La recherche en santé mentale reconnaît plusieurs habiletés aux travailleurs sociaux. Cependant, lorsqu’il est question de médication, élément central du plan de traitement en santé mentale, on constate que l’on attribue surtout aux travailleurs sociaux le rôle de veiller à l’observance de ce traitement. Pourtant, la recherche scientifique montre que prendre des médicaments est une expérience complexe et comporte des impacts psychosociaux. Pour les intervenants sociaux, ce contexte constitue une opportunité d’explorer avec les personnes qu’ils accompagnent, les différentes facettes de cette expérience. Cette opportunité n’est pas seulement remarquée par les professionnels mais aussi par des voix de la marge, celles de personnes qui ont vécu un problème de santé mentale et qui ont vu la médication entrer dans leur vie. C’est à partir de cette perspective que l’approche de la Gestion autonome de la médication (GAM) a été élaborée et permet de considérer les dimensions expérientielles et psychosociales de la prise de médicaments. La GAM propose, par des pratiques d’accompagnement individuel ou de groupe, de soutenir l’usager pour qu’il puisse porter un regard critique sur sa médication, s’assurer que celle-ci soit bien au service de sa qualité de vie et apporter des changements en conséquence. Cette étude réalisée auprès de 19 intervenants sociaux ayant participé à une formation sur la GAM, s’intéresse à leurs pratiques en lien avec la médication psychiatrique et à l’accueil qu’ils ont réservé à la GAM. Un état des connaissances par rapport à l’intervention sociale et la médication y est présenté ainsi qu’une description détaillée de la GAM. Des conclusions sont tirées sur la formation GAM et sur la formation des travailleurs sociaux. / Mental health research recognizes several skills in social workers. However, when it comes to medication—fundamental element of the mental health treatment plan—one notes that social workers are mainly attributed the role of seeing to the patient’s acceptance of the treatment. And yet, scientific research shows that taking medication is a complex experience which entails psychosocial impacts. This context then presents an opportunity for social workers to explore the different facets of this experience with the people they accompany. This opportunity is not only put forth by professionals, but also by voices from the margins, those of people who have lived through a mental health problem and dealt with medication becoming a part of their lives. It is from this perspective that the Gestion autonome de la medication (GAM) approach allows to consider the experiential and psychosocial dimensions of medication-taking. Through individual intervention or group meetings, the GAM offers support to individuals taking medication in order to help them have a critical look on their medication and to furthermore ensure that the medication consumed is in the best interest of their quality of life. This study was conducted on 19 workers in the field of social intervention, who had participated in the GAM training. The goal was to learn more about their respective practices in relation to psychiatric medication as well as how the GAM has been received by them. A literature review on social intervention and medication is introduced, as well as a detailed description of the GAM. Conclusions will be elaborated on the GAM training and the professional training of social workers.

Orientador: Irene Sales de Souza / Resumo: Esta pesquisa teve como objetivo geral, propor e operacionalizar ações no sentido de provocar reflexões e mudanças na posição do sujeito educador no trabalho do ensinar e aprender de um grupo de 72 agentes educacionais, de 15 creches de Franca, e melhorar a qualidade de vida destes e das crianças. Também buscou analisar as repercussões sob a ótica das agentes educacionais durante e após a realização do Projeto Solidariedade: a creche como espaço de sociabilização. Trata-se de uma pesquisa-ação que seguiu a perspectiva de análise quanti-qualitativa. A coleta de dados e informações foi efetivada através de entrevistas semi-dirigidas, dinâmicas de grupo, questionários semi-estruturados, observações, desenhos acompanhados de explicações elucidativas sobre seus significados e formulários. Para a análise qualitativa utilizamos a análise do discurso. Esta pesquisa-ação trouxe novas perspectivas na vida pessoal e no trabalho das agentes educacionais na educação com crianças de zero a sete anos: 1) A escuta diferenciada, atendendo à singularidade de cada uma foi valiosa para melhorar a auto-estima das agentes educacionais e seus trabalhos na educação com as crianças, possibilitando a criação de um espaço onde as crianças puderam falar de seus desejos e anseios, acalmando-as e facilitando a aprendizagem. 2) As agentes educacionais reconheceram a importância do trabalho de equipe multiprofissional e interdisciplinar na visão bio-psico-social da organização da criança e de seu papel nesta estruturação. 3) As agentes educacionais observaram melhoras nos relacionamentos familiares, com as colegas de trabalho, com as coordenadoras e com os familiares das crianças nas creches. Constatamos que a classe é mal remunerada, tem uma formação profissional insuficiente, ...(Resumo completo, clicar acesso eletrônico abaixo) / Abstract: The general target of this paper is to propose and to perform actions aiming to arouse reflections and attitude changes of the educator in the work of teaching and learning of a group of 72 educational agents, of 15 day nurseries from Franca, and to improve their and the children quality of living. It has also targeted to analyse the repercussion under the point of view of the educational agents during and after the performance of the Solidarity Project: the day nursery as a socialization space. In fact it is a research-action that followed the perspective of quanti-qualitative analysis. The data collection and information was done through semi-directed interviews, group dynamics, semi-structured questionnaires, observations, draws followed by elucidative explanations about their meanings and forms. The speech analysis was used for the qualitative analysis. This research-action brought new perspectives for the personal and professional life of the educational agents in the eucational process with children aged from zero to seven years: 1) The distinct listening, in compliance with the peculiarity of each one of them was worthy to improve the self-esteem of the educational agents and their educational labour with the children, making possible the creation of a space where the children could speak of their wishes and longings making them calmer and the learning process easier. 2) The educational agents recognized the importance of the multiprofessional and interdisciplinary team work in the bio-psycho-social view of the organization of the child and her role in this structuration. 3)The educational agents noticed improvements in the familiar relationships, with the workmates, with the coordinators and with families of the day nursery children. We verified that the category earn low salaries,...(Complete abstract, click electronic access below) / Doutor

Made available in DSpace on 2016-04-29T13:31:16Z (GMT). No. of bitstreams: 1 Fabiana de Andrade.pdf: 1722405 bytes, checksum: 4661c533c91d89aaebd7113cfaed01e6 (MD5) Previous issue date: 2015-03-06 / The aim of this thesis is to present the research and intervention carried out at the Terra Prometida (Promised Land) Settlement located in the Municipality of Felisburgo in the State of Minas Gerais, Brazil. In 2004, there was a massacre of the landless workers living at the settlement, which became known as The Felisburgo Massacre . It is intended to present the context of the massacre according to the Reconstruction of Historical Memory theoretical perspective while also relating it to wider context of the struggle for land in Brazil. We will discuss the subject on the basis of psycho-social studies and interventions in cases of extreme violence and relate them to the process producing affects based on the concept of ethical-political suffering coined by Sawaia. This concept seeks to analyze the political dimension of affects based on the use of this term in the work of Vygotsky and Spinoza. In order to do this, we used the work of authors who shared a socio-historical approach so that we could understand the structure/nature of the affects that constitute psycho-social trauma. The methodology is based on the premises of Socio-Historical Psychology and Liberation Psychology and the analysis of affects on Vygotskian theory. We concluded that from the workers point of view it is essential to raise the question of the massacre and share the suffering resulting from it in order to deepen both understanding of its real causes and its possible psychological consequences and to avoid it being seen as a normal phenomenon. The analysis of the data revealed the existence of mechanisms, affects and psycho-social reactions already studied by Riquelme (1993) and Martín-Baró (2000) among others, and which we have termed psycho-social trauma . In addition to this the workers were encouraged to give think carefully about the question of the seizure and occupation of land and the lack of social justice that makes them vulnerable to processes of re-traumatization. It was held that suffering and traumatization do not heal themselves or simply fade away with the passage of time. In order to break the cycle of repetition they have to be reworked. It is our opinion that Psychology can intervene in a therapeutic community by producing deep analysis with the aim of raising consciousness about the event and its consequences. The aim of the intervention was to ensure that the landless workers understood that the violent process which produced the massacre goes beyond the event itself and forms part of the historical process leading to the emergence of the Brazilian people, a process stained by innumerable forms of violence against workers. Faced with an official policy of silence, we have to develop actions to publicize the narratives, memories and diverse expressions (subjectivisations) which can be used to break through the curtain of silence and trivialization of this chain of historical violence in our country. Reversing the effects of psycho-social trauma thus means producing reflective consciousness and intensifying action / O objetivo desta Tese é apresentar uma pesquisa-intervenção realizada no acampamento Terra Prometida, em Felisburgo/MG, onde ocorreu um massacre contra trabalhadores rurais sem terra, em 2004, e que ficou conhecido como o Massacre de Felisburgo . Para tanto, apresenta o contexto do massacre, na perspectiva de reconstrução da memória histórica, relacionando-o com o contexto mais amplo de luta pela terra no Brasil; realiza uma discussão partindo dos estudos e intervenções psicossociais em casos de violência extrema e os relaciona à política de produção de afetos, a partir do conceito de sofrimento ético-político cunhado por Sawaia que, resgatando obras de Vigotski e Espinosa analisa a dimensão política dos afetos. Assim, utilizamos as contribuições de autores que compartilham de uma visão sócio-histórica, para compreender a composição dos afetos que configuram o trauma psicossocial. A metodologia é baseada nos pressupostos da Psicologia sócio-histórica e da Libertação. Pudemos verificar que, do ponto de vista dos trabalhadores, é fundamental tematizar o massacre e compartilhar o sofrimento decorrente, para fortalecer a compreensão das verdadeiras causas do acontecimento, ampliando a compreensão sobre as possíveis consequências psicológicas produzidas, evitando sua banalização. A análise dos dados revela mecanismos, sentimentos e reações psicossociais já estudados por Riquelme (1993) e Martín Baró (2000), entre outros autores, e que estamos denominando como trauma psicossocial. Os trabalhadores refletem sobre a questão da ocupação de terras e a falta de justiça que os tornam vulneráveis a processos de re-traumatização. Consideramos que o sofrimento e a traumatização não se curam ou se esvaecem com o tempo, mas são reproduzidos subjetiva e objetivamente e, no caso desta pesquisa, pela impunidade dos executores. Para que se interrompa o ciclo de repetição, eles têm de ser rememorados coletivamente, para substituir emoções tristes por emoções potentes é preciso que seja cumprida a justiça e rememorado afetiva e publicamente o acontecimento. Compreendemos que a Psicologia pode intervir em uma terapêutica comunitária a partir da produção de reflexões sobre os afetos, ou seja, sobre a forma como o corpo e a mente foram afetados pelo trauma, permitindo que os trabalhadores compreendam que o processo histórico de produção de violência ultrapassa a experiência específica ocorrida ali. O silêncio faz parte do processo de re-traumatização, vivido como medo, humilhação e culpa. Frente ao silenciamento, temos de publicizar produções de narrativas, memórias e expressões diversas (subjetivações) a partir das quais seja possível a ruptura da banalização dessas violências históricas em nosso País. Desse modo, reverter o trauma psicossocial significa tornar o sofrimento dizível e reflexivo coletivamente para aumentar a potência de pensar da consciência e de agir do corpo, individual e coletivo, mas também lutar socialmente contra a impunidade e a violência no campo, que constituem um dos pilares da traumatização sequencial e da re-traumatização. Teoricamente, a Tese concorda com Baró de que os traumas psíquicos não são imprevisíveis e de caráter individual, mas psicossociais e sequenciais. Nossos dados demonstram que se trata de processos de re-traumatização, não só por conta da memória e da cristalização de sentimentos, mas pela perpetuação social da violência

Magister Psychologiae - MPsych / Globally, and especially in Sub-Saharan Africa the advent of HIV and AIDS has created new inequalities within already challenged health care systems. Chronic illnesses have often been associated with increased prevalence of psychological symptoms. Both national and international studies have found a strong association between psychiatric morbidity and HIV and AIDS. Furthermore, studies have found that social support contributes to positive adjustment of individuals infected with HIV and provides a buffer against the effects of anxiety. The aim of this study was therefore to examine anxiety and social support in adults diagnosed with HIV or AIDS at a public health clinic in the Western Cape. The objectives in relation to the aim were: (1) To determine the prevalence of anxiety in adults diagnosed with HIV or AIDS. (2) To determine the degree of social support, as a component of quality of life,in adults diagnosed with HIV or AIDS. (3) To examine the relationship between anxiety and social support in adults diagnosed with HIV or AIDS. The broad theoretical framework that guides this study is the bio-psycho-social model. A cross-sectional design was used in which 70 participants were recruited using a purposive sampling method. Participants were assessed using well-validated self-administered questionnaires: Hospital Anxiety and Depression Scale(HADS) and Quality of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q). Data were analysed using the Statistical Package for the Social Sciences (SPSS) version 17.1. Correlational and inferential statistics were conducted. The findings of this study indicated that participants in this study had higher levels of anxiety (28%) when compared to the general population (15.8%). Participants in this study, indicated a 59% enjoyment and satisfaction with social support, which indicates satisfaction with social support some of the time. There was however no significant relationship between anxiety and social support in this study. HIV intervention efforts should include screening HIV positive individuals for the presence of psychiatric symptoms. Interventions should also include encouraging HIV positive individuals to maintain and expand their social networks.

Cette thèse vise la formalisation d’une géographie psycho-sociale, et aborde le rôle de la psyché et de l’espace dans l’individuation et le rapport à l’autre, à travers l’habiter à Cadaqués, commune semi-rurale touristique de la Costa Brava espagnole. Participant de la diversité immigrée locale, des non-nationaux (extra-)européens habitent aussi ce village. Une lecture trans-scalaire des évolutions spatiales et une approche biographique des expériences humaines permettent alors d’apprécier les transformations contemporaines du village dans la mondialisation, et les formes du co-habiter qui en résultent. L’analyse s’appuie sur une enquête qualitative mobilisant un terrain ethnographique avec différents résidents interviewés, des données statistiques, de la presse locale, et l’outil cartographique. Les ferments géo-historiques d’une notoriété et d’une globalité villageoises et les enjeux actuels d’une coprésence héritée, sont mis en exergue par les migrations inter/nationales. Cette étude de cas étendue interroge donc de manière distanciée, située et ordinarisée, une participation des migrants à la localité plus souvent saisie en milieu urbain sous les angles de l’ethnicisme et de l’intégrationnisme méthodologiques. Face à une augmentation du racisme, un court-termisme politique, et une démocraticité discutable des droits à habiter et à se mouvoir en Europe et en Occident, cette thèse suggère la nécessité d’une pensée prospective et utopique renouvelée, sur une socialité respectueuse et promotrice d’altérité, et sur une citoyenneté associant ancrage et mobilité. / This thesis seeks to formalize a psycho-social geography, and reviews the role of the psyche and of space in individuation and the relationship with the other by studying everyday life in Cadaqués, a semi-rural tourist village on Spain’s Costa Brava. This one has a diverse local population, given the presence of (non-)European immigrants. A transcalar interpretation of spatial changes and a biographical approach on human experience permits an assessment of contemporary transformations in this village as part of the global world and of different forms of co-habitation that emanate from this situation. This analysis is based on a qualitative survey of an ethnographic terrain, interviews with different categories of residents, statistical data, press articles, and mapping. Geohistorical catalysts of notoriety and adherence to globalization processes of the village of Cadaqués, as well as issues arising from a co-habitation between native population and visitors, are both highlighted by inter/national migrations. This extended case study takes a distanced, situated and ordinarized approach to questioning the participation of migrants in their village, a participation that is more often analysed in an urban environment from the perspective of methodological ethnicism and inclusiveness. With the rise in racism, political short-term vision and disputes over conformity to democratic principles, specifically the right to live and move around Europe and the West, this thesis demonstrates the importance of initiating a renewed prospective and utopic approach to a respectful sociality that is capable of promoting otherness and a citizenship that permits both rooting and mobility.

The thesis, or more precisely its theoretical part, introduces the field of Neonatology, namely the specification of premature newborns concerning supportive care for them. In the thesis, the basic concepts of Neonatology are presented as well as the system of neonatological care, including the needs of premature newborns, which are part of everyday nursing care. Following the above chapters, the thesis describes not only the nursing care as such but also the possibilities of psychosocial care in Neonatology. For a more comprehensive presentation of the issue of premature newborns, the thesis also includes findings concerning ethical issues in Neonatology and it introduces some organizations in the Czech Republic, which are an integral part of the supportive care. The character of the thesis should correspond with the program of nursing care, namely nursing in selected clinical disciplines - the module of paediatrics. In the empirical part of the thesis, qualitative research by interviewing has been used. Despite this scientific approach is more time-consuming, the author considered this method more meaningful and natural concerning the chosen topic because it concerns the support of the lives of these children and their families. Premature newborns are unique, affecting and enriching human being as such. The target of the thesis was firstly to find out how supportive care in premature newborns is perceived by its providers, secondly to disclose the considerations of the care providers regarding premature newborns in České Budějovice. The research was effectuated in connection with the above objectives, which have importance and a significant value for the author. Conclusions of the Thesis: The informants assumed that society didn't have enough information about the provided services. Almost all the informants collaborated on some research or project. As service providers, the respondents acknowledged the comments from the clients. The informants were interested in improving or enhancing the services. The addressed people have specified many factors and difficulties that make their work difficult. The informants concretized foreign experience. The respondents felt considerate enough. The informants expressed sincerely that there was a lot of space for improvement in their profession. The respondents mostly took a partner and gentle stand to the premature newborns and their families. The service providers gave due reasons for a specific approach in their statements. The informants expressed their respect for premature newborns and their families, giving a specific justification. They mostly expressed respect for the needs of the families, for the biorhythms of the baby, for the naturalness, the intuition and the personal pace of the baby. The thesis can be seen as a source of information for both the general and professional public, which could improve current practice. Based on the presentation of the issue through the thesis, the author has published a guide on premature newborns.

This study is a quantitative secondary analysis of existing data from psycho-social working environment questionnaires for the municipality of Jönköping. The goal of the analysis is to study differences between two parts of the individual- and family care, the public authority part and the outpatient care, as well as differences in sex and age-categories. To accomplish this, the methodology is to analyse the existing data from the 2015 questionnaire on psycho-social work environment that the municipality answered. This questionnaire is called QPS/QPS-Nordic and stands for Questionnaire for Psychological and Social Factors at Work. Subsequently, significant findings of differences have been studied and discussed. The result of the analysis shows that while there are some differences, there is many similarities between the two groups. The study does not present any specific causes for the existing significant differences but clarifies which areas the differences occur within. Furthermore, the study gives suggestions for further research of how the differences could be clarified, and what the relevance is for future research into the Swedish social services work performance. The purpose is to spread information about Swedish social worker’s working environment and to figure out where there are any differences. Do social workers at public authority mark their working environment different from the outpatient care workers or are their similar in their beliefs. / Detta arbete är en kvantitativ sekundärstudie med målet att undersöka den psykosociala arbetsmiljön inom individ- och familjeomsorgen i Jönköpings kommun. Den jämför huruvida det finns skillnader mellan de som arbetar med myndighetsutövning och öppenvårdsinsatser men också skillnader mellan personalens köns- och ålderstillhörighet. Metoden för detta har varit att granska numeriska data som tagits fram ifrån 2015 års psykosociala arbetsmiljöenkät som personalen fått skatta sina upplevelser av sin psykosociala arbetsmiljö. Enkäten kallas QPS/QPS-Nordic och står för Questionnaire for Psychological and Social Factors at Work. Därefter har signifikanta skillnader undersökts och diskuterats. Resultatet som studien visar tyder på att det förekommer vissa skillnader mellan myndighet och öppenvård, olika åldrar och kön, men mestadels likheter. Studien presenterar inte orsakerna till detta men klargör dock mellan vilka områden skillnaderna finns. Utöver det ger studien förslag på vidare forskning om hur skillnaderna kan klargöras och vad den har för relevans för dagens forskning om den svenska socialtjänstens praktiska utförande. Syftet är att ge mer kunskap om socialarbetares psykosociala arbetsmiljö och undersöka om  det skiljer sig åt. Skattar anställda inom myndighet på ett sätt och öppenvården på ett annat eller är miljön likvärdig dem emellan?

Hepatitis C is a fast growing infectious disease in Australia and is often associated with related psycho-social and mental health problems. The conventional treatment process for hepatitis C is challenging due to a number of reasons. This study explored social workers’ perceptions of the contribution of their role in hepatitis C treatment centres in relation to the treatment experience of patients. The roles that social workers fulfill, their contribution to the multidisciplinary team and towards a culturally competent service, were explored. Furthermore the knowledge, skills and values required for providing a competent service in a hepatitis C treatment setting was explored. The broad theoretical frameworks that inform social work practice were considered, especially the biopsycho-social model, the strengths perspective, the critically reflexive approach and communications theory. This qualitative study used a semi-structured interview method for data collection. Ten social workers in hepatitis C treatment clinics participated in the study. The findings highlight the needs of patients and how social worker participants described helping to address and meet these needs by employing their knowledge, skills and values through their social work roles and interventions in a team context in a multicultural and multi-faceted work environment. A major challenge that social workers described was to keep patients on treatment despite debilitating side effects that diminish patients' motivation to complete treatment. A shortcoming in the service was described to be the limited psychiatric support available at many treatment centres. The findings lead to a number of recommendations to improve social work services in hepatitis C treatment settings. More research was recommended in areas such as motivational techniques, psychiatric support, and effective group work strategies. The need for increased funding for social work positions in the hepatitis C field was also highlighted. It is anticipated that findings of this study can be applied to hepatitis C treatment in broader settings such as prisons, drug and alcohol settings and general practice. This research will contribute to literature in the field of hepatitis C treatment models and in the field of social work practice in hepatitis C contexts.

Hepatitis C is a fast growing infectious disease in Australia and is often associated with related psycho-social and mental health problems. The conventional treatment process for hepatitis C is challenging due to a number of reasons. This study explored social workers’ perceptions of the contribution of their role in hepatitis C treatment centres in relation to the treatment experience of patients. The roles that social workers fulfill, their contribution to the multidisciplinary team and towards a culturally competent service, were explored. Furthermore the knowledge, skills and values required for providing a competent service in a hepatitis C treatment setting was explored. The broad theoretical frameworks that inform social work practice were considered, especially the biopsycho-social model, the strengths perspective, the critically reflexive approach and communications theory. This qualitative study used a semi-structured interview method for data collection. Ten social workers in hepatitis C treatment clinics participated in the study. The findings highlight the needs of patients and how social worker participants described helping to address and meet these needs by employing their knowledge, skills and values through their social work roles and interventions in a team context in a multicultural and multi-faceted work environment. A major challenge that social workers described was to keep patients on treatment despite debilitating side effects that diminish patients' motivation to complete treatment. A shortcoming in the service was described to be the limited psychiatric support available at many treatment centres. The findings lead to a number of recommendations to improve social work services in hepatitis C treatment settings. More research was recommended in areas such as motivational techniques, psychiatric support, and effective group work strategies. The need for increased funding for social work positions in the hepatitis C field was also highlighted. It is anticipated that findings of this study can be applied to hepatitis C treatment in broader settings such as prisons, drug and alcohol settings and general practice. This research will contribute to literature in the field of hepatitis C treatment models and in the field of social work practice in hepatitis C contexts.

Hepatitis C is a fast growing infectious disease in Australia and is often associated with related psycho-social and mental health problems. The conventional treatment process for hepatitis C is challenging due to a number of reasons. This study explored social workers’ perceptions of the contribution of their role in hepatitis C treatment centres in relation to the treatment experience of patients. The roles that social workers fulfill, their contribution to the multidisciplinary team and towards a culturally competent service, were explored. Furthermore the knowledge, skills and values required for providing a competent service in a hepatitis C treatment setting was explored. The broad theoretical frameworks that inform social work practice were considered, especially the biopsycho-social model, the strengths perspective, the critically reflexive approach and communications theory. This qualitative study used a semi-structured interview method for data collection. Ten social workers in hepatitis C treatment clinics participated in the study. The findings highlight the needs of patients and how social worker participants described helping to address and meet these needs by employing their knowledge, skills and values through their social work roles and interventions in a team context in a multicultural and multi-faceted work environment. A major challenge that social workers described was to keep patients on treatment despite debilitating side effects that diminish patients' motivation to complete treatment. A shortcoming in the service was described to be the limited psychiatric support available at many treatment centres. The findings lead to a number of recommendations to improve social work services in hepatitis C treatment settings. More research was recommended in areas such as motivational techniques, psychiatric support, and effective group work strategies. The need for increased funding for social work positions in the hepatitis C field was also highlighted. It is anticipated that findings of this study can be applied to hepatitis C treatment in broader settings such as prisons, drug and alcohol settings and general practice. This research will contribute to literature in the field of hepatitis C treatment models and in the field of social work practice in hepatitis C contexts.