Thesis (D. Min.)--Gordon-Conwell Theological Seminary, South Hamilton, MA, 2003. / Vita. Includes bibliographical references (leaves 81-83).

Thesis (Ph. D.)--Drexel University, 2005. / Includes abstract and vita. Includes bibliographical references (leaves 112-126).

Thesis (MA)--University of Stellenbosch, 2006. / Bibliography.

Thesis (D. Min.)--Westminster Theological Seminary, Philadelphia, 1987. / Includes bibliographical references (leaves 153-156).

Theses (Ed.S.)--Marshall University, 2007. / Title from document title page. Includes abstract. Document formatted into pages: contains iii, 23 pages. Bibliography: p. 22-23.

Thesis (M.S.P.H.)--University of South Florida, 2008. / Title from PDF of title page. Document formatted into pages; contains 77 pages. Includes bibliographical references.

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Mental health has become an increasingly importantly focus in the UK policy landscape because of its social and economic impact. However, most research to date has focused on living with mental health issues, or providing mental health services, in urban settings. There is limited understanding of the experiences of rural dwellers with mental health issues or the role of the voluntary sector in terms of its contribution to mental health service provision in rural areas. Thus, this PhD explores the experiences of rural mental health service users and providers in Scotland and Canada, and also considers the contribution of mental health voluntary organisations in helping to overcome the challenges of social exclusion for service users, as identified in previous research. Two theoretical lenses were used to frame the research questions. First, the concept of social inclusion provided a lens to analyse the processes by which service users achieve, or not, a sense of belonging and connection in society (Philo 2000). Second, Putnam's (2000) theory of social capital provided a further analytical lens by which to explore the contribution of rural voluntary organisations. Social capital focuses on the features of populations such as social networks, trust and norms of reciprocity that shape the quality and quantity of social interactions (McKenzie & Harpham 2006). The aims of the research were to: To explore the impact of rural life for mental health service users' daily life and access of services To understand the contribution of rural mental health services to tackling social exclusion for service users The five research questions used in this thesis were: What does it mean to experience mental health problems in remote and rural areas? What are the challenges that service providers face in remote and rural areas? What benefits are there for service users attending voluntary groups in remote and rural areas?

Orientador: Rosana T. Onocko Campos / Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas / Made available in DSpace on 2018-08-13T19:40:46Z (GMT). No. of bitstreams: 1 Miranda_Lilian_D.pdf: 2517064 bytes, checksum: 99dc6b8d562306951aca789b7bac4470 (MD5) Previous issue date: 2009 / Resumo: Esta tese se sustenta num método qualitativo e participante, baseado na hermenêutica gadameriana e no paradigma construtivista. Nosso objetivo foi analisar o arranjo denominado "equipes ou profissionais de referência", em relação ao tratamento de pacientes psicóticos, no contexto dos Centros de Atenção Psicossocial, no que diz respeito às suas funções clínicas e organizacionais. A coleta de dados foi feita através de dois ciclos de grupos focais constituídos por profissionais, usuários e familiares de usuários dos 6 CAPS da cidade de Campinas/SP, bem como por entrevistas em profundidade, desenvolvidas com usuários desses serviços. O material construído mostra que todos os CAPS se organizam através de equipes de referência, cujos profissionais se ocupam de um acompanhamento próximo e regular dos pacientes, configurando-se como profissionais de referência e se responsabilizando pelos projetos terapêuticos e a discussão coletiva dos casos. Essa organização é avaliada positivamente por todos os sujeitos da pesquisa. Para os usuários e seus familiares, os profissionais de referência são percebidos como centrais para a viabilização do tratamento. Eles destacam a confiabilidade como um dos eixos centrais da relação terapêutica e consideram que esta se constrói através das conversas, da sensação de serem percebidos em suas necessidades singulares e do suporte que obtém para a resolução de problemas práticos. Os trabalhadores ressaltam a potencialidade das equipes de referência para o compartilhamento e a co-responsabilização dos casos. Reconhecem a singularidade e a intensidade da relação entre profissionais de referência e usuários, mas apontam alguns paradoxos inerentes ao arranjo, tais como as tensões entre cuidado e tutela; atenção constante ao paciente e controle; proximidade afetiva e identificação narcísica. Através do referencial psicanalítico, apresentamos uma discussão acerca de algumas das necessidades emocionais dos pacientes psicóticos e da potencialidade do arranjo para respondê-las. Destacamos que a fertilidade desse trabalho depende de sua sustentação coletiva, a ser construída entre diversos atores que envolvem o usuário e o serviço, mediante permanente esforço de análise crítica. Para tanto, propomos a reflexão acerca de um posicionamento ético baseado na capacidade de o profissional envolver-se genuinamente com seus pacientes, podendo, ao mesmo tempo, abster-se e deixá-los traçar os sentidos do tratamento / Abstract: The present thesis applies a qualitative and participative method based on Gadamer?s hermeneutics and the constructivist paradigm. Our goal was to analyze an arrangement called staffs or professionals of reference for the treatment of psychotic patients at Psychosocial Attention Centers regarding its clinical and organizational functions. Data collection was carried out in two cycles of focus groups consisting of professionals, users and their relatives in the six Psychosocial Attention Centers located in Campinas (SP), as well as through in-depth interviews of the users. The elaborated material shows that all the Psychosocial Attention Centers are organized by staffs of reference. Their professionals monitor patients closely and regularly, configure themselves as professionals of reference and take on the responsibility for therapeutic projects and the collective discussion of the cases. This type of organization was assessed positively by all the subjects of the research. Users and their families consider the professionals of reference as crucial for the development of the treatment. They highlight reliability as one of the main pillars of the therapeutic relationship and further state that this relationship is built up through conversations, the feeling that their specific needs are being perceived, and the support they get to solve practical issues. The workers point out the potential of the staffs of reference for the sharing and co-responsibility of the cases. They recognize the uniqueness and intensity of the relationship between professionals of reference and users, but also draw attention to some paradoxes inherent to the arrangement, such as the tensions between care and tutelage, permanent attention given to the patient and control, as well as emotional closeness and narcissistic identification. Based on the psychoanalytic referential, this thesis presents a discussion about some of the emotional needs of psychotic patients and the potential of the arrangement to meet them. We point out that the success of that work depends on the collective support it gets, which is to be built by the different participants that involve the user and the service in an ongoing effort of critical analysis. We therefore suggest a reflection on an ethical position based on the ability of the professional to get genuinely involved with his/her patients and, at the same time, to step back and let them trace the meanings of the treatment / Doutorado / Saude Coletiva / Doutor em Saude Coletiva

D.Cur. (Psychiatric Nursing Science) / Living with chronic mental illness in Namibia is a challenge. It often means a permanent fight against stigma and a daily struggle to make ends meet. The impact of living with the illness produces enormous subjective sufferings for the individuals, as well as untold psychological and financial burdens for many families. Through the researcher‟s interactions with individuals living with chronic mental illness, it became clear that they are not adequately supported by relatives and other members of the communities in which they live. Sometimes they are deprived access to basic needs namely, shelter, medications, freedom of movement and of expression. There is an exaggerated fear of, as well as a negative attitude towards those living with mental illness. In the Northwest Health Directorate of Namibia, there are no community care facilities for individuals living with chronic mental illness. There are no alternative community aftercare modes for discharged individuals living with chronic mental illness. Post-discharge of the patient from the hospital, there are no follow-ups regarding the social circumstances they find themselves in. As a result, the home-care for someone living with chronic mental illness after hospitalization remains the sole responsibility of the relatives who rarely know how to look after the patient. On many occasions the public has been very ignorant about mental illness, resulting in them having a very negative attitude towards persons living with chronic mental illness. The main purpose of this research was to explore and describe the lived experiences of individuals living with chronic mental illness, and the experience of the family members, community members, and health care workers dealing with individuals living with chronic mental illness. Thereafter, the researcher developed a mental health nursing model, which provides a theoretical frame of reference for the advanced psychiatric mental health nurse practitioner to facilitate constructive interactions through communicating, relating and sharing by discharged individuals living with chronic mental illness in Namibia...