Made available in DSpace on 2016-08-03T16:34:50Z (GMT). No. of bitstreams: 1 INTERVENCAO LUDICO SIMBOLICA JUNTO A PORTADORES DE DISPEPSIA FUNCIONAL.pdf: 3915367 bytes, checksum: a67792e79857c0f3571ce6fd8acb19a6 (MD5) Previous issue date: 2010-03-30 / This study focuses on ludic-symbolic group intervention involving patients with functional dyspepsia (FD), a gastrointestinal disorder characterized by pain or discomfort on the upper abdomen area without identifiable cause by conventional diagnostic means. The present study aims to analyze the stress level of FD patients and connect it to the ludic-symbolic group intervention data. This is an exploratory-descriptive qualitative research.The group intervention uses active imagination techniques and the subjects stress level is evaluated with LIPP Adults Stress Symptoms Inventory (ISSL). The group consists of twelve members, mostly women; half of the participants are aged between 20 and 50 and the rest is older. Analysis of interview data shows that all group members have associated the beginning of their symptoms to emotional conflicts, focalizing scenes and situations as stressing factors that have triggered their FD. The symbolic analysis of the group interventions is based on Carl Gustav Jung s analytical psychology. Results show that the participants presented reduction of FD symptoms and of stress levels: initially, eight subjects were at the resistance stage, one at the alert stage and three of them presented no stress; by the end of the ludic-symbolic group intervention, three subjects were at the resistance stage, one remained at the alert stage and eight presented no stress. This transformation occurred after the symptoms regarded as symbols of emotions and feelings through symbolic play-action, and after having them integrated into consciousness by making psychic connections between mind and body to recognize actions taken or to be taken to avoid confrontations accelerate and crystallize symptoms of functional dyspepsia, from the standpoint of analytical psychology. / O presente estudo aborda uma intervenção grupal lúdico-simbólica junto a portadores de dispepsia funcional (DF), um distúrbio gastrointestinal caracterizado por sintomas como dor ou desconforto na região superior do abdômen, sem causa orgânica. Tem como objetivo intervir de forma grupal lúdicosimbólica junto ao portador de DF; analisar o nível de estresse dessa população e relacionar os dados da intervenção frente o nível de estresse. Trata-se de pesquisa exploratório-descritiva de caráter qualitativo. A intervenção grupal utiliza-se de técnicas de imaginação e pensamento dirigido; o nível de stress é avaliado através do Inventário de Sintomas de Stress para adultos de LIPP (ISSL). Os participantes do grupo são 12, predominantemente do sexo feminino, sendo a metade entre 20 e 50 anos e os demais, acima. Através da análise de conteúdo dos dados da entrevista dirigida pôde-se observar que todos fizeram uma associação do aparecimento dos sintomas a conflitos emocionais, focalizando cenas e situações como fatores estressores e desencadeadores da dispepsia funcional. A análise simbólica das intervenções grupais tem como base teórica a psicologia analítica de Carl Gustav Jung. Os resultados demonstraram que os participantes da intervenção grupal apresentaram redução dos sintomas da dispepsia funcional e do nível de estresse, sendo que, no início oito participantes encontravam-se na fase de resistência; um na de alerta e três sem estresse e, ao final, três se encontram na fase de resistência, um permanece na fase alerta e oito sem estresse. Essa transformação ocorreu após terem considerado os sintomas como símbolos de emoções e sentimentos através das intervenções lúdico-simbólicas, e após tê-los integrados à consciência ao fazerem conexões psíquicas entre mente e corpo para reconhecerem atitudes tomadas ou a tomar e agilizar enfrentamentos para não cristalizar sintomas da dispepsia funcional, do ponto de vista da psicologia analítica.

Made available in DSpace on 2016-06-02T19:46:12Z (GMT). No. of bitstreams: 1 3066.pdf: 3447240 bytes, checksum: a21a8ddc4d41cf9f065cbdf1a92fadce (MD5) Previous issue date: 2010-03-01 / Financiadora de Estudos e Projetos / Group interventions may be a useful strategy for helping siblings of disabled children to cope with difficulties related to the special sibling. The purposes of the present study were: 1) to identify the main needs of older siblings of disabled children; 2) to prepare and implement one group intervention and 3) to identify changes in some aspects of the participants lives, such as interaction between the siblings, coping strategies and knowledge about the sibling s disability . Study participants were eight pre-adolescents and adolescents aged 10 to 15 years, divided into Group 1 (G1) and Group 2 (G2). Participants underwent three evaluations, at least one before the intervention and one after it. The instruments used were the Entrevista com Irmão de Indivíduo com Necessidades Especiais (Interview with Sibling of Disabled Individual), the Formulário de Irmãos (Sibling s Questionnaire) and the Inventário de Estresse e Enfrentamento (Stress and Coping Inventory), besides the Questionário de Satisfação com o Grupo de Apoio (Satisfaction of the Support Group Questionnaire), the last one were applied at the end of the intervention. The study also conducted interviews with the mothers of the participants. The intervention was conducted in nine sessions, once a week, lasting two hours each, first with the G1 and then with the G2. The data were analyzed descriptively and/or quantitatively, and the results were compared immediately before and immediately after the intervention. The comparison was done for each participant in order to obtain evidences of changes in aspects related with the session s themes. The results indicated that after the intervention there was an increase of knowledge about the siblings disability and related aspects; variation of the interaction levels between siblings and the kind of behaviors directed at them; variation in the stress levels and in the strategies used to deal with difficult situations related to his brother or sister, demonstrating the role of intervention that is modify some aspects of participants lives. This study draws attention to the importance of group interventions applied to this kind of population, appropriate to his age and his needs. / Intervenções em grupo podem ser uma estratégia útil para ajudar irmãos de crianças com necessidades especiais (NEs) a lidar com dificuldades relacionadas ao irmão especial. O presente estudo teve como objetivos: 1) identificar as principais necessidades de irmãos mais velhos de crianças com NEs; 2) elaborar e implementar uma intervenção em grupo; e 3) identificar mudanças em aspectos da vida dos participantes, como interação com o irmão especial, enfrentamento e informações sobre a deficiência do irmão. Participaram do estudo oito pré-adolescentes e adolescentes com idade entre 10 e 15 anos, divididos em Grupo 1 (G1) e Grupo 2 (G2). Os participantes passaram por três avaliações, sendo pelo menos uma antes da intervenção e uma depois. Os instrumentos aplicados foram a Entrevista com Irmão de Indivíduo com Necessidades Especiais, o Formulário de Irmãos e o Inventário de Estresse e Enfrentamento, além do Questionário de Satisfação com o Grupo de Apoio aplicado ao fim da intervenção. Entrevistas também foram realizadas com as mães dos participantes. A intervenção foi realizada em nove sessões, uma vez por semana, com duração de duas horas cada, primeiramente com o G1 e depois com o G2. Os dados obtidos foram analisados de forma descritiva e/ou quantitativa, e comparações entre os resultados imediatamente antes e imediatamente depois foram feitas para cada participante, a fim de obter indícios de mudanças nos aspectos trabalhados durante as sessões. Os resultados indicaram que após a intervenção houve um aumento de conhecimentos sobre a deficiência do irmão e aspectos relacionados; variabilidade em relação aos níveis de interação com os irmãos e aos tipos de comportamentos dirigidos a eles; variabilidade também quanto aos níveis de estresse e às estratégias utilizadas para enfrentar situações difíceis relacionadas ao irmão; demonstrando o papel da intervenção em modificar alguns aspectos da vida dos participantes. O presente estudo chama atenção para a importância de se realizar intervenções em grupos com essa população, adequadas à sua faixa etária e às suas necessidades.

Made available in DSpace on 2015-02-24T20:15:39Z (GMT). No. of bitstreams: 1 UlianaFO.pdf: 473373 bytes, checksum: 0c2229bda1326b794d02312462a7dc62 (MD5) Previous issue date: 2006-07-12 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / A preocupa??o com a qualidade do atendimento na sa?de p?blica tem levado alguns profissionais a buscar realizar outros tipos de pr?ticas al?m do tradicional atendimento cl?nico. Diante dessa situa??o, ? cada vez mais reconhecida a relev?ncia das interven??es em grupo como uma estrat?gia de atua??o para os profissionais da sa?de. Essas interven??es t?m sido muito utilizadas nos pa?ses desenvolvidos como forma de preven??o e tratamento dos problemas de sa?de, principalmente no caso das doen?as cr?nicas, devido ao prolongamento da situa??o de desequil?brio causado por estas. No contexto local, h? pouca divulga??o das pr?ticas de interven??o em grupo, apesar do reconhecimento quanto a sua import?ncia. Com a motiva??o de estudar essas pr?ticas, esta pesquisa objetivou conhecer as caracter?sticas das interven??es em grupo que s?o realizadas na rede b?sica de sa?de em Natal-RN, bem como o significado e import?ncia atribu?da pelos profissionais a essas interven??es. Para isso foi feito um levantamento dos centros de sa?de do munic?pio de Natal que declararam trabalhar com grupos e alguns profissionais, nesses centros, foram entrevistados. A partir dos dados obtidos nessas entrevistas, foi elaborado o question?rio e aplicado em quarenta e cinco profissionais. Evidenciou-se a pouca difus?o das interven??es realizadas em grupo, havendo uma preocupa??o maior com os atendimentos individuais. A maioria das interven??es em grupo s?o desenvolvidas atrav?s de "palestras educativas", visto que muitos profissionais n?o conhecem outras formas de interven??o grupal. Entretanto, nos centros de sa?de envolvidos com a sa?de mental, especialmente os NAPS e CAPS, tem sido desenvolvidas um grande n?mero de interven??es grupais, al?m de haver uma predomin?ncia das interven??es em grupos terap?uticos. Por outro lado, nos outros centros de sa?de, observou-se que prevalece a falta de condi??es estruturais para a realiza??o de interven??es grupais, al?m da pouca motiva??o e capacita??o de alguns profissionais para realiz?-las

Ensamkommande är en utsatt grupp där posttraumatiskt stressyndrom (PTSD) är vanligt förekommande. Den hälso- och sjukvård som ges är bristfällig och evidensbaserade interventioner för målgruppen på första linjen saknas. Studiens syfte var att belysa hur ensamkommande flyktingbarn i åldern 13-18 år, som screenat positivt för PTSD, upplever sitt deltagande i Teaching recovery techniques (TrT) grupperna. Material har inhämtats genom kvalitativa intervjuer, från sju grupper, totalt 22 ungdomar cirka tre månader efter avslutad intervention. Resultatet visar hur känslor, tankar och reaktioner normaliserades i gruppen. Den sociala gemenskapen och stödet från jämnåriga har framstått som en viktig komponent i ungdomarnas livssituation. Deltagarna har återfått kontrollen för att kunna strukturera upp sina känslor och reaktioner. Slutligen kände deltagarna att de med hjälp av de tekniker och verktyg som de lärt sig kunde klara av aktuella utmaningar och framtida kriser. Behovet av en traumafokuserad intervention som denna verkar finnas hos målgruppen. / Unaccompanied refugee minors (URM) is an exposed group in which post-traumatic stress disorder (PTSD) is common. The care provided is inadequate and there are few evidence-based interventions on the target group of URMs. The aim of this study was to examine URMs, aged 13-18, who screened positive for PTSD and their experiences of the Teaching Recovery Techniques-program. Qualitative interviews were conducted with 22 youth from seven groups, three months after the completion of the intervention’s final session. The results show that participants felt that sharing their stories helped them normalize their experiences. Feelings of fellowship and support have seemed as an important component of the youth's life. The program helped them feel more in control of their own body and reactions. Finally, the participants felt that, with the help of the techniques and tools they learned, they could cope with current challenges and future crises. Trauma-focused interventions like this appears be needed in this target group.

Orientador: Alessandra Turini Bolsoni-Silva / Resumo: Estudos em Psicologia do desenvolvimento têm enfatizado a importância de um repertório habilidoso para que as crianças estabeleçam interações sociais saudáveis. Sabe-se que o comportamento da criança é multideterminado e influenciado pelos comportamentos das demais pessoas que fazem parte de seus contextos (familiares, professores, pares). O objetivo da pesquisa foi avaliar os efeitos de uma intervenção em grupo com crianças para promover habilidades sociais infantis nos contextos familiar e escolar, em um delineamento experimental de grupo, com grupo experimental e grupo controle (Estudos 1, 2 e 3) e delineamento de sujeito como controle dele mesmo (Estudo 4). Foi utilizado o procedimento de intervenção Promove-Crianças (FALCÃO; BOLSONI-SILVA, 2016). Os participantes foram 41 crianças que cursavam o primeiro ano do ensino fundamental de escolas municipais de uma cidade no norte paranaense e que apresentavam diagnóstico clínico, em comorbidade, para problemas de comportamento interalizantes, externalizantes e totais, de acordo com relatos de mães/pais e de professores. As crianças foram distribuídas randomicamente em grupo experimental (21 crianças) e grupo controle (20 crianças). Para mensurar efeitos da intervenção foram aplicados instrumentos que avaliassem os comportamentos das crianças (habilidades sociais e problemas de comportamento), de suas mães/pais e de seus professores (práticas educativas e indicadores de saúde mental) em três momentos para o grupo experimental (... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: Studies in Developmental psychology have emphasized the importance of a skillful repertoire for children to establish healthy social interactions. Since the behavior is multidetermined and the behavior of children is influenced by the behavior of other people who are part of their contexts (family, teachers, peers), the aim was to assess whether, by promoting changes in the child's repertoire, one can also influence the behavior of those around him/her. The objective of the research was to evaluate the effects of a group intervention with children to promote children's social skills in the family and school contexts, in an experimental group design. The intervention procedure Promove-Crianças (FALCÃO; BOLSONI-SILVA, 2016) was used. The participants were 41 children who were attending the first year of elementary school in municipal schools in a city in the north of Paraná and who had a clinical diagnosis, in comorbidity, for internalizing, externalizing and total behavior problems, according to mothers and teachers reports. Children were randomly assigned to an experimental group (21 children) and a control group (20 children). To measure the intervention effects, instruments to assess the behaviors of children (social skills and behavior problems), their mothers and teachers (educational practices and mental health indicators) were applied in three moments for the experimental group (pre-test, post-test and follow-up) and in two moments for the control group (Probe 1 and Pro... (Complete abstract click electronic access below) / Doutor

The aim of this study was to evaluate a 24-week support group intervention programme which was designed to enhance adaptive behaviour of latent-phase children affected by maternal HIV/Aids. The meta-theoretical paradigms underlying the study were pragmatism and realism. The study was embedded in a concurrent nested (QUALquan) mixed-method design. The quantitative approach in the main study followed a quasi-experimental research design whereas the qualitative approach in this study, contributing to the largest part of the analysis in the study, followed a nested multiple case study design. The theory-driven outcome programme evaluation model applied in this study was the integrative process/outcome evaluation approach. The participants (n=139) were purposefully selected from among previously identified HIV-positive women (n=220) with children between the ages of 6 and 10 years at clinics in the Tshwane region, South Africa. Data were collected over a period of five years in multiple waves of intervention implementation. Prolonged, in-depth engagement by the researcher with participants was prioritized. The data collection strategies comprised of mother-and-child psychological questionnaires, group process notes, careworker focus groups, quality assurance questionnaires and field notes. The data were quantitatively analysed by means of a paired-sample t-test for within-group comparisons and descriptive statistics were furthermore applied. The qualitative text and narration obtained through the interviews, documents and focus groups were coded and analysed for themes. The themes of the emergent concepts were re-coded to establish improved defined categories. The different data sampling strategies assisted the researcher in triangulating the data for increased evaluation reliability. The PhD-study was conducted within a broader longitudinal study on resilience in South African mothers and children affected by HIV/Aids – the Promoting Resilience in Young Children Study. The findings of the Child Support Group Evaluation Study (e.g. PhD) showed that the content, methods and processes employed in the group-based sessions were effective and culturally sensitive. The intervention sessions enhanced the children’s coping skills, internalised and externalised behaviour and daily living, communication and socialisation skills. The group provided a buffer for the children and supported them in coping with their mothers’ illness. The children displayed normative values through their religious coping styles, their quest for and display of respect and their unambiguous assertion of right and wrong. A specific finding of this study was that the children created a sphere or space in which to order their thoughts, behaviours and emotions within the intervention. This provided them with parameters in their adverse circumstances to display adaptive behaviour or resilience which they could use to function adequately. The study suggests that the use of support groups should be incorporated into intervention programmes dealing with latent-phase children affected by HIV/Aids. / Thesis (PhD)--University of Pretoria, 2013. / gm2014 / Educational Psychology / unrestricted

I denna studie undersöks hur bordsrollspel kan användas i en behandlingskontext. För att studera detta har vi genomfört en kvalitativ studie av verksamma utövares medverkan i podcaster och panelsamtal uppladdade på Youtube där de berättar om metoden. Resultatet visar att bordsrollspel används i två, delvis överlappande, syften: social färdighetsträning och behandling av psykisk ohälsa. Bordsrollspel beskrivs som en social aktivitet med många inneboende positiva följder för spelaren, exempelvis ökad samarbetsförmåga, perspektivtagande och känsloreglering. När aktiviteten leds av en tränad behandlare kan spelet användas för att nå uttalade terapeutiska mål. Detta ställer emellertid stora krav på spelledaren som behöver ha god kännedom om både behandling och spelet. Behandlingen riktar sig främst till ungdomar med svårigheter med socialt samspel, men den har också potential att användas med vuxna klienter. För att diskutera materialet har ett symbolisk interaktionistiskt perspektiv använts. / This study examines how tabletop role-playing games (TTRPGs) can be used as an intervention. We have conducted a qualitative study of practitioners' participation in podcasts and panel discussions published on Youtube where they talk about TTRPGs as an intervention. The results demonstrate how TTRPGs are utilized with two, partially overlapping purposes: social skills training and treatment for mental health conditions. TTRPGs are described as a social activity with a number of inherent benefits for the player, such as increased collaboration skills, perspective-taking and emotional regulation. Whilst being led by a trained professional the game can be used as a tool to reach defined therapeutic goals. This, however, requires the game master to be well-versed in both the role of therapist as well as game master. The intervention studied is primarily used with adolescents struggling with social interactions, but also has potential to be used with adult clients. To discuss the results a symbolic interactionist perspective has been used.

The purpose of this integrated review of the literature was to explore the effects of social support on diabetes-related stress, conflict, and metabolic control in adolescents with type 1 diabetes mellitus (T1DM). Social support was examined in four subgroups: adolescents with T1DM, family caregivers, peers, and teachers. Relevant findings in the literature revealed a significant deficiency of research devoted to adolescent males with diabetes as well as fathers as primary and secondary caregivers. Studies highlighted the importance of fostering autonomy and positive self-image in adolescents with T1DM and described effective interventions to improve diabetes-related stress, reduce disease-related conflict, and improve metabolic control. Findings suggested that nurses caring for adolescents with T1DM and their families should foster positive, open communication, while identifying barriers to problem solving, coping, stress, and optimal glycemic control. Interventions that educate caregivers and peers on how to better communicate and provide support are critical in fostering positive psychological and physiological outcomes in the adolescent with T1DM. The findings of this study may provide guidance in the way that nurses assess, identify, and counsel adolescents with TIDM regarding their disease management and access to support systems.

No description available.

Paper one: The attitudes and reasoning of abusive behaviour in adolescents who have been exposed to domestic abuse Exposure to domestic abuse in childhood can go on to negatively affect every aspect of that individual’s life. During adolescence, the impact of exposure to domestic abuse may go beyond the borders of the family and the individual, and affect the development of intimate relationships. This study explores the attitudes and reasoning of eleven young people who have been exposed to domestic abuse and are displaying perpetrator behaviours. Results reveal a complex interaction between experiences and skill deficits at a crucial time of identity formation, resulting in the formation and maintenance of destructive attitudes and contradictory reasoning about abusive behaviour. The direct implications of this study, suggestions for further research, and for Educational Psychology Services are discussed. Paper two: An evaluation of an intervention for adolescents who have been exposed to domestic abuse and are displaying perpetrator behaviours Where domestic violence occurs, children and young people are likely to have been exposed to such abuse. Evidence suggests that this is likely to have a detrimental impact on them. There is an acute gap in provision for such individuals, despite evidence suggesting a link between exposure to domestic abuse in childhood, and involvement in abusive dating relationships in late adolescence and adulthood. There has been little research testing the effectiveness of intervention programmes which aim to reduce this risk. In this study a before and after design was used to evaluate a cognitive-behavioural intervention programme for young people who have been exposed to domestic abuse and are displaying abusive behaviours. This evaluation was based on the views of the young people on this programme. Results indicate that certain elements of the programme were more successful in achieving the programme aims. Considerations for the development of further programmes which target this client group are discussed.