Made available in DSpace on 2016-04-25T20:21:18Z (GMT). No. of bitstreams: 1 Maria Elisa Gonzalez Manso.pdf: 1100752 bytes, checksum: a79f3c4334cb3dc3edbfbcb83487718d (MD5) Previous issue date: 2015-02-05 / This research aims to understand the explanatory model and the therapeutic itinerary of a group of patients affected by chronic diseases who are assisted by disease management programs carried out by operators of health plans and identify strategies of self-care that relate with the explanatory model. The thesis that moves this study is that the route that the patient uses for its treatment has deep roots in his own culture, being much larger than the model used by health professionals, also generated by the culture, but restricted by the biomedical vision. The meanings of terms such as health, cure, treatment, disability, dependence and others are not always equal in both models. If the meaning is too different, adherence to the treatment will be impaired, but the patient may still have obtained relief from their suffering. The methodology applied is qualitative, gathered through interviews with people with confirmed previous medical diagnosis of chronic disease who were already undergoing treatment, accompanied by chronic diseases management programs, which, according to the hegemonic healthy model, should know the diseases that affect them with a sufficient degree of information that would allow their full compliance. Because these are people linked to health plans, with a higher socioeconomic strata, they would fit the criteria of information, income, education and access to health care that would turn them into ideal patients and adherent to therapy. Reasons for non-adherence to treatment among these participants are what motivated this research and generated the hypothesis that the therapeutic itinerary of these patients, generated and engraved in their culture, originates from an explanatory model of the illness process much wider than the hegemonic model. So these diseased would present strategies of self-care, as part of this layman model, which allows them to carry on and manage their treatment both within and without the current prevailing model, strategies those that can be seen by health professionals as noncompliance. We believe that this study achieved its objectives, supporting the initial hypothesis of the research, showing that even in a theoretically disciplined group within criteria taken as ideal for joining the biomedical model of illness and treatment, people are immersed in their culture and find loopholes for the exercise of self-care. The work also showed that the crisis of the biomedical model, in this case, stems from the microphysics power relations and from the structural conditions of the health system and the people in the group are able to identify some of these flaws. We hope this research will contribute to this relevant nowadays debate as well as collaborate in the reflections on medicine and health education, broadening the discussion to incorporate the experiences and narratives of this group of patients / Esta pesquisa tem como objetivo perceber o modelo explicativo e o itinerário terapêutico de um grupo de doentes acometidos por afecções crônicas assistidos por programas de gerenciamento de doenças realizados por operadoras de planos de saúde e identificar estratégias de cuidar de si que se inter-relacionam com seu modelo explicativo. A tese que move este estudo é de que o itinerário que o doente utiliza para seu tratamento tem profundas raízes na cultura, sendo muito mais amplo do que o modelo dos profissionais de saúde, por sua vez também gerado na cultura, porém restringido pela visão da biomedicina. Os significados de termos como saúde, cura, tratamento, incapacidade, dependência, entre outros, nem sempre são correspondentes em ambos os modelos. Caso o significado seja muito diferente, a adesão ao tratamento ficará prejudicada, mas o doente pode ter obtido alívio para seu sofrimento. A metodologia empregada é qualitativa, realizada mediante entrevistas com pessoas com diagnóstico médico prévio confirmado de doença crônica e que já se encontravam em tratamento, acompanhadas por programas de gerenciamento de doenças crônicas, as quais, segundo o modelo de atenção à saúde hegemônico, deveriam conhecer as doenças que os acometem com um grau de informação suficiente que permitisse sua adesão plena ao tratamento. Por se tratarem de pessoas vinculadas a planos de saúde, portanto de estratos socioeconômicos mais elevados, preencheriam os quesitos de informação, renda, educação e acessibilidade ao sistema de saúde que os transformaria em pacientes ideais e aderentes à terapêutica. O porquê da não adesão ao tratamento entre estes participantes é que despertou esta pesquisa e gerou a hipótese de que o itinerário terapêutico destes enfermos, gerado e inscrito na cultura, origina-se de um modelo explicativo do processo de adoecer mais amplo do que o modelo hegemônico. Estes adoecidos apresentariam assim estratégias de cuidar de si próprios, como parte deste modelo dito leigo, que faz com que convivam e gerenciem seu tratamento tanto dentro quanto à revelia do modelo predominante, estratégias estas que podem ser vistas pelos profissionais de saúde como não adesão. Acreditamos que esta pesquisa atingiu seus objetivos, corroborando a hipótese inicial do trabalho, demonstrando que, mesmo em um grupo teoricamente disciplinado dentro de critérios tidos como ideais para a adesão ao modelo biomédico de adoecimento e tratamento, as pessoas estão imersas na cultura e encontram brechas para o exercício do cuidar de si. O trabalho mostrou ainda que a crise do modelo biomédico, neste caso, advém tanto das relações microfísicas de poder quanto das condições estruturais do sistema de saúde e que as pessoas do grupo conseguem identificar algumas destas falhas. Esperamos que esta pesquisa possa contribuir para este debate tão atual, além de colaborar nas reflexões sobre a medicina e sobre o ensino na saúde, ampliando a discussão ao incorporar as experiências e narrativas deste grupo de enfermos

Made available in DSpace on 2016-04-26T14:55:07Z (GMT). No. of bitstreams: 1 Maria Elisa Gonzalez Manso.pdf: 1100752 bytes, checksum: a79f3c4334cb3dc3edbfbcb83487718d (MD5) Previous issue date: 2015-02-05 / This research aims to understand the explanatory model and the therapeutic itinerary of a group of patients affected by chronic diseases who are assisted by disease management programs carried out by operators of health plans and identify strategies of self-care that relate with the explanatory model. The thesis that moves this study is that the route that the patient uses for its treatment has deep roots in his own culture, being much larger than the model used by health professionals, also generated by the culture, but restricted by the biomedical vision. The meanings of terms such as health, cure, treatment, disability, dependence and others are not always equal in both models. If the meaning is too different, adherence to the treatment will be impaired, but the patient may still have obtained relief from their suffering. The methodology applied is qualitative, gathered through interviews with people with confirmed previous medical diagnosis of chronic disease who were already undergoing treatment, accompanied by chronic diseases management programs, which, according to the hegemonic healthy model, should know the diseases that affect them with a sufficient degree of information that would allow their full compliance. Because these are people linked to health plans, with a higher socioeconomic strata, they would fit the criteria of information, income, education and access to health care that would turn them into ideal patients and adherent to therapy. Reasons for non-adherence to treatment among these participants are what motivated this research and generated the hypothesis that the therapeutic itinerary of these patients, generated and engraved in their culture, originates from an explanatory model of the illness process much wider than the hegemonic model. So these diseased would present strategies of self-care, as part of this layman model, which allows them to carry on and manage their treatment both within and without the current prevailing model, strategies those that can be seen by health professionals as noncompliance. We believe that this study achieved its objectives, supporting the initial hypothesis of the research, showing that even in a theoretically disciplined group within criteria taken as ideal for joining the biomedical model of illness and treatment, people are immersed in their culture and find loopholes for the exercise of self-care. The work also showed that the crisis of the biomedical model, in this case, stems from the microphysics power relations and from the structural conditions of the health system and the people in the group are able to identify some of these flaws. We hope this research will contribute to this relevant nowadays debate as well as collaborate in the reflections on medicine and health education, broadening the discussion to incorporate the experiences and narratives of this group of patients / Esta pesquisa tem como objetivo perceber o modelo explicativo e o itinerário terapêutico de um grupo de doentes acometidos por afecções crônicas assistidos por programas de gerenciamento de doenças realizados por operadoras de planos de saúde e identificar estratégias de cuidar de si que se inter-relacionam com seu modelo explicativo. A tese que move este estudo é de que o itinerário que o doente utiliza para seu tratamento tem profundas raízes na cultura, sendo muito mais amplo do que o modelo dos profissionais de saúde, por sua vez também gerado na cultura, porém restringido pela visão da biomedicina. Os significados de termos como saúde, cura, tratamento, incapacidade, dependência, entre outros, nem sempre são correspondentes em ambos os modelos. Caso o significado seja muito diferente, a adesão ao tratamento ficará prejudicada, mas o doente pode ter obtido alívio para seu sofrimento. A metodologia empregada é qualitativa, realizada mediante entrevistas com pessoas com diagnóstico médico prévio confirmado de doença crônica e que já se encontravam em tratamento, acompanhadas por programas de gerenciamento de doenças crônicas, as quais, segundo o modelo de atenção à saúde hegemônico, deveriam conhecer as doenças que os acometem com um grau de informação suficiente que permitisse sua adesão plena ao tratamento. Por se tratarem de pessoas vinculadas a planos de saúde, portanto de estratos socioeconômicos mais elevados, preencheriam os quesitos de informação, renda, educação e acessibilidade ao sistema de saúde que os transformaria em pacientes ideais e aderentes à terapêutica. O porquê da não adesão ao tratamento entre estes participantes é que despertou esta pesquisa e gerou a hipótese de que o itinerário terapêutico destes enfermos, gerado e inscrito na cultura, origina-se de um modelo explicativo do processo de adoecer mais amplo do que o modelo hegemônico. Estes adoecidos apresentariam assim estratégias de cuidar de si próprios, como parte deste modelo dito leigo, que faz com que convivam e gerenciem seu tratamento tanto dentro quanto à revelia do modelo predominante, estratégias estas que podem ser vistas pelos profissionais de saúde como não adesão. Acreditamos que esta pesquisa atingiu seus objetivos, corroborando a hipótese inicial do trabalho, demonstrando que, mesmo em um grupo teoricamente disciplinado dentro de critérios tidos como ideais para a adesão ao modelo biomédico de adoecimento e tratamento, as pessoas estão imersas na cultura e encontram brechas para o exercício do cuidar de si. O trabalho mostrou ainda que a crise do modelo biomédico, neste caso, advém tanto das relações microfísicas de poder quanto das condições estruturais do sistema de saúde e que as pessoas do grupo conseguem identificar algumas destas falhas. Esperamos que esta pesquisa possa contribuir para este debate tão atual, além de colaborar nas reflexões sobre a medicina e sobre o ensino na saúde, ampliando a discussão ao incorporar as experiências e narrativas deste grupo de enfermos

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A proposition ontology occupies a potentially rich and foundational place in a good deal of contemporary philosophical theorizing. Some of the biggest roadblocks to a wider acceptance and employment of propositions have been legitimate worries about their nature, or ontological "explanatory" power of theories that employ them. This dissertation attempts to understand and construct a deflationary or minimalist understanding of the notion of a proposition and its theoretical roles. On the basis of this understanding, following Stephen Schiffer (2003), I attempt to construct an ontology of propositions -focusing on general propositions- which avoids or dissolves the most pressing worries about their ontological nature, and the epistemological and explanatory statuses of propositions. In chapter one, I discuss the primary theoretical motivations for positing propositions, and argue for a general set of ontological constraints that fall out of a consideration of entities posited according to these motivations. In chapter two, after arguing that propositions are substantially ontologically independent of mind and language, I argue that propositions are conceptually mind- dependent, but that conceptual dependence of this kind does not amount to any sort of ontological dependence. In chapter three, drawing heavily on the work of Stephen Schiffer (2003), I substantially address the epistemological worries about propositions, arguing that propositions are pleonastic entities whose natures and existence we can know simply by reflecting on our proposition- introducing linguistic practices. In chapter four, I argue that propositions may or may not, in virtue of their status as pleonastic entities, play any substantial explanatory role, but that by utilizing the notion of a proposition, which, according to the pleonastic conception of them, guarantees their existence independent of our practices, is useful and perhaps indispensable to certain of our communicative and epistemic practices. Our propositional linguistic practices, involving essentially our reference to propositions, are thus pragmatically justified.

Among those who interpreted the poetry of Li Shang-Yin in the early Qing Dynasty, Zhu He-Ling was the one that took the lead. He interpreted the poetry of Li Shang-Yin on Qian Qian-Yi¡¦s instructions. It was a time of dynasty changes and literary inquisition, similar to the late Tang Dynasty. The poetry of Li Shang-Yin, poet of the late Tang, was ambiguous and obscure, which provided an opportunity for Zhu who was in the same situation as Li-Shang-Yin to display his commentary ability. Zhu adopted the method of ¡§zhi ren lun shi¡¨ to interpret Li¡¦s poems, which is a method of understanding a person by researching the historical background. After ¡§Explanatory Notes of the Poetry Collection of Li Yi-Shan¡¨ was published, it evoked resonance among readers. Therefore, it is now an important book for studying Li¡¦s poems. If the process of how Zhu finished the book could be understood and the essence and features of the book could be outlined and summarized, it would be beneficial for researching the poet Li Shang-Yin and his poems. This dissertation is composed of five chapters. The first chapter- introduction- contains the purpose and method of the study. The life and characteristics of Zhu and the gist of ¡§Explanatory Notes of the Poetry Collection of Li Yi-Shan¡¨ were also introduced. The second chapter-the historical background of Zhu He-ling¡¦s interpretation of Li Yi-Shan¡¦s poems-indicates that the author wrote and developed the concept of shishi (¸Ö¥v) and bixin (¤ñ¿³) under the influence of the political and social environment and the academic atmosphere at that time. This chapter also discusses the process of how Zhu finished the book and compares the differences in different versions in order to highlight the outcomes of Zhu¡¦s studies. In chapter three-the style and structure of ¡§Explanatory notes of the poetry collection of Li-Yi-Shan¡¨- the style and structure of the explanation, interpretation and quotation in the book were analyzed. By doing this, Zhu¡¦s devotion to interpreting Li¡¦s poems and to preserving predecessors¡¦ works could be easily seen. Chapter four-the contribution and defect of ¡§Explanatory notes of the poetry collection of Li-Yi-Shan¡¨-depicts the contribution and defect of the book for those who study Li Shang-Yin¡¦s poems. Chapter five-conclusion- summarizes the main ideas from chapter two to four in the hope that the whole picture of ¡§Explanatory notes of the poetry collection of Li-Yi-Shan¡¨ could be understood.

Ce mémoire présente une évaluation des différentes méthodes utilisées en lexicographie afin d’identifier les liens lexicaux dans les dictionnaires où sont répertoriées des collocations. Nous avons ici comparé le contenu de fiches du DiCo, un dictionnaire de dérivés sémantiques et de collocations créé selon les principes de la lexicologie explicative et combinatoire, avec les listes de cooccurrents générées automatiquement à partir du corpus Le Monde 2002. Notre objectif est ici de proposer des améliorations méthodologiques à la création de fiches de dictionnaire du type du DiCo, c’est-à-dire, des dictionnaires d’approche qualitative, où la collocation est définie comme une association récurrente et arbitraire entre deux items lexicaux et où les principaux outils méthodologiques utilisés sont la compétence linguistique de ses lexicographes et la consultation manuelle de corpus de textes. La consultation de listes de cooccurrents est une pratique associée habituellement à une approche lexicographique quantitative, qui définit la collocation comme une association entre deux items lexicaux qui est plus fréquente, dans un corpus, que ce qui pourrait être attendu si ces deux items lexicaux y étaient distribués de façon aléatoire. Nous voulons mesurer ici dans quelle mesure les outils utilisés traditionnellement dans une approche quantitative peuvent être utiles à la création de fiches lexicographiques d’approche qualitative, et de quelle façon leur utilisation peut être intégrée à la méthodologie actuelle de création de ces fiches. / This paper presents an evaluation of the various methods used in lexicography in order to identify the lexical bonds in dictionaries where collocations are indexed. We compared the contents of entries of the DiCo, a dictionary of semantic derivatives and collocations created according to the principles of explanatory and combinative lexicology, with the lists of cooccurrents generated automatically from the Le Monde 2002 corpus. Our objective here is to propose improvement in the methodology of creation of dictionary entry of DiCo-like dictionaries, i.e., dictionaries of a qualitative approach, where collocation is defined as the recurring and arbitrary associations between two lexical items and where the principal methodological tools used are the linguistic ability of its lexicographers and the manual consultation of corpus of text. The consultation of lists of cooccurrents is a practice associated traditionally with a quantitative lexicographical approach, which defines collocation as an association between two lexical items, which is more frequent, in a corpus, than what could be expected if these two lexical items were randomly distributed in corpus. We want to evaluate in what respect the tools used traditionally in a quantitative approach can be used for the creation of lexicographical entries of a qualitative approach, and how their use can be integrated into the current methology of creation of these entries.

Cette recherche porte sur la lexicologie, la lexicographie et l’enseignement/apprentissage du lexique. Elle s’inscrit dans le cadre du projet Modélisation ontologique des savoirs lexicographiques en vue de leur application en linguistique appliquée, surnommé Lexitation, qui est, à notre connaissance, la première tentative d’extraction des savoirs lexicographiques — i.e. connaissances déclaratives et procédurales utilisées par des lexicographes — utilisant une méthode expérimentale. Le projet repose sur le constat que les savoirs lexicographiques ont un rôle crucial à jouer en lexicologie, mais aussi en enseignement/apprentissage du lexique. Dans ce mémoire, nous décrirons les méthodes et les résultats de nos premières expérimentations, effectuées à l’aide du Think Aloud Protocol (Ericsson et Simon, 1993). Nous expliquerons l’organisation générale des expérimentations et comment les savoirs lexicographiques extraits sont modélisés pour former une ontologie. Finalement, nous discuterons des applications possibles de nos travaux en enseignement du lexique, plus particulièrement pour la formation des maîtres. / This research is about lexicology, lexicography and vocabulary teaching/learning. It is part of a project called Ontologization of lexicographic abilites for use in the fields of applied linguistics, nicknamed Lexitation, which is, to our knowledge, the first attempt at extracting lexicographic abilities using experimental techniques. The project relies on the assumption that lexicographic abilities play a role in teaching and acquisition of lexical knowledge, and not only in lexicography per se. We will describe the methods and results of our initial set of experiments, that are based on the use of so-called Think Aloud Protocol (Ericsson et Simon, 1993). We will explain how experiments have been set up and how we are currently proceeding with the extraction and modeling of various types of knowledge and strategies used by lexicographers while performing lexicographic tasks. Finally, we will present possible applications of our work in the field of language teaching, more specifically, teachers’ training.

Cette étude porte sur les différentes formalisations du sens linguistique dans le cadre de la théorie Sens-Texte (TST) ; elle s’intéresse notamment à la représentation sémantique, la représentation la plus importante dans la modélisation du sens d’énoncés et d’unités lexicales de la langue. Cette étude a trois objectifs : premièrement, décrire trois formalisations de la représentation sémantique existant dans la TST – les réseaux sémantiques, les définitions lexicographiques et les définitions de la BDéf (des définitions très formalisées) ; deuxièmement, identifier les disparités et les décalages entre les formalisations choisies ; troisièmement, proposer des modifications aux formalisations existantes pour réduire au maximum ces disparités. / This study explores the different formalisations of linguistic meaning as encountered in the Meaning-Text Theory (MST) framework. Its main interest is semantic representation, which is the most important representation in the modeling of the meaning of utterances and lexical units. This study has three objectives: first, describing three existing formalisations of semantic representation in the MST – semantic networks, lexicographical definitions, and BDéf definitions (definitions that are extremely formalized); second, identifying the discrepancies between these formalisations; finally, proposing modifications to these formalisations in order to reduce the disparities as much as possible.

Property market forecasts play a crucial role in modern real estate valuation methodologies and, consequently, flawed forecasts can have adverse impacts on the accuracy of valuations. This thesis identifies property industry inconsistencies in the formulation and application of office rent forecasts adopted in discounted cash flow (DCF) studies used to assess the value of commercial properties and the viability of proposed projects. Existing research on commercial property cycles and office property market modelling is examined in order to identify the dominant market drivers adopted by researchers. Forecasting techniques are also explored towards specifying space and rent models for the Brisbane CBD office market using the perceived dominant drivers as explanatory variables. Surveys of property valuers and developers are undertaken to underpin the selection of these variables. The implications of varying rent forecasts applied in DCF based valuation assessments are tested through the use of a case study involving four Brisbane office buildings. Innovative research is conducted through adopting geographic information system supported land use and historical valuation studies to delineate market precincts within the Brisbane CBD. The rent model is then re-estimated using precinct based office rent data to allow the generation of forecasts for the individual precincts. Out-of-sample accuracy test results for the precinct forecasts are compared with the results produced by the model specified using whole-of-city data. The literature reviews, surveys and model testing determine a relatively consistent range of dominant explanatory variables applicable to office markets. The case study, in a local context, confirms that varying forecasts do have a significant impact on property valuations. Tests of the forecast results generated by the Brisbane CBD model provide some evidence that more plausible office rent forecasts stem from the use of market models as compared with solely applying professional judgement based forecasts. Subject to data availability limitations, the precinct based rent model is found to produce rent forecasts superior to those generated by the whole-of-city model. Finally, the thesis makes a range of industry recommendations towards enhancing forecasts and recommendations are also made for potential future research projects.

[Truncated abstract] In Australia, asthma is a common chronic illness, which often requires complex treatment regimens. This study used an anthropological perspective to explore the experience of people living with asthma, with the specific aim of contributing to the health care programs offered to people living with asthma. The study was conducted in an Australian city (Perth, Western Australia). The foci of the study were Australian lay people, from the general community, living with asthma, and a small number of non- English speaking Vietnamese-Australian migrants. Some spouses of the Australians and biomedical practitioners were also included. Questionnaires, and particularly indepth interviews, were used to explore the explanatory models of asthma for doctors and lay people with the condition. The explanatory models of the doctors focused primarily on assessing and treating the physiological dimension of asthma, and educating patients. The explanatory models for lay people with asthma reflected their everyday reality: in addition to its impact on their physical health, asthma affected their daily life, social roles and participation, and their personal identity. Placing the experience of asthma in this wider perspective showed that the Australians used practical reasoning to make a trade-off between using medication, such that they felt safe from `attacks? and could `do all they wanted to do?, and minimising their `dependence? on potentially harmful medications. Responding to acute episodes involved a risk assessment in which people weighing the health risk of waiting against the social risk of seeking help unnecessarily. For the Vietnamese- Australians, caring for asthma was strongly shaped by their social position as non- English speaking migrants. They lacked access to information about asthma and to specialist care. They had sufficient medication, but were ill-informed about how to use their medicines effectively and safely: in general, the Vietnamese people were overmedicated but under-serviced in the care of their asthma. Beyond explanatory models, the Australian participants (lay people and doctors) shared a cultural model of asthma as a chronic illness. This Australian cultural model shaped the experience and care of asthma. It included concepts such as framing the past as an adjustment process, and the present as `living normally? with asthma. Taking care of asthma was expressed as `taking control? of asthma, so a person could minimise the illness and still be healthy. The Vietnamese-Australians did not share this cultural model of asthma as a chronic illness, as reflected in their expression of the hardship asthma created in limiting their ability to work hard for their family, and how they expected a cure for their condition from biomedicine. The Australians also shared a cultural model of health that was derived, in part, from the health promotion messages that are targeted at lay people. These promotional messages were the basis of a morality in health: people shared an implicit understanding that a person deserved health, and assistance when ill, when he/she displayed the required self-discipline in performing health behaviours.