<p>The aim of this thesis was to examine different approaches to support the self-care of persons with Type 2 diabetes, with special reference to practical, social, and sexual aspects of women's self-management. The methods to elucidate this comprised: evaluating a new model for diabetes patient education; designing a model to analyse the role of social networks in women's diabetes; conducting individual and focus group interviews for deeper understanding of the social and sexual aspects of diabetes; and collecting questionnaire data as a complement to the above.</p><p>The experience-based educational program led by pharmacists was found to improve participants' subjective control over diabetes and to provide important emotional support and encouragement to continue self-care. Metabolic control as measured by HbA_1c temporarily improved. The social network model elucidated potential mechanism leading to conflict of disease and social demands in women's diabetes. Qualitative analysis of the focus group interviews pointed to the role of guilt, shame, and social taboo in connection with the women's diabetes and sexuality.</p><p>Borderland is the metaphor I have chosen to describe the space between the traditional health care system and the everyday self-care of people with chronic disease. Using Borderland as a framework, a future model for diabetes management, anchored in our own and other's findings, is outlined and the concept of "Disease Manager Role" is introduced. The vision of a self-care support center in Borderland addresses such issues as accessibility, continuity, equitable provider-user relations, shared care plans, and strengthening social support.</p>

On January 8th, 2011 tragedy struck in Tucson, Arizona. A gunman opened fire on Representative Gabrielle Giffords' "Congress on Your Corner" event, wounding thirteen and killing six ("Arizona Shooting"). Four days later, President Obama spoke to a grieving crowd at the University of Arizona's McKale Memorial Center. This study seeks to demonstrate how the dramatistic process and the pentad provide insight into how Obama guides the nation through the process of relieving the guilt. Specifically, Obama's call for mortification instead of scapegoating as the means for victimage is examined in light of the context and organizational structure of the speech. In addition, a pentadic analysis of the speech is conducted, showing Obama's stress on the agent-agency ratio and a corresponding idealist-pragmatist outlook. Finally, conclusions are drawn about what this study adds to the academic literature on national eulogies, the presidency, and rhetorical studies at large. / Graduation date: 2012

The aim of this thesis was to examine different approaches to support the self-care of persons with Type 2 diabetes, with special reference to practical, social, and sexual aspects of women's self-management. The methods to elucidate this comprised: evaluating a new model for diabetes patient education; designing a model to analyse the role of social networks in women's diabetes; conducting individual and focus group interviews for deeper understanding of the social and sexual aspects of diabetes; and collecting questionnaire data as a complement to the above. The experience-based educational program led by pharmacists was found to improve participants' subjective control over diabetes and to provide important emotional support and encouragement to continue self-care. Metabolic control as measured by HbA1c temporarily improved. The social network model elucidated potential mechanism leading to conflict of disease and social demands in women's diabetes. Qualitative analysis of the focus group interviews pointed to the role of guilt, shame, and social taboo in connection with the women's diabetes and sexuality. Borderland is the metaphor I have chosen to describe the space between the traditional health care system and the everyday self-care of people with chronic disease. Using Borderland as a framework, a future model for diabetes management, anchored in our own and other's findings, is outlined and the concept of "Disease Manager Role" is introduced. The vision of a self-care support center in Borderland addresses such issues as accessibility, continuity, equitable provider-user relations, shared care plans, and strengthening social support.

I den här uppsatsen analyserar jag protagonisten Jean-Baptiste Clamences moraliska utveckling i Albert Camus’ roman Fallet. Jag använder A.J. Greimas aktantmodell och dennes utveckling av Vladimir Propps funktionsanalys för att nå mitt syfte. Jag föreslår även en kombination av de båda teorierna till ett schema, aktantfunktionsschemat, som jag använder för att tolka Clamences moraliska utveckling. Genom aktant-funktionsanalysen visar det sig hur Clamence gradvis djupnar och växer fast i sitt fall och sin skuld. Han söker den moraliska oskuld som flytt men inser till slut att den har gått oåterkalleligt förlorad. Istället underkastar han sig sin skuld och blir domare-botgörare – en falsk profet som förhärligas i självförgudningen.Men utvecklingen av samtalet går fel. Istället för att bryta ner den andre och tvinga fram dennes bekännelse möter Clamence sin överman i samtalspartnern, och jag argumenterar för att Clamence misslyckas med sitt syfte, underkastar sig samtalspartnern och gränsar till vansinnet. Det mest förvånande resultatet av analysen är hur samtalspartnern måste framstå som den verklige hjälten i historien vilket kräver en ny definition av aktanterna och klargörandet av en bakomliggande historia. Jag föreslår att samtalspartnern kan ses som en ny Kristus men tillstår behovet av vidare forskning. / In this essay I analyse the moral progression of Jean-Baptiste Clamence, the protagonist in Albert Camus’ novel The Fall. I employ A.J. Greimas’ actantial model and his development of Vladimir Propp’s function analysis for my purposes. I also propose a combination of the theories into a new actantial-functional scheme through which I analyses Clamence’s moral progression. Through the actantial-functional analysis it becomes clear how Clamence gradually deepens and grows rooted in his fall and guilt. Though seeking the moral innocence which he has lost he finally realises that it is gone forever and instead he submits to his fate and becomes judge-penitent – a false prophet indulging in self-deification. But the development of the conversation goes wrong. Instead of breaking the interlocutor down and forcing his confession Clamence meets his superior in the interlocutor, and I argue that Clamence fails in his aim, surrenders to the other and borders on madness. The most intriguing result of the analysis is how the interlocutor must stand out as the true hero of the novel which calls for a new definition of the actants in the novel and for the need of a primary story. I suggest that the interlocutor may be seen as an incarnation of Christ but acknowledges the need of further research.

The overall aim of this thesis was to explore informal caregivers’ daily life with particular focus on those living with a spouse who has Chronic Obstructive Pulmonary Disease (COPD) in different grades, mild to severe, based on the ill person’s main concern. The study design was explorative, comparative and descriptive. The thesis included a literature review of 45 scientific articles and semi-structured interviews with 23 patients suffering from COPD, and 21 women and 19 men living with a spouse suffering from COPD. Data were analysed using content analysis, grounded theory, and phenomenography. Main findings: Men and women living with a spouse suffering from mild COPD did not experience changes in their daily life, and were not in need of support. It was when the COPD gradually escalated that their daily life was affected and they needed support. The caregiving women conceived that their daily life was socially restricted, they had changed roles, changes in health and changes in the couple’s relationship. The caregiving men’s daily life was conceived as burdened, restricted and the partner relationship was affected. The men’s attitude was to continue with their own life and own activities, and their approach to their caregiving situation was to view themselves as “Me and my spouse”. The main concern for people suffering from COPD was feelings of guilt due to self-inflicted disease associated with smoking habits. The thesis shows that there are differences in informal caregiving between males and females. Conclusion: This thesis shows that there are differences in male and female caregiving for a spouse suffering from COPD. The caregivers conceive and handle the caregiving situation in different ways. It is central that health professionals and municipality consider this along with the individual needs that are related to the development of the COPD. There is a need to identify the person who suffers from COPD and their spouses from the first contact onwards, to regularly follow the development of their situation and need of support.

Vi möter i denna uppsats kvinnor som successivt förändrar vår bild av det dubbla straffet, som komplicerar vår uppfattning om ett liv i missbruksberoende och livet på kvinnoanstalt, men som också förenklar föreställningen om den djupa kärleken de hyser för sina barn. Eftersom dessa mödrar har arbetat en hel del med sig själva och tagit sig ur långa perioder av beroende har vi fått känna av den kraft som lösgörs då en människa verkar inom någonting hon brinner för. Att hjälpa andra och att tillåta sig själv att ta emot hjälp har guidat denna berättelse kring människans förmåga att resa sig och gå vidare. Det faktum att kärleken tycks verka sida vid sida med den skuldtyngda problematiken har väckt vårt intresse och diskuteras genom texten som en löpande röd tråd. Genom att låta de individuella känslorna möta sociologiska teorier vidgas perspektivet till en vinkel som berör såväl makro som mikronivå i samhället. Den här uppsatsen försöker förklara sambanden såväl som de inkompatibla rollerna och dess konsekvenser för mödrar i fängelse. Thomas J Scheffs teori om sociala band leder diskussionen och är avgörande för att förstå behovet av hänsynstagande liksom den förödande skammens inverkan på individ och samhälle. Mänsklig mångfald och flerfaldiga verklighetsuppfattningar finner mening i en socialpsykologisk tolkning och analys sprungen ur en innovativ undersökning. / In this study we meet women who gradually change our picture of the "double penalty", which complicates our view of a life of abuse and drug dependence, and the life in a women’s prison, but also simplifies the notion of the deep love they have for their children. Since these mothers have worked a lot with themselves and emerging from long periods of drug dependence, we have experienced the force which is released when someone is working with something she is passionate about. To help others and to allow the individual to accept help has guided this story about the human beings ability to get up and move on. The fact that the love seems to work side by side with the indebted problem has aroused our interest and is discussed in the text as a running theme. By allowing the individual emotions to meet sociological theories widens the perspective to an angle involving both macro- and micro-levels of society. This essay tries to explain the relationships as well as the incompatible roles and its impact on mothers in prison. Thomas J. Scheff's theory of social bonds is leading the discussion and is critical to understanding the need for consideration as well as the devastating impact of shame on the individual and society. Human diversity and multiple views of reality will find meaning in a social psychological interpretation and analysis originated from an innovative study.

Dans la Recherche du temps perdu, toute relation filiale est une relation où le fils fait inévitablement souffrir sa mère en commettant, selon Proust, une forme de parricide. La lecture des œuvres pré-Recherche de l’auteur, telles la nouvelle « La confession d’une jeune fille » et l’article « Sentiments filiaux d’un parricide » permettent de comprendre cette relation ambigüe, au cœur de laquelle se trouve l’amour incommensurable que ressent le fils pour le parent, un amour si intense qu’il en est étouffant. Dans ces conditions, le parent en vient à symboliser aux yeux de l’enfant la Loi contre laquelle il doit se rebeller à coup de gestes de cruauté. Le fils, s’il est de ceux qui peuvent soutenir la vue de leurs crimes, entre alors dans un cercle vicieux : par sa cruauté, il tue – symboliquement ou réellement – le parent aimé et il en jouit. Suite à ce sadisme, il ressent une insupportable culpabilité qui le mène à une dévotion masochiste encore plus grande pour son parent. Or, par le personnage du narrateur de la Recherche du temps perdu, Proust démontre que la seule manière de se libérer de cette douloureuse culpabilité, c’est l’Art. Le crime ultime qu’est la création excuse les actes de cruauté antérieurs et les justifie même. C’est la seule manière de transformer la souffrance vécue (issue entre autres de la culpabilité d’avoir pris plaisir à faire souffrir un parent aimé) en idées universelles, en œuvre d’art. / In A la recherche du temps perdu, every filial relationship is one where the son inevitably causes his mother suffering by committing, according to Proust, a form of parricide. The writings of Marcel Proust before la Recherche, such as the short story “A young girl’s confession” and the newspaper article “Filial sentiments of a parricide”, allow us to understand this ambiguous relationship, at the heart of which we can find the unmeasured love that the son feels for his parent, a love so intense that it soon becomes suffocating. Under these conditions, the parent comes to symbolize to the child “the moral Law” against which he must rebel, choosing cruelty as his weapon. The son, if he is one of those who can stand the sight of their own crimes, enters then in a vicious cycle: with his daily acts of cruelty, he kills – symbolically or in genuinely – the beloved parent, and he enjoys it. Following this act of sadism, he feels an unbearable guilt that leads him to an even greater masochistic devotion for his parent. Yet, through the character of the narrator of la Recherche, Proust demonstrates that there is indeed one way to free oneself from this painful guilt, and it is through Art. Creation, the ultimate crime, excuses and even justifies any previous acts of cruelty. It is the only way of transforming suffering (resulting among other things, from the guilt of having enjoyed causing a beloved parent any kind of suffering) into universal ideas, into art.

Compassion Focused Therapy är en integrativ transdiagnostisk behandlingsform som syftar till att öka self-compassion och minska skam och självkritik hos individer med psykisk ohälsa. Skam och självkritik har i hög grad identifierats hos personer med ätstörningar, som också ofta anses svårbehandlade. Denna studie syftade till att undersöka huruvida CFT kan vara ett behandlingsalternativ vid ätstörningar. En single-subject design med upprepade mätningar användes (n=5). Studien visade på tvetydiga resultat men indikerar att en del individer kan vara hjälpta av denna behandling. Fortsatt forskning är således motiverad / Compassion Focused Therapy (CFT) is an integrative transdiagnostic treatment aiming at increasing self-compassion, and reducing levels of shame and self-criticism in individuals with psychiatric illness. High levels of shame and self-criticism have been identified in people suffering from eating disorders, disorders who are usually considered difficult to treat. The aim of the present study was to investigate if CFT could be considered a treatment option for eating disorders. A single-subject design with repeated measures was used (n=5). The results were ambiguous, though indicating that CFT could be helpful for some individuals with eating disorders. Further research is warranted.

This qualitative exploratory research study examined the experiences of older women (over age 55) whose husbands had been admitted to a personal care home (PCH) in Winnipeg, Manitoba within the previous twelve (12) months. In-depth, semi-structured, one-on-one interviews were conducted with six (6) women. Socialist feminist and feminist caregiving theoretical frameworks along with narrative analysis were used gain insight into the participants’ needs surrounding their experiences of the admission. Findings include the fact that changes in women’s formal and informal supports began occurring years before their husbands’ admissions. The all-encompassing role as caregiver for their families continued to be central in their lives even after the admission. While women met their material and emotional needs through a range of formal and informal services, the participants were more likely to see needs met through informal means. Themes emerging from the research included those of guilt, entitlement, obligation, and reciprocity.

This qualitative exploratory research study examined the experiences of older women (over age 55) whose husbands had been admitted to a personal care home (PCH) in Winnipeg, Manitoba within the previous twelve (12) months. In-depth, semi-structured, one-on-one interviews were conducted with six (6) women. Socialist feminist and feminist caregiving theoretical frameworks along with narrative analysis were used gain insight into the participants’ needs surrounding their experiences of the admission. Findings include the fact that changes in women’s formal and informal supports began occurring years before their husbands’ admissions. The all-encompassing role as caregiver for their families continued to be central in their lives even after the admission. While women met their material and emotional needs through a range of formal and informal services, the participants were more likely to see needs met through informal means. Themes emerging from the research included those of guilt, entitlement, obligation, and reciprocity.