais estratégias são empregadas nesta obra audiovisual. Em especial, propomos um estudo sobre as paixões do protagonista e os valores que são postos em jogo por meio da articulação entre recursos verbais e visuais / This work uses french semiotics to analyse the TV series Breaking bad, transmited between 2008 and 2013 on AMC channel in the United States. Identified as part of the so called new american TV “Golden age”, the series created by Vince Gilligan features an inventive narrative that was equally accepted by the audience and TV critics, with its protagonist, Walter White, as the greatest cause of its success. In this work, the narrative and discoursive levels of Algirdas Greimas’ generative meaning trajectory are used to follow which strategies are used in this audiovisual work. In special, we propose a study about the protagonist’s passions and the values that are displayed through the articulation between verbal and visual recourses

The event of breaking bad news is a subject that no one present in the practical setting could choose to avoid. It is a subject that the practitioners comes in touch with during a daily basis. Traditionally the role as the breaker of bad news has been settled by the physician, but at the time being, disagreements occur in the clinical setting about who should break bad news to familys and patients. Aim: The aim of this study was to explore the nurses’ experiences of breaking bad news. What are the nurses’ role in the event of breaking bad news, and are there any barriers that can affect the way the bad news is given to the patients and family members? These were two questions of issue that were looked into. Method: The integrative review method based out of Whittemore and Knafl (2005) was used for this review. A systematic search resulted in twelve articles that were deemed fitting for the purpose of this study. Results: This integrative review resulted in five identified roles carried out by the nurse in the event of breaking bad news. Further on, nine factors were identified as being of significance in how the bad news were delivered by nurses and received by patients and the patient’s family members. Nurses expressed a desire and a wish for some kind of education or training in how to break bad news. Conclusion:  This article contributes with five roles experienced by nurses, along with nine different factors to have in mind when carrying out difficult news. The SPIKE model and Gibbs reflective model were discussed to have a great importance in the clinical setting.

Submitted by Pós-Com Pós-Com (pos-com@ufba.br) on 2017-01-10T12:36:47Z No. of bitstreams: 1 Dissertação João Araújo - versão final.pdf: 5208311 bytes, checksum: 99602faf92c448c468fbb235a4364d97 (MD5) / Approved for entry into archive by Uillis de Assis Santos (uillis.assis@ufba.br) on 2017-09-20T18:29:07Z (GMT) No. of bitstreams: 1 Dissertação João Araújo - versão final.pdf: 5208311 bytes, checksum: 99602faf92c448c468fbb235a4364d97 (MD5) / Made available in DSpace on 2017-09-20T18:29:07Z (GMT). No. of bitstreams: 1 Dissertação João Araújo - versão final.pdf: 5208311 bytes, checksum: 99602faf92c448c468fbb235a4364d97 (MD5) / CNPQ / Esta dissertação analisa a arquitetura do mundo ficcional criado ao longo de cinco temporadas pelo seriado televisivo Breaking Bad (2008-2013), com ênfase: na sua ambientação, em especial nos modos como são constituídos a sua contraparte ficcional da cidade de Albuquerque, o deserto ao redor dela e as residências das personagens; e na construção de uma atmosfera e de protagonistas ambivalentes, com uma disposição que se mostra decadente ao longo da série. Para tanto, atentamos especialmente para três dimensões relativas ao edifício deste mundo: os modos como a obra nos convoca a imergir nele, as estratégias empregadas no seu arranjo, e os elementos específicos que o mobíliam. Aqui, tentamos nos distanciar do uso heurístico que tem sido feito do conceito de mundo ficcional nos últimos anos, e buscamos operacionalizar noções importantes que ele traz no seu bojo, como as de incompletude e quadros de referência. Ademais, o trabalho examina não apenas o modo como este mundo se erige em seus próprios méritos, mas também como ele se aproxima de certas referências intertextuais ao fazê-lo. Nomeadamente, são verificadas interfaces da obra com: os filmes Paris, Texas (1984) e Era Uma Vez no Oeste (C'era una volta il West, 1968); as fotografias documentais realistas de William Eggleston e Lee Friedlander; e gêneros consagrados como o western, o drama burguês e o melodrama. Além disso, este estudo conjuga questões semânticas vinculadas aos mundos ficcionais, o problema pragmático de como a obra solicita nossa imersão, e aspectos sintático-formais importantes da ficção televisiva, especificamente o estilo e a serialidade. Quanto aos modos através dos quais Breaking Bad nos convida a imergir em seu mundo, por sua vez, observamos: a) o recurso a intensas recapitulações diegéticas que nos permitem lembrar porções consideráveis das tramas do seriado; b) a construção a longo prazo dos elementos que põem o enredo para frente, como o livro de Walt Whitman que leva Hank a descobrir que seu cunhado é um traficante; c) a criação de uma estrutura temporal que, a despeito de ter várias quebras de linearidade, segue um fluxo contínuo ao não particionar a narrativa em múltiplas cronologias, como fazem séries como Lost (2004-2010) e Once Upon a Time (2011-); d) o investimento em protagonistas tridimensionais, ainda que as personagens secundárias não o sejam; e e) a aposta em uma concentração temporal, actancial e espacial. Ao fim do trabalho, argumentamos que Breaking Bad constrói um mundo único, que não pode ser reduzido a uma representação do nosso, independente do fato de tal mundo não se encontrar no regime do fantástico ou do maravilhoso. / This thesis analyses the architecture of the fictional world created over the course of five seasons by the television series Breaking Bad (2008-2013), emphasizing: its setting, specially the ways through which its fictional counterpart of Albuquerque, the desert around it and the characters’ homes are constituted; and the ambivalent construction of its atmosphere and protagonists, which have a disposition to decay over the course of the series. To that end, we pay special attention to three dimensions related to the edifice of this world: the ways through which the work summons us to immerse into its world, the strategies employed in its arrangement, and the specific elements that furnish it. Here, we try to distance ourselves from the heuristic use with which the concept of fictional world has been met over the last few years, and we aim to operationalize important notions it brings in its core, such as incompleteness and frame of reference. Furthermore, the work examines not only how this world erects itself by its own merits, but also how it approaches certain intertextual references in doing so. Namely, we point out interfaces between the series and: the movies Paris, Texas (1984) and Once Upon a Time in the West (C'era una volta il West, 1968); the realistic documental photographs of William Eggleston and Lee Friedlander; and consecrated genres such as the western, the bourgeois drama, and the melodrama. Moreover, this study conjugates semantic matters attached to fictional worlds, the pragmatic issue of how the work prompts our immersion, and formal syntactic aspects of television fictions, specifically style and seriality. As for the ways through which Breaking Bad invites us to immerse into its world, by its turn, we observe: a) the recourse to intense diegetic recapitulations, which allow us to remember considerable portions of the series’ braids; b) the long term construction of the elements that push the plot forward, like the Walt Whitman’s book that leads Hank to the discovery that his brother-in-law is a drug dealer; c) the creation of a temporal structure that, despite its many breaks in linearity, follows a continuous flow, given that it doesn’t partition the narrative in multiple chronologies, as do Lost (2004-2010) and Once Upon a Time (2011-); d) the investment in tridimensional protagonists, even if the secondary characters are not tridimensional themselves; and e) the bet in concentration of time, space, and action. At the end of this work, we argue that Breaking Bad builds a unique world, which cannot be reduced to a representation of our own, regardless of the fact that such world is not in the regime of the fantastic or the marvelous.

La première section de ce mémoire consiste en un scénario de long métrage original. L’art de marcher sur la neige est un film québécois de la route développant les thèmes de la fuite, de la solitude, du silence et de la quête de soi. Avant tout, nous aborderons la bible du scénario : le sujet, l’angle de traitement, le milieu et les personnages seront entre autres présentés. La seconde section du mémoire est consacrée à une étude du concept de norditude dans les fictions artistiques. L’étude vise à faire un tour d’horizon des trois composantes sous-jacentes à l’expérience de la norditude par les personnages des fictions de l’écran : les lieux de survivance, la solitude confidente et le silence.

Submitted by Filipe dos Santos (fsantos@pucsp.br) on 2018-08-15T12:20:07Z No. of bitstreams: 1 Osmar Guerra Junior.pdf: 44268628 bytes, checksum: b031b731607b44e9cc8983d71ddcacea (MD5) / Made available in DSpace on 2018-08-15T12:20:07Z (GMT). No. of bitstreams: 1 Osmar Guerra Junior.pdf: 44268628 bytes, checksum: b031b731607b44e9cc8983d71ddcacea (MD5) Previous issue date: 2018-06-28 / Conselho Nacional de Pesquisa e Desenvolvimento Científico e Tecnológico - CNPq / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / Fundação São Paulo - FUNDASP / The current research intends to investigate Vince Gilligan’s creation paths during the development of the character Walter White in the series Breaking Bad. A serial work created for the television is an open work, in constant evolution and development and subject to drastic interventions in its narrative path. The author who draws upon an initial proposition to develop such path must consider possible incoherences throughout the story, which could occur due to external interferences and characteristics of the market. Such aspect is not found in the story and this fact instigates is to investigate the paths which were created by the author in order to establish a natural progression for the character, without losing, however, the identity and the coherence of the narrative. Our focus is on the analysis of episodes of the series, as well as interviews given by the author and specific publications on the backstage of the creation processes, aiming to understand the interactions between script creation procedures and choices regarding the audiovisual resources adopted by the author throughout the seasons. We also discuss the series as a genre in the audiovisual context under the perspective of coherence development throughout time. Our theoretical approach is based on the concepts of author from Machado (2011) and Bakhtin (2010) in relation to criticism of creation process and networks of creation (Salles, 2000; 2006; 2008; 2013; 2017) as well as the semiotic signs developed by Charles Peirce / Esta pesquisa pretende investigar os percursos de criação de Vince Gilligan na construção e desenvolvimento do personagem Walter White, na série Breaking Bad. Uma obra seriada feita para a televisão é uma obra aberta, em constante evolução e construção, e sujeita a intervenções drásticas em seu percurso narrativo. O autor que se vale de uma premissa inicial para a construção deste percurso deve atentar-se para a possibilidade de incoerências no decorrer da história, dado as interferências externas e características deste mercado, fato este que não encontramos no decorrer da narrativa da série e que nos instiga a investigar quais foram os percursos criados pelo autor para estabelecer a evolução natural do personagem, sem perder, porém, a identidade e coerência narrativa. O foco do estudo está na análise dos episódios da série, de entrevistas dadas pelo autor e por publicação especifica sobre os bastidores dos processos de criação da série com a intenção de entender as interações entre os procedimentos de construção de roteiros e as escolhas de recursos audiovisuais adotados pelo autor ao longo das temporadas, adotar a perspectiva de processo para discutir a série ao longo das temporadas e fazer uma reflexão sobre o gênero série no contexto do Audiovisual sob o ponto de vista da construção da coerência narrativa ao longo do tempo. Para tal, a fundamentação teórica apoiar-se-á nos conceitos de autor encontrados nos estudos feitos por Machado (2011) e Bakhtin (2010); em interação com os conceitos da crítica de processos e redes de Criação (SALLES, 2000; 2006; 2008; 2013; 2017); e com os conceitos sobre signos semióticos de Charles Peirce

Le projet ANR ACORFORMed, dans lequel s’inscrit cette thèse, a pour objectif la création (par des informaticiens) d’un agent conversationnel animé « patient » comme outil de formation à l’annonce, par la simulation et à l’aide d’un environnement virtuel. A l’aide de la méthodologie issue des études de la gestuelle et des apports de la littérature sur l’organisation des interactions, nous tentons de répondre à la question suivante : quelle est l’organisation structurelle globale de l’interaction patient-médecin, lorsque ce dernier se forme à l’annonce d’un dommage associé aux soins ? Les analyses menées dans cette thèse nous permettent de décrire l’interaction patient/médecin lors de formations à l’annonce en proposant différentes phases composants l’interaction, ainsi que des précisions quant à leur découpage et leurs articulations. Elles constituent une base indispensable et utilisable par les informaticiens pour concevoir et implémenter un agent conversationnel « patient » crédible qui pourra être utilisé dans la formation des médecins. Située au coeur d’un projet interdisciplinaire, cette thèse en linguistique permet donc de transposer les pratiques interactionnelles des médecins en vue de l’implémentation d’un agent virtuel par des informaticiens. / The ACORFORMed ANR project, in which this PhD project is integrated, aims at the creation (by computer scientists) of a "patient" animated conversational agent as a training tool for announcing, simulating and using a virtual environment. Using the methodology resulting from gestures studies and contributions of the literature on the organisation of interactions, we try to answer the following question: what is the overall structural organisation of the doctor/patient interaction, when this last is training to break the news of a damage associated with care? The analyses carried out in this thesis allow us to describe the doctor/patient interaction during training to break the news by proposing different phases that make up the interaction, as well as details about their division and their articulations. They are an indispensable and usable base for computer scientists to design and implement a credible "patient" conversational agent that can be used in physician training. Located at the heart of an interdisciplinary project, this thesis in linguistics makes it possible to transpose the interactional practices of physicians with a view to the implementation of a virtual agent by computer scientists.

Both the “crisis of masculinity” and “quality TV” have been popular discourses in academia in recent years. Many of these contemporary quality TV series feature male anti-heroes at the center of their narratives. This dissertation argues that the constructions of masculinity in series such as "Breaking Bad" and "The Walking Dead" are informed by the Western hero. Furthermore, the dissertation links this recourse to an arguably outmoded model of masculinity to recent crisis tendencies in the USA, most notably the recent economic downturn and the aftermath of September 11 2001. Moreover, the return of the Western hero can be understood as a process of remasculinization in light of the crisis of masculinity.

Contexte. Objectifs principaux : explorer l’expérience vécue vécu des neurologues et des patients des annonces de mauvaises nouvelles dans la sclérose en plaques, le vécu de la pathologie ainsi que de la qualité de leur relation dans le contexte du suivi d’un projet thérapeutique, et d’envisager la création d’un outil clinique réflexif pour les neurologues destiné à contribuer au maintien d’une relation de qualité durant l’ensemble du parcours de soins. Méthodologie. Étude qualitative multicentrique ; analyse des verbatims : 63 entretiens cliniques de recherche - 35 patients et 20 entretiens - 20 neurologues ; 3 entretiens - relecture d’items ; triangulation méthodologique ; triangulation des observateurs/résultats ; analyse IPA et analyse clinique d’orientation psychodynamique. Résultats. Les annonces de mauvaises nouvelles dans la SEP sont vécues comme des expérience anxiogènes pour la majorité des neurologues de la recherche, des situations source de frustration et parfois d’impuissance. Les impacts psychiques engendrés par les annonces de mauvaises nouvelles, la perception dans certains cas d’une relation au médecin dénuée d’empathie, le sentiment d’impuissance lié au caractère imprévisible de l’évolution de cette maladie progressivement handicapante ainsi qu’une défiance quant à l’efficacité des traitements proposés expliquent en partie la fragilité de l’alliance thérapeutique avec le neurologue et les réactions psychologiques parfois extrêmes des patients qui en découlent. Conclusion et ouverture. Résultats obtenus : engager une réflexion éthique sur les informations à transmettre au patient, et proposer une formation aux neurologues basée sur l’outil élaboré / Context. This research aims to explore the neurologist’s and patient’s lived experiences of breaking bad news in multiple sclerosis and the lived experience of this disease, to understand the basic conditions of their relationship, and to create reflective clinical tools aimed at helping neurologists to maintain the quality of their relationship with the patients. Methodology. Multicentre qualitative study presents the results obtained from the analysis of 83 clinical research interviews with 35 patients and 20 neurologists, using IPA and a clinical psychodynamic. Results. Breaking bad news (BBN) in multiple sclerosis are lived as stressful experience for the majority of the neurologists of the research, a situations lived with frustration and sometimes powerlessness. Psychic impacts engendered by the BBN, the perception in certain cases of a relation to the doctor divested of empathy, the feeling of powerlessness linked to the unpredictable character of the evolution of this gradually crippling disease as well as a mistrust as for the efficiency of the proposed treatments explain partially the fragility of the therapeutic alliance with the neurologist and sometimes the extreme psychological reactions of the patients. Conclusion and opening. Results obtained : engage an ethical reflection on the information to transmit to the patient, and to suggest training to neurologists based on the tool created in tis research

Si l’importance de la communication dans la prise en charge des patients en oncologie n’est plus à démontrer, elle n’en demeure pas moins une difficulté pour les soignants. Les soignants se retrouvent fréquemment confrontés à des contextes communicationnels complexes pour lesquels ils se sentent bien souvent démunis et insuffisamment formés. Des formations adaptées et spécifiques sont nécessaires afin d’assurer un changement durable des stratégies de communication utilisées par les soignants dans leur pratique clinique. Cette thèse vise à apporter une contribution à la formation des soignants à la communication en oncologie et à l’étude du transfert des compétences dans la pratique clinique. Ce travail de thèse porte sur l’analyse de deux contextes de communication différents :l’annonce de mauvaises nouvelles et la communication autour des traitements. Au travers de ces deux contextes, trois objectifs ont été poursuivis :(a) la modélisation d’un programme de formation adapté à un contexte de communication spécifique, (b) l’évaluation de l’efficacité de ce programme de formation ou l’évaluation du transfert des compétences apprises dans la pratique clinique et (c) l’évaluation de l’impact de ce programme de formation à la communication sur le patient (et sur le proche) simulé ou réel.Dans le cadre de ce travail de thèse, nous avons donc pu évaluer l’efficacité de deux formations à la communication spécifiquement développées pour ces deux contextes de communication. La formation à l’annonce de mauvaises nouvelles a permis une amélioration de la répartition du temps consacré à chaque phase du processus d’annonce ainsi que l’acquisition de stratégies de communication. Elle a également permis une augmentation de l’activation physiologique des médecins, reflétant un meilleur niveau d’engagement cognitif et émotionnel dans la tâche. Concernant la formation à la communication donnée en radiothérapie aux équipes multidisciplinaires, elle a permis le transfert des compétences acquises durant la formation dans la pratique clinique. Ces formations ont également montré un impact sur les patients et les proches réels ou simulés en permettant que les soignants leur laissent plus de place pour s’exprimer. La formation à la communication en radiothérapie a également montré un impact sur la satisfaction des patients. Ce travail de thèse souligne l’importance de développer des formations à la communication spécifiques aux différents contextes communicationnels ainsi que la nécessité de travailler à l’optimisation du transfert des compétences acquises durant ces formations dans la pratique clinique. / Doctorat en Sciences psychologiques et de l'éducation / info:eu-repo/semantics/nonPublished

SJUKSKÖTERSKORS UPPLEVELSER OCH ERFARENHETER AV BRYTPUNKTSSAMTAL MED PATIENT I LIVETS SLUTSKEDELITTERATURSTUDIEHolgersson M, Johannesson J. Sjuksköterskors upplevelser och erfarenheter av brytpunktssamtal med patient i livets slutskede. Examensarbete i omvårdnad 15 högskolepoäng. Malmö Universitet: Fakulteten för Hälsa och samhälle, Institutionen för vårdvetenskap, 2020.Vid ett brytpunktssamtal har sjuksköterskorna en framträdande och viktig roll. Då patienten är i livets slutskede och vården går från botande till lindrande är det viktigt att det sker i rätt tid och på rätt sätt. Sjuksköterskors medverkan vid brytpunktssamtalet ska medföra en trygghet för patient och anhörig och genom sin kännedom om patienten kan sjuksköterskorna bidra till en bättre omvårdnad vid livets slut. Syfte: Syftet med studien var att undersöka sjuksköterskors upplevelser och erfarenheter runt brytpunktssamtal med patienter i livets slutskede. Metod: En litteraturstudie utfördes där tio artiklar med kvalitativ design som svarade upp mot syftet valdes ut. En innehållsanalys genomfördes där artiklarna granskades och syntetiserades ner till ett resultat. Resultat: Resultatet mynnade ut i fyra huvudteman: Kommunikation inom teamet och med patient och anhörig. Interaktionen i teamet och med patient och anhörig. Relationer och upplevelser i mötet med patient och anhörig och slutligen sjuksköterskors upplevelser och känslor i sitt arbete med patienten före, under och efter brytpunktssamtal. Sjuksköterskorna i studien efterlyste mer utbildning i att hantera sin roll vid brytpunktsamtal. Sjuksköterskorna har ofta vårdat patienten under en längre tid och har skapat en relation och lärt sig vad som är viktigt för just den patienten vilket är en stor tillgång under brytpunksamtalet för att tillgodose patientens önskemål och skapa förutsättningar för god omvårdnad. Konklusion: Kommunikation i teamet och förberedelser är viktigt i arbetet runt patient och anhörig vid brytpunktssamtal. Sjuksköterskorna behöver utbildning och erfarenhet av brytpunktssamtal för att känna sig trygg i sin roll för att utgöra ett bra och tydligt stöd för patient och anhörig i brytpunktssamtal. Nyckelord: Brytpunktssamtal, erfarenheter, palliativ vård, sjuksköterskor, upplevelser. / NURSÉS EXPERIENCES IN BREAKING BAD NEWS DIALOGUES WITH PATIENTS IN THE END OF LIFEA LITERATURE REVIEWHolgersson M, Johannesson J. Nursés experiences in breaking bad news dialogues with patients in the end of life. Degree Project in nursing 15 credit points, Malmö University: Faculty of Health and Society, Department of Care Science, 2020.The nurses has a prominent and important role in breaking bad news dialogues. As the patient is in the final stage of life and the care goes from curative to palliative, it is important that this is done at the right time and in the right way. The nurse´s participation in breaking bad news dialogues should bring a feeling of safety for both the patient and relatives and through the knowledge of the patient the nurses can contribute to a better care in the final stages of life. Purpose: The purpose with the study was to analyze nurses experience and knowledge about breaking bad news dialogues with patients in the final stages of life. Method: A literature study was conducted where ten articles of qualitative design that responded to the purpose were selected. A content analysis was done where the articles were reviewed and synthesized down to a result. Result: The outcome resulted in four main themes. Communication within the team and with patient and relatives. The interaction in the team and with the patient and relatives. Relationships and experiences in the meeting with patient and relative and finally the nurse´s experiences and emotions in their work with the patient before, under and after breaking the bad news. The nurse has often cared for the patient during a longer period of time and has created a relationship and learned what is important for that particular patient which is a huge asset during the breakpoint dialogue to meet the patient´s wishes and create conditions for good nursing. Conclusion: Communication in the team and preparation are important in the work regarding patient and relatives in breaking bad news dialogues. The nurse need education and experience in breaking bad news dialogues to feel safe in her role to be a good and distinct support for patient and relative in breaking bad news dialogues. Keyword: Breaking bad news, life experiences, lived experiences, nurses, palliative care.