Global ETD Search

781	Virtual reality and the clinic: an ethnographic study of the Computer Assisted Rehabilitation Environment (The CAREN Research Study) Perry, Karen-Marie Elah 26 April 2018 (has links) At the Ottawa Hospital in Ontario, Canada, clinicians use full body immersion virtual reality to treat a variety of health conditions, including: traumatic brain injuries, post- traumatic stress disorder, acquired brain injuries, complex regional pain syndrome, spinal cord injuries, Guillain-Barré syndrome, and lower limb amputations. The system is shared between military and civilian patient populations. Viewed by clinicians and the system’s designers as a value neutral medical technology, clinical virtual reality’s sights, sounds, movements, and smells reveal cultural assumptions about universal patient experiences. In this dissertation I draw from reflexive feminist research methodologies, visual anthropology and sensory ethnography in a hospital to centre the body in current debates about digital accessibility in the 21st Century. 40 in-depth interviews with practitioners and patients, 210 clinical observations, and film and photography ground research participant experiences in day-to-day understandings of virtual reality at the hospital. In this dissertation I address an ongoing absence of the body as a site of analytical attention in anthropological studies of virtual reality. While much literature in the social sciences situates virtual reality as a ‘post-human’ technology, I argue that virtual reality treatments are always experienced, resisted and interpreted through diverse body schemata. Furthermore, virtual reality cannot be decoupled from the sensitivities, socialities and politics of particular bodies in particular places and times. The Ottawa Hospital’s Computer Assisted Rehabilitation Environment (CAREN) system features a digitally enhanced walk-in chamber, treadmills on hydraulic pistons, surround sound audio, advanced graphics and user feedback utilizing force plates and a dynamic infrared motion capture system. The CAREN system utilizes hardware and software reliant on specific assumptions about human bodies. For example, these assumptions are echoed in depictions of race, gender, class, and indigeneity. Patients using virtual reality technologies can experience more than one disability or health condition at a time, further disrupting the idea of universal user experiences. As clinicians and patients confront the limitations of body normativity in the CAREN system’s interface design, they improvise, resist, and experience virtual reality in ways that defy design agendas, ultimately shaping patient treatments and unique paths to healing and health. / Graduate anthropology anthropology of the body anti-oppressive medicine CAREN computing cultural anthropology digital digital anthropology disability studies digital studies ethnography feminist anthropology intersectional feminist research hospital ethnography institutional ethnography medical anthropology medicine physiotherapy post-traumatic stress disorder qualitative health research qualitative research queer anthropology sensory ethnography video ethnography virtual reality visual anthropology traumatic brain injuries acquired brain injuries complex regional pain syndrome spinal cord injuries guillain-barré syndrome lower limb amputation lower limb amputations
782	Former SADF soldiers' experience of betrayal: a phenomenological study Olivier, Dawie 11 1900 (has links) Existing literature identify betrayal as one of the major challenges that former SADF soldiers face in the “new” South Africa, and identify a need for studying the nature and types of betrayal and the effects it has on relationships. This study aimed to describe and interpret former SADF soldier‟s lived experience by focusing on the psychology of betrayal. A cross-sectional qualitative research methodology was used, guided by an interpretive phenomenological approach. Data was gathered through semi-structured interviews, and the data was analysed using Heidegger‟s hermeneutical principles. The identified themes are (1) in the belly of the beast, (2) different agendas, (3) volte-face, (4) keeping the score (5) and just carry on. The findings offer deeper insights and understanding into how former SADF soldiers experience betrayal and the impact it has on their everyday lives. / Psychology / M.A. (Psychology, with specialisation in Research Consultation) Betrayal Trust Phenomenology Lived experience Post-apartheid South African Border War Former SADF soldiers 305.906970968 Veterans--Mental health--South Africa Veterans--South Africa--Attitudes Betrayal Psychological debriefing South Africa. Army--History--1961- Trust Phenomenology
783	Evidence-based pharmacological treatment of anxiety disorders, post-traumatic stress disorder and obsessive-compulsive disorder: A revision of the 2005 guidelines from the British Association for Psychopharmacology Baldwin, David S., Anderson, Ian M., Nutt, David J., Allgulander, Christer, Bandelow, Borwin, den Boer, Johan A., Christmas, David M., Davies, Simon, Fineberg, Naomi, Lidbetter, Nicky, Malizia, Andrea, McCrone, Paul, Nabarro, Daniel, O’Neill, Catherine, Scott, Jan, van der Wee, Nic, Wittchen, Hans-Ulrich 17 September 2019 (has links) This revision of the 2005 British Association for Psychopharmacology guidelines for the evidence-based pharmacological treatment of anxiety disorders provides an update on key steps in diagnosis and clinical management, including recognition, acute treatment, longer-term treatment, combination treatment, and further approaches for patients who have not responded to first-line interventions. A consensus meeting involving international experts in anxiety disorders reviewed the main subject areas and considered the strength of supporting evidence and its clinical implications. The guidelines are based on available evidence, were constructed after extensive feedback from participants, and are presented as recommendations to aid clinical decision-making in primary, secondary and tertiary medical care. They may also serve as a source of information for patients, their carers, and medicines management and formulary committees. info:eu-repo/classification/ddc/610 ddc:610
784	Veterans and non-veterans with schizophrenia : a grounded theory comparison of perceptions of self, illness, and treatment Firmin, Ruth L. 31 July 2014 (has links) Indiana University-Purdue University Indianapolis (IUPUI) / This study investigates differences between Veterans and non-Veterans with severe mental illness (SMI) regarding perceptions of their illness, themselves, and treatment. I compare patient interviews (using the Indiana Psychiatric Illness Interview, IPII) of Veterans (N=20) and non-Veterans (N=26). Modified grounded theory and qualitative coding software Atlas-TI were used to develop codebooks for each group, and these were compared for differences. I examined differences in both code frequency and meaning. Statistically, more Veterans were male, employed, married, had higher income, and had higher education. Statistical differences in code frequency included: more Veterans discussing boredom, regret/guilt/loss, and wanting to be “normal.” More non-Veterans had codes of pessimism and religion/spirituality, wanting a different future, bringing up mental health, family, future: no change, life goals, and relapse. Key differences in narrative themes included: (1) Veterans’ “military mindset”/discussion of anger as part of mental illness, (2) non-Veterans’ focus on mental-illness, (3) differing attitudes regarding stigma, (4) active versus passive attitudes toward treatment, and (5) degree of optimism regarding the future. Differences are described and then potential relationships and interactions are proposed. Veterans appear to have several protective factors (i.e., finances, employment, marriage). Additionally, Veterans’ military-mindset seems to encourage greater stigma-resistance, and thereby also facilitate Veterans being more active and optimistic toward treatment and recovery. By contrast, non-Veteran focus on mental illness may be related to increased self-stigma, passive and pessimistic attitudes. I propose that Veteran identity can serve as an additional protective factor against stigma, pessimism, and passivity. Veteran-identity may also be a useful framework clinically, to help promote active approaches to treatment (e.g., “fighting symptoms”). Further, Veterans emphasized issues relating to anger as important and part of their mental health. It may be that Veterans are more comfortable discussing mental health in the language of “anger,” given stigma. Finally, findings suggest that helping individuals in both groups engage in meaningful, non-mental illness-related life activities may help shape self-perception, and thereby responses to stigma, attitudes toward treatment, and hope for the future. schizophrenia stigma self Veteran Schizophrenia -- Veterans -- Research Schizophrenia -- Research Schizophrenia -- Treatment -- Research Psychoses -- Diagnosis -- Veterans Self-perception Insight Identity (Psychology) Depression, Mental Grounded theory -- Research Quantitative research Mental illness -- Diagnosis Self -- Veterans -- Research
785	Female-Specific Role of Ciliary Neurotrophic Factor in the Medial Amygdala in Promoting Stress Responses Jia, Cuihong, Gill, Wesley D., Lovins, Chiharu, Brown, Russell W., Hagg, Theo 01 March 2022 (has links) Ciliary neurotrophic factor (CNTF) is produced by astrocytes which have been implicated in regulating stress responses. We found that CNTF in the medial amygdala (MeA) promotes despair or passive coping, i.e., immobility in an acute forced swim stress, in female mice, while having no effect in males. Neutralizing CNTF antibody injected into the MeA of wildtype females reduced activation of downstream STAT3 (Y705) 24 and 48 h later. In concert, the antibody reduced immobility in the swim test in females and only after MeA injection, but not when injected in the central or basolateral amygdala. Antibody injected into the male MeA did not affect immobility. These data reveal a unique role of CNTF in female MeA in promoting despair or passive coping behavior. Moreover, 4 weeks of chronic unpredictable stress (CUS) increased immobility in the swim test and reduced sucrose preference in wildtype CNTF+/+, but not CNTF-/- littermate, females. Following CUS, 10 min of restraint stress increased plasma corticosterone levels only in CNTF+/+ females. In males, the CUS effects were present in both genotypes. Further, CUS increased CNTF expression in the MeA of female, but not male, mice. CUS did not alter CNTF in the female hippocampus, hypothalamus and bed nucleus of stria terminalis. This suggests that MeA CNTF has a female-specific role in promoting CUS-induced despair or passive coping, behavioral anhedonia and neuroendocrine responses. Compared to CNTF+/+ mice, CNTF-/- mice did not show differences in CUS-induced anxiety-like behavior and sensorimotor gating function as measured by elevated T-Maze, open field and pre-pulse inhibition of the acoustic startle response. Together, this study reveals a novel CNTF-mediated female-specific mechanism in stress responses and points to opportunities for developing treatments for stress-related disorders in women. anhedonia BLA basolateral amygdala BNST bed nucleus of stria terminalis CNTF ciliary neurotrophic factor CRF corticotropin releasing factor CUS chronic unpredictable stress CeA central amygdala Chronic unpredictable stress HPA hypothalamic-pituitary-adrenal Hyp hypothalamus IL-6 interleukin-6 LIF leukemia inhibitory factor MeA medial amygdala neuroendocrine response Neutralizing antibody PAG periaqueductal grey PTSD post-traumatic stress disorder PVN paraventricular nucleus passive stress-coping stereotaxic injection TNF tumor necrosis factor mPFC medial prefrontal cortex Biomedical Sciences
786	Assessering van die kind in die statutêre proses: `n gestaltbenadering Verster, Blanche 30 November 2004 (has links) Summary in Afrikaans and English / Although the rights of children in South Africa are being regulated by legislation, statistics prove that statutory services on behalf of children annually increase. Scientific accountable information regarding the child can be obtained by the assessment of the child. The purpose of this investigation was to identify the gaps in the existing assessment guidelines, as well as the needs of social workers regarding assessments. The sequential exploratory strategy was utilized, as quantitative data supported qualitative findings. The investigation showed that minimal assessment literature is available in South Africa and internationally, although assessment is the basis evidence of the social worker. The biggest gap in assessment guidelines is that assessment does not carry weight in the court. There is a need for social workers to be trained in relevant assessment skills based on a specific frame of reference. Gestalt therapy can provide a suitable theoretical frame of reference for assessment, and can serve as scientific foundation for social workers during the statutory process. A framework for an assessment guideline was thus proposed. / Ten spyte daarvan dat die regte van kinders in Suid-Afrika deur wette gereguleer word, bewys statistiek dat statutere dienste aan kinders jaarliks toeneem. Wetenskaplik verantwoordbare inligting ten opsigte van die kind kan bekom word deur die kind te assesseer. Die doel van hierdie ondersoek was om leemtes wat in bestaande assesseringsriglyne is vas te stel, asook die behoeftes wat by maatskaplike werkers ten opsigte van assessering bestaan. Die opeenvolgende verkennende strategie is tydens hierdie ondersoek gevolg, aangesien kwantitatiewe data gebruik is om die kwalitatiewe bevindings te ondersteun. Die ondersoek het getoon dat min literatuur ten opsigte van assessering in Suid-Afrika en internasionaal beskikbaar is, ten spyte daarvan dat assessering die basis van die getuienis van die maatskaplike werker vorm. Die grootste leemte wat in assesseringsriglyne ge'identifiseer is, is die feit dat assessering nie gewig in die hof dra nie. 'n Behoefte ten opsigte van opleiding in toepaslike assesseringsvaardighede vanuit 'n spesifieke teoretiese verwysingsraamwerk bestaan. Gestaltterapie kan 'n teoretiese verwysingsraamwerk vir assessering bied en kan dien as wetenskaplike fundering vir optrede van maatskaplike werkers tydens die statutere proses. 'n Raamwerk vir 'n assesseringsriglyn is voorgestel. / Social Work / M. Diac. (Play Therapy) Gestalt therapy theory The statutory process The child Guideline Assessment Assessering Riglyn Die kind Die statutere proses Gestaltterapie teorie 362.76096825 Play therapy -- South Africa -- Limpopo
787	Egpare se belewenis na 'n spinalekoordbesering van 'n egmaat / Couples experience after a spinal cord injury of a spouse Steyn, Yolinda 30 November 2008 (has links) Text in Afrikaans / Indigenous literature about the experience of a couple, where one of the spouses experiences a spinal cord injury, is scarce in the frame of social work. The experience of 5 couples (10 participants), after a spinal cord injury of one of the spouses was researched in this qualitative study. The aim of this research study is: • to reconnoiter participants’ experience of a spinal cord injury of a spouse, through semi-structured interviews with a purposeful chosen sample • to subject the research findings to a literature control • to make recommendations about how spouses can support each other, as well as how professional people can support client systems, where one of the spouses experience a spinal cord injury From the data it was determined that a spinal cord injury had significantly influenced the couples: - emotions - needs - perceptions (origination of experiences) Recommendations to couples as well as to professional people have been made. / Social Work / Thesis (M. Diac.) Spinal cord injury Experience Emotional needs Physical disability Spinal cord spouce Role adaptations Paraplegia Trauma Rehabilitation Emotions Accessiblity 362.430968 Spouses -- South Africa Adjustment (Psychology) -- South Africa Marital psychotherapy -- South Africa Paraplegics -- Marriage -- South Africa
788	The psycho-social challenges facing HIV/AIDS lay counsellors at a community-based voluntary counselling and testing site in Tshwane Kabamba, Tshibangu Taiddyslas 11 1900 (has links) This study focuses on the psycho-social challenges faced by HIV/AIDS lay counsellors at a Voluntary Counselling and Testing (VCT) site in Tshwane, South Africa. A qualitative approach was employed by using semi-structured interviews with open-ended questions to obtain information from four lay counsellors, who provide pre- and post-test counselling at a VCT site. The results indicate that the management of clients’ emotions and needs pose enormous challenges to HIV/AIDS lay counsellors who do not receive any formal psycho-social support at VCT sites. The research participants in this study resort to their own coping mechanisms to deal with the challenges – with varying degrees of success. The recommendation is made that a formal support programme should be put in place at VCT sites, which will allow HIV/AIDS lay counsellors to respond to the many demands placed on them. Such a programme can help prevent burnout and a high turnover in lay counsellors. / Social Work / M. A. (Social Behaviour Studies in HIV/AIDS) Coping mechanism Moral pressure Psychological challenges Social challenges HIV/AIDS TASO model of counselling 362.196979200968227
789	An in-depth exploration of the personality structure of adult female psychiatric patients with a history of childhood trauma by utilising personality assessment Luther, Roxanne 02 1900 (has links) The experience of complex childhood trauma produces a ripple-effect that psychologically impacts trauma survivors’ functioning in multiple areas. The aim of the current study was to investigate and describe the interplay between complex trauma, subsequent personality development and later psychopathology by means of the multiple case study method of six female psychiatric patients attending treatment at a tertiary psychiatric hospital within Gauteng, South Africa. This was accomplished by assessing and qualitatively analysing the results of a carefully selected battery of personality and other psychometric assessments presented to study participants. The results indicated that the experience of complex childhood trauma impacted the study participants’ personality in predictable ways, which further influenced the psychopathology they displayed as psychiatric patients. These findings aid in describing the psychological impact of complex trauma on the research participants, and also offers support for reconnecting past traumas to the current psychopathologies of psychiatric patients. / Psychology / M.A. (Clinical Psychology) Complex childhood trauma Personality structure Psychopathology Borderline Personality Disorder 16 PF MCMI-IV The Rorschach Inkblot Test The Childhood Trauma Questionnaire Trauma-saturated personality 616.85210082096822 Psychology, Pathological -- Case studies
790	Assessering van die kind in die statutêre proses: `n gestaltbenadering Verster, Blanche 30 November 2004 (has links) Summary in Afrikaans and English / Although the rights of children in South Africa are being regulated by legislation, statistics prove that statutory services on behalf of children annually increase. Scientific accountable information regarding the child can be obtained by the assessment of the child. The purpose of this investigation was to identify the gaps in the existing assessment guidelines, as well as the needs of social workers regarding assessments. The sequential exploratory strategy was utilized, as quantitative data supported qualitative findings. The investigation showed that minimal assessment literature is available in South Africa and internationally, although assessment is the basis evidence of the social worker. The biggest gap in assessment guidelines is that assessment does not carry weight in the court. There is a need for social workers to be trained in relevant assessment skills based on a specific frame of reference. Gestalt therapy can provide a suitable theoretical frame of reference for assessment, and can serve as scientific foundation for social workers during the statutory process. A framework for an assessment guideline was thus proposed. / Ten spyte daarvan dat die regte van kinders in Suid-Afrika deur wette gereguleer word, bewys statistiek dat statutere dienste aan kinders jaarliks toeneem. Wetenskaplik verantwoordbare inligting ten opsigte van die kind kan bekom word deur die kind te assesseer. Die doel van hierdie ondersoek was om leemtes wat in bestaande assesseringsriglyne is vas te stel, asook die behoeftes wat by maatskaplike werkers ten opsigte van assessering bestaan. Die opeenvolgende verkennende strategie is tydens hierdie ondersoek gevolg, aangesien kwantitatiewe data gebruik is om die kwalitatiewe bevindings te ondersteun. Die ondersoek het getoon dat min literatuur ten opsigte van assessering in Suid-Afrika en internasionaal beskikbaar is, ten spyte daarvan dat assessering die basis van die getuienis van die maatskaplike werker vorm. Die grootste leemte wat in assesseringsriglyne ge'identifiseer is, is die feit dat assessering nie gewig in die hof dra nie. 'n Behoefte ten opsigte van opleiding in toepaslike assesseringsvaardighede vanuit 'n spesifieke teoretiese verwysingsraamwerk bestaan. Gestaltterapie kan 'n teoretiese verwysingsraamwerk vir assessering bied en kan dien as wetenskaplike fundering vir optrede van maatskaplike werkers tydens die statutere proses. 'n Raamwerk vir 'n assesseringsriglyn is voorgestel. / Social Work / M. Diac. (Play Therapy) Gestalt therapy theory The statutory process The child Guideline Assessment Assessering Riglyn Die kind Die statutere proses Gestaltterapie teorie 362.76096825 Play therapy -- South Africa -- Limpopo

Search results