Thesis (D.Min.)--Liberty Baptist Theological Seminary, 1995. / Includes bibliographical references (p. 150-159).

Thesis (Ph. D.)--University of Washington, 2006. / Vita. Includes bibliographical references (leaves 109-124).

Thesis (Ph.D.)--Texas Christian University, 2007. / Title from dissertation title page (viewed Aug. 8, 2007). Includes abstract. Includes bibliographical references.

Thesis (D. Min.)--Dallas Theological Seminary, 2006. / Includes abstract. Includes bibliographical references (leaves 98-101).

Errata pasted onto front fly leaf. Bibliography: leaves 329-355. Studies the expansion of postgraduate education in Australia, particularly the research degree. Analyses the credentialling role of the postgraduate degree and the influence of overseas models of postgraduate education. Argues that the changing relationship between the state, the universities and the research sector has had a strong impact on the postgraduate sector.

Working at the intersection of medical sociology and the psychology of health, language and communication, in this PhD I use thematic analysis (TA) and conversation analysis (CA) to provide an insight into various aspects of doctor-patient communication that may be considered, or are constructed as, challenging and/or delicate for either the patient, doctor or both at a Gender Identity Clinic (GIC) in the UK. This project involves the secondary analysis of two existing data-sets: (i) 21 recorded telephone interviews between my PhD supervisor and transsexual patients who attended the GIC; (ii) 156 transcribed audio-recordings and 38 video-recordings (total = 194) of psychiatrist-patient consultations in the GIC. The first original research paper uses TA to investigate the views and experiences of transsexual patients regarding their communication with psychiatrists at the GIC. An important finding was that patients actually appreciated being challenged in this setting, subsequently the implications of this are considered with regards to the achievability and desirability of patient centred communication. The second research paper uses CA to consider how patients overtly challenge psychiatrists in the GIC in ways that have not been shown in conversation analytic research on medical interactions to date. Analysis of the data corpus revealed that there were three common ways in which patients challenged psychiatrists at the GIC, which are (1) by problematising their questions; (2) by disagreeing with statements that are made regarding their treatment; (3) and by initiating complaints. The findings of this study are considered in relation to the implications that they have for clinicians and for the persistence and desirability of asymmetry in clinical interaction in light of the current debates surrounding the concept of patient-centeredness. The final research paper also uses CA, in this instance to study how the topic of weight, which is often constructed and orientated towards as delicate in talk-in-interaction, is occasioned and discussed by psychiatrists and patients at the GIC. Whereas previous CA research on this topic has focused on how this is constructed by speakers as a moral issue, this paper is concerned with focusing on how psychiatrists (1) establish with patients that their weight is an issue, (2) encourage patients to lose weight by informing them that this is their responsibility and (3) offer advice on the behavior changes associated with weight loss. The results of this paper are discussed with regards to the implications that they have for clinicians who discuss the potentially delicate topic of weight with patients in a number of different settings. This project contributes towards the growing debates regarding the achievability and desirability of patient centred communication and the persistence of asymmetry in clinical interaction. It also contributes to medical conversation analytic literature to date on asymmetry and talk about weight in clinical interactions.

Doctor en Ciencias con mención en Biología

Notre système de santé subit des pressions constantes pour réduire et rationnaliser ses dépenses. Dans un tel contexte, modifier durablement les comportements individuels constitue un enjeu de taille. Plus que jamais, l’individu est invité à devenir acteur de sa santé en s’autorégulant tout au long de sa vie. Pour autant, c’est dans un monde complexe où les univers de référence s’effritent, qu’il doit désormais être en capacité d’agir. Ces dernières années, Internet a investi le champ de la santé, modifiant le rapport au savoir médical. Le médecin n’est plus perçu comme le seul détenteur de savoir et de pouvoir. Chacun souhaite dorénavant prendre une part active dans la gestion de sa santé, brouillant ainsi les lignes de partage entre savoir profane et savoir expert.Notre travail de recherche interroge la capacité des individus à exercer un contrôle sur leur santé. Notre objectif est de comprendre comment ce pouvoir d’agir sur soi se construit au fil du temps puis se déploie au gré des évènements biographiques. Notre démarche vise donc la compréhension du phénomène de l’autorégulation de la santé, dont il s’agit de rendre intelligible le fonctionnement. De ce fait, ce sont des entretiens biographiques qui ont été menés auprès de vingt-quatre individus au mitan de leur vie. Cette enquête a permis de mettre en lumière un modèle d’analyse et de compréhension des comportements de santé et surtout de poser des hypothèses de recherche que nous avons pu éprouver sur une population plus importante dans le cadre d’une deuxième enquête quantitative portant sur 451 individus. Grâce à cette double approche méthodologique nous sommes en mesure de constater que les comportements de santé peuvent s’analyser en considérant conjointement trois facteurs que sont le rapport de l’individu au savoir, son rapport au médecin et son rapport à la fatalité. / Our healthcare system is under constant pressure to reduce spending. In such a context, more than ever, bringing about lasting change to individuals' behavior is a key issue. In this regard, all individuals are urged to become lifelong, self-regulated contributors to their own health maintenance. However, the context in which people are encouraged to take on this role is extremely complex. Internet has become part of the healthcare scene and changed the way people think about healthcare and gain access to medical knowledge. Doctors are no longer believed to be the only people who possess knowledge and power in the field. Everyone now wants to have an active hand in managing their own health, which blurs the boundaries between lay and expert knowledge. Our research explores people's ability to exercise control over their own health. Our objective is to understand how this self-determining power develops over time and is exercised in accordance with life events. Our approach thus aims to understand the self-regulation of health as an intelligible phenomenon. Biographical interviews were conducted with twenty-four middle-aged individuals. This survey not only provides a model of analysis and understanding of health-related behavior, but also puts forward hypotheses that were tested on a larger population as part of a second quantitative study involving 451 participants. Given this two-pronged methodological approach, we observe that people's healthcare-related behavior can indeed be analyzed in light of three joint factors, namely the individual's relationship to knowledge, doctors, and fatality.

There has been a significant increase in the numbers of students undertaking doctoral study over the last 20-30 years. This means that the PhD is no longer solely an elite degree designed to prepare graduates for an academic career. Instead, emphasis has increasingly been placed on the role of the PhD in producing 'advanced knowledge workers' who are expected to make a contribution to the production of knowledge in a knowledge-driven economy. This has led to an increased focus on the educational dimension of the PhD and the educational processes involved in developing students to become researchers in a range of contexts. However, the educational processes involved in the PhD are complex and differ across higher education systems, institutions and disciplines. They include formal and informal activities and involve a large number of actors with different expectations about the aims and outcomes. This study aims to gain an in-depth understanding of the educational processes of the PhD by exploring the complexity underlying these processes. The research was based on case studies in six departments. The case studies focused on the PhD processes of the six departments from three disciplines in four higher education institutions in England. Interviews with PhD Programme Directors, supervisors and students were complemented by analysis of institutional and departmental documents. The research was guided by a multi-level framework to examine the institutional, departmental, interpersonal and individual levels, and the inter-relatedness between levels. As such rich narratives provide insight into factors such as the PhD thesis and its influence on the supervisory relationship, formal initiatives such as assessment and coursework, and the Skills Training Programme and its underlying notion of employability. Three forms of complexity were identified. The first relates to the fact that the educational processes are individualistic in nature, and there is a need to understand the influences of the personal, social, educational and professional domains of the individual students and supervisors independently and collectively in shaping these complex processes. The second underlines the tensions and potential contradictions within and between actors as a result of the interpretation and implementation of these processes across the four levels. The third concerns a tension between the need for these processes to remain individualistic and the pressure for departments and institutions to provide standardised processes for all students. By identifying and gaining a greater understanding of these complexities, this research contributes to a more comprehensive understanding of the educational processes of the PhD based on grounded empirical evidence. This understanding is important in developments for enhancing the quality of PhD education, and in developing programmes which support students to become researchers in a range of different employment contexts.

Made available in DSpace on 2015-07-22T20:50:31Z (GMT). No. of bitstreams: 0 Previous issue date: 2011-09-14. Added 1 bitstream(s) on 2015-08-11T03:26:34Z : No. of bitstreams: 1 Publico-MirtesSalantierRomaop.pdf: 764173 bytes, checksum: f83382a40f3f4f05caeca222464e3b59 (MD5) / Objetivo: verificar os conhecimentos e atitudes de adolescentes estudantes frente à contracepção, principalmente a de emergência, como e com quem foram adquiridos e sua opinião sobre como médicos, enfermeiros e professores podem melhor contribuir para sua orientação sexual. Método: de agosto a novembro de 2010, foram aplicados questionários em sala de aula, da EMPG Gen. Newton Reis. Utilizou-se questionário semi-estruturado, autopreenchível, anônimo, contendo perguntas gerais sobre sexualidade, métodos contraceptivos, gravidez, doenças sexualmente transmissíveis, dúvidas quanto às transformações corporais e de como professores, enfermeiros e médicos podem auxiliar os adolescentes escolares a sanar suas dúvidas. Consistiu em pesquisa de caráter observacional, descritiva, quanti-qualitativa, corte transversal, prospectivo cuja técnica de investigação foi perguntas fechadas (quantitativas) e abertas - sob a forma de testemunho (qualitativas). Resultados: Dos 196 alunos matriculados de 5ª a 8ª séries 176 alunos presentes na ocasião da aplicação do questionário, 107 apresentaram a autorização (TCLE e TA). O percentual dos adolescentes do sexo feminino prevalece (62%). A idade média é de 13 anos entre os estudantes de 5ª. a 8ª. série do ensino fundamental. A maior parte dos adolescentes estudantes ainda não teve a primeira relação sexual (63% - masculino/ 86% - feminino). A menarca apareceu na idade média de 11 anos (27%). Os adolescentes estudantes não passam por consulta médica periódica (61% - masculino /58% - feminino). Conclusões: O método contraceptivo mais conhecido pelos adolescentes do sexo masculino e do sexo feminino é a camisinha masculina, conhecida, também, como condom. Sendo que a principal fonte de informação para o seu conhecimento dos métodos contraceptivos difere entre os grupos. Para o grupo masculino a principal fonte são os amigos e a escola; e para o grupo feminino são o professor e a família. Referente à opinião do adolescente escolar de como médicos, enfermeiros e professores podem contribuir para a sua orientação sexual. Segundo o seu ponto de vista, o professor não está preparado para abordar a temática de sexualidade em sala de aula simplesmente pelo fato de não serem técnicos da área. / Objective: verify the knowledge and attitudes of teenage students about contraception, specially the emergency one, how and with whom they acquired them and their opinion about how doctors, nurses and teachers can best contribute to their sexual orientation. Method: from August to November 2010, questionnaires were distributed in classrooms of EMPG Gen. Newton Kings. Using semi - structured, anonymous and self - filling questionnaires containing general questions about sexuality, contraception, pregnancy, STDs, doubts regarding body transformations and how teachers, nurses and doctors can help teenage students to clarify their doubts. It was consisted of observational, descriptive, quanti - qualitative, forward - looking cross cutting research, in which technique of research was closed questions (quantitative) and open questions – in the form of testimony (qualitative). Results: From 196 students enrolled from 5th to 8th grades, 176 students present at the time of application of the questionnaire, 107 presented the authorization (TCLE and TA). The percentage of female adolescents prevails (62%). The average age is 13 years among students from 5th to 8th grades of elementary school. The majority of teenage students haven't had the first sexual intercourse (63% - 86% - male/female). The menace appeared in the average age of 11 years (27%). The teenage students don ́t undergo periodic medical consultation (61% - 58% - male/female). Conclusions: the contraceptive method known by male and female adolescents is the male condom. The main source of information for their knowledge of contraceptive methods differ among groups. For boys, the main source are friends and schools; and for girls are teachers and the family. Concerning the adolescent's opinion about how schools, doctors, nurses and teachers can contribute to their sexual orientation. According to their point of view, the teachers are not prepared to address the theme of sexuality in classrooms, simply because they are not from this technical area. / TEDE