Thesis (M.P.A.)--Kutztown University of Pennsylvania, 1996. / Source: Masters Abstracts International, Volume: 45-06, page: 2938. Typescript. Includes bibliographical references (leaves 90-97).

Thesis (M.S.P.H.)--University of Michigan, 1940.

Thesis (M.P.H.)--University of Michigan, 1945.

Thesis (M.P.A.)--University of Hong Kong, 1991.

Thesis (M.A.)--Carleton University, 1985. / Also available in electronic format on the Internet.

Thesis (M.P.A.)--University of Hong Kong, 1991. / Also available in print.

Thesis (M.Soc.Sc.)--University of Hong Kong, 1986. / Also available in print.

Thesis PlanB (M.S.)--University of Wisconsin--Stout, 2006. / Includes bibliographical references.

This dissertation reviews the ways in which psychotherapists working in relatively long-term 'transformational' therapies construct the outcome goals of their interventions. It is generally accepted that a therapist's beliefs about what constitutes mental health will influence the client, and will therefore facilitate a certain outcome accordingly. A problem in a long-term, 'non-directive' therapy is that the eventual outcome is not always visible in the interim development of the client or in the business of individual sessions. Without a clearly defined 'plan' or 'goal' there is a real danger of the intervention having opposite results to what would have been desirable, or no noticeably beneficial results, both of which can be an abuse of the client's investment and trust in the process. The absence of clearly constructed goals makes it difficult to assess efficacy of a therapeutic method used to attain an improved state of mental health that will be lasting, i.e. a positive 'transformation'; it also problematises comparisons across orientations. The identification of explicit goals is of special importance in a developing 'third-world' community like South Africa, where western ('European') concepts of mental health are being offered as an alternative to so-called 'indigenous healing' and where different cultural communities may have different expectations, needs or demands of their members 'in health'. Individual-based therapeutic orientations included in the research were psychoanalysis and psychoanalytic therapies, including object-relational therapies with various emphases and self psychology, as well as transformative types of hypnosis, Gestalt therapy, client-centred therapy and transactional analysis. Twenty of the semi-structured interviews with 52 therapists working in one or more of these areas were selected for construct analysis. Through analysis of the constructs of mental health as aspirational goal that emerged in therapists' talking about their experience of the process and the consequences of therapy observed in their patients, it appeared that there are generalisable constructs across various orientations in the transformative therapies. It is hoped that these constructs may serve as a foundation for further research in the problem areas indicated, but also that therapists working in the field may use this research not only as a basis for self-evaluation, but for adding to the constructs from their own experience, to the further enrichment of the whole field of work.

Esta investigaÃÃo discorre sobre as experiÃncias intersubjetivas de trabalho situando-as na micropolÃtica cotidiana de um CAPS que vem reorganizando algumas de suas aÃÃes. Buscamos compreender tais experiÃncias articulando-as Ãs posiÃÃes e disposiÃÃes dos agentes que as vivenciam, o que nos levou a identificar algumas configuraÃÃes relacionais relevantes entre os trabalhadores. Dialogamos com diversos autores que vem abordando a temÃtica do trabalho em saÃde no Brasil e em equipes comunitÃrias de saÃde mental na literatura estrangeira. A literatura nacional neste campo, caracterizada por uma propositividade importante para a constituiÃÃo de um ideÃrio sobre o trabalho em saÃde, apresenta, no entanto, lacunas em relaÃÃo a estudos empÃricos que enfoquem ambivalÃncias e contradiÃÃes emergentes nos microprocessos cotidianos. Isto nos levou a trilhar uma trajetÃria alternativa, referenciada no percurso histÃrico da constituiÃÃo do trabalho em saÃde e dos processos de profissionalizaÃÃo, de maneira a enfocar as interaÃÃes estabelecidas entre os trabalhadores considerando as relaÃÃes e conflitos interprofissionais, bem como as concepÃÃes, dificuldades e limites do trabalho coletivo e multiprofissional em saÃde mental. Utilizamos um referencial metodolÃgico fundamentado na hermenÃutica crÃtica, de maneira a compreender as experiÃncias intersubjetivas de trabalho nas suas diferentes versÃes emergentes entre os trabalhadores. Apresentamos uma contextualizaÃÃo de Ãmbitos sÃcio-histÃricos, locais e singulares de maneira a inscrever processual e dialeticamente tais experiÃncias, dotando-as de mÃltiplos sentidos. As experiÃncias intersubjetivas de trabalho sÃo permeadas por ambivalÃncias e contradiÃÃes emergentes no cotidiano que representam limites e possibilidades para a constituiÃÃo de uma nova prÃxis coletiva entre os trabalhadores. Ãs dimensÃes Ãticas e polÃticas que referenciam o trabalho em saÃde, devem associar-se dimensÃes afetivas, por compreender o afeto como uma potÃncia mobilizadora de disposiÃÃes e de posiÃÃes que permitem reconfiguraÃÃes em relaÃÃes de saber/fazer/poder estabelecidas. / This reasearch investigates the intersubjective experiences of work in the cotidiane micropolitical processes of a community mental health service. We tried to understand the experiences in articulation to the dispositions and positions of the workers. This process conducted us to the identification of some relevant relational configurations considering the perspective of the workers. We established a dialogue with several authors that investigate the health work in Brazil and the mental health community work in other countries. The national literature presents a propositive tendency that contributes to the elaboration of some principles for the health work. However, new empirical studies are necessary to understand the ambivalences and contraditions that appear in the cotidiane between the health workers. Thus, we decided to study this subject considering the historic process of health work and profissionalization, in order to understand interprofessional interactions and conflicts that affect conceptions and establishe possibilities and restrictionas for the constitution of a collective multiprofessional work in mental health. We used a critical hermeneutic approach presenting the multiple versions of the workers experiences relating them to different contexts. Ambivalences and contradictions are relevant in the intersubjective experiences of work and they represent restrictions and possibilities for the constitution of a new praxis among the workers. Ethical and political dimensions of the health work may be associated to affective dimensions, understanding the affect as a potent agent in the mobilization of positions and dispositions that may conduct to reconfigurations of established relations.