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Är familjeterapi ett alternativ på vårdcentralen?Josefsson, Lena January 2014 (has links)
Vårdcentraler har under de senaste 15 åren anställt kuratorer psykologer och psykoterapeuter som kan erbjuda samtalsbehandling. Vid utvärdering av samtalen visar resultaten friskare patienter som bidrar till lägre vårdkostnader. Biologiska, psykologiska och sociala funktionerna blir centrala i mötet med patienten och hur dessa funktioner påverkar beskrivningen av problemet men också effekten utifrån funktionsnivå i relation till närstående. Vårdcentralen är första linjens vårdgivare från mödra- till äldrevård. Då förändring sker hos patienten påverkas helheten/nätverket. Syftet med studien var att undersöka hur patienter önskade då det gällde att ta med sina närstående och vilken öppenhet/erfarenhet fanns hos samtalsbehandlarna, inom primärvården, att bjuda in nätverket till samtalsbehandlingen? Via enkäter ställdes frågor till patienter och samtalsbehandlare som analyserades i huvudsak på ett kvantitativt sätt. I resultatet framkom att närmare hälften önskade att ha med sig någon från sitt nätverk till samtalen. Övriga patienter önskade inte familjens deltagande utan beskrev den egna samtalskontakten som viktig. De flesta samtalsbehandlare beskrev att de erbjöd par- och familjesamtal. Syftet, med par- och familjesamtal, skiljde sig mellan respondenterna. Studien pekar på att familjen bjuds in som resurs vid något tillfälle för att få utvidgad information och utökad förståelse kring patientens livssituation. Några respondenter beskrev att samtalen bearbetade interaktionen mellan paret eller familjemedlemmarna. En mindre grupp patienter har haft par- eller familjesamtal. De beskrev att det varit behjälpligt och att de arbetat med samspelet mellan individerna som bidragit till ett positivt behandlingsresultat. / Over the last 15 years counselors, psychologists and psychotherapists are the professions hired for counseling in the Swedish primary care centers. Evaluations of the treatments show healthier patients and lower health care costs. Biological, psychological and social functions are central in counseling, since these features affect the description of the problem and the effect based on the level of functioning in relation to the partner and relatives. The primary care facilities are the first-line of caregivers, from maternal - to elderly care. When circumstances change for the patient, the whole family-network surrounding him/her is affected. The purpose of this study was to investigate what patients thought of bringing their relatives into counseling, and with which openness and what experience counselors invited the network to take part? The respondents answered questions in a survey, and the data was analyzed mainly in a quantitative fashion. The results showed that approximately half of the respondents wanted someone from their family-network to participate in the counseling. The other patients did not want their families’ participation, and thought of their own connection to the counselor as essential. The majority of the counselors claimed to offer couples and family counseling. The aim of the couple and family counseling differed between the respondents. The study suggests that the family is invited as resource at any time to get extended information and enhanced understanding of the patient's life situation. Some respondents described the counseling as processing of the interaction between the couple or the family members. A few patients said they had had couple or family counseling. They described it as being helpful and that working with the communication had been a contributing factor to the favorable outcome.
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The utilization of Bowen Family Systems Theory in teaching healthy corporate life in congregations implications and applications /Thomasma, Norm J. January 2001 (has links) (PDF)
Thesis (D. Min.)--Trinity International University, 2001. / Abstract. Includes bibliographical references (leaves 169-171).
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Program evaluation exploratory investigation of the problem of client attrition at Outreach Community Center /Pressley, Jana. January 2002 (has links) (PDF)
Thesis (Psy. D.)--Wheaton College Graduate School, Wheaton, IL, 2002. / Abstract. Includes bibliographical references (leaves 52-55).
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The utilization of Bowen Family Systems Theory in teaching healthy corporate life in congregations implications and applications /Thomasma, Norm J. January 2001 (has links)
Thesis (D. Min.)--Trinity International University, 2001. / Abstract. Includes bibliographical references (leaves 169-171).
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Program evaluation exploratory investigation of the problem of client attrition at Outreach Community Center /Pressley, Jana. January 2002 (has links)
Thesis (Psy. D.)--Wheaton College Graduate School, Wheaton, IL, 2002. / Abstract. Includes bibliographical references (leaves 52-55).
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Play therapy techniques and their effectiveness with angry children in a school settingMeyer, Lisa Marie, Saucedo, Nelly Edith 01 January 2002 (has links)
The purpose of this study was to determine which play therapy techniques were most effective when applied to working with children who have angercontrol problems.
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A Reflection on the use of the narrative analogy in couples' counselling : a case exampleBotha, Petro 11 1900 (has links)
Text in English / In this study the use of the narrative analogy in couple's counselling has been outlined. A literature study situates the narrative analogy within a wider philosophical framework. The underlying assumptions of the narrative analogy, both in general and in the work with couples, as well as the role of the counsellor using the narrative analogy, are explored.
A case example is described to illustrate the use of the narrative analogy. / Social Work / M. Soc. Sc. (Mental Health)
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Deconstructing dominant stepfamily narratives : freeing silent voicesAmoore, Neil John. 12 1900 (has links)
Stepfamilies are shown by existing research as having multiple problems unique to this type of
family, some of which include role ambiguity, role strain, role captivity, increased stress and
adjustment problems in children.
Stepparents are portrayed as evil, abusive and wicked in the media, literature or film, while
stepchildren are variously portrayed as victims, naughty and manipulative.
These popular perceptions of stepfamilies appear to be shaped by myths or dominant narratives which
serve to shape stepfamily member's experience of and roles in the reconstituted family.
Drawing on the work of postmodernism, social constructionism and the narrative
theorists this study will expose those dominant narrative or myths which shape the experience of
two stepfamilies.
Using an emergent design, the experiences of these two families is described in an attempt to
highlight some of the implications such an approach holds for both further research and
psychotherapy. / Psychology / M.A. (Psychology)
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Facilitating change in the family as an autonomous system : a cybernetic family therapist's perspectiveDagada, Sharon Sarah 06 1900 (has links)
This study aims to show that the adoption of the cybernetic perspective is appropriate in
dealing with relationship problems of interacting and communicating individuals since it
authenticates the inclusion of the therapist in the therapeutic system, and thus the
creation of a reality by all involved, and not just the therapist alone. The constructivist
view of the world and the systemic theoretical assumptions are recognized as the required
framework for the adopted cybernetic approach. The consideration of the
stability/change nature of change is acknowledged as forming the most essential aspects
of the change that system require. Thus addressing both stability of what clients need to
maintain of themselves, as well as what they want to change is important.
The action research methodology used in this research ensured a focus on the actions of
the therapist/social worker while facilitating a therapeutic process with a family.
Therefore attention could be given to areas requiring change through the planning,
acting and reflecting steps throughout the process. / Social Work / M.A. (Social Science (Mental Health))
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Maatskaplike werk intervensie met gesinne van diverse kultuur en agtergrondKoch, Maria Martina 03 1900 (has links)
Thesis (M Social Work)--Stellenbosch University, 2002. / ENGLISH ABSTRACT: South-Africa is known for diversity because of the existence of so many different cultural
groups. According to the South African Statistic Services is there an increase in immigration
from different African countries, India and China. South Africa therefore need to
accommodate the different cultural groups. Except for the fact that there is so many cultural
groups, there is also the possibility that more relationships and even marriages will take place
between these different cultural groups. The social work profession already started to adapt to
these differences because the teaching at universities and colleges focus on multi-cultural
intervention.
Before 1994 little attention was given to training of social work intervention with families of
different cultural backgrounds. To be able to make social work intervention count, knowledge
about the different cultures where social workers are involved with, is important.
The aim of the study was to establish guidelines for social workers who render services to
families of different cultural background, to insure that their intervention will be done more
effectively. Existing literature on intervention with families of different cultural background
was studied and presented in a theoretical framework.
Social work perspectives, theories and models which can be used in social work intervension
were discussed. Specific social work perspectives, models and theories which can be used
with intervension of families with different cultural backgrounds were also discussed. The
definitions of culture and the family were explained and a study was done on social work
intervention with families of different cultural backgrounds.
Exploratory research was done with the aid of a questionnaire at three welfare organisations.
Social workers knowledge and skills on counselling with families of different cultural
backgrounds was determined amongst practising social workers. Information obtained from
the questionnaires are presented in nine categories, namely : identifying particulars, the client
system, problems with families from different cultural backgrounds, training and knowledge
of the social worker in cultural diversity,further training, perspectives and models for intervention, intervention with families of different cultural background, the attitude of the
social worker and the welfare organization's involvement in training.
Conclusions and recommendations are made regarding social workers' knowledge and skills
of intervention with families of different cultural backgrounds that are important for effective
intervention. Recommendations are made regarding further training and research. / AFRIKAANSE OPSOMMING: Suid-Afrika is bekend vir diversiteit, as gevolg van die teenwoordigheid van verskillende
kultuurgroepe. Volgens die SA Statistieke Diens is daar 'n toename in immigrante van
verskeie Afrika lande, Indië en China. Suid-Afrika word dus genoodsaak om voorsiening te
maak vir al die verskillende kultuurgroepe. Behalwe vir die feit dat daar verskillende
kultuurgroepe bestaan, is daar ook die moontlikheid dat meer verhoudinge en huwelike sal
plaasvind tussen verskillende kultuurgroepe. Die maatskaplike werk professie het reeds begin
met aanpassings in die verband deurdat opleiding by universiteite en kolleges fokus op multikulturele
intervensie.
Voor 1994 is daar minder aandag gegee aan opleiding in maatskaplike werk intervensie aan
gesinne van verskillende kulturele agtergrond. Ten einde doeltreffende maatskaplike werk
intervensie te lewer, is kennis in verband met die verskillende kulture waarby maatskaplike
werkers betrokke is, belangrik.
Die doel van die studie was om riglyne daar te stel vir die maatskaplike werker wat dienste
lewer aan gesinne van verskillende kulturele agtergrond, sodat intervensie meer effektief sal
wees. Bestaande literatuur ten opsigte van intervensie met gesinne van verskillende
agtergrond is bestudeer en aangebied in 'n teoretiese raamwerk.
Eerstens is gefokus op algemene maatskaplike werk benaderings, teorieë en modelle wat in
maatskaplike intervensie benut kan word. Daar is ook meer spesifiek gefokus op
maatskaplike werk-benaderings, modelle en teorieë wat benut kan word met gesinne van
verskillende kulturele agtergronde. Die definisies van kultuur en die gesin is ook bespreek en
laastens is gefokus op maatskaplike werk intervensie aan gesinne van verskillende etniese
agtergronde.
Met behulp van 'n vraelys is 'n verkennende studie by drie welsynsorganisasies gedoen.
Hierdeur is maatskaplike werkers in die praktyk se kennis en vaardighede oor intervensie aan
gesinne met verskillende etniese agtergronde bepaal. Die gegewens verkry uit die ondersoek
word in nege dele aangebied, naamlik : identifiserende besonderhede, die gevallelading, probleme met gesinne van diverse kultuur, onderrig en kennis van die maatskaplike werker in
kulturele diversiteit, verdere opleiding, benaderings en modelle vir intervensie, intervensie
met gesinne van verskillende kulturele agtergronde, die gesindheid van die maatskaplike
werker en die welsynsorganisasie se betrokkenheid by opleiding.
Gevolgtrekkings en aanbevelings is gemaak ten opsigte van maatskaplike werkers se kennis
en vaardighede met betrekking tot verskillende kulture en intervensie aan gesinne van
verskillende kulturele agtergronde wat noodsaaklik IS vir effektiewe intervensie.
Aanbevelings is gemaak ten opsigte van verdere opleiding en navorsing.
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