<p><font face="Times New Roman">This study explored the lived experience of spouses living with depressed partners. A qualitative phenomenological,&nbsp / exploratory study design was used to explore the lived experience of the spouses, identifying the coping strategies and challenges that they face as they live with the depressed partners. A purposive sample of seven spouses living with their depressed partners who were being treated in outpatient department were recruited to participate in the study.</font></p> <p align="left">In-depth, face-to-face interviews were conducted, audiotaped with the participants&rsquo / permission and transcribed verbatim. The data from the transcripts, field notes, and demographic questionnaires was organized ready for analysis. Thematic data analysis was used to code the data, and group the codes to form categories. The categories were further regrouped to form themes. The themes were conceptualized and contextualized to uncover the meaning that the spouse carers attached to the lived experience.</p> <p align="left">It emerged that most of the spouses described their partners and the relationship negatively due to the burden of care. The male carers as compared to the female carers expressed the negativity more and it impacted on the quality of care they were providing to the depressed partners. It was revealed that inadequate professional support was linked with the ineffective coping strategies employed by the spouse carers. Hence, most of the spouse carers presented with symptoms of depression and were at the stage of impoverishment according to the adaptive potential assessment model. A recommendation to involve spouse carers in the treatment plan and improve the support system to the spouse carers was made to the stakeholders of health service providers at the primary health level.</p>

Thesis (Ph. D.)--University of Notre Dame, 2006. / Thesis directed by E. Mark Cummings for the Department of Psychology. "April 2006." Includes bibliographical references (leaves 81-90).

Thesis (Ph.D.)--Pardee Rand Graduate School, 2006. / Title from PDF cover. Includes bibliographical references. Issued also in print.

The characteristics of patient speech are used in clinical settings to make assumptions about the thought processes of people with psychotic disorders such as schizophrenia. However, there have not been any studies of the language of people with schizophrenia that present evidence drawn from a large group of speakers. This study employs a combination of quantitative and qualitative methods to determine whether 140 medicated individuals diagnosed with schizophrenia exhibit the linguistic abnormalities claimed in the literature. It also compares the speech of people with schizophrenia with that of people diagnosed with depression in order to assess whether there is a statistically significant difference in presence and/or frequency of abnormal speech between the two groups. Ultimately this study finds that all of the specific types of abnormal language behavior described in the literature do occur among a large group of individuals with schizophrenia. However, many such behaviors also occur among individuals with depression; there was a significant difference between the two groups for three of the twelve categories of language features assessed in this study, which were peculiar word choice, illogicality and distractibility. Further characteristics of the language of individuals with schizophrenia were also found, which could be a basis for improving clinical diagnostic materials.

Syfte: Syftet var att studera hur depression påverkar vuxna individers orala hälsa. Material och metod: Studien är en allmän litteraturstudie som grundar sig i kvantitativa och kvalitativa artiklar. Databaserna som användes var “Dentistry and Oral Sciences Source” och “Medline”. Resultat: Totalt analyserades 15 vetenskapliga artiklar som sammanställdes och delades in under två rubriker. Rubrikerna består av inre och yttre faktorer som påverkar och begränsar den orala hälsan. Faktorerna som beskrivs är oralhygien, orala sjukdomar och nedsatt tuggförmåga kopplat till depression samt låg socioekonomi och tandvårdspersonalens roll kopplat till depression. Slutsats: Depression påverkar den orala hälsan på ett negativt sätt. Påverkan beror på olika faktorer såsom låg socioekonomisk status, besvär med olika mun funktioner och orala sjukdomstillstånd som begränsar deprimerade patienters förmåga att upprätthålla en god oral hälsa samt försämrar livskvaliteten. Ytterligare forskning kring ämnet behöver tillämpas för bredare kunskap inom området. / Aim: The aim was to study how depression affects the oral health of adults. Material and method: The study is a general literature study based on quantitative and qualitative articles. The used databases were "Dentistry and Oral Sciences Source" and "Medline". Results: A total of 15 scientific articles were analyzed, compiled and divided under two headings. The headings consist of internal and external factors that affect and limit oral health. The factors described are oral hygiene, oral diseases and impaired chewing ability linked to depression, as well as low socioeconomic status and the role of the dental care staff linked to depression. Conclusion: Depression affects oral health in a negative way. The impact depends on various factors such as low socio-economic status, problems with various mouth functions and oral diseases that limit depressed patients' ability to maintain good oral health and impair the quality of life. Further research on the subject needs to be applied for broader knowledge in the area.

PDSE are common (19.6%) in the local stroke population. Both premorbid factors as well as stroke-related factors contribute to the development of PRSD and PSDE. The application of different diagnostic criteria for PSDE will affect the frequency and the associated radiological characteristics. As regards the screening methods of PSDE, a more specific instrument should supplement the IQCODE or MDRS-IP in a two-stage screening procedure. / PSD is also common (16--17%) among local stroke survivors. Both psychosocial factors and the location of cerebrovascular lesions play an important role in the development of PSD. PSD in local Chinese seems to have a favorable short-term outcome in comparison with their Caucasian counterparts. With regard to the screening of PSD in Chinese, we found that both the GDS and HADS depression subscale have a satisfactory response rate and accuracy in detecting PSD. However, due to the relative low frequency of PSD in the local stroke population, a more specific instrument should supplement the GDS in a two-stage screening procedure. Finally, the familiarity of the rater with the subjects based on a preexisting therapeutic relationship did not influence the accuracy of screening for PSD in Chinese patients. / There has been a paucity of data on the frequency, clinical correlates and methods of screening of poststroke dementia (PSDE) and depression (PSD) in Chinese populations. The objective of this thesis is to examine the prevalence, diagnostic criteria and clinical correlates of PSDE and PSD in Chinese stroke patients in Hong Kong. A series of studies were all carried out; the author of the thesis had interviewed all the subjects 1--3 months after their index stroke and made the diagnosis of dementia and depression according to the DSM-IV criteria. / Tang Wai Kwong. / "July 2005." / Adviser: Gabor S. Ungvari. / Source: Dissertation Abstracts International, Volume: 67-01, Section: B, page: 0177. / Thesis (M.D.)--Chinese University of Hong Kong, 2005. / Includes bibliographical references (p. 136-191). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Electronic reproduction. [Ann Arbor, MI] : ProQuest Information and Learning, [200-] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / School code: 1307.

This study enquires into the influence of the philosophical stance of a narrative pastoral therapist in therapeutic groups for people living with depression within a church context. For the purpose of this study, a philosophical stance is defined as a metaphorical position which represents the therapist's epistemological stance and which shapes his or her interactions with the therapy group members. An explanation of the building blocks of the therapist's preferred philosophical stance is provided, the influence of modern and postmodern discourses in developing such a stance is discussed, and the effects of the therapist's philosophical stance on the group members are explored. The research is directed towards everyone who is involved in pastoral therapeutic groups for people with depression. The study found that concepts such as 'relational', 'collaborative', 'participatory approach', 'mutual care,', 'self-other growth' and 'co-creation' highlight some of the most helpful contributions provided by the therapist's preferred philosophical stance. / Practical Theology / Thesis (M. Th. (Practical Theology with specialisation in Pastoral Therapy))-

This study enquires into the influence of the philosophical stance of a narrative pastoral therapist in therapeutic groups for people living with depression within a church context. For the purpose of this study, a philosophical stance is defined as a metaphorical position which represents the therapist's epistemological stance and which shapes his or her interactions with the therapy group members. An explanation of the building blocks of the therapist's preferred philosophical stance is provided, the influence of modern and postmodern discourses in developing such a stance is discussed, and the effects of the therapist's philosophical stance on the group members are explored. The research is directed towards everyone who is involved in pastoral therapeutic groups for people with depression. The study found that concepts such as 'relational', 'collaborative', 'participatory approach', 'mutual care,', 'self-other growth' and 'co-creation' highlight some of the most helpful contributions provided by the therapist's preferred philosophical stance. / Philosophy, Practical and Systematic Theology / Thesis (M. Th. (Practical Theology with specialisation in Pastoral Therapy))-

Com a dissolução do matrimônio, a identidade conjugal é desconstruída e vive-se um novo momento, no qual o estabelecimento dos novos projetos existenciais e a oportunidade de um resgate de si mesmo conduz à ressignificação da identidade individual. Partindo desse princípio, esta dissertação teve como objetivo compreender os sentimentos que emergem em homens e mulheres quando perdem o vínculo conjugal. A pesquisa seguiu um desenho qualitativo, tendo como participantes três homens e quatro mulheres divorciados, que residem na cidade de Recife e Região Metropolitana. O instrumento utilizado foi a entrevista semiestruturada e os dados coletados foram submetidos à Análise de Conteúdo Temática. Os resultados indicaram que os sentimentos e emoções mais frequentes apresentaram equivalência em suas aparições nas entrevistas. Entre os positivos estão os sentimentos de liberdade, felicidade e paz. Os sentimentos negativos evidenciam sensação de deslocamento, ciúmes e raiva, mesclados de tristeza, fracasso e saudade. No que se refere às características do luto manifestadas no percurso da ruptura conjugal, constatamos que a maioria dos entrevistados vivenciou sentimentos relativos ao quadro de luto presente na separação. Todavia, três dos participantes, aparentemente, não vivenciaram o luto pela perda sentida, o luto veio de forma tardia, ou seja, a reação emocional surgiu após algum tempo da perda sofrida, apresentando-se de forma exacerbada e intensa, consideradas inadequadas ao momento atual deles. Na tentativa de identificar as interferências provocadas pela separação sobre a saúde dos entrevistados, percebemos que houve novamente um equilíbrio: ora a desvinculação amorosa favorece a manutenção ou a busca por uma melhor qualidade de vida, ora interfere negativamente, afetando a manutenção da saúde. Sobre as estratégias utilizadas para a ressignificação da identidade individual, observamos que a busca e o estabelecimento de um novo vínculo afetivo foi uma estratégia empregada entre os sujeitos estudados, para servir de apoio a esse ressignificar. A maioria deles conquistou a ressignificação da sua identidade individual, conseguindo tornar-se autônomo e capaz de desenvolver a sua individualidade. Eles experienciaram o processo de subjetivação que promoveu o contato consigo, e a partir disso conseguiram conquistar mudanças individuais, significativas desconstruindo identidades conjugais e oportunizando a vivência de novos enfoques de si mesmo. Criaram projetos existenciais capazes de contribuir para a singularidade, crescimento e amadurecimento de si, e do ser com o outro. Esperamos que este trabalho acadêmico propricie discussões sobre o tema, como também inovações nos serviços assistenciais oferecidos pelos órgãos competentes a esse público alvo, favorecendo o resgate da identidade individual / With marriage dissolution, the marital identity is deconstructed and one comes to live a new moment, in which the setting of new existential projects and the opportunity of restoring oneself lead to a new significance of the individual identity. Based on such assumption, this dissertation aimed to comprehend the feelings that emerge in men and women when they lose the power of marital bond. The research followed the qualitative model and had as its participants three divorced men and four divorced women, who reside in the city of Recife and its metropolitan region. The instrument used was a semi-structured interview and the data collected were submitted to a Thematic Content Analysis. The results indicated that the most frequent feelings and emotions were equally present in the interviews. Among the positive ones are the feelings of freedom, happiness and peace. The negative ones evidence the sense of alienation, jealousy and anger, mixed with sadness, failure and missing. Regarding the mourning characteristics shown during the marital break-up process, we found that the majority of the people interviewed had feelings linked to the divorce. However, three of the participants apparently did not experience the mourning, which just came lately, that is, the emotional reaction rose after some time of the loss occurrence, in an exaggerated and intense way, which was no longer compatible to their moment. Attempting to identify the interferences caused by the divorce in the health of the people interviewed, we noticed again a certain balance: now the termination influenced to keep or seek for a better quality of life, now it influenced negatively, affecting their health. About the strategies used to grant new significance to the individual identity, we observed that searching and establishing a new affective bond was a tool used by the individuals studied, in order to support such new significance. The majority of them achieved granting new significance to their individual identities and could become self-reliant and able to develop their own individuality. They experienced the process of subjectivity that put them in touch with themselves, from what they could achieve individual and meaningful changes, and deconstruct marital identities and make possible living new perspectives of themselves. They created new existential projects able to contribute to their own singularity, growing and maturation, including their being towards the other. We hope that this academic work has enhanced the discussions about the theme, as well as innovations in the assistance services offered by the legal bodies to such target audience, favoring the rescue of individual identity.

Made available in DSpace on 2017-06-01T18:08:51Z (GMT). No. of bitstreams: 1 janaina_andrade_tenorio_araujo.pdf: 43285042 bytes, checksum: 7c7d6b326cfdb4d6422a4f609edb99be (MD5) Previous issue date: 2014-02-25 / With marriage dissolution, the marital identity is deconstructed and one comes to live a new moment, in which the setting of new existential projects and the opportunity of restoring oneself lead to a new significance of the individual identity. Based on such assumption, this dissertation aimed to comprehend the feelings that emerge in men and women when they lose the power of marital bond. The research followed the qualitative model and had as its participants three divorced men and four divorced women, who reside in the city of Recife and its metropolitan region. The instrument used was a semi-structured interview and the data collected were submitted to a Thematic Content Analysis. The results indicated that the most frequent feelings and emotions were equally present in the interviews. Among the positive ones are the feelings of freedom, happiness and peace. The negative ones evidence the sense of alienation, jealousy and anger, mixed with sadness, failure and missing. Regarding the mourning characteristics shown during the marital break-up process, we found that the majority of the people interviewed had feelings linked to the divorce. However, three of the participants apparently did not experience the mourning, which just came lately, that is, the emotional reaction rose after some time of the loss occurrence, in an exaggerated and intense way, which was no longer compatible to their moment. Attempting to identify the interferences caused by the divorce in the health of the people interviewed, we noticed again a certain balance: now the termination influenced to keep or seek for a better quality of life, now it influenced negatively, affecting their health. About the strategies used to grant new significance to the individual identity, we observed that searching and establishing a new affective bond was a tool used by the individuals studied, in order to support such new significance . The majority of them achieved granting new significance to their individual identities and could become self-reliant and able to develop their own individuality. They experienced the process of subjectivity that put them in touch with themselves, from what they could achieve individual and meaningful changes, and deconstruct marital identities and make possible living new perspectives of themselves. They created new existential projects able to contribute to their own singularity, growing and maturation, including their being towards the other. We hope that this academic work has enhanced the discussions about the theme, as well as innovations in the assistance services offered by the legal bodies to such target audience, favoring the rescue of individual identity. / Com a dissolução do matrimônio, a identidade conjugal é desconstruída e vive-se um novo momento, no qual o estabelecimento dos novos projetos existenciais e a oportunidade de um resgate de si mesmo conduz à ressignificação da identidade individual. Partindo desse princípio, esta dissertação teve como objetivo compreender os sentimentos que emergem em homens e mulheres quando perdem o vínculo conjugal. A pesquisa seguiu um desenho qualitativo, tendo como participantes três homens e quatro mulheres divorciados, que residem na cidade de Recife e Região Metropolitana. O instrumento utilizado foi a entrevista semiestruturada e os dados coletados foram submetidos à Análise de Conteúdo Temática. Os resultados indicaram que os sentimentos e emoções mais frequentes apresentaram equivalência em suas aparições nas entrevistas. Entre os positivos estão os sentimentos de liberdade, felicidade e paz. Os sentimentos negativos evidenciam sensação de deslocamento, ciúmes e raiva, mesclados de tristeza, fracasso e saudade. No que se refere às características do luto manifestadas no percurso da ruptura conjugal, constatamos que a maioria dos entrevistados vivenciou sentimentos relativos ao quadro de luto presente na separação. Todavia, três dos participantes, aparentemente, não vivenciaram o luto pela perda sentida, o luto veio de forma tardia, ou seja, a reação emocional surgiu após algum tempo da perda sofrida, apresentando-se de forma exacerbada e intensa, consideradas inadequadas ao momento atual deles. Na tentativa de identificar as interferências provocadas pela separação sobre a saúde dos entrevistados, percebemos que houve novamente um equilíbrio: ora a desvinculação amorosa favorece a manutenção ou a busca por uma melhor qualidade de vida, ora interfere negativamente, afetando a manutenção da saúde. Sobre as estratégias utilizadas para a ressignificação da identidade individual, observamos que a busca e o estabelecimento de um novo vínculo afetivo foi uma estratégia empregada entre os sujeitos estudados, para servir de apoio a esse ressignificar . A maioria deles conquistou a ressignificação da sua identidade individual, conseguindo tornar-se autônomo e capaz de desenvolver a sua individualidade. Eles experienciaram o processo de subjetivação que promoveu o contato consigo, e a partir disso conseguiram conquistar mudanças individuais, significativas desconstruindo identidades conjugais e oportunizando a vivência de novos enfoques de si mesmo. Criaram projetos existenciais capazes de contribuir para a singularidade, crescimento e amadurecimento de si, e do ser com o outro. Esperamos que este trabalho acadêmico propricie discussões sobre o tema, como também inovações nos serviços assistenciais oferecidos pelos órgãos competentes a esse público alvo, favorecendo o resgate da identidade individual