Bakgrund Social isolering och ensamhet hos äldre är ett välkänt problem som är svårt att definiera, upptäcka och behandla. Det finns inga effektiva och standardiserade metoder för att diagnostisera problemen och ansvaret för att hantera konsekvenserna hamnar inte sällan hos personen själv eller hos deras närstående. Primärvården är den första linjen som äldre med dessa problem söker hjälp hos, men primärvården saknar i stor utsträckning den kunskap och de resurser som behövs för att åtgärda problemen. Författarna till denna litteraturöversikt har som avsikt att beskriva och uppmärksamma dessa komplexa problem som äldre ofta står inför. Syfte Syftet var att beskriva ensamhet och social isolering hos äldre personer som bor i eget boende. Metod En icke-systematisk litteraturöversikt genomfördes baserat på 18 vetenskapliga artiklar, publicerade 2012–2022, av både kvantitativ och kvalitativ design. De inkluderade artiklarna togs fram via de valda databaserna: PubMed, CINAHL och PsycInfo. Artiklarnas kvalitet värderades och innehållet i artiklarna analyserades och gav en sammanställning med fem huvudkategorier: Ensamhet, Upplevd hälsa, Upplevd hälsa och ensamhet under Covid-19, Hanteringsstrategier samt Primärvården och sjuksköterskans roll. Resultat Från de utvalda artiklarna framkom det att ensamhet och social isolering hos äldre var ett utbrett problem och riskfaktorerna för att utveckla ensamhet var hög ålder, kvinnligt kön, ekonomiska bekymmer, att bo ensam, att ha dålig upplevd hälsa och att sällan träffa familj och vänner. Olika strategier för att hantera problemen hittades och det framkom att de som redan hade goda hanteringsstrategier innan en kris fick mindre negativa utfall i samband med den. Slutsats Studien visade att äldre personer som upplever ensamhet eller social isolering inte alltid berättar om sina känslor och är missnöjda med den hjälp de fick från vården. De som hade sämre hälsa var i större utsträckning missnöjda. Att uppmärksamma och åtgärda dessa problem ligger i sjukvårdens och samhällets intresse av flera anledningar; för att förbättra livskvaliteten hos äldre och för att minska kostnader för vården. / Background Social isolation and loneliness in older people are a well-known problem that is difficult to define, detect and treat. There are no effective and standardized methods for diagnosing the problems and the responsibility for dealing with the consequences often falls with the person himself or with their relatives. Primary care is the first line that older people with these problems seek help from, but primary care largely lacks the knowledge and resources needed to remedy the problems. The authors of this literature review intend to describe and draw attention to these complex problems that older people often face. Aim The aim of this study was to describe loneliness and social isolation in communitydwelling older people. Method A non-systematic literature review was conducted based on 18 scientific articles, published 2012–2022, of both quantitative and qualitative design. The included articles were found via the selected databases: PubMed, CINAHL and PsycInfo. The quality of the articles was evaluated, and the content of the articles was analyzed and gave a compilation with five main categories: Loneliness, Perceived health, Perceived health and loneliness during Covid-19, Management strategies and Primary care and the role of the nurse. Results From the selected articles it emerged that loneliness and social isolation in the elderly was a widespread problem and the risk factors for developing loneliness were old age, female gender, financial worries, living alone, having poorly experienced health, and rarely meeting family and friends. Different strategies for dealing with the problems were found and it emerged that those who already had good management strategies before a crisis had fewer negative outcomes in connection with it. Conclusions The study showed that older people who experience loneliness or social isolation do not always share their feelings and are dissatisfied with the help they received from care. Those who were in poorer health were to a greater extent dissatisfied. Paying attention to and remedying these problems is in the interest of healthcare and society for several reasons; to improve the quality of life of the elderly and to reduce costs for care.

This study will extend the current body of knowledge about how accessible and affordable information communication technologies (ICT; smartphones, tablets, and computers) can foster social interaction and reduce social isolation and loneliness in older adults aged 55 plus. The first study is a systematic literature review of existing studies on ICT and the willingness of older adults to use technology. The second study is quantitative research that investigates the trust and reasoning of older adults using ICT, like smartphones, tablets, and computers that foster social interaction and the level of technological ownership. The second study is conducted using research data through surveys conducted by Pew Research Center on behalf of Princeton University. Finally, the third study explores the level of ownership of technology and methods to reduce social isolation using ICT. The effectiveness of smartphones, tablets, and computers that foster social interaction were reviewed to create a sense of community to reduce social isolation.

The phenomenon of social isolation among school children in most instances goes unnoticed by both teachers and parents and this oversight could have serious negative restraints on the socially isolated child's cognitive, affective, moral, personality and social development. Social isolation can be caused either through being rejected or neglected by the peer group. This study was carried out among primary and secondary school learners to detei:,mine the extent to which these children are socially isolated; and to identify factors contributing to learners' social isolation. The aim of the study is to provide teachers and parents with a foundation and rationale for effective intervention. A literature study was done to identify the factors influencing social isolation. Some of the factors identified were: social competence, self-esteem, psychological well-being, intelligence, academic achievement, moral values, physical disability, sports participation, self-perceived physical attractiveness, self-perceived physical disability, marital status of parents, parental supervision, parental acceptance, parental autonomy granting and parental conflict. All aspects of development (namely, physical, cognitive, affective, personality, moral and social) were studied in relation to the phenomenon of social isolation. By means of an empirical investigation, it was found after a regression analysis that self-esteem, obedience and social competence accounted for most of the variance in social isolation for primary school learners and in the case of secondary school learners, social competence, family supervision and self-esteem. The two most common factors were social competence and selfesteem. From the empirical findings it was also noted that learners' home language and grade were also associated with social isolation. The educational implications of the findings of the literature and the empirical study are discussed and guidelines given to assist teachers and parents to identify and eliminate the factors contributing to the development of isolation among school learners. If both parents and teachers take cognisance of these recommendations and try to implement them, it should help children in their self-actualisation and facilitate their attainment of adulthood with the least developmental restraints. / Psychology of Education / D. Ed. (Psychology of Education)

The phenomenon of social isolation among school children in most instances goes unnoticed by both teachers and parents and this oversight could have serious negative restraints on the socially isolated child's cognitive, affective, moral, personality and social development. Social isolation can be caused either through being rejected or neglected by the peer group. This study was carried out among primary and secondary school learners to detei:,mine the extent to which these children are socially isolated; and to identify factors contributing to learners' social isolation. The aim of the study is to provide teachers and parents with a foundation and rationale for effective intervention. A literature study was done to identify the factors influencing social isolation. Some of the factors identified were: social competence, self-esteem, psychological well-being, intelligence, academic achievement, moral values, physical disability, sports participation, self-perceived physical attractiveness, self-perceived physical disability, marital status of parents, parental supervision, parental acceptance, parental autonomy granting and parental conflict. All aspects of development (namely, physical, cognitive, affective, personality, moral and social) were studied in relation to the phenomenon of social isolation. By means of an empirical investigation, it was found after a regression analysis that self-esteem, obedience and social competence accounted for most of the variance in social isolation for primary school learners and in the case of secondary school learners, social competence, family supervision and self-esteem. The two most common factors were social competence and selfesteem. From the empirical findings it was also noted that learners' home language and grade were also associated with social isolation. The educational implications of the findings of the literature and the empirical study are discussed and guidelines given to assist teachers and parents to identify and eliminate the factors contributing to the development of isolation among school learners. If both parents and teachers take cognisance of these recommendations and try to implement them, it should help children in their self-actualisation and facilitate their attainment of adulthood with the least developmental restraints. / Psychology of Education / D. Ed. (Psychology of Education)

No description available.

Thesis (MEd)--Stellenbosch University, 2006. / ENGLISH ABSTRACT: Transformation of South Africa's historically white universities IS evidenced by a diversification of their student and staff populations. The transition from exclusion to inclusion of minority cultures in these university campuses has not been without its challenges for those students. This study provides a record of the experiences of five coloured women who are undergraduate students at Stellenbosch University (SU), a predominantly white institution. The approach used is feminist, grounded participatory action research. Despite institutional policy initiatives, the Coloured undergraduate students in the study did not experience the university environment as inclusive. What emerged was that the women had an acute awareness of othernesses and their own minority status. Factors such as the small number of minority students and the absence of symbols or icons that reflect and acknowledge the presence of diverse cultures exacerbate their feeling of being in the minority or 'tolerated otherness'. The women experienced SU as a university where established practices and traditions continue despite the changing demographics of the student population. This type of organisational culture in which covert and overt resistance to transformation is the norm acts as a constraint on the political will to move from policy to practice and entrenches the marginalisation of minority groups. The study found that integration is left largely to personal initiative. Personal variables such as resilience, strategies for coping with stress and the resolution of identity issues, appear to playa key role in academic success. However, academic success is not always accompanied by successful social integration. Social isolation was found to have a negative impact on personal and academic confidence. Although the women in the study have had relatively negative experiences of transformation, their willingness to engage in reflexive praxis and dialogue could serve as a challenge to SU to engage in a process which acknowledges the concerns, resistance and experience of all role-players. / AFRIKAANSE OPSOMMING: Die transformasie van histories-blanke Suid-Afrikaanse universiteite word gekenmerk aan die diversifisering van hulle studente en personeel. Hierdie proses vind plaas deur die geleidelike wegbeweeg van die algehele uitsluiting van die minderheidsgroepe op die betrokke kampusse tot hulle volledige insluiting by aIle bedrywighede. Die proses is nie sonder uitdagings vir die betrokke studente nie. In hierdie studie word die ervaringe beskryf van vyf bruin vroulike voorgraadse studente aan die SteIlenbsoch Universiteit (US), 'n oorwegend-blanke tersiere instelling. Vir hierdie studie is 'n feministiese benadering wat gebaseer is op deelnemende aksienavorsing gebruik. Ten spyte van institusionele beleidsinisiatiewe om genoemde transformasie te bespoeding, het die voorgraadse bruin studente wat aan hierdie studie deelgeneem het, nie die universiteitsomgewing as inklusief ervaar nie. Dit het eerder duidelik geword dat die dames baie bewus was van hulle andersheid en hulle minderheidstatus. Faktore soos die klein aantal minderheidstudente en die afwesigheid van simbole of ikone wat die teenwoordigheid van diverse kulture reflekteer en erken, het hulle ervaring as behorende tot 'n minderheidsgroep versterk. Die dames het die US ervaar as 'n universiteit waar ingewortelde praktyke en tradisies voortgesit word ten spyte van die veranderende demografie van die studentebevolking. Hierdie soort organisatoriese kultuur waar bedekte en openlike teenstand tot transformasie die norm is, plaas 'n demper op die politieke gewilligheid om van beleid na praktyk te beweeg en verdiep die marginalisering van minderheidsgroepe. Die bevindings van die studie is dat integrasie grootliks oorgelaat word aan persoonlike inisiatiewe. Persoonlikeheidseienskappe soos gedetermineerde optrede, die benutting van strategiee om stres te hanteer en identiteitskrisisse op te los, speel blykbaar 'n sleutelrol in akademiese sukses. Akademiese sukses loop egter nie altyd hand aan hand met sosiale integrasie nie. Daar is bevind dat sosiale isolasie 'n negatiewe impak op persoonlike en akademiese vertroue het. Alhoewel die ervarings van die dames wat aan die studie deelgeneem het relatief negatiewe was ten opsigte van transformasie, was hulle tog gewillig om deel te neem aan die reflektiewe praksis en dialoog. Hierdie feit dien as 'n uitdaging aan die Stellenbosch Universiteit om betrokke te raak by 'n proses waarin die bekommemisse, weerstande en ervaringe van aIle rolspelers hanteer word.

OBJETIVO: Avaliar a aplicação do Inventário de Habilidades Sociais de Del Prette (IHS) na mensuração das Habilidades Sociais e suas correlações com variáveis psicopatológicas e neuropsicológicas em pacientes com esquizofrenia, em comparação com controles normais. MÉTODOS: Este estudo é parte de um ensaio clinico que avaliou a eficácia do Treino de Habilidades Sociais em pacientes com esquizofrenia e onde foram utilizados vários instrumentos e, entre eles, o IHS para avaliação de Habilidades Sociais, a Positive and Negative Syndrome Scale (PANSS) para avaliação da Psicopatologia e a Wechsler Abbrevited Scale of Intelligence (WASI) como medida geral de avaliação da inteligência. O estudo foi realizado no ambulatório de dois centros especializados (Projesq do Instituto de Psiquiatria do HC FMUSP e Proesq da Universidade Federal de São Paulo) nos quais 91 pacientes com diagnostico de esquizofrenia pelo DSM IV TR, com diferentes níveis de gravidade ( 62 refratários e 29 não refratários), foram comparados com controles 108 controles normais. Para comparação entre variáveis foram utilizados teste t de Student, Análise de Variância e Covariância e para o estudo das correlações um modelo de Regressão Linear. .Resultados: Pacientes com esquizofrenia apresentaram comprometimento significativamente maior de suas habilidades sociais, avaliadas pelos cinco fatores do IHS, quando comparados com controles normais, exceto para o Fator F5 (auto-controle da agressividade). Não foram encontradas diferenças de habilidades sociais entre os subgrupos de pacientes divididos de acordo com sua gravidade. Os fatores do IHS não se correlacionaram significativamente com as subescalas da PANSS, com exceção do fator F3 (conversação e desenvoltura social), que se correlacionou inversamente com a gravidade da subescala de Psicopatologia Geral da PANSS. Não foram observadas correlações entre os fatores do IHS e as três dimensões do WASI (Verbal, Execução e Total). CONCLUSÕES: O Inventário de Habilidades Sociais mostrou ser um instrumento capaz de detectar o comprometimento das habilidades sociais em pacientes com esquizofrenia, quando comparados com controles normais. Não foram observadas diferenças entre os subgrupos de pacientes quanto à gravidade do quadro, bem como em relação à maioria das variáveis psicopatológicas ou neuropsicológicas mensuradas, fazendo supor que as habilidades sociais representem uma dimensão independente do funcionamento social na esquizofrenia / AIM: To evaluate the use of Del Prettes Social Skills Inventory ( IHS) in the measurement of Social Skills e their correlations with psychopathological and neuropsychological variables in patients with schizophrenia comparing with normal controls. METHODS: This study is part of a clinical trial which evaluated the efficacy of Social Skills Training in patients with schizophrenia and which utilized several instruments such as the IHS for the evaluations of Social Skills, the Positive and Negative Syndrome Scale (PANSS) for the evaluation of Psychopathology and the Wechsler Abbreviated Scale of Intelligence (WASI) as a measure of general intelligence. The study was developed in two specialized centers (Projesq of the Institute of Psychiatry of University of São Paulo General Hospital and Proesq of the Federal University of São Paulo) where 91 patients with a DSM IV_TR diagnostic of schizophrenia, with different levels of severity (62 refractory and 29 non refractory) were compared with 108 normal controls. Comparisons between variables were performed using t tests, Analysis of Variance and Covariance, and for correlations a Linear Regression Model. RESULTS: Patients with schizophrenia, when compared with normal controls, showed a significant impairment in their social skills, as measured by the 5 factors of the IHS, except for factor F5 (self control of aggression). Patients showed no differences in terms of social skills regarding severity. No significant correlations where found between the IHS factors the PANSS subscales, except the F3 factor (conversation and social performance) which inversely correlated with the General Psychopathology subscale. Additionally we found no correlations between IHS factors and the 3 WASI dimensions (Verbal, Executive and Total).CONCLUSIONS: The Social Skills Inventory was able to detect socials skills impairment in patients with schizophrenia, as compared to normal controls. No relationship were found between IHS and severity, psychopathology or cognitive measures and, therefore, we may hypothesize that Social Skills may represent and independent dimension of the social functioning in schizophrenia

Submitted by Filipe dos Santos (fsantos@pucsp.br) on 2018-10-10T10:16:03Z No. of bitstreams: 1 Elisandra Gasparini Silva.pdf: 3800831 bytes, checksum: f124292d78f36c6fe2a9ca326124104b (MD5) / Made available in DSpace on 2018-10-10T10:16:03Z (GMT). No. of bitstreams: 1 Elisandra Gasparini Silva.pdf: 3800831 bytes, checksum: f124292d78f36c6fe2a9ca326124104b (MD5) Previous issue date: 2018-09-03 / Conselho Nacional de Pesquisa e Desenvolvimento Científico e Tecnológico - CNPq / This research aims to understand the role played by the Department of Leprosy Prophylaxis, created in 1935 and extinguished in 1967 and which was responsible for the policy of isolation practiced in the network of five asylum-colonies in São Paulo and for the practices that occurred during those years. During this period, people with leprosy lost not only their individuality and their right to come and go, but also the society and the transformations that took place in it. Although there was a decree from 1962 that determined the end of this practice with Hansen's disease patients, the state of São Paulo would maintain it until 1967, when the São Paulo Health Secretariat was restructured. The initial date of the periodization contemplates the first ideas about the isolation of the patients and the construction of the asylum-colonies, until the impact of these changes in the reform of 1969 imposed by the State Secretariat of Health of the State of São Paulo / Esta pesquisa tem por objetivo entender o papel desenvolvido pelo Departamento de Profilaxia da Lepra, criado em 1935 e extinto em 1967 e que foi o responsável pela política de isolamento praticada na rede de cinco asilos-colônias paulistas e pelas práticas ocorridas ao longo desses anos. Durante esse período os portadores de hanseníase perderam não somente a sua individualidade e o seu direito de ir e vir, mas também o convívio em sociedade e as transformações que nela aconteciam. Embora houvesse, a partir de 1962, um decreto que determinava o fim desta prática para com os portadores do mal de Hansen, o estado de São Paulo a manteria até 1967, quando da reestruturação da Secretaria de Saúde paulista. A data inicial da periodização contempla as primeiras ideias sobre a isolamento dos pacientes e a construção do asilos-colônias, até o impacto destas mudanças na reforma de 1969 imposta pela Secretaria Estadual de Saúde do Estado de São Paulo

Les territoires ruraux bénéficient d’une attractivité nouvelle auprès d’une partie de la population française. Pourtant, les défis qu’ont à affronter ces territoires ne sont pas minces, dans un contexte où leurs faibles densités démographiques et de services exposent certains habitants à différentes formes d’isolement et de vulnérabilités sociales. Les intervenants sociaux des campagnes ont à composer quotidiennement leurs actions, entre des publics parfois invisibles et des institutions complexes, avec des moyens matériels souvent limités. Très peu étudiés, les phénomènes d’isolement et d’intervention sociale en milieu rural donnent pourtant à voir des pratiques qui font encore lien là où l’on ne croirait trouver que déliaison. Sur la base d’une recherche « impliquée », faisant dialoguer les théories de la désaffiliation et une sociologie des attachements, cette étude propose de penser l’intervention sociale au sein des collectivités rurales, par ailleurs institutionnellement incitées à l’innovation. A l’appui d’une immersion et d’expérimentations collectives menées durant cinq ans, cette recherche présente l’esquisse d’une organisation territoriale sociable : capacitante, connectée et réflexive. / Rural areas benefit from a new attractiveness to a part of the French population. Yet, the challenges facing these territories are not small, in a context where their low population and service densities expose some people to different forms of isolation and social vulnerabilities. Rural social workers have to deal with their daily actions, sometimes between invisible public and complex institutions, with often limited material means. Not really studied, the phenomena of isolation and social intervention in rural areas yet show practices that still link where we would think to find that unbinding. On the basis of an "involved" research, bringing together the theories of disaffiliation and a sociology of attachments, this study proposes to think about social intervention in rural communities, which are also institutionally encouraged to innovate. In support of an immersion and collective experimentation carried out over five years, this research presents the outline of a sociable territorial organization: capacitive, connected and reflexive.

Föreliggande studies syfte var att undersöka biståndsläggarens arbete för att minska ensamhet och social isolering hos äldre personer. En kvalitativ explorativ design användes och materialet till studien samlades in genom semistrukturerade intervjuer med sex biståndshandläggare. Genom en tematisk analys framkom fyra huvudteman: vad är ensamhet och social isolering, identifiering och information, betydelsen av insatser och sociala sammanhang samt biståndshandläggaren och den äldre personen. Sammanfattningsvis beskriver de intervjuade biståndshandläggarna att ensamhet och social isolering kan förebyggas och minskas genom kommunala insatser men att den viktigaste faktorn är närheten till familj och sociala nätverk. Biståndshandläggarna beskriver också att de kan uppleva maktlöshet, både i förhållande till den enskilde och i förhållande till riktlinjer och brist på resurser inom den egna verksamheten. Maktlösheten kopplas i diskussionsavsnittet till Lipskys teori om frontlinjebyråkrater. Trots de utmaningar som finns är biståndshandläggarna överens om att de har en viktig och betydande roll i arbetet för att tillgodose den enskildes behov. / The aim of this study was to investigate the care managers’ work to reduce loneliness and social isolation in older people. A qualitative exploratory design was used and the material for the study was collected through semi-structured interviews with six care managers. Through a thematic analysis, four main themes emerged: "what is loneliness and social isolation", "identification and information", "the importance of activities and the social context" and "the care manager and the older person". In summary, the interviewed care managers describe that loneliness and social isolation can be prevented and reduced through governmental interventions, but the most important factor is proximity to family and social networks. Moreover, the care managers describe that they can experience impotency, both in relation to the individual client and in relation to framework and lack of resources within their own operation. The impotency is discussed in relation to Lipsky's theory of street level bureaucrats. Despite the challenges that exist, the care managers agree on the importance and significance of their role in working to meet the individual’s needs.