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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
121

Perfil neuropsicológico e psiquiátrico de adolescentes submetidos a maus tratos / Neuropsychological and psychiatric profile of adolescents exposed to maltreatment

Paula Approbato de Oliveira 24 May 2013 (has links)
Introdução: Os maus tratos na infância e adolescência são considerados um problema de saúde pública devido a alta prevalência no Brasil e no mundo. A exposição a maus tratos está associada a alterações no desenvolvimento cognitivo, porém, há uma escassez de estudos brasileiros que investiguem o tema. Objetivos: Comparar o funcionamento neuropsicológico de adolescentes com e sem histórico de maus tratos, bem como estudar as relações entre essas vivências, desempenho neuropsicológico e sintomas psiquiátricos relacionados a impulsividade, oposição, hiperatividade e desatenção. Método: Cento e oito adolescentes foram selecionados em dois programas de atendimento a população em situação de vulnerabilidade e/ou risco social de São Paulo (SP). De acordo com a pontuação do Questionário de Traumas na Infância (QUESI), foram classificados em três grupos: GMT1 (grupo de maus tratos leves, n=35), GMT2 (grupo de maus tratos moderado a grave, n=19) e GC (grupo de comparação, n=54). Os adolescentes passaram por avaliação neuropsicológica com o foco na investigação de funções relacionadas a percepção visual e spam atencional (primeira unidade funcional), processamento e armazenamento de informações (segunda unidade funcional) e funcionamento executivo (terceira unidade funcional). Foram utilizadas escalas para avaliação psiquiátrica (K-SADS-PL) e investigação de sintomas de impulsividade, hiperatividade, desatenção e oposição (BIS-1, SNAP-IV). Os resultados obtidos nos grupos foram comparados com o controle estatístico de variáveis sociais (dificuldades socioeconômicas, escolaridade e abrigamento) e clínicas (transtornos psiquiátricos internalizantes e externalizantes, uso de medicação psiquiátrica e quociente intelectual estimado- QI). Por fim, foram feitas associações entre exposição a maus tratos, funcionamento neuropsicológico e sintomas psiquiátricos. Resultados: Os GMTs (grupos de maus tratos) apresentaram pior funcionamento intelectual em relação ao GC, sendo que o pior desempenho foi encontrado no GMT2 (p< 0,001). Medidas menores de QI estiveram associadas a prejuízo nas três unidades funcionais (p<= 0,049) e a mais sintomas de hiperatividade e desatenção (p <= 0,008). Foi encontrado pior desempenho dos GMTs nos testes para avaliação de segunda unidade funcional (p<= 0,001), porém, não foram encontradas diferenças entre os grupos na primeira e terceira unidades. Apesar disso, os testes de correlação indicaram que o aumento das pontuações no QUESI estava associado à piora do desempenho em todas as unidades funcionais (p<= 0,046). Os GMTs apresentaram maior impulsividade e oposição (p<= 0,008) e, quanto maior a pontuação no QUESI, maior a presença de sintomas de impulsividade, oposição, sintomas isolados de desatenção e sintomas mistos de desatenção e hiperatividade (p<= 0,006). Conclusão: Os resultados obtidos corroboram a associação entre exposição a maus tratos e dificuldades cognitivas e psiquiátricas. Os dados obtidos poderão contribuir para o planejamento de políticas públicas voltadas tanto à prevenção quanto para o tratamento de patologias associadas ao desenvolvimento neurobiológico alterado de crianças e adolescentes que crescem em condições adversas. / Introduction: Maltreatment experiences in childhood and adolescence are considered a public health problem due to high prevalence in Brazil and worldwide. The exposure to maltreatment is associated with changes in cognitive development; however, there is a shortage of Brazilian research that investigates this topic. Objectives: Comparison of neuropsychological functioning of adolescents with and without maltreatment history, as well as the research of relationships between these experiences, neuropsychological performance, and psychiatric symptoms relating to impulsivity, opposition, hyperactivity, and inattention. Methods: One hundred and eight adolescents were selected from two assistance programs for people in vulnerability and social risk situation in the city of Sao Paulo (SP). According to the Childhood Trauma Questionnaire (CTQ), three groups were classified: GMT1 Group (Mild Maltreatment, n = 35), GMT2 (group of moderate to severe maltreatment, n = 19) and GC (comparison group, n = 54). The adolescents underwent neuropsychological evaluation with a focus on the investigation of functions related to visual perception and attention spam (first functional unit), processing and retention of information (second functional unit) and executive functioning (third functional unit). Scales were used for psychiatric assessment (K-SADS-PL) and investigation of impulsivity, hyperactivity, inattention, and opposition symptoms (SNAP-IV, BIS-11). Results obtained in these groups were compared with statistical control of social variables (socioeconomic, school level, and shelter), and clinical variables (internalizing and externalizing psychiatric disorders, use of psychiatric medication, and estimated intellectual quotient - IQ). Lastly, associations between exposure to maltreatment, neuropsychological functioning and psychiatric symptoms were made. Results: The GMT (maltreatment groups) had a worse intellectual functioning compared to GC, while the worst performance was found in GMT2 (p < 0.001). Lower IQ measures were associated to impairment on the three functional units (p<= 0.049) and to more symptoms of inattention and hyperactivity (p <= 0.008). Worse performance on tests for evaluation of the second functional unit (p<= 0.001) was found for GMT, but no differences were found between the groups on the first and third units. Nevertheless, the correlation tests indicated that the increase in CTQ scores was associated to worse performance in all of the functional units (p<= 0,046). The GMT presented higher impulsivity and opposition (p<= 0,008) and the higher the CTQ score the more symptoms of impulsivity, opposition, isolated symptoms of inattention, and mixed symptoms of inattention and hyperactivity (p<= 0,006). Conclusion: The results confirm the negative association between exposure to maltreatment and psychiatric and cognitive difficulties. The data obtained will contribute to the planning of public policies for both prevention and treatment of diseases associated to altered neurobiological development of children and adolescents who grow up in adverse conditions.
122

Exploring the Help-seeking / Helping Dynamic in Illegal Drug Use

Polych, Carol 01 March 2011 (has links)
Heuristic qualitative research techniques (Moustakas,1990) were used to explore the dynamic of the help-seeking / helping relationship in illegal drug use from the perspective of the professional. Six professionals, expert in helping people living with an addiction, shared their opinions and insights, analyzed problems, explained the rewards, and made recommendations for improvement, based on their own practices within the health care and social services systems. These professionals identify stigma as a major barrier to the provision of quality care in addictions, and analysis shows that a cultural predilection for scapegoating underlies the application of stigma. The many layered social purposes served by the designation of certain substances as illegal and the utility of scapegoating to hegemonic, vested interests is surveyed. This thesis reviews the true social costs of addictions, the entrenched and enmeshed nature of the alternate economy, and the many above ground institutions and professions sustained by the use of drugs designated as illegal. Prohibition and imprisonment as a response to illegal drug use is exposed as costly, inhumane, dangerous, and overwhelmingly counterproductive in terms of limiting harm from illegal drug use. A recent example of drug prohibition propaganda is deconstructed. Consideration is given to the role of the Drug War as a vehicle to accelerate social creep toward a fragmented self-disciplining surveillance society of consumer-producers in the service of economic elites. Classism is brought forward from a fractured social ground characterized by many splits: sexism, racism, age-ism, able-ism, size-ism, locationism, linguism, and others, to better track the nature of the social control that illegal drugs offer to economic elites. The moral loading that surrounds illegal drug use is deconstructed and the influence of religion is presented for discussion. The primitive roots of human understanding that endorse the ritual Drug War and its supporting mythology, leading to the demonization of illegal drugs and the people who use them, are uncovered. Direction is taken from Benner and Wrubel’s Primacy of Caring (1989) and other leaders in the professions as a means to move practitioners away from their roles as agents of social control into a paradigm of social change.
123

Exploring the Help-seeking / Helping Dynamic in Illegal Drug Use

Polych, Carol 01 March 2011 (has links)
Heuristic qualitative research techniques (Moustakas,1990) were used to explore the dynamic of the help-seeking / helping relationship in illegal drug use from the perspective of the professional. Six professionals, expert in helping people living with an addiction, shared their opinions and insights, analyzed problems, explained the rewards, and made recommendations for improvement, based on their own practices within the health care and social services systems. These professionals identify stigma as a major barrier to the provision of quality care in addictions, and analysis shows that a cultural predilection for scapegoating underlies the application of stigma. The many layered social purposes served by the designation of certain substances as illegal and the utility of scapegoating to hegemonic, vested interests is surveyed. This thesis reviews the true social costs of addictions, the entrenched and enmeshed nature of the alternate economy, and the many above ground institutions and professions sustained by the use of drugs designated as illegal. Prohibition and imprisonment as a response to illegal drug use is exposed as costly, inhumane, dangerous, and overwhelmingly counterproductive in terms of limiting harm from illegal drug use. A recent example of drug prohibition propaganda is deconstructed. Consideration is given to the role of the Drug War as a vehicle to accelerate social creep toward a fragmented self-disciplining surveillance society of consumer-producers in the service of economic elites. Classism is brought forward from a fractured social ground characterized by many splits: sexism, racism, age-ism, able-ism, size-ism, locationism, linguism, and others, to better track the nature of the social control that illegal drugs offer to economic elites. The moral loading that surrounds illegal drug use is deconstructed and the influence of religion is presented for discussion. The primitive roots of human understanding that endorse the ritual Drug War and its supporting mythology, leading to the demonization of illegal drugs and the people who use them, are uncovered. Direction is taken from Benner and Wrubel’s Primacy of Caring (1989) and other leaders in the professions as a means to move practitioners away from their roles as agents of social control into a paradigm of social change.
124

The Social Construction of Economic Man: The Genesis, Spread, Impact and Institutionalisation of Economic Ideas

Mackinnon, Lauchlan A. K. Unknown Date (has links)
The present thesis is concerned with the genesis, diffusion, impact and institutionalisation of economic ideas. Despite Keynes's oft-cited comments to the effect that 'the ideas of economists and political philosophers, both when they are right and when they are wrong, are more powerful than is commonly understood'(Keynes 1936: 383), and the highly visible impact of economic ideas (for example Keynesian economics, Monetarism, or economic ideas regarding deregulation and antitrust issues) on the economic system, economists have done little to systematically explore the spread and impact of economic ideas. In fact, with only a few notable exceptions, the majority of scholarly work concerning the spread and impact of economic ideas has been developed outside of the economics literature, for example in the political institutionalist literature in the social sciences. The present thesis addresses the current lack of attention to the spread and impact of economic ideas by economists by drawing on the political institutionalist, sociological, and psychology of creativity literatures to develop a framework in which the genesis, spread, impact and institutionalisation of economic ideas may be understood. To articulate the dissemination and impact of economic ideas within economics, I consider as a case study the evolution of economists' conception of the economic agent - "homo oeconomicus." I argue that the intellectual milieu or paradigm of economics is 'socially constructed' in a specific sense, namely: (i) economic ideas are created or modified by particular individuals; (ii) economic ideas are disseminated (iii) certain economic ideas are accepted by economists and (iv) economic ideas become institutionalised into the paradigm or milieu of economics. Economic ideas are, of course, disseminated not only within economics to fellow economists, but are also disseminated externally to economic policy makers and business leaders who can - and often do - take economic ideas into account when formulating policy and building economic institutions. Important economic institutions are thereby socially constructed, in the general sense proposed by Berger and Luckmann (1966). But how exactly do economic ideas enter into this process of social construction of economic institutions? Drawing from and building on structure/agency theory (e.g. Berger and Luckmann 1966; Bourdieu 1977; Bhaskar 1979/1998, 1989; Bourdieu 1990; Lawson 1997, 2003) in the wider social sciences, I provide a framework for understanding how economic ideas enter into the process of social construction of economic institutions. Finally, I take up a methodological question: if economic ideas are disseminated, and if economic ideas have a real and constitutive impact on the economic system being modelled, does 'economic science' then accurately and objectively model an independently existing economic reality, unchanged by economic theory, or does economic theory have an interdependent and 'reflexive' relationship with economic reality, as economic reality co-exists with, is shaped by, and also shapes economic theory? I argue the latter, and consider the implications for evaluating in what sense economic science is, in fact, a science in the classical sense. The thesis makes original contributions to understanding the genesis of economic ideas in the psychological creative work processes of economists; understanding the ontological location of economic ideas in the economic system; articulating the social construction of economic ideas; and highlighting the importance of the spread of economic ideas to economic practice and economic methodology.
125

Challenges and potentials of channeling local philanthropy towards development and aocial justice and the role of waqf (Islamic and Arab-civic endowments) in building community foundations

Daly, Marwa El 16 May 2012 (has links)
Diese Arbeit bietet eine solide theoretische Grundlage zu Philanthropie und religiös motivierten Spendenaktivitäten und deren Einfluss auf Wohltätigkeitstrends, Entwicklungszusammenarbeit und einer auf dem Gedanken der sozialen Gerechtigkeit beruhenden Philanthropie. Untersucht werden dafür die Strukturen religiös motivierte Spenden, für die in der islamischen Tradition die Begriffe „zakat“, „Waqf“ oder im Plural auch „awqaf-“ oder „Sadaqa“ verwendet werden, der christliche Begriff dafür lautet „tithes“ oder „ushour“. Aufbauend auf diesem theoretischen Rahmenwerk analysiert die qualitative und quantitative Feldstudie auf nationaler Ebene, wie die ägyptische Öffentlichkeit Philanthropie, soziale Gerechtigkeit, Menschenrechte, Spenden, Freiwilligenarbeit und andere Konzepte des zivilgesellschaftlichen Engagements wahrnimmt. Um eine umfassende und repräsentative Datengrundlage zu erhalten, wurden 2000 Haushalte, 200 zivilgesellschaftliche Organisationen erfasst, sowie Spender, Empfänger, religiöse Wohltäter und andere Akteure interviewt. Die so gewonnen Erkenntnisse lassen aussagekräftige Aufschlüsse über philanthropische Trends zu. Erstmals wird so auch eine finanzielle Einschätzung und Bewertung der Aktivitäten im lokalen Wohltätigkeitsbereich möglich, die sich auf mehr als eine Billion US-Dollar beziffern lassen. Die Erhebung weist nach, dass gemessen an den Pro-Kopf-Aufwendungen die privaten Spendenaktivitäten weitaus wichtiger sind als auswärtige wirtschaftliche Hilfe für Ägypten. Das wiederum lässt Rückschlüsse zu, welche Bedeutung lokale Wohltätigkeit erlangen kann, wenn sie richtig gesteuert wird und nicht wie bislang oft im Teufelskreis von ad-hoc-Spenden oder Hilfen von Privatperson an Privatperson gefangen ist. Die Studie stellt außerdem eine Verbindung her zwischen lokalen Wohltätigkeits-Mechanismen, die meist auf religiösen und kulturellen Werten beruhen, und modernen Strukturen, wie etwa Gemeinde-Stiftungen oder Gemeinde-„waqf“, innerhalb derer die Spenden eine nachhaltige Veränderung bewirken können. Daher bietet diese Arbeit also eine umfassende wissenschaftliche Grundlage, die nicht nur ein besseres Verständnis, sondern auch den nachhaltiger Aus- und Aufbau lokaler Wohltätigkeitsstrukturen in Ägypten ermöglicht. Zentral ist dabei vor allem die Rolle lokaler, individueller Spenden, die beispielsweise für Stiftungen auf der Gemeindeebene eingesetzt, wesentlich zu einer nachhaltigen Entwicklung beitragen könnten – und das nicht nur in Ägypten, sondern in der gesamten arabischen Region. Als konkretes Ergebnis dieser Arbeit, wurde ein innovatives Modell entwickelt, dass neben den wissenschaftlichen Daten das Konzept der „waqf“ berücksichtigt. Der Wissenschaftlerin und einem engagierten Vorstand ist es auf dieser Grundlage gelungen, die Waqfeyat al Maadi Community Foundation (WMCF) zu gründen, die nicht nur ein Modell für eine Bürgerstiftung ist, sondern auch das tradierte Konzept der „waqf“ als praktikable und verbürgte Wohlstätigkeitsstruktur sinnvoll weiterentwickelt. / This work provides a solid theoretical base on philanthropy, religious giving (Islamic zakat, ‘ushour, Waqf -plural: awqaf-, Sadaqa and Christian tithes or ‘ushour), and their implications on giving trends, development work, social justice philanthropy. The field study (quantitative and qualitative) that supports the theoretical framework reflects at a national level the Egyptian public’s perceptions on philanthropy, social justice, human rights, giving and volunteering and other concepts that determine the peoples’ civic engagement. The statistics cover 2000 households, 200 Civil Society Organizations distributed all over Egypt and interviews donors, recipients, religious people and other stakeholders. The numbers reflect philanthropic trends and for the first time provide a monetary estimate of local philanthropy of over USD 1 Billion annually. The survey proves that the per capita share of philanthropy outweighs the per capita share of foreign economic assistance to Egypt, which implies the significance of local giving if properly channeled, and not as it is actually consumed in the vicious circle of ad-hoc, person to person charity. In addition, the study relates local giving mechanisms derived from religion and culture to modern actual structures, like community foundations or community waqf that could bring about sustainable change in the communities. In sum, the work provides a comprehensive scientific base to help understand- and build on local philanthropy in Egypt. It explores the role that local individual giving could play in achieving sustainable development and building a new wave of community foundations not only in Egypt but in the Arab region at large. As a tangible result of this thesis, an innovative model that revives the concept of waqf and builds on the study’s results was created by the researcher and a dedicated board of trustees who succeeded in establishing Waqfeyat al Maadi Community Foundation (WMCF) that not only introduces the community foundation model to Egypt, but revives and modernizes the waqf as a practical authentic philanthropic structure.

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