Diss. (sammanfattning) Stockholm : Karol. inst., 2002. / Härtill 6 uppsatser.

Thesis (Ph. D.)--University of Texas at Austin, 2006. / Vita. Includes bibliographical references (leaves 190-201). Available also on the Internet.

Thesis (M.A.)--Ohio University, June, 2009. / Title from PDF t.p. Includes bibliographical references.

Thesis (doctoral)--Göteborg universitet. / Extra t.p. with thesis statement inserted. Abstract and summary in English. Includes bibliographical references (p. 277-284).

Doctor of Philosophy / School of Family Studies and Human Services / Rick Scheidt / This exploratory collective case study utilized structured interviews to investigate retrospective reports of potential losses in resources resulting from childhood sexual abuse (CSA) and whether Selection, Optimization, and Compensation (SOC) “Solutions” were used by six adult male survivors to help offset these losses. Within- and between-case analyses of thematic reports are offered. Specifically, a description of each case is presented with an overview of the analysis of both unique and shared SOC Solution responses. SOC is presented in developmental research literature as a model of self-regulation across the life span. Retrospective reports of the participants suggest they did not engage in self-regulation in response to this childhood trauma. Rather, their reports evidenced the use of reactive “holding strategies” as opposed to deliberate use of selection strategies. This suggestive discovery supports previous research indicating that child survivors of trauma may have reduced self-regulation capacities. Childhood self-regulation may occur through the support of an adult (“dyadic regulation”). Findings further illustrate that the abuse may increase isolation in childhood. However, isolation, as an immediate childhood response to the abuse, may have reduced their potential for dyadic regulation as they dealt with the abuse on their own. Participants reports indicated the use” holding strategies” in childhood that were typically maladaptive. This may have led to the use of maladaptive optimization solutions in childhood that supported these holding strategies. Participants’ reports indicate that they were unable to deliberately access and implement adaptive compensation solutions until they reached adulthood, where these solutions seemed to contribute to more effective loss-directed responses. Baseline reserve capacity and developmental reserve capacity related to adaptive responding in the SOC model are discussed in the present context of trauma. The contributions of this case study to theory building in both the SOC developmental literature and clinical practice with male survivors of CSA are cautiously offered. Results may inform the theoretical reach of the SOC model, showing the limits of the self-regulation model when applied to childhood trauma. The study may inform clinical practice with this population by highlighting the importance of helping children self-regulate through dyadic regulation. Through this process, children may be guided by supportive adults to intentionally select adaptive goals to focus on following sexual abuse. Resources that male survivors may access and/or develop to adjust to the losses caused by childhood sexual abuse are offered.

abstract: ABSTRACT The purpose of involvement of Non-Governmental organizations (NGOs) in armed conflict resolution is to help to keep peace, protect innocent people, contribute to relief operations, to advocate, assist in the reconstruction and development programs. This action is always carried out through the NGOs grassroots mediation processes. This study investigates the prospective of implementing humanitarian programs to help and care for the young war child survivors of the 1991 to 2001 civil wars in Sierra Leone. To explore the intervention of the NGOs activities in the civil wars in Sierra Leone, I examined three NGOs and one governmental institution as case study organizations. The NGOs include 1) UNICEF, 2) World Vision, 3) Plan International and 4) the Ministry of Social Welfare, Gender, and Childrens’ Affair (MSWGCA) as government agency. The research investigates the NGOs and MSWGC’s specific services provided to children during and after the war in Sierra Leone. The specific services include: 1) the NGOs’ implementing policies, 2) who got served and under what conditions, 3) what models of services do they use, 4) what kind of government policies were put in place, 5) what were the challenges they faced, and 6) what were their strategies during and after the civil war in Sierra Leone. There were also ten Adult Survivors of Childhood Exposure to War (ASCEW) members interviewed to balance the NGOs’ claims. Based on my literature review and findings on ASCEW, I make my recommendations to allow the organizations to move forward with their humanitarian operations. / Dissertation/Thesis / Masters Thesis Social Justice and Human Rights 2016

O presente estudo tem o objetivo de compreender o que é ser adulto sobrevivente de câncer infantil. O método utilizado foi o fenomenológico-existencial e foi desenvolvido no Ambulatório de Curados do Serviço de Oncologia Pediátrica do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto Universidade de São Paulo e contou com a colaboração de sete adultos que tiveram câncer na infância. Foi realizada uma entrevista a partir da questão norteadora: Conte-me como está a sua vida. A análise das entrevistas foi construída à luz de algumas idéias de Martin Heidegger em Ser e Tempo (2005). Ser-adulto-sobrevivente-de- câncer-infantil se desvelou como um ser que se lança e que já está lançado e se projetando, resgata o vigor de ter sido, que se atualiza a cada instante. Assim, a vivência do adulto sobrevivente de câncer infantil desvela-se na temporalidade: vigor de ter sido, atualidade e porvir. Dessa forma, ter vivenciado câncer na infância constitui o existir do adulto, ainda que não se queira lembrar, podendo esta vivência ser impulsionadora do existir. Dessa forma, ser-sobrevivente-de-câncer-infantil-no-mundo-com-os-outros é ser projeto, é porvir, é lançar-se, é existir na fluidez da existência, ora na busca de si mesmo, ora buscando ser igual a todo mundo, sendo impessoal, sendo normal, porém a busca pela normalidade dá-se a partir do ser diferente, da busca de si mesmo, pois somos singular e plural ao mesmo tempo. Foi possível perceber que os adultos sobreviventes de câncer infantil necessitam de programas de acompanhamento que atendam às suas demandas e necessidades Porém, esse acompanhamento não deve ficar restrito ao âmbito metafísico, é necessário abertura para estar, co-existir com esse adulto sobrevivente, para que assim possa compreender o seu modo de existir. Assim, o profissional de saúde, em sua atuação, lidará com as diferentes formas de ser no mundo do sobrevivente, além da dimensão biológica do funcionamento do corpo humano. E isso só é possível, quando a equipe de saúde e o paciente constróem relações autênticas. Porém, essa atuação convoca a equipe de saúde a se colocar, a perceber-se co-existente, tendo que cuidar do seu vir a ser, buscando ou se perdendo de si mesma. / The aim of this work is to comprehend what is be an adult survivor of childhood cancer using the method existential-phenomenologic. This work was developed in the Ambulatório de Curados do Serviço de Oncologia Pediátrica do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto Universidade de São Paulo and it count on the colaboration of seven adults that had childhood cancer. An interview was held from the following guiding question: tell me how your live is. The analysis of the interviews were developed using the ideas of Martin Heidegger in the book Ser e Tempo (2005). Be-adult-survivor-of-childhood-cancer was viewed as a being that throws oneself and that is already thrown and that, projecting oneself, recovers the strength of have been that renews every instant. Thus, the experience of live of the adult survivor of childhood cancer manifests on the temporality: the strength of have been, the present and the future. Then, to have experienced cancer during the childhood is part of the existence of the adult, even if he does not want to remember and this experience can even stimulate his existence. Thus, be-adult-survivor-of-childhood-cancer-in-the-world-with-the-other is be project, is future, is to throw oneself, is to exist in the flow of the existence, once looking for oneself, once trying to be equal to the other, being impersonal, being normal. However, the search of the normality happens from the I am different looking for himself/herself, because we are singular and plural at the same time. It was noted that the adult survivors of childhood cancer need accompaniment programs that attend your necessities. Nevertheless, this accompaniment cannot be restricted to the metaphysic field. It is necessary to be open to be with and to coexist with this adult survivor in order to understand your way of existence. Then, in your actuation, the health professional will deal with the different ways of the be in the world of the survivor, besides the biological dimension of the work of the human body. This is only possible when the health team and the patient build an authentic relation. Although, this actuation requires that the health team to perceive coexistent taking care of your own will be, searching or loosing itself.

This thesis aims to explore the nature of emotion work within the context of care occurring in adult stroke survivors (18-59) and their carers situated at home in Nakhon Sawan Province, Thailand. It also investigates how their roles were constructed after the stroke event. An ethnomethodological approach facilitated the understanding of the sense-making processes in daily routines. Data collection was comprised of semi-structured interviews and observations which were gathered from a sample of twelve pairs of stroke survivors and carers, 24 participants in all, over a period of three months. Data were analysed by a thematic analysis approach. Stroke survivors’ belief about the cause of stroke and its effects on their attitude towards themselves and carers, and carers’ accounting for their care of stroke survivors emerged as two overarching themes derived from the interview data. The first theme illustrates that stroke survivors described difficult experiences during the first six months post stroke as the turning point of their lives. They searched their life experiences to create their current status within society. A self-evaluation of their health created a positive or negative attitude towards themselves, which affected their emotions in everyday living. In all cases the stroke survivors’ appreciation of carers’ help was significant. For carers, family relationships and expectations influenced their sense of responsibility and expectations. The feeling of gratitude, the morality of Buddhist values and a sense of duty were their underlying reasons for taking the caring role. Carers’ expectations of stroke survivors’ ability to perform routine activities were influential in managing their own feelings and actions in everyday life. The influence of neighbours reinforced carers’ ideas of moral standards of caring for stroke survivors. Emotion management is the third theme. Emotion work is involved in stroke survivors’ and carers’ everyday affairs which helped to keep their current life situations in balance and assist them in continuing to live as normal. Their life experiences and specific feeling rules (the feeling of gratitude and the sense of responsibility) govern the achievement of their emotion work. A differentiation between male and female roles also influenced their emotion work. Stroke survivors and carers presented how emotion work served to maintain their interpersonal relationship and to minimise difficult conditions in ordinary living. A conceptual framework of the process of emotion work is presented to facilitate understanding of how they engage in and accomplish emotion work during caring interactions. Emotion work emerges as a means to show their gratitude to each other and represents one of several ways to fulfil their Buddhist beliefs in the law of karma. They exchange emotion work for the values of caring and gratitude. These findings will be beneficial to stroke survivors and carers for dealing effectively with emotional problems in day-to-day life. Community nurses and other health professionals will gain a deeper knowledge of emotion work in order to assist them in providing holistic care for stroke survivors and carers. The findings will also be of interest to health policy makers to enable them to organise information and home-healthcare activities in future stroke care and health promotion strategies in rural communities in Thailand and elsewhere.

Class of 2016 Abstract / Objectives: To compare health-related quality of life (HRQoL) among stroke survivors by gender and race/ethnicity to identify gender and racial/ethnic disparities. Methods: This study adopted a retrospective cross-sectional research design utilizing data from the 2013 Behavioral Risk Factor Surveillance System (BRFSS), a state-based telephone survey administered to noninstitutionalized United States citizens. Inclusion criteria for this project were adults aged 50 or older who: participated in the 2013 BRFSS survey; indicated they had ever been told by a provider that they had experienced a stroke (of any type); and reported data on seven questions aimed to assess HRQoL (general, physical, and mental health; life satisfaction; emotional support; activity limitations; and sleep quality). Chi square tests and logistic regression models were used to compare HRQoL responses by gender and race/ethnicity. Results: In the 2013 BRFSS database 20,391 of 491,773 respondents reported experiencing stroke. Of those, 16,561 met the inclusion criteria. The majority were female (61.1%) and identified their race/ethnicity as white (78.6%). Logistic regression analysis revealed females were more likely than males to report worse outcomes across the following three HRQoL domains: activity limitations (AOR=0.752, 95% CI 0.617-0.918); mental health (AOR=1.398, 95% CI: 1.110-1.761); and general health (AOR=0.764, 95% CI: 0.588-0.993). Minority populations (African American, Hispanic, and Other) were more likely to report activity limitations (AOR=0.766, 95%CI: 0.614-0.955) and fair/poor general health (AOR=1.837, 95%CI: 1.324-2.549). Conclusions: Analysis identified gender and racial/ethnic disparities in HRQoL indicators among stroke survivors. Females and minority populations were more likely to report poorer outcomes.

Background: Methanol poisoning survivors in their lives seen big changes, especially in sphere of quality of life. Aims: The aim of this thesis is to analyze changes in the quality of life for survivors after a methanol poisoning that took place in a large affair in 2012-2013, when there were many tens of poisoning. Sample and Methods: A cohort of 47 patients, 40 men and 7 women out of ten regions of the Czech Republic, who survived poisoning by methanol in 2012-2013. For the purpose of the research was elected standardized questionnaire WHOQOL-100, which was subsequently processed in MS Excel. Results: The research has confirmed that the quality of life has deteriorated after a methane affair. The patient said they had the biggest problems in the area of finance; Mobility; Energy and fatigue; Sleep and rest; Perception of body and appearance; Everyday activities. Highest values were recorded in the areas of Experience; Thinking, learning, memory and concentration. In conclusion, low value items are predominant and no maximum value of 20 has been recorded. Conclusion: The presented results are a clear indicator that the quality of life has deteriorated in the case of the surviving metallurgical case in the Czech Republic. Key words: quality of life, poisoning, methanol, survivors.