Submitted by SBI Biblioteca Digital (sbi.bibliotecadigital@puc-campinas.edu.br) on 2017-02-14T13:55:22Z No. of bitstreams: 1 MHARIANNI CIARLINI DE SOUSA BEZERRA.pdf: 2425826 bytes, checksum: f544bda5fafd02ef25fb51357cf8abe5 (MD5) / Made available in DSpace on 2017-02-14T13:55:23Z (GMT). No. of bitstreams: 1 MHARIANNI CIARLINI DE SOUSA BEZERRA.pdf: 2425826 bytes, checksum: f544bda5fafd02ef25fb51357cf8abe5 (MD5) Previous issue date: 2016-12-14 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / This research aimed to understand from a phenomenological stand point the experience of psychologists who recently went through a multiprofessional residency course in the healthcare system. It is a qualitative and exploratory investigation inspired in Edmund Husserl?s phenomenology and based on the Person Centered Approach?s psychological perspective. The researcher held dialogical encounters with six participants who attended three different Multiprofessional Residency Programs in the interior of S?o Paulo state. Through the researcher?s empathic attitude, each encounter became a phenomenological experiential field that contributed to the development of the subjective elements of the participant?s experience. The encounters were analyzed through the construction of comprehensive narratives as well as a synthesis narrative that brought together the essential structural elements of the phenomenon. These revealed that the professionals? scheme of total dedication to the residency in their field of action challenges their limits, generating suffering and exhaustion, as well as satisfaction when they are able to overcome the challenges and recognize their capacities. This reality enables personal and professional growth stemming from meaningful learning, promoting human growth. The participant?s experience portrays a reassessment of psychologist?s particular way of integrating a multiprofessional health team. The practice of psychological attention is developed in relationship with a sense of responsibility toward an integrated care promoted in several contexts. As the participants attempt to handle all the complex demands which arise daily, several distinct kinds of psychological attention have been developed. The participants identified the hospital as the place of excellence for the health psychologist to work, manifesting certain affinities with the medical model that privileges care based on sub-specialties. The tension between teaching strategies and health service passes through their experience, in a significant way, interfering in the possibility of an integrated vision about the relationship between university and health system to serve the vulnerable population. It is concluded that the comprehensive nature of this research study made it possible to reveal significant elements of the inservice training process that stimulate reflections about its potentialities and limitations. / Esta pesquisa objetivou compreender fenomenologicamente a experi?ncia de psic?logos que vivenciaram, recentemente, a forma??o profissional num curso de especializa??o em car?ter de resid?ncia multiprofissional em redes de aten??o ? sa?de. Consistiu em pesquisa qualitativa de car?ter explorat?rio com inspira??o na fenomenologia proposta pelo fil?sofo Edmund Husserl e fundamentada na perspectiva psicol?gica da Abordagem Centrada na Pessoa. Foram realizados encontros dial?gicos entre a pesquisadora e seis participantes de tr?s programas de resid?ncia multiprofissional de um munic?pio do interior do estado de S?o Paulo. Por meio da atitude emp?tica da pesquisadora, cada encontro consistiu em campo fenomenol?gico experiencial que contribuiu para o desvelamento dos elementos subjetivos da experi?ncia das participantes. A an?lise dos encontros foi realizada a partir da constru??o de narrativas compreensivas e de uma narrativa s?ntese que reuniu os elementos que comp?em a estrutura essencial do fen?meno em estudo. Revelou-se que a din?mica de dedica??o total do profissional ? resid?ncia leva-o a uma imers?o nos contextos de atua??o que desafia seus limites, gerando sofrimento e cansa?o, mas tamb?m satisfa??o quando consegue superar os desafios e reconhecer suas capacidades. Essa realidade torna-se propiciadora de transforma??o pessoal e profissional a partir de aprendizagem significativa que promove crescimento. A experi?ncia das participantes revelou um processo de apropria??o singular da profiss?o pela via da participa??o em equipe multiprofissional da sa?de. A pr?tica da aten??o psicol?gica desenvolve-se vinculada ao compromisso com a integralidade no cuidado disponibilizado em contextos diversos. Na tentativa de atender ?s demandas complexas que surgem cotidianamente, s?o desenvolvidas distintas modalidades de aten??o psicol?gica. As participantes identificam o hospital como lugar de excel?ncia para o exerc?cio do trabalho do psic?logo na ?rea da sa?de, demonstrando afinidade com o modelo m?dico que privilegia a??es de cuidado pautadas em subespecialidades. A tens?o entre as estrat?gias de ensino e de servi?o atravessaram a experi?ncia das participantes de modo significativo, interferindo na possibilidade de uma vis?o integradora sobre a rela??o entre a universidade e o sistema de sa?de no atendimento ? popula??o vulner?vel. Conclui-se que o car?ter compreensivo desse estudo possibilitou desvelar elementos significativos do processo de forma??o em servi?o que estimulam reflex?es sobre suas potencialidades e limita??es.

Submitted by SBI Biblioteca Digital (sbi.bibliotecadigital@puc-campinas.edu.br) on 2017-03-13T17:30:32Z No. of bitstreams: 1 THAIS DE CASTRO GAZOTTI.pdf: 1821100 bytes, checksum: 3759609fe41c54c293cf4d93f0cdec2e (MD5) / Made available in DSpace on 2017-03-13T17:30:32Z (GMT). No. of bitstreams: 1 THAIS DE CASTRO GAZOTTI.pdf: 1821100 bytes, checksum: 3759609fe41c54c293cf4d93f0cdec2e (MD5) Previous issue date: 2017-02-07 / Conselho Nacional de Pesquisa e Desenvolvimento Cient?fico e Tecnol?gico - CNPq / This qualitative research study, of exploratory nature, aimed to describe and phenomenologically comprehend psychologists? experience of working in multidisciplinary teams at hospital. Nine psychologists, who work in three different large cities of the State of S?o Paulo, participated in the study, eight women and one man. The researcher invited each one of them for a dialogical encounter. Following each encounter, the researcher wrote a comprehensive narrative containing the main elements, which emerged from the participants? lived experience, apprehended by the researcher through an intersubjective movement. After this, the researcher created a synthesis narrative, presenting some significant elements of participants? lived experience as a whole. From this synthesis narrative, it was possible to describe the structure of the experience in focus in the study. It was concluded that: 1) the multidisciplinary team doesn?t always recognize the importance of the psychologist?s presence in the team, which requires him to break barriers; 2) there is a daily overload of demands on the psychologist due to the team member?s and institution?s manager?s incomprehension about his role; 3) the psychologist tries to contribute to the team?s care to patients in order to fulfill Brazilian?s unified health system principle of integral care; 4) attitudes such as empathic comprehension and unconditional positive regard characterize psychologist?s role towards patients, their relatives and team members; 5) a trustful and complicity relationship among multidisciplinary teams? diverse specialists is crucial to certify a well-functioning team; 6) due to the service?s demands, the psychologist feels the need to take care of himself, emotionally, in order to be able to effectively perform his role in the team; and 7) a well qualified Psychology under graduation training, as well as a major in Hospital Psychology, are pointed as necessary for a proficient practice within a hospital multidisciplinary team. / Esta pesquisa, qualitativa de natureza explorat?ria, objetivou descrever e compreender fenomenologicamente a experi?ncia de psic?logos que atuam como membros de equipes multidisciplinares em hospital. Participaram do estudo nove psic?logos, sendo oito mulheres e um homem, que trabalham em institui??es hospitalares localizadas em tr?s diferentes cidades do estado de S?o Paulo. A pesquisadora convidou-os para se reunirem a ela num encontro dial?gico individual. Ao finalizar cada um dos encontros, redigiu uma narrativa compreensiva contendo os principais elementos que emergiram da viv?ncia do participante e que foram apreendidos por ela num movimento intersubjetivo. Ap?s esta etapa, foi constru?da uma narrativa s?ntese contendo os elementos significativos das viv?ncias dos participantes como um todo. A partir da narrativa s?ntese, foi poss?vel descrever a estrutura da experi?ncia em foco neste estudo. Concluiu-se que: 1) nem sempre as equipes multidisciplinares reconhecem a import?ncia da presen?a do psic?logo entre seus membros, o que lhe exige romper barreiras; 2) h? uma sobrecarga de demandas cotidianas sobre o psic?logo que decorre da incompreens?o sobre suas fun??es por parte de outros membros da equipe e, tamb?m, de gestores da institui??o; 3) o psic?logo busca contribuir para que o cuidado dispensado aos pacientes pela equipe cumpra o princ?pio da integralidade preconizado pelo SUS; 4) a compreens?o emp?tica e a aceita??o positiva incondicional s?o atitudes que caracterizam a atua??o do psic?logo em rela??o aos pacientes, aos familiares e aos membros da equipe; 5) uma rela??o de confian?a e cumplicidade entre os diversos especialistas que comp?em a equipe ? fundamental para assegurar seu bom funcionamento; 6) em decorr?ncia das exig?ncias do trabalho, o psic?logo sente necessidade de cuidar de si mesmo, do ponto de vista psicol?gico, para ser capaz de exercer suas fun??es junto ? equipe; e 7) uma boa forma??o como psic?logo, assim como uma forma??o p?s-graduada espec?fica na ?rea de Psicologia Hospitalar s?o percebidas como necess?rias para atuar de maneira competente em uma equipe hospitalar multidisciplinar.

The overall aim of this research project was to explore and describe the significance of assistive devices in daily life. The project involves two qualitative and two quantitative studies. Three of these studies were from the perspective of persons with stroke and one from the perspective of spouses of persons with stroke. A hermeneutic phenomenological lifeworld approach was used in the qualitative studies and data was obtained through conversational interviews with the two study groups, 22 persons with stroke and 12 spouses of persons with stroke, after the devices had been used for about a year. The results indicated that the lived experiences of assistive devices in respect of the different lifeworld existentials (lived body, lived space, lived time, lived human relation) are closely interconnected in both study groups. The lived body existential included aspects of habits, feelings and the incorporation, figuratively speaking, of the devices into their own bodies. Lived space concerned the gradual development of a new view of the environment and the devices’ role as a prerequisite for being able to live at home. The devices brought about a changed relation to lived time with respect to the temporal perspectives of past, present and future. To be able to take control of one’s own time was an important experience that the devices facilitated. Assistive devices were an integral part of the lived human relation between the couples in the study groups, as well as between the disabled persons/spouses and other people, including the health-care professionals. The devices contributed either to the maintenance or the change of social roles, but they sometimes also gave rise to the experience of being stigmatised. The results in the case of both study groups showed that the use of different devices is complex and often contradictory, especially when it comes to persons with stroke. Overall the persons’ experiences of the advantages of the devices overshadowed their experiences of the disadvantages. The quantitative studies included a pre- and post-assessment design. Thirty-two persons with disabilities after stroke were included. The impact of an outdoor powered wheelchair on activity and participation (IPPA, WHODAS II) and quality of life (PIADS, EQ-5D) was measured. Statistical analysis with mainly non-parametric tests was used to determine significant within-group and between-group changes after intervention. The conceptual framework ICF was used in one of the quantitative studies when classifying the participants’ stated problems. The results showed that the outdoor powered wheelchair is an essential device for persons with disabilities after stroke with regard to overcoming activity limitation and participation restrictions in everyday life. Furthermore it mostly has a positive impact on such users’ quality of life. However, it is also important to highlight the negative experiences of a few with regard to the use of powered wheelchairs. In sum, these results will enable prescribers to better understand the individual experiences of using assistive devices and the individuals’ and the families’ need for support in connection with the prescription of assistive devices, the particular example being powered wheelchairs.

As a relatively recent phenomenon, the increasing overrepresentation of Aboriginal persons in both the child welfare and criminal justice systems is of critical importance to the field of social work. As social control systems, how do social workers contribute to or mitigate against overrepresentation as contemporary colonialism? What can social work professionals who themselves have been through these systems add to our social work discourse? A sample of fifteen Aboriginal social workers who had as youth been in either one or both of these systems were interviewed with respect to: what they found was helpful or unhelpful in their interactions as youth with social workers, why they subsequently chose social work as a career, the supports and barriers they encountered along their career path, and the difference their experiences had for their own professional practice. Using structural social work theory, overrepresentation as a contemporary colonializing process was re-conceptualised as structural violence. Institutional Ethnography (IE) and Hermeneutic Phenomenology were used to explore how these neo-liberal ruling relations are produced, maintained, and potentially deconstructed. The findings from this unique population have implications for decolonizing social work practice, education, and research.

The overall aim of this thesis is to investigate if the somatic comorbidity and increased mortality among persons with psychiatric disability (residents in supported housing facilities) can be influenced. The thesis comprises four papers. Paper I describes the lived experience of health and body. Papers II and III examine the effects of a lifestyle programme on physiological markers (II) and on psychological and quality of life parameters (III). Paper (IV) illustrates the meaning of participating in a life style programme. The data in Papers I and IV comprises narrative interviews with residents (n=11). The studies in Papers II and III are focused on residents and were carried out with a randomized design. The randomization was performed on a group level (supported housing facility). The 12 month intervention consisted of study circles with a theoretical and practical application of dietary information and physical activity for two hours, on a twice weekly basis under the supervision of a study circle leader. The controls were offered an aesthetic study circle and met once a week. The data in Paper II comprises physiological quantitative data from both residents (n=41) and staff (n=41) and in Paper III questionnaires on symptoms and quality of life completed only by residents (n=41). The data was analysed with Qualitative description (I), Phenomenological-hermeneutics (IV), and for papers II and III relevant statistical calculations were used. Health is described in paper I as “having a life as others have” and discloses the losses of important life domains (family, work, security) and the experiences of being deviant and stigmatized. Health is described as “absence of psychological and physical problems” and its hampering effects on quality of life and self-esteem. Health is understood as a phenomenon that could “be influenced by one self”, and there is an insight that health is manageable. Participating in a life style intervention (paper II) meant a significant improvement in risk factors for metabolic syndrome among the residents in comparison with controls. No differences were seen on weight, BMI and improved physical capacity. In paper III a significant positive increase in the Sense of Coherence compared to controls was seen. However no effect was seen on quality of life, psychosocial function or on reduction of symptoms in comparison with controls. Participating in a lifestyle intervention can be understood as the gaining of insights that health can be improved and that the daily life is partly given a changed content (paper II). The participation is also described as meaning an increased sense of closeness and equality in relation to the staff and sometimes a painful insight of their life situation. Participating is also described as entailing a hope that one’s life situation can be affected. In summary this thesis shows that there is some possibility of influencing the physical health (reduced risk of metabolic syndrome) among persons with psychiatric disability by participating in a 12 month intervention programme. The intervention does not show any effects on measures such as quality of life, psychosocial function and presence of symptoms. However, the participants describe that the participation had a meaning in a number of respects. This is a finding that is confirmed by the positive change in sense of coherence. The need to develop preventive care for persons with psychiatric disability and the importance of monitoring the treatment with neuroleptics and its side effects on physical health is an important clinical implication. Furthermore the importance of the responsibility of the care staff is emphasized as well as the importance of supporting a change in lifestyle.

Xhosa people practise the circumcision ritual. The exciting period is during the pre- circumcision. It is also the time when Xhosa teenage boys experience various problems associated with the ritual. The main purpose of the study was to explore and describe Xhosa teenage boys' experiences of the period prior to the circumcision ritual in East London in the Eastern Cape Province. A descriptive, exploratory and descriptive qualitative research design was followed and 28 participants volunteered to participate. In-depth phenomenological focus group interviews were conducted. Data analysis revealed two themes: social pressure on teenage Xhosa boys associated with the ritual, and depression associated with the treatment of teenage Xhosa boys by their communities. The study recommends that all stakeholders be involved in the performance of the ritual. A limitation of the study was failure to include stakeholders. The researcher recommends further research to involve all stakeholders of the ritual. / Health Studies / M.A. (Public Health)

No description available.

Abstract The aim of this study is to contribute knowledge of guardian´s experience of having a child in compulsory- and upper secondary school for learning disabilities. Research questions: How do guardians describe their lived experience of the phenomenon of having a child placed in the compulsory- and upper secondary school for learning disabilities? How do guardians describe the relationship between home and school? Research indicates a multifaceted complexity characterized by high level of stress among guardians of children diagnosed with intellectual disabilities (ID). Attitudes from the society in whole towards people with ID have a major impact. My study has a phenomenologically inspired approach, that aims to access and understand the phenomenon by addressing the source, the guardians. I have interviewed three guardians and learned stories from their existential worlds. They show faith in school, but also anxiety from complex situations that they are faced with. It is important that teachers in schools for pupils with ID are aware of these feelings when meeting the guardians, since they are important to build good cooperative relationships between school and home. Successfulness is based on good relationships and for this to occur, an understanding of the situations of the guardians is required. Keywords cumpulsory school for learning disabilities, upper secondary school for learning disabilities, guardians, phenomenology, lived experience, relationship between home and school, intellectual disability, ID. / Sammanfattning Syftet med detta examensarbete är att bidra med kunskap om vårdnadshavares levda erfarenhet av att ha ett barn i grundsärskolan och gymnasiesärskolan. Forskningsfrågor: Hur beskriver vårdnadshavare sin levda erfarenhet av fenomenet att ha sitt barn placerat i grundsärskolan och gymnasiesärskolan? Hur beskriver vårdnadshavare relationen mellan hem och skola? Forskning visar på en mångfasetterad komplexitet som kännetecknas av en hög stressnivå hos vårdnadshavare till barn med intellektuell funktionsnedsättning (IF). Omgivningens inställning till personer med IF har stor påverkan. Min studie har en fenomenologiskt inspirerad ansats vilket syftar till att förstå fenomenet genom att gå till källan, vårdnadshavarna. Jag har intervjuat tre vårdnadshavare och tagit del av berättelser från deras livsvärldar. I deras berättelser visar sig en tillit till skolan men också starka känslor i form av oro, frustration och komplexa situationer att förhålla sig till. Detta tolkar jag som en form av stress. Dessa känslor och erfarenheter behöver speciallärare i grundsärskolan och gymnasiesärskolan vara medvetna om i mötet med vårdnadshavare. Dessa möten är en viktig komponent som bygger samarbetet mellan hem och skola. Ett bra samarbete grundar sig i goda relationer och för att dessa ska uppstå krävs en förståelse för vårdnadshavarens situation. Nyckelord Grundsärskola, gymnasiesärskola, vårdnadshavare, fenomenologi, levda erfarenheter, relation mellan hem och skola, intellektuell funktionsnedsättning, IF.

Depuis 2007, la réglementation sur le cadre du dépistage en France évolue et se montre favorable à la création d’expérimentations de dépistage communautaire. Cette recherche propose une analyse psychosociale des expériences de dépistage dans le cadre de deux protocoles expérimentaux: ANRS Com’Test et ANRS DragTest. Les objectifs principaux des protocoles sont (1) l’étude de la faisabilité d’un dépistage rapide du VIH effectué par des acteurs communautaires non médicaux (association de lutte contre le sida Aides), auprès des hommes ayant des rapports sexuels avec des hommes, en utilisant les tests rapides d’orientation diagnostique et le counselling motivationnel (ANRS Com’Test), et (2) l’évaluation de la non infériorité de cette proposition en comparaison avec une offre classique (ANRS DragTest).L’objectif de cette étude est de comprendre les significations attribuées aux expériences vécues à partir d’une lecture ternaire (sujet-objet-contexte) et d’une articulation entre vécu et représentations sociales. La recherche s’appuie sur une méthodologie qualitative incluant d’une part une analyse longitudinale de l’expérience des acteurs associatifs, et d’autre part une analyse transversale du vécu des personnes dépistées. La triangulation des matériaux de recueil et des méthodes d’analyse apporte un double regard sur les données. En effet, les résultats montrent à la fois la mobilisation des univers de références communs, et l’implication de l’expérience vécue dans la construction et la communication de l’expérience. / Since 2007, regulation on the part of the screening in France evolves and is favourable to the creation of community screening experiments. From a psychosocial perspective, this study analyzes screening experiences in two experimental protocols’ context: ANRS Com’Test and ANRS DragTest. The main objectives of the protocols are (1) to study the feasibility of a rapid HIV testing performed by non-medical community actors (association against Aids AIDES) among men who have sex with men, using rapid testing policy diagnostic and motivational counselling (ANRS Com'Test), and (2) to evaluate the non-inferiority of the proposal in comparison with a conventional supply (ANRS DragTest).The purpose of this study is to understand the lived experience’s meaning from a ternary reading (subject-object-context) and a link between experience and social representations. Research is based on a qualitative methodology, both including a longitudinal analysis of community actors involved, and also a cross-sectional analysis of those screened’ lived experiences. Triangulation of material collection and analytical methods brings a dual perspective on the data. Analyzes are showing both the mobilization of common references universes, and the involvement of lived experience in the construction and communication of experience.

The 21st century is characterised by globalisation, turbulent change, an information explosion and an electronic revolution. The result is organisations with decentralised structures, increased employee empowerment and growth alliances. This changing landscape calls for a more holistic, collaborative outlook on leadership, placing the emphasis on relationships, context and transformation where leadership occurs at multiple levels in organisations. While organisations work towards future sustainability in response to the demands of this landscape, leaders are faced with their own personal transition within their roles. Leadership is a socially constructed process that is co-created amidst pressure from self-expectations, follower expectations and organisational requirements. Leadership as a boundary-keeping role that functions on the periphery between the organisation and the external environment, evokes anxiety. The researcher sought to explore, describe and analyse the lived leadership role experience of 21st century leaders as it plays out above and below the surface of consciousness. At the conscious level, the normative role refers to job description and content. At the unconscious level, the existential role deals with the role in the mind of the individual, while the phenomenal role relates to what others perceive and project onto the individual fulfilling the role. The level of congruence between these three roles and its consequent impact on the individual leadership experience were explored. Hermeneutic phenomenology, using the systems psychodynamic perspective as a theoretical framework, enabled the researcher to apply in-depth description and interpretation. A case study research approach was adopted where individual cases were analysed and then consolidated into a cross-case analysis of findings. The study revealed the underlying mental activity and irrational behaviour relating to anxiety, conflict and defences that manifest for 21st century leaders. By integrating the findings with both systems psychodynamic literature and leadership literature, nine themes emerged, namely anxiety, leadership identity, boundaries, authority, role, task, containment, valence and perceived performance. These themes culminated in a research hypothesis about the constant evolution of the leadership role in the context of the current business landscape. / Psychology / Ph. D. (Consulting Psychology)