Although the importance of Attachment in the normal development of a child has repeatedly been shown (Bowlby, 1961; 1979) there is a limited amount of research into its relationships with the usage of defense mechanisms and emotions. This research, therefore, investigated the relationships between attachment type, defense mechanisms and emotions during middle childhood (8-12 years) in 64 children from 4 children’s homes and 1 hospital in the Gauteng area. The children completed the Deferential Emotions Scale IV (DES-IV), the Attachment Story Completion Test (ASCT) and the Attachment Security Scale (ASS). The legal guardians of the children completed the Comprehensive Assessment of Defense Scale (CADS). Significant correlations were found to exist between the usage defense mechanisms and emotions. The results obtained from the analyses therefore suggest a complex interplay of relationships between attachment, defense mechanisms and emotion during middle childhood for the children in these institutions. For example, the research found that certain defense mechanisms and emotions were found to be correlated in a complex and interrelated system of interactions. Similarly, although no significant associations were found between attachment, defense mechanisms and emotions were found, the frequency distributions provided detailed information suggesting that attachment does influence the defenses used and emotion during middle childhood. These finding suggest that further research needs to be conducted in this area to further this knowledge base and to inform the caregivers and staff at institutions such as those included in the study.

Submitted by Filipe dos Santos (fsantos@pucsp.br) on 2018-03-14T12:02:20Z No. of bitstreams: 1 Larissa Garcia Ponce.pdf: 1862982 bytes, checksum: 7a2089cfdd5d8fb87cc8113ecf59037c (MD5) / Made available in DSpace on 2018-03-14T12:02:20Z (GMT). No. of bitstreams: 1 Larissa Garcia Ponce.pdf: 1862982 bytes, checksum: 7a2089cfdd5d8fb87cc8113ecf59037c (MD5) Previous issue date: 2018-03-16 / Conselho Nacional de Pesquisa e Desenvolvimento Científico e Tecnológico - CNPq / This study aimed to investigate, through clinical case studies, the strategies and challenges found in the psychotherapeutic care of five children sheltered in an Institutional Shelter in a country town of São Paulo State. The reports of these sessions were analyzed based on psychoanalysis, with a greater emphasis on the contributions of D. Winnicott. Two aspects were examined with special attention: the established clinical management and the evolution of psychotherapy in each history. The instruments used to find and read these data were: life and sheltering history of the patients/participants, presented in the registration form of the institution, and clinical material from playful psychotherapy. In four of the five cases, the time of psychotherapy was short (five to ten sessions), due to an abrupt interruption of the psychotherapeutic processes. In the only case with a longer duration (thirty sessions), there was the possibility of a therapeutic withdrawal performed progressively. Regarding the treatment results, one patient did not show significant achievements; the others demonstrated benefits from the psychotherapeutic process and exhibited improvement in symptoms or thawing of emotional maturation. The role of each action of differentiated clinical management in the setting was listed and some of them served as coping strategies of some of the challenges that were interposed. In addition to these actions, the importance of the management promoted by the social environment to shelters was evidenced. In order for this to be guaranteed, both the sheltering institution and the Judiciary are expected to commit themselves to protect children from future trauma, especially those which could be avoided by a more judicious and realistic analysis of the family circumstances in each case. Finally, it was pointed out the need to implement psychotherapy services in Shelters throughout the country, as well as psychological care programs for those who return home after sheltering. This proposition is corroborated by the obvious importance of a listening, receiving and psychological support space for the recovery of personal maturation of deeply traumatized people, as postulated byWinnicott, in addition to actively collaborating in the construction of a healthy society and, therefore, more prepared to care for their children and adolescents / Este trabalho teve por objetivo investigar, por meio de estudos de caso clínico, as estratégias e desafios encontrados no atendimento psicoterápico de cinco crianças acolhidas em um Abrigo Institucional do interior do Estado de São Paulo. Os relatos das sessões foram analisados com base na psicanálise, com maior ênfase nas contribuições de D. W. Winnicott. Dois aspectos foram examinados com atenção especial: o manejo clínico estabelecido e a evolução da psicoterapia em cada história. Os instrumentos utilizados para conhecer e interpretar os dados foram: história de vida e de abrigamento dos pacientes/participantes, presentes na ficha cadastral da instituição, e o material clínico proveniente da psicoterapia lúdica. Em quatro dos cinco casos, o tempo de psicoterapia foi curto (cinco a dez sessões) por ter ocorrido a interrupção abrupta dos processos psicoterápicos. No único caso com maior duração (trinta sessões), houve a possibilidade do desligamento terapêutico ser realizado progressivamente. No que se refere aos resultados dos atendimentos, uma paciente não apresentou conquistas significativas; os outros demonstraram se beneficiar do processo psicoterápico e exibiram melhora dos sintomas ou descongelamento do amadurecimento emocional. Elencou-se o papel de cada ação de manejo clínico diferenciado no setting, e algumas delas, serviram como estratégias de enfrentamento de alguns dos desafios que se interpuseram. Evidenciou-se, além destas ações, a importância do manejo promovido pelo ambiente social aos abrigados e, para que isto seja garantido, espera-se tanto da instituição de acolhimento quanto do Poder Judiciário que se comprometam a proteger as crianças de futuros traumas, especialmente daqueles que poderiam ser evitados com análises mais criteriosas e realistas das circunstâncias familiares em cada caso. Por fim, assinalou-se a necessidade de implementar serviços de psicoterapia nos Abrigos em todo país, além de programas de atendimento psicológico àqueles que retornam ao lar após o abrigamento. Tal proposição se corrobora pela evidente importância do espaço de escuta, acolhida e sustentação psicológica para a retomada do amadurecimento pessoal de pessoas profundamente traumatizadas, como postulado por Winnicott, além de colaborar ativamente na construção de uma sociedade saudável e, portanto, mais preparada para cuidar de suas crianças e adolescentes

This qualitative study describes maternal and paternal experiences of thirty-five Samoans living in Auckland, Aotearoa New Zealand. The study was conducted in order to establish, "What, if any changes to parenting practices have occurred since their family migrated into New Zealand?Through interviews, respondents discussed their values, attitudes and beliefs and how they perceived that they were brought up by their own parents. They also described and discussed their own roles as parents and the roles of their children. They also discussed how the church influenced the ways in which their parents parented them and the way they themselves parent their children. Respondents were chosen via a snowball technique of referrals from four different church ministers. The four churches were selected on the recommendation of one Samoan Church Minister as being representative of the Samoan community. Four ministers were interviewed, along with four elders and five parents from each church. Seven other people from outside these churches, four not church attenders were also interviewed in order to be able to further explore the importance and effects of the churches. The theoretical approach engaged a combination of the principles of Grounded Theory (Glaser & Strauss, 1967) and the 'Fa'afaletui,' (Tamasese, 1997.) The latter is a Samoan framework which gives a multi-layered approach to data interpretation using a range of lenses and perspectives. In conducting this investigation, the combination of Western and Samoan frameworks was appropriate especially given the cultural sensitivities that were apparent around the topic matter and the ethnicity of the respondents and the researcher. Earlier findings, concerning discipline by (Fairbairn-Dunlop, 2002) were affirmed, as were findings about fa'alavelave from the earlier study into parenting practices (McCallum et al, 2000). In this present study, it was found that enculturation (i.e changes in culture) over time, modified parenting practices and specifically that inter-generational perspectives about parenting practices were apparent. Evidence of conflicting approaches to values between generations was encountered and a range of rituals were adapted as a consequence of migration and time; discipline and fa'alavelave were prime examples of this. The relative paucity of a body of Pasifika literature and Pacific research by Pacific people, from which a theoretical foundation for a study of this kind could be developed, was seen to be problematic. It is concluded that enculturation following migration spawns a reconstruction of values and associated practices in parenting and that previously held core values concerning discipline, the church and the family become altered over time and generations. It is also suggested that future research should seek to corroborate the findings of this study by examining the parenting practices of the next generation.

A thesis submitted to fulfill the requirements for the degree of Doctor of Dental Science

Thesis (D. Min.)--Gordon-Conwell Theological Seminary, Charlotte, NC, 2002. / Abstract and vita. Includes bibliographical references (leaves 117-123).

published_or_final_version / Dentistry / Doctoral / Doctor of Philosophy

The present research examines the effect of music therapy on the affect of hospitalised children. It took place on a paediatric ward of a New Zealand public hospital. This study aimed to investigate the role of music therapy in addressing patients’ psychosocial needs. Literature on the impact of hospitalisation, and on the use of music therapy in hospitals and paediatrics was reviewed. The research involved an audit of the therapist’s clinical notes from music therapy sessions over the course of seven months. The clinical notes included measurements of children’s mood from the beginning and end of sessions, using McGrath’s (1990) Affective Facial Scale. It was hypothesised that mood measures following music therapy would be higher than pre-music therapy scores. Statistical analysis of the facial scale data did not show a significant difference between ‘before’ and ‘after’ measures. These results were discussed with regard to a ceiling effect (this is, the measurements indicated patients were at the happy end of the scale before the music therapy session, so there was little room on the scale for mood to improve following music therapy). The measurement of emotion did not prove to be straightforward. The hospital environment may have influenced the patients’ responses in a number of ways. These environmental influences are discussed with reference to examples from the clinical notes. The usefulness of facial scales in this context is discussed, as well as other limitations of the research. Suggestions for future research include the use of other mood measures, and the inclusion of measurements of parental mood and how this affects the child.

The present research examines the effect of music therapy on the affect of hospitalised children. It took place on a paediatric ward of a New Zealand public hospital. This study aimed to investigate the role of music therapy in addressing patients’ psychosocial needs. Literature on the impact of hospitalisation, and on the use of music therapy in hospitals and paediatrics was reviewed. The research involved an audit of the therapist’s clinical notes from music therapy sessions over the course of seven months. The clinical notes included measurements of children’s mood from the beginning and end of sessions, using McGrath’s (1990) Affective Facial Scale. It was hypothesised that mood measures following music therapy would be higher than pre-music therapy scores. Statistical analysis of the facial scale data did not show a significant difference between ‘before’ and ‘after’ measures. These results were discussed with regard to a ceiling effect (this is, the measurements indicated patients were at the happy end of the scale before the music therapy session, so there was little room on the scale for mood to improve following music therapy). The measurement of emotion did not prove to be straightforward. The hospital environment may have influenced the patients’ responses in a number of ways. These environmental influences are discussed with reference to examples from the clinical notes. The usefulness of facial scales in this context is discussed, as well as other limitations of the research. Suggestions for future research include the use of other mood measures, and the inclusion of measurements of parental mood and how this affects the child.

The present research examines the effect of music therapy on the affect of hospitalised children. It took place on a paediatric ward of a New Zealand public hospital. This study aimed to investigate the role of music therapy in addressing patients’ psychosocial needs. Literature on the impact of hospitalisation, and on the use of music therapy in hospitals and paediatrics was reviewed. The research involved an audit of the therapist’s clinical notes from music therapy sessions over the course of seven months. The clinical notes included measurements of children’s mood from the beginning and end of sessions, using McGrath’s (1990) Affective Facial Scale. It was hypothesised that mood measures following music therapy would be higher than pre-music therapy scores. Statistical analysis of the facial scale data did not show a significant difference between ‘before’ and ‘after’ measures. These results were discussed with regard to a ceiling effect (this is, the measurements indicated patients were at the happy end of the scale before the music therapy session, so there was little room on the scale for mood to improve following music therapy). The measurement of emotion did not prove to be straightforward. The hospital environment may have influenced the patients’ responses in a number of ways. These environmental influences are discussed with reference to examples from the clinical notes. The usefulness of facial scales in this context is discussed, as well as other limitations of the research. Suggestions for future research include the use of other mood measures, and the inclusion of measurements of parental mood and how this affects the child.

Thesis (Ph.D.)--State University of New York at Buffalo, 2006. / Thesis adviser: Grant, S. G. Includes bibliographical references.