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The thesis refines the analytical categories of ‘refugee’ and ‘highly skilled migrant’ by exploring the experiences of non-European medical doctors who came to Sweden as refugees. As a narrative research study, the thesis is based on seven in-depth semi-structured interviews with refugee doctors who live in Sweden. By employing Van Hear’s concept of mixed migration and the notions of human, social and cultural capital, the thesis accounts for the interconnectedness of research participants’ migratory and professional trajectories. The analysis of the complex criss-crossing of their doctor and refugee identities makes use of Brubaker and Cooper’s concepts of identification and categorization, and self-understanding and social location which are further developed by Jenkins’ theory on social identity and Anthias’ concept of translocational positionality. The thesis concludes that these individuals’ migratory trajectories cannot be ranked as either forced or voluntary, but have to be conceptualized in terms of mixed migratory movements. In the same vein, the thesis points to the processual nature of identity which is always partly self-constructed and partly determined by the external categorizations, and hence pleads against the essentialization of migrants’ identities, be it that of a ‘refugee’ or ‘highly skilled migrant’.

A study conducted on patients who underwent total knee arthroplasty indicated that participants who were offered preadmission education for their procedure had statistically better outcomes than patients who had not attended an educational class. The study further focused on patients’ confidence in their ability to take control of their health situations as well as the effect of encouragement and motivation to provide active involvement. Two surveys, the Krantz Health Opinion Survey and the Multi Dimensional Health Locus of Control, were used to assess patients’ innate desires to be involved in their care and if they felt they could render any control themselves on their health. The study showed a statistically significant better outcome when patients received education prior to their procedure. When patients were encouraged and motivated to participate and take control of their rehabilitation after knee surgery, the outcomes were better than with education alone. It is a worthy endeavor therefore for education to be provided before total knee arthroplasty and to identify those patients who need additional encouragement to gain confidence in their abilities in order to positively affect their outcomes. Providing healthcare professionals information about patients’ innate traits regarding their desire or self-confidence to engage in their care could also be useful to allow caretakers to work with patients in the most advantageous manner to achieve better outcomes.

In this paper I have studied the two new religious phenomena, Temple of the Jedi Order and Whovianism, based on the cognitive concept of man dominated by schemas that characterize the outcome of adequate response to new situations. This principle is about how man faces new situations through old knowledge and experience of similar events. For this study, I analyzed selected stories in which individuals describe their religious interest and involvement in the Star Wars movies, and the related religious community Temple of the Jedi Order, as well as the television series Doctor Who, with the associated religious community Whovianism. This study was inspired by phenomenographic method by which researchers focus on the perceived and how it is conveyed in the respective story. The results of this study show that new religious phenomena, such as the Temple of the Jedi Order and Whovianism, can be explained using the theory of cognitive schemas.  The study shows that the individuals, whose stories have been examined, use ancient knowledge and experiences on the different aspects conveyed by Star Wars and Doctor Who and through this a new religious community is born.

Made available in DSpace on 2016-04-28T20:39:00Z (GMT). No. of bitstreams: 1 Laura Marques Castelhano.pdf: 1955754 bytes, checksum: eb80f8fb5a15633ac54be0a9b22ade47 (MD5) Previous issue date: 2015-03-13 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / The purpose of the research was to investigate the emotions of the doctor and their perception of the patient that affects him. This study used a multimethod research and evaluated in quantitative phase, thirty (30) doctors serving in office. For the qualitative phase were chosen four (4) doctors for an in-depth interview as a Case Study. The instruments used for the analysis were: sociodemographic questionnaire, the Inventory of Stress Symptoms for Adults Lipp (ISSL) and the International Affective Picture System (IAPS) and a semi-structured interview. The results showed that 56.7% of doctors experienced symptoms of stress, which is an index within the expected parameters of the test and there was no relationship between the sociodemographic variables. In relation to emotional perception there was no difference between the sample results and the general population, but differences were found in the relation to sociodemographic variables: age, time since graduation, average handle time (consultation) and weekly hours devoted to work in the office, concluding that older doctors, with more time after graduation and more time in consultation with the patient, felt more impacted on the emotional stimuli than other doctors; and doctors who work more hours per week in the office perceived the stimuli in a less pleasant way than other doctors. These data were confirmed by groups of four (4) clusters. It was conducted by a case study following the approach of Jungian theory with a representative of each cluster from pre-set categories related to the research objectives, content and factors attributed to stress; emotional perception; the role of emotion in the doctor-patient relationship; the emotions aroused by difficult patient and not difficult patient and strategies for dealing with emotions. The results revealed that the emotions could influence attitudes and perceptions in the medical activity. There was a suffering from physicians due to an emotional wound that is not recognized and poorly understood, which can result in projections in patients / O objetivo da pesquisa foi investigar as emoções do médico e a percepção do paciente que o afeta. Este estudo utilizou o método misto de pesquisa e avaliou na fase quantitativa, 30 (trinta) médicos com atuação em consultório. Para a fase qualitativa foram escolhidos 4 (quatro) médicos para a entrevista aprofundada em forma de Estudo de Caso. Os instrumentos utilizados para a análise foram: o questionário sociodemográfico, o Inventário de Sintomas de Stress para Adultos de Lipp (ISSL) e o International Affective Picture System (IAPS) e a entrevista semiestruturada. Os resultados mostraram que 56,7% dos médicos apresentaram sintomas de estresse, índice dentro do esperado pelos parâmetros do teste e não houve relação entre as variáveis do sociodemográfico. Em relação à percepção emocional não houve diferença entre os resultados da amostra e a população geral, mas houve diferença na relação com as variáveis sociodemográficas: idade, tempo de formado, tempo médio de atendimento (consulta) e horas semanais dedicadas ao trabalho no consultório, concluindo-se que médicos mais velhos, com mais tempo de formado e que ficam mais tempo em consulta com o paciente, sentiram-se mais impactados diante dos estímulos emocionais do que os outros médicos; e os médicos que trabalham mais horas semanais no consultório perceberam os estímulos de forma menos prazerosa que os outros médicos. Esses dados foram confirmados pelos agrupamentos dos 4 (quatro) clusters. Efetuou-se a análise de caso segundo a abordagem da teoria junguiana com um representante de cada cluster a partir de categorias pré-estabelecidas relacionadas aos objetivos da pesquisa: índice e fatores atribuídos ao estresse; a percepção emocional; o papel da emoção na relação médico-paciente; as emoções despertadas pelos pacientes difícil e o que não desperta dificuldades e estratégias para lidar com as emoções. Os resultados revelaram que as emoções podem influenciar atitudes e percepções na atividade do médico. Observou-se um sofrimento por parte dos médicos decorrente de uma ferida emocional que não é reconhecida e que encontra pouco espaço para ser compreendida, passível de ocasionar projeções nos pacientes

Submitted by Marlene Aparecida de Souza Cardozo (mcardozo@pucsp.br) on 2016-12-19T14:51:34Z No. of bitstreams: 1 Janaína Gomes Loureiro de Oliveira.pdf: 1252411 bytes, checksum: 247ef73e02b5d11a71999699d9fabb17 (MD5) / Made available in DSpace on 2016-12-19T14:51:34Z (GMT). No. of bitstreams: 1 Janaína Gomes Loureiro de Oliveira.pdf: 1252411 bytes, checksum: 247ef73e02b5d11a71999699d9fabb17 (MD5) Previous issue date: 2016-11-28 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / The objective of this research is to study the problematization of speeches and dialogs in the medic-patient communication. We want to focus on the building of the relationship process based on power and authority, whence, verticalized, between medic and patient. How the information dissemination across the media, to empower the patient, put this authority under discussion and which's their effects in this relationship? Let's look at how changes on the speech of mediatized doctors brings the technical language closer to the non-technical language and a translation work made by an NGO to explain medical terms to children undergoing cancer treatment. We will search for an archeology of the enlargement of medicine and biopolitics importance, in addition to making propositions of possible dialogs that are inserted in a complex and horizontalized relationship. This way, we could study the different connections made at the doctor-patient relationship, at the disease experience. For such, we propose a review of Foucalt, Leão and Morin studies, with respect to the semiotics and communication; Rose, Rabinow, Kumar, Illich and Latour, on the sociological research, and Serson, Edler, Castiel and Caprara, for the medical experience and the relationship with the patients. From an archeological method to the birth of medicine as science and the building of medical authority, based on biopolitics; the cartography of the evolution of the relationship between medic-patient-media; and the translation work made by a NGO, we intend to lay the foundation for the creation of a future method wich could be applied by medics in dealing with their patients / Esta pesquisa tem por objetivo estudar a problematização dos discursos e diálogos na comunicação entre paciente e médico. Queremos nos atentar ao processo de construção de uma relação calcada em poder e autoridade, por isso, verticalizada, entre médico e paciente. Como a disseminação da informação por meios de comunicação, ao empoderar os pacientes, põe essa autoridade em discussão e quais os efeitos disso na relação médico-paciente? Vamos observar como a mudança no discurso usada por médicos midiatizados aproxima a linguagem técnica e não-técnica e um trabalho de tradução feito por uma ONG para explicar termos médicos a crianças em tratamento de câncer. Buscaremos fazer uma arqueologia da ampliação da importância da medicina com a biopolítica, além de fazer proposições de possíveis diálogos que estejam inseridos em uma relação complexa e horizontalizada. Dessa forma, podemos estudar os diferentes vínculos criados na relação médico-paciente, na vivência da doença. Para tal, propomos uma revisão dos estudos de Foucault, Leão e Morin no tocante de comunicação e semiótica; de Rose, Rabinow, Kumar, Illich e Latour, na pesquisa sociológica; e de Serson, Edler, Castiel e Caprara, para as vivências médicas e de relação com os pacientes. A partir de um método de arqueologia do nascimento da medicina como ciência e da construção da autoridade médica, baseada na biopolítica; da cartografia da evolução da relação entre médicos-pacientes-mídia; e do trabalho de tradução feito por uma ONG, pretendemos estabelecer as bases para a criação de um futuro método que poderá ser aplicado por médicos no tratar de seus pacientes