Na atualidade, a deficiência é conceituada com base em seu caráter dinâmico e biossocial. O processo funcionalidade/incapacidade decorre da interação entre a pessoa com deficiência e os fatores contextuais presentes no ambiente físico e societal, sendo eles determinantes para a participação social. Universalidade, integralidade e equidade formam o tripé do ideário da Reforma Sanitária brasileira, trazendo para o centro das práticas de saúde as demandas e as necessidades de saúde da população. Vários estudos no campo da Saúde Coletiva problematizam as práticas e os modelos de atenção em saúde no Sistema Único de Saúde brasileiro, postulando que o trabalho em saúde tem como finalidade das práticas assistenciais a prestação de serviços com fins de satisfazer demandas e necessidades de saúde daqueles que buscam esses serviços. Entretanto, poucos deles recortaram a temática das práticas de reabilitação na perspectiva da integralidade do cuidado, da funcionalidade humana e da participação social da população de pessoas com deficiência física adquirida. Por meio do método de pesquisa qualitativa se objetivou analisar - a partir do percurso de busca de cuidados - como as necessidades de saúde de pessoas com deficiência física são contempladas nas práticas de saúde e reabilitação, desde a perspectiva da integralidade do cuidado e da funcionalidade humana. O ciclo de pesquisa envolveu uma fase exploratória, com pesquisa documental, e uma fase de campo, na qual foram feitas doze entrevistas abertas com pessoas com deficiência física adquirida na idade adulta, incluindo seus cuidadores, acerca dos percursos de busca de cuidados na rede loco-regional do Sistema Único de Saúde, no município de Santos, estado de São Paulo. Empregou-se a análise temática das entrevistas com apoio do software NVivo11®, enriquecidas com os dados da pesquisa documental, adotando-se a abordagem interpretativa-compreensiva de perspectiva crítico-hermenêutica na discussão, com base no aporte teórico do estudo e em autores que discutem o tema investigado. Os participantes do estudo foram onze homens e uma mulher, com idades variando entre 21 e 79 anos, indicados pelos serviços de atenção básica (n= 8) e atenção domiciliar (n= 4). Segundo informações declaradas pelos participantes, as deficiências decorreram de afecções neurológicas (n= 10) e ortopédicas (n= 2), determinando quadros motores de paralisias e amputações, respectivamente. O tempo transcorrido desde o adoecimento foi de 17 anos para o caso mais antigo; o mais recente ocorrera há menos de trinta dias até o momento da entrevista. Sete deles necessitavam de moderada a completa assistência de terceiros nas atividades de vida diárias e três deles tiveram complicações secundárias, de ordem biológica e/ou psicossocial, após a condição de deficiência física. A análise dos dados produzidos resultou em dois temas centrais. O primeiro identificou aspectos da complexidade das necessidades de saúde inter-relacionados com o conjunto das circunstâncias que compõem a vida doméstica e comunitária dos participantes e elementos sobre as nuances dos encontros terapêuticos entre profissionais de saúde e usuários, que ora se aproximaram ora se afastaram da perspectiva de integralidade do cuidado. Tais necessidades, quando não atendidas, provocaram situações de vulnerabilidades clínicas, sociais e experiências de incapacidade e exclusão social, desvelando, ainda, vulnerabilidades programáticas dos serviços e programas. Com isso se assevera o valor do conceito ampliado de saúde e de funcionalidade, pautado nos saberes interdisciplinares, centrado no usuário e no trabalho interprofissional em direção à integralidade do cuidado nas práticas de reabilitação. O segundo tema revelou aspectos da organização da rede de serviços que antagonizam e tensionam os princípios finalísticos do Sistema Único de Saúde (SUS): fragmentação da assistência, fragilidades no acolhimento às demandas e necessidades dos participantes; carência de ferramentas de compartilhamento de informações entre serviços e profissionais intra e interserviços; exiguidade na abordagem dos fatores contextuais; insuficiência nas ações voltadas à orientação e informação que minimizem a dependência de assistência de terceiros no manejo das atividades de vida diária e eliminação de barreiras contextuais. Conclui-se que a reabilitação é um processo multidimensional dinâmico e complexo, que depende de saberes interdisciplinares para melhor direcionar o trabalho em equipe interprofissional tomando as demandas e necessidades de saúde, funcionalidade e participação social individuais e comuns das pessoas com deficiência como seu horizonte normativo para produção das boas práticas de reabilitação. Acredita-se que seja ao tomar o caminho da ética do cuidado e da valorização dos direitos humanos como princípios orientadores das práticas profissionais se fará possível - a profissionais, serviços e usuários - tecer a rede de atenção à saúde, com os fios e linhas da integralidade do cuidado investindo-se em todas as possibilidades e nuances dos projetos de felicidade dos sujeitos / Currently, disability is conceptualized based on its dynamic and biosocial character. The functioning/disability process stems from the interaction between the disabled person and the contextual factors present in the physical and societal environment, which are fundamental to social participation. Universality, integrality and equity form the tripod of the ideology of the Brazilian Sanitary Reform, bringing the population\'s demands and health needs to the center of health practices. Several studies in the field of Public Health problematize practices and models of health care in the Brazilian National Unified Health System (SUS), postulating that health working aims to provide health care services to meet the demands and health needs of those who seek for such services. However, few of them highlighted the theme of rehabilitation practices based on the perspective of comprehensive care, human functioning and social participation of the population with acquired physical disability. By means of the qualitative research method - as from the quest for health care pathways, this study aimed to analyze how health care needs of people with physical disability are approached by health and rehabilitation practices, according to the perspective of comprehensive care and human functioning. The research cycle involved an exploratory phase, with documentary research, and a field phase, in which twelve interviews were conducted with people with physical disability acquired in adulthood, including their caregivers, about the health care pathways in the locoregional network of the Brazilian National Unified Health System, in the city of Santos, state of São Paulo. We have used interviews thematic analysis with the support of Nvivo11® software, enriched with data from the documentary research, and adopted an interpretative-comprehensive approach and a critical-hermeneutic perspective discussion data, also based on the study theoretical framework and authors who discuss the subject. Eleven men and one woman, ranging from 21 to 79 years old, participated in the study, and were referred by primary care (n = 8) and home care services (n = 4). According to reported information by the participants, the disabilities were due to neurological (n = 10) and orthopedic (n = 2) illness, that implicated on motor impairments such as paralysis and amputations, respectively. The elapsed time since illness was 17 years for the oldest case and the most recent one occurred less than thirty days before the interview. Seven of them demanded moderate to total assistance in activities of daily living and three of them sustained secondary conditions due to biological and/or psychosocial complications due physical disability. The analysis of produced data resulted in two central themes. The first one identified aspects of the complexity of health needs interrelated with the set of circumstances which constitutes the participants\' domestic and community life and elements about the nuances of the therapeutic meetings between health professionals and clients, meetings that sometimes get closer, sometimes move away from the perspective of comprehensive care. When health needs were not met, they created situations of clinical and social vulnerability and experiences that potentializes disability and social exclusion, revealing programmatic vulnerabilities related to services and programs organizations. This situation highlights the value of the comprehensive health and functioning concepts based on interdisciplinary knowledge, inter professional team working and client centered towards an effective comprehensive approach in rehabilitation practices. The second theme revealed aspects of the service network organization which antagonize and tension the finalist principles of the Brazilian National Unified Health System: fragmentation of care, fragility attendance on health demands and needs; lack of tools to share information between intra and inter health professionals and services; lack to approach contextual factors barriers; insufficiency actions to promote independence and autonomy on activities of daily living. In conclusion, we highlighted that rehabilitation is multidimensional dynamic and complex and process, which must rely on interdisciplinary knowledge to best guide inter professional team working focusing on individual and common health needs, functioning and social participation of people with disability as a normative horizon to produce rehabilitation best practices. We have confidence that if we take the path of an ethical of care and value human rights as principles to guide professional practices, it will become possible for professionals, services and clients to weave the health care network with threads and lines of comprehensive care, and investing in all the possibilities and nuances of the subjects\' happiness projects

Museums as colonial institutions and agents in nation building have constructed, circulated and reinforced colonialist, patriarchal, heteronormative and cisnormative national narratives. Yet, these institutions can be subverted, resisted and transformed into sites of critical public pedagogy especially when they invite Indigenous artists and curators to intervene critically. They are thus becoming important spaces for Indigenous counter-narratives, self-representation and resistance—and for settler education. My study inquired into Cree artist Kent Monkman’s commissioned touring exhibition Shame and Prejudice: A Story of Resilience which offers a critical response to Canada’s celebration of its sesquicentennial. Narrated by Monkman’s alter ego, Miss Chief Eagle Testickle, the exhibition tells the story of the past 150 years from an Indigenous perspective. Seeking to work on unsettling my “settler within” (Regan, 2010, p. 13) and contribute to understandings of the education needed for transforming Indigenous-settler relations, I visited and studied the exhibition at the Glenbow Museum in Calgary, Alberta and the Confederation Centre Art Gallery in Charlottetown, Prince Edward Island. My study brings together exhibition analysis, to examine how the exhibition’s elements work together to produce meaning and experience, with autoethnography as a means to distance myself from the stance of expert analyst and allow for settler reflexivity and vulnerability. I developed a three-lens framework (narrative, representational and relational/embodied) for exhibition analysis which itself became unsettled. What I experienced is an exhibition that has at its core a holism that brings together head, heart, body and spirit pulled together by the thread of the exhibition’s powerful storytelling. I therefore contend that Monkman and Miss Chief create a decolonizing, truth-telling space which not only invites a questioning of hegemonic narratives but also operates as a potentially unsettling site of experiential learning. As my self-discovery approach illustrates, exhibitions such as Monkman’s can profoundly disrupt the Euro-Western epistemological space of the museum with more holistic, relational, storied public pedagogies. For me, this led to deeply unsettling experiences and new ways of knowing and learning. As for if, to what extent, or how the exhibition will unsettle other visitors, I can only speak of its pedagogical possibilities. My own learning as a settler and adult educator suggests that when museums invite Indigenous intervention, they create important possibilities for unsettling settler histories, identities, relationships, epistemologies and pedagogies. This can inform public pedagogy and adult education discourses in ways that encourage interrogating, unsettling and reorienting Eurocentric theories, methodologies and practices, even those we characterize as critical and transformative. Using the lens of my own unsettling, and engaging in a close reading of Monkman’s exhibition, I expand my understandings of pedagogy and thus my capacities to contribute to understandings of public pedagogical mechanisms, specifically in relation to unsettling exhibition pedagogies and as part of a growing conversation between critical adult education and museum studies. / Graduate

This particular telling and retelling from a living narrative inquiry (Clandinin & Connelly, 2000) into the early experiences of three high school science teachers – Beth, Joel, and Christina – explores the emergent inquiry landscapes constructed as we implemented a renewed, decolonizing, science curriculum in Saskatchewan founded on a philosophy of inquiry and on a broader, more holistic definition of scientific literacy, both Western and Indigenous. This inquiry draws on an ontology of lived experience (Dewey, 1938) and, more subtly, on the borderland of narrative inquiry and complexity science in order to illustrate the emergence and coming to knowing (Delandshire, 2002; Ermine, as cited in Aikenhead, 2002) of our identities in a way that avoids the reduction in complexity of our experiences. While my initial wonders persisted throughout the research as I lived alongside Beth, Joel, and Christina for two years, they diffracted into the contextualized wonder: how do we share a philosophy of inquiry with each other and with our students? As such, this inquiry is a sharing about our own identities, about our own agency, about identity work, and about which experiences we choose to (re)engage with as we attempt to (re)find the narrative diversity, both individual and collective, necessary to shift from enacted identities to 'wished-we-could-enact' identities. This exploration of our 'mo(u)rning stories', early experiences from our shifting identities after stepping through the liminal and onto emergent inquiry landscapes, or our 'stories to relive with' provides a language and context to our shifting identities and hence, to science education, as we move towards a more holistic and humanistic form of scientific literacy for all our students. What emerged through the enmeshing of our landscapes and through the construction of voids in existing practices, followed by deformalizations in assessment and planning, was the development of a way of sharing our philosophy of inquiry and hence, our shifting identities. The artifacting and sharing of our contextualized inquiry experiences highlighted the rich assessment making, and curriculum making experiences (Huber, Murphy & Clandinin, 2011) we shared with our students and highlighted a view of assessment as a relationship. As we told and retold our stories to relive with, our identities shifted towards those more akin to facilitator and anthropologist and away from sage and engineer/architect.

This phenomenological study examined the experiences of women in midlife. The primary purpose of the study was to develop and describe a model of health promotion that will facilitate self-care of women in midlife to support them in the attainment of wholeness. A theory-generative, qualitative, explorative, descriptive and contextual design was utilized to achieve the objectives of the study, namely to explore and describe women's experience of midlife transition; classify concepts of the model; describe the structure and process of a model for support of women during midlife transition, and develop guidelines for operationalization of the model. The study was undertaken in one of the northwest states of the United States of America. Purposive sampling of eight women included women between the ages of 40 and 55 years of age. Women who had undergone surgical menopause were excluded as the influence of prolonged hormone replacement therapy was seen as a bias. Data was collected by using an unstructured interview technique. Data was analyzed according to Tesch's protocol (in Cresswell, 1994:155). Guba's model (in Krefting 1991:215) was utilized to ensure the trustworthiness of the study. Ethical issues were considered throughout and these are reflected in chapter one of the thesis. The study identified two themes: (1) how the women experienced midlife and (2) how they managed it. The experiences of midlife were expressed in physical, psychosocial and spiritual changes while the management of the process was accomplished in two ways, namely self-care and the services of healthcare professionals. The researcher identified that health promotion was essential to facilitate the self-care practices of women in midlife. Essential and related attributes of health promotion were identified, analyzed and synthesized to define health promotion. The process of health promotion was then defined with a description of the structure and process of the model. Concepts identified were classified, defined and placed into relationship statements after which the model was described and evaluated. Guidelines to operationalize the model were then formulated to assist health professionals to support women in self-care for the attainment of wholeness. / Health Studies / D.Litt et Phil (Health Studies)

An African Perspective on Poverty Proverbs in the Book of Proverbs: An Analysis for Transformational Possibilities. This thesis contributes to the emerging global scholarly discussion on prioritising the practical relevance of biblical interpretation, particularly in Africa. Taking poverty as a case study, this thesis employs the notion of the popular social origin of proverbs to critically analyse the subject in the Book of Proverbs. A social anthropological approach, historical-critical methods, rhetorical criticism and contextual exegesis are used to analyse proverbs regarding the poor in the Book of Proverbs and African proverbial material. On one hand, the investigation reveals that many Western scholars take their cue from the `official' social context of the Book of Proverbs. However, the impact of an unconscious subjectivity owing to the Western secularising influence on their studies into poverty has posited a conservative status quo in the way the Book of Proverbs addresses it. On the other hand, an investigation of similar traditional African proverbial material on the poor reveals a holistic transformative possibility. Its life-centred dynamism is located in an integrative worldview that comprises mutual assistance, collective responsibility, family, community, social, political, religious and economic networks as one whole. Because cultural parallels exist between the society of ancient Israel and traditional African societies, the thesis argues the use of the African proverbial performance context in the interpretation of proverbs concerning the poor in the Book of Proverbs. The result of such cross-cultural application highlights the possible transformative social, economic, political and religious supportive networks essential to a viable and sustainable holistic development of society. Consequently, such a holistic approach to poverty may enable Bible readers to make meaning and empower the will of African Christians to rise practically to the challenge of poverty eradication in all spheres of their lives. A caution also to the universal church is to be found in the fact that the Book of Proverbs made an essential contribution to the transformation of the social, economic, political and religious life of Israel. Approaching the Book of Proverbs in terms of a popular context is a fact that can no longer be simply ignored. / Old Testament and Ancient Near Eastern Studies / D.Th.

This research explores the perception and practice of participatory communication for development. To this end, the study focuses on a leading local Non-Governmental Organisation (NGO) named Organisation for Rehabilitation and Development in Amhara (ORDA), Ethiopia. This qualitative case study was based on the participatory development communication model which has been assumed to bring about sustainable socio-economic change of a country (Melkote & Steeves, 2001; Mefalopulos, 2008; Servaes, 2008). The data were collected using in-depth interviews, Focus Group Discussion (FGD), document analysis and field observation. The collected data were organised and analysed in the form of content and thematic analysis. The results revealed economic oriented and top down approach to development communication as the dominant conceptions, and majority of the research participants perceived the concept ‘participation’ as mere contributions of labour and materials which are not real participation, but co-option. Only a few of the management members of ORDA conceptualized the idea of ‘participation’ as an empowerment process in which the organisation’s official document is also stated. Besides, the results showed no genuine participation of the local community in ORDA’s development process. Generally, these results could lead us to conclude that participatory communication was the missing link in the development process. That is, communication was perceived as a transmission of development information and an image building activity, not a process of empowerment. The major communications practices of ORDA were also best described as one-way top down which could reveal the legacy of modernisation and dependency theories of the development literature. The study further indicated pressing factors such as individual, organisational and environmental related affecting the implementation of ORDA’s participatory development communication. The results of study further indicated that participatory development communication was not used a means of liberation from the chain of poverty, dependency syndrome and other underdevelopment problems which deeply persist in the region. Based on the findings, the study commends the mainstreaming of participatory development communication both at the perceptual and practical level for achieving sustainable development in rural Amhara region, Ethiopia. / D. Litt. et Phil. (Communication) / Communication

Text in German with summaries in German and English / In dieser Forschungsarbeit geht es um die empirisch-theologische Erforschung von Chancen, Grenzen und Perspektiven missionaler Café-Kirchen aus der Sicht von Verantwortlichen entsprechender Projekte. Dabei spielen Fragen nach Theologie, Ekklesiologie und gelebter Spiritualität ebenso eine Rolle wie die konkreten Erfahrungen. Auf Grundlage einer missiologischen Perspektive (missionale Kirche, Fresh Expressions of Church) und einer soziologischen Perspektive (Sinus-Milieustudie, Third Places), die den aktuellen Forschungsstand berücksichtigen, werden durch zwölf qualitative Experteninterviews empirische Daten erhoben, die mit der Grounded Theory nach Strauss & Corbin analysiert werden. Anschließend werden die empirischen Ergebnisse mit den theoretischen Reflexionen in Beziehung gesetzt und missiologisch reflektiert. Durch die Untersuchung konnte gestgestellt werden, dass missionale Café-Kirchen große Chancen beinhalten, das Evangelium in relevanter Weise zu leben und auch theologisch als Kirche im Vollsinn definiert zu werden. Gleichzeitig gibt es jedoch Grenzen und Herausforderungen, die bedacht werden sollten, wenn diese Café-Kirchen auch zukünftig ihre missionale Relevanz behalten wollen. / The subject of this research paper is the empirical-theological exploration of the opportunities, challenges and perspectives of missional café churches from the viewpoint of the leaders of corresponding projects. With that, questions regarding theology, ecclesiology and lived spirituality play just as much of a role as tangible experience. On the basis of a missional perspective (missional church, fresh expressions of church) and a sociological perspective (Sinus-Milieu study, third places), which take the current state of research into account, empirical data will be obtained from twelve qualitative expert interviews; this data will then be analyzed using the Grounded Theory from Strauss & Corbin. Subsequently, the empirical results will be related to the theoretical reflections and deliberated from a missional perspective. The research lead to the conclusion that missional café churches have a great deal of potential to live out the Gospel in a relevant manner and to be defined theologically as a church in its full sense. On the other hand however, there are limits and challenges that ought to be considered, if these café churches are to maintain their missional relevance in the future. / Christian Spirituality, Church History and Missiology / M. Th. (Missiology)

With the form on ,,Krankensegnung [mit -salbung]'" (blessing the sick [including anointment]) in the book of liturgy on ,,Dienst an Kranken" (ministering to the sick), the Evangelical Lutheran Church of Saxony has put the anointing of the sick back into tocus while still stating some "unfamiliarity" with this topic. Is the anointing of the sick therefore rather a biblical possibility than a practised reality? The ''practised reality" is examined qualitatively using expert interviews with six theoretically sampled ministers of the Church of Saxony. The results obtained show a wide range of practice. They are subsequently compared with theoretical results (history and fundamentals from systematic theology) under the primacy of James 5:14-15. The interpretation shO\vs the observed practice partially corresponding to James 5. From this, conclusions for practice are drawn followed by an evaluation of the survey / Das Thema ,Krankensalbung" wird in der Evangelisch-Lutherischen Kirche durch das Formular Krankensegnung [mit -salbung] in der Agende .. Dienst an Kranken'' liturgisch neu ins Blickfeld geri.ickt, zugleich aber eine gewisse .. Fremdheit'' beztiglich des Themas konstatiert. Deshalb ergibt sich die Frage, ob Krankensalbung eher eine biblische Moglichkeit als eine gelebte Wirklichkeit ist. Die ,gelebte Wirklichkeit" wird mit Hilfe eines qualitativen Forschungsdesigns untersucht. Dabei wird die Praxis der Krankensalbung durch Experteninterviews mit sechs bewusst ausgewahlten Ptarrern der sachsischen Landeskirche erhoben. Die Darstellung der hierbei gewonnenen Ergebnisse Hisst ein breites Praxisspektrum erkennen. In einem weiteren Schritt folgt die Interpretation der Resultate. Der lnterpretationsrahmen besteht aus den Ergebnissen der Theorie (Geschichte und systematisch-theologischen Grundlagen) unter dem Vorrang von Jak 5,14-15. Die Interpretation zeigt, dass die vorgefundene Praxis teilweise Jak 5 entspricht. lnfolgedessen werden Schlussfolgerungen als Hilfen fur die Praxis gezogen. Den Abschluss bildet die Evaluation der Untersuchung. / Philosophy, Practical and Systematic Theology / M.Th. (Practical Theology)

Na atualidade, a deficiência é conceituada com base em seu caráter dinâmico e biossocial. O processo funcionalidade/incapacidade decorre da interação entre a pessoa com deficiência e os fatores contextuais presentes no ambiente físico e societal, sendo eles determinantes para a participação social. Universalidade, integralidade e equidade formam o tripé do ideário da Reforma Sanitária brasileira, trazendo para o centro das práticas de saúde as demandas e as necessidades de saúde da população. Vários estudos no campo da Saúde Coletiva problematizam as práticas e os modelos de atenção em saúde no Sistema Único de Saúde brasileiro, postulando que o trabalho em saúde tem como finalidade das práticas assistenciais a prestação de serviços com fins de satisfazer demandas e necessidades de saúde daqueles que buscam esses serviços. Entretanto, poucos deles recortaram a temática das práticas de reabilitação na perspectiva da integralidade do cuidado, da funcionalidade humana e da participação social da população de pessoas com deficiência física adquirida. Por meio do método de pesquisa qualitativa se objetivou analisar - a partir do percurso de busca de cuidados - como as necessidades de saúde de pessoas com deficiência física são contempladas nas práticas de saúde e reabilitação, desde a perspectiva da integralidade do cuidado e da funcionalidade humana. O ciclo de pesquisa envolveu uma fase exploratória, com pesquisa documental, e uma fase de campo, na qual foram feitas doze entrevistas abertas com pessoas com deficiência física adquirida na idade adulta, incluindo seus cuidadores, acerca dos percursos de busca de cuidados na rede loco-regional do Sistema Único de Saúde, no município de Santos, estado de São Paulo. Empregou-se a análise temática das entrevistas com apoio do software NVivo11®, enriquecidas com os dados da pesquisa documental, adotando-se a abordagem interpretativa-compreensiva de perspectiva crítico-hermenêutica na discussão, com base no aporte teórico do estudo e em autores que discutem o tema investigado. Os participantes do estudo foram onze homens e uma mulher, com idades variando entre 21 e 79 anos, indicados pelos serviços de atenção básica (n= 8) e atenção domiciliar (n= 4). Segundo informações declaradas pelos participantes, as deficiências decorreram de afecções neurológicas (n= 10) e ortopédicas (n= 2), determinando quadros motores de paralisias e amputações, respectivamente. O tempo transcorrido desde o adoecimento foi de 17 anos para o caso mais antigo; o mais recente ocorrera há menos de trinta dias até o momento da entrevista. Sete deles necessitavam de moderada a completa assistência de terceiros nas atividades de vida diárias e três deles tiveram complicações secundárias, de ordem biológica e/ou psicossocial, após a condição de deficiência física. A análise dos dados produzidos resultou em dois temas centrais. O primeiro identificou aspectos da complexidade das necessidades de saúde inter-relacionados com o conjunto das circunstâncias que compõem a vida doméstica e comunitária dos participantes e elementos sobre as nuances dos encontros terapêuticos entre profissionais de saúde e usuários, que ora se aproximaram ora se afastaram da perspectiva de integralidade do cuidado. Tais necessidades, quando não atendidas, provocaram situações de vulnerabilidades clínicas, sociais e experiências de incapacidade e exclusão social, desvelando, ainda, vulnerabilidades programáticas dos serviços e programas. Com isso se assevera o valor do conceito ampliado de saúde e de funcionalidade, pautado nos saberes interdisciplinares, centrado no usuário e no trabalho interprofissional em direção à integralidade do cuidado nas práticas de reabilitação. O segundo tema revelou aspectos da organização da rede de serviços que antagonizam e tensionam os princípios finalísticos do Sistema Único de Saúde (SUS): fragmentação da assistência, fragilidades no acolhimento às demandas e necessidades dos participantes; carência de ferramentas de compartilhamento de informações entre serviços e profissionais intra e interserviços; exiguidade na abordagem dos fatores contextuais; insuficiência nas ações voltadas à orientação e informação que minimizem a dependência de assistência de terceiros no manejo das atividades de vida diária e eliminação de barreiras contextuais. Conclui-se que a reabilitação é um processo multidimensional dinâmico e complexo, que depende de saberes interdisciplinares para melhor direcionar o trabalho em equipe interprofissional tomando as demandas e necessidades de saúde, funcionalidade e participação social individuais e comuns das pessoas com deficiência como seu horizonte normativo para produção das boas práticas de reabilitação. Acredita-se que seja ao tomar o caminho da ética do cuidado e da valorização dos direitos humanos como princípios orientadores das práticas profissionais se fará possível - a profissionais, serviços e usuários - tecer a rede de atenção à saúde, com os fios e linhas da integralidade do cuidado investindo-se em todas as possibilidades e nuances dos projetos de felicidade dos sujeitos / Currently, disability is conceptualized based on its dynamic and biosocial character. The functioning/disability process stems from the interaction between the disabled person and the contextual factors present in the physical and societal environment, which are fundamental to social participation. Universality, integrality and equity form the tripod of the ideology of the Brazilian Sanitary Reform, bringing the population\'s demands and health needs to the center of health practices. Several studies in the field of Public Health problematize practices and models of health care in the Brazilian National Unified Health System (SUS), postulating that health working aims to provide health care services to meet the demands and health needs of those who seek for such services. However, few of them highlighted the theme of rehabilitation practices based on the perspective of comprehensive care, human functioning and social participation of the population with acquired physical disability. By means of the qualitative research method - as from the quest for health care pathways, this study aimed to analyze how health care needs of people with physical disability are approached by health and rehabilitation practices, according to the perspective of comprehensive care and human functioning. The research cycle involved an exploratory phase, with documentary research, and a field phase, in which twelve interviews were conducted with people with physical disability acquired in adulthood, including their caregivers, about the health care pathways in the locoregional network of the Brazilian National Unified Health System, in the city of Santos, state of São Paulo. We have used interviews thematic analysis with the support of Nvivo11® software, enriched with data from the documentary research, and adopted an interpretative-comprehensive approach and a critical-hermeneutic perspective discussion data, also based on the study theoretical framework and authors who discuss the subject. Eleven men and one woman, ranging from 21 to 79 years old, participated in the study, and were referred by primary care (n = 8) and home care services (n = 4). According to reported information by the participants, the disabilities were due to neurological (n = 10) and orthopedic (n = 2) illness, that implicated on motor impairments such as paralysis and amputations, respectively. The elapsed time since illness was 17 years for the oldest case and the most recent one occurred less than thirty days before the interview. Seven of them demanded moderate to total assistance in activities of daily living and three of them sustained secondary conditions due to biological and/or psychosocial complications due physical disability. The analysis of produced data resulted in two central themes. The first one identified aspects of the complexity of health needs interrelated with the set of circumstances which constitutes the participants\' domestic and community life and elements about the nuances of the therapeutic meetings between health professionals and clients, meetings that sometimes get closer, sometimes move away from the perspective of comprehensive care. When health needs were not met, they created situations of clinical and social vulnerability and experiences that potentializes disability and social exclusion, revealing programmatic vulnerabilities related to services and programs organizations. This situation highlights the value of the comprehensive health and functioning concepts based on interdisciplinary knowledge, inter professional team working and client centered towards an effective comprehensive approach in rehabilitation practices. The second theme revealed aspects of the service network organization which antagonize and tension the finalist principles of the Brazilian National Unified Health System: fragmentation of care, fragility attendance on health demands and needs; lack of tools to share information between intra and inter health professionals and services; lack to approach contextual factors barriers; insufficiency actions to promote independence and autonomy on activities of daily living. In conclusion, we highlighted that rehabilitation is multidimensional dynamic and complex and process, which must rely on interdisciplinary knowledge to best guide inter professional team working focusing on individual and common health needs, functioning and social participation of people with disability as a normative horizon to produce rehabilitation best practices. We have confidence that if we take the path of an ethical of care and value human rights as principles to guide professional practices, it will become possible for professionals, services and clients to weave the health care network with threads and lines of comprehensive care, and investing in all the possibilities and nuances of the subjects\' happiness projects

Text in English, with abstracts and keywords in English, Sesotho and Afrikaans / The purpose of the study was to investigate and explore how rehabilitation and wellness of juvenile offenders in selected South African correctional schools can be promoted. A wellness model that can be used to promote the wellness of juvenile offenders was proposed based on the findings of the study. The researcher used the wellness, ubuntu and bio-ecological theories as theoretical frameworks to guide the study. These theories helped the researcher to understand how the promotion of wellness among juvenile offenders can facilitate effective rehabilitation and, ultimately, offender reintegration into society. The interpretive paradigm was employed to understand the experiences and views of juveniles as well as teachers and heads of schools who were directly involved in the rehabilitation of juvenile offenders. The study used the qualitative research method in which open-ended questionnaires were used to collect data from juveniles and teachers whereas semi-structured interviews were to collect data from heads of schools. Participants were purposefully selected to ensure relevant data was gathered. Twenty-one juveniles, twelve teachers and seven heads of schools took part in the study. Participants were drawn from four provinces and seven schools. Data were analysed qualitatively through coding, categorising and developing themes. Themes that developed from data interpretation were used as headings for the findings in each wellness dimension. Themes that developed from the study revealed that schools were making a great effort to promote the wellness of juvenile offenders. Great strides were made especially in promoting the wellness of juvenile offenders through the involvement of different stakeholders although this was inadequate. Schools were facing challenges such as lack of resources, shortage of skilled personnel as well as inadequate stakeholder involvement. The research proposed a wellness model that is holistic in nature to help teachers and other stakeholders involved in juvenile offender rehabilitation to promote their social, physical, emotional, spiritual, career and intellectual wellness. / Mohola wago bala e be e le go aga lenaneo leo le ka šomišwago ke barutisi le batho ba bangwe mo thekgong ya bana bao ba lego dikolong tsa kgolego (dihlokatsebe). Lenaneo le mohola wa lona ke go dira gore bana ba ba sa hlokomeleng melao ya setšhaba ba bušetšwe gore ba kgone go boela go setšhaba. Basekaseki ba šomiša go hlokomela botho le tša tlhago go tlhatlha dithuto tša bona. Dikakanyo tse di dirišeditšwe go dihloka tsebe le barutiši le dihlogo tša dikolo bao ba bego ba ruta bana ba. Thuto ye e šomišitšwe ke ya maemo a godimo moo go šomišitšwego dipotšišo tšeo di se nago phetolo e tee go hwetša kakanyo ya dihlokatsebe le barutiši. Fela mo gongwe go be go dirišwa dipotšišo go dihlogo tsa sekolo. Bao ba bego ba botšišwa ba be ba kgethilwe gabotse goba go lekaleka gore dikarabo e be tša maleba. Masomepedi a dihlokatsebe, barutiši bašupa le dihlogo tsa sekolo ba ile ba šomišwa go dithuto tše. Bao ba kgethilwego ba be ba tšwa di provensing tše nne le dikolong tše šupa tša kgolego. Dikašišo di ile tša sekasekwa gabotse ka maemo a godimo go šomišwa dinomoro, peakanyo le gore ba kgone go aga maikemišetšo a motheo wo. Motheo wo o agilwe go tšwa go dikakišišo gore re hwetše hlokomelo ya dihlokatsebe. Metheo ye e šomišitšwego e bontšhitse gore dikolong tša dihlokatsebe bana ba be ba latela molao. Gobe go šomišwa le kago ya mmele, go tsošološwa moyeng ya di hlokatsebe go šomišwa batho kamoka. Dikolo di ile tša ba le bothata mo go godišeng dihlokatsebe. Yengwe ya bothata e be e le go hlokega ga dišomišwa le batho bao ba hlahlilwego go ruta dihlokatsebe tše mola gape go be go se na batho bao ba nago le kgahlego. Basekaseki ba ile ba tla le seka sa go hlokomela dihlokatsebe ka go felela le go thuša barutiši le batho bao ba lebanego le dihlokatsebe. Gore go godišwe kgwerano, go godišwe go aga ga mmele, go aga tsošološo ya semoya, go ba aga gore ba be le seo ba kgonago le go aga le go godiša menagano ya bona le tša mešomo. / Die doel van die studie was om ’n welstandsmodel te ontwikkel wat gebruik kan word deur onderwysers en relevante belanghebbendes in die bevordering van die welstand van jeugdige oortreders in korrektiewe skole. Die model beoog om te verseker dat jeugdige oortreders doelftreffend gerehabiliteer word en gereed is vir herintegrering in die samelewing. Die navorser het die welstand, ubuntu en bio-ekologiese teorieë as teoretiese raamwerke gebruik om die studie te lei. Hierdie teorieë het die navorser gehelp om te verstaan het die promosie van welstand onder jeugdige oortreders doeltreffende rehabilitasie kan fasiliteer en uiteindelik, oortreders in die samelewing te herstel. Die uitleggende paradigma is aangewend in ’n poging om die ervarings en sienings van die jeugdiges, onderwysers en hoofde van skole wie direk betrokke in die rehabilitasie van jeugdige oortreders is te verstaan. Die studie maak gebruik van die kwalitatiewe navorsings-benadering, waar ope vrae gebruik is om data van jeugdiges en onderwysers te versamel, terwyl semi-gestruktureerde onderhoude gebruik is om data van die hoofde van skole te kry. Deelnemers was opsetlik geselekteer om te verseker dat geskikte data versamel is. Een- en twintig jeugdiges, twaalf onderwysers en sewe hoofde van skole het aan die studie deelgeneem. Deelnemers is uit vier provinsies en sewe skole gekies. Data is kwalitatief ontleed deur kodering, kategorisering en ontwikkeling van temas wat gebruik is as opskrifte vir die bevindings onder elke welstands-dimensie. Die ontwikkelde temas het bewys dat skole moeite gedoen het om die welstand van jeugdige oortreders te bevorder. Daar was groot vordering, veral in die bevordering van die fisiese en spirituele welstand van jeugdige oortreders deur die betrokkenheid van verskillende belanghebbendes. Skole het verskillende uitdagings in die gesig gestaar in hul pogings om die welstand van jeugdige oortreders te handhaaf. Sommige van die uitdagings was ’n tekort aan hulpbronne, geskoolde personeel sowel as onvoldoende betrokkenheid van belanghebbendes. Die navorsing stel ’n holisties welstandsmodel voor om onderwysers en ander belanghebbendes te help wat betrokke raak in die rehabilitasie van jeugdige oortreders en bevordering van hul sosiale, fisiese, emosionele, spirituele,loopbaan en intellektuele welstand. / Psychology / Ph. D. (Psychology)