This diploma thesis bears the title: Providing psychological aid and crisis intervention for the civilian population during an emergency situation. The theoretical part aims to survey the development and present state of psychosocial aid system in the Czech Republic, including individual subjects and organisations that provide help in places affected. The research is based on qualitative and quantitative surveys. The qualitative part was realised by means of a non-structured interview with a defined clinical psychologist and the main psychologist of the Fire Rescue Service of the Region of Karlovy Vary. I have fulfilled the objectives of my thesis in the following way: 1. to describe the structure and functionality of the psychological intervention system, 2. to assess experts{\crq} readiness to provide aid to victims of an emergency situation. The quantitative survey method included collecting data from the randomly chosen samples of 150 citizens who thus expressed their opinions of the questions of crisis intervention and psychological aid, from their own point of view. The research was conducted in the Region of Karlovy Vary. The structure of the psychosocial aid system came into being in 1997, when these questions started to be given more attention both from state authorities and non-profit-organisations, and commercial institutions. The fundamental state body that manages and coordinates the psychosocial aid system is the Interior Ministry, which has a post-traumatic intervention care system, elaborated in relation to citizens affected and in relation to intervening units, and that cooperates with the Integrated Rescue System (IZS) and foreign subjects. The results of the questionnaire survey are an integral part of my research. The civilian population has basic information about psychological aid, which they assess as an important factor for mastering mentally demanding situations. This diploma thesis is structured in such a way that provides the reader with a complex overview of the current state of psychosocial aid. I also aim, by means of my thesis, to point out the fact that there is no professional post-traumatic care in our health care system.

Women treated for a gynecological cancer report longstanding post-treatment difficulties for which they rarely seek or receive help. Few intervention studies have successfully improved global sexual health within this population. Research in this domain is challenging due to inconsistent measurements of sexuality, low response rates and high attrition rates. The overarching study objectives were: (a) To contribute to the advancement of research on supportive care needs (including sexual health needs), desire for help, and predictors of needs; and, (b) To inform the development of services for gynecological cancer survivors. In Study 1, a qualitative interview study explored the experiences of 15 gynecological cancer survivors. Interviews were conducted and analysed based on the Interpretive Description approach . In Study 2 (for which results were analyzed in two parts), a descriptive, cross-sectional needs assessment was conducted to measure supportive care needs, desire for help, sexual health and vaginal changes, and service format preferences in 113 patients. In Part 1 of Study 2, descriptive and regression analyses explored patient needs, desire for help and potential predictors of these variables. In Part 2, a descriptive analysis explored sexual health needs and vaginal changes, desire for help with sexual health needs, and their associations with sociodemographic and medical variables. Qualitative results from Study 1 suggested that psychological, emotional and relational aspects of sexuality were as important to the participants as physiological sexual response. In the needs assessment, the strongest predictors of greater unmet needs and increased readiness for help were younger age and shorter time since treatment. Moderate to high sexual and social needs were equally prevalent in women recently treated and those treated several years prior to the study, suggesting that sexual and social needs may remain unaddressed over time. Further, many women who reported a need did not desire help, demonstrating the subjectivity of needs and distress, as well as the potential presence of barriers to seeking help. Both studies revealed a common finding, where sexual health needs were a product of the discordance between participants’ current sexual experiences and their perceptions of ideal sexual health. Overall, the two studies indicate that a significant subgroup of patients experience unmet needs in cancer survivorship, most of which are non-physical; also, while some needs were higher following treatment, unmet social and sexual health needs show little relationship with time since treatment. Ambivalence about receiving help with unmet needs is related to beliefs about the role of the health care team in meeting non-physical needs, as well as other perceived barriers. Patient’s perceived sexual health needs and barriers to receiving help should be evaluated within a comprehensive framework of needs and discussed one-on-one. Future research should explore the added predictive value of other groups of medical and psychological variables.

The use of multimodal communication by one moderately mentally retarded, nonphysically impaired teenage girl was investigated. Eighty minutes of language samples were transcribed, coded, and analysed for modes of communication, communicative intent, discourse function, and context of conversation. It was found that six different modes of communication, and various combinations of these modes, were used throughout the samples. A strong relationship between mode of communication and communicative Intent was found. Furthermore, the context of conversation influenced the mode of communication. No strong relationship was found, however, between discourse function and mode of communication. Implications of this research for a theory of multimodal communication in the nonverbal, as well as suggestions for clinical intervention with this population, are discussed. / Medicine, Faculty of / Audiology and Speech Sciences, School of / Graduate

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何欣. / Thesis (Ph.D.)--Chinese University of Hong Kong, 2009. / Includes bibliographical references (leaves 272-284) / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Abstracts in Chinese and English. / He Xin.

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This study was informed by a phenomenon observed by a variety of members from the multidisciplinary team at an acute psychiatric facility, where the researcher works daily. It appeared to clinicians as if the individual between the ages of 18 and 25 years was reluctant to engage in therapeutic intervention. The researcher considered current literature and discovered that this phenomenon seems to be globally relevant and an issue in the field of mental health. Emerging adulthood is the developmental phase that occupies the transitional period between adolescence and adulthood. The life phase is an essential developmental phase where an identity is established and skills are acquired to equip the individual through his/her life process. Emerging adulthood is predominantly defined by the individual’s progress to independence and autonomy and the establishment of a personal and societal identity. Developmental tasks include taking responsibility for him/herself, deciding on future career paths and re-evaluating introjected values to form an independent belief system. Literature indicates that emerging adults’ life phase can cause severe distress due to a variety of social and personal stressors. Emerging adults who are enrolled in university often face additional stressors with regards to adapting to campus life, academic pressure and a need to establish themselves within their new environments. A high prevalence and onset of mental health disorders is noted not only in the general emerging adult population, but also in the population of emerging adults who attend university. Despite the increase in stressful experiences the percentage of emerging adults who experience distress is not reflected in the percentage of emerging adults who actually seek and receive therapeutic intervention as a means to manage their distress. As therapeutic intervention is seen as an effective tool in managing distress, the fact that emerging adults negate the help is a clear area of concern. This urged the researcher to closely consider which factors might lead to negation of therapeutic services by the emerging adult. The study was performed at a South African university where students residing in campus residences where approached to volunteer their participation. In total fifteen participants participated in one of three focus groups with the focus on understanding which factors contribute to the negation of therapeutic services by emerging adults. The data crystallised into eleven main themes with different subthemes to support and describe the relevant main theme. The themes clearly emphasised the lack of awareness, pervasiveness of stigmatisation and the internalised beliefs emerging adults have about themselves and therapy that induce help negation. In addressing the issue of help negation in emerging adults this study suggests solutions and actions to the role players involved in the therapeutic intervention of emerging adults that would support the promotion of mental wellbeing and mental health awareness. / MA (Psychology), North-West University, Potchefstroom Campus, 2014

This study was informed by a phenomenon observed by a variety of members from the multidisciplinary team at an acute psychiatric facility, where the researcher works daily. It appeared to clinicians as if the individual between the ages of 18 and 25 years was reluctant to engage in therapeutic intervention. The researcher considered current literature and discovered that this phenomenon seems to be globally relevant and an issue in the field of mental health. Emerging adulthood is the developmental phase that occupies the transitional period between adolescence and adulthood. The life phase is an essential developmental phase where an identity is established and skills are acquired to equip the individual through his/her life process. Emerging adulthood is predominantly defined by the individual’s progress to independence and autonomy and the establishment of a personal and societal identity. Developmental tasks include taking responsibility for him/herself, deciding on future career paths and re-evaluating introjected values to form an independent belief system. Literature indicates that emerging adults’ life phase can cause severe distress due to a variety of social and personal stressors. Emerging adults who are enrolled in university often face additional stressors with regards to adapting to campus life, academic pressure and a need to establish themselves within their new environments. A high prevalence and onset of mental health disorders is noted not only in the general emerging adult population, but also in the population of emerging adults who attend university. Despite the increase in stressful experiences the percentage of emerging adults who experience distress is not reflected in the percentage of emerging adults who actually seek and receive therapeutic intervention as a means to manage their distress. As therapeutic intervention is seen as an effective tool in managing distress, the fact that emerging adults negate the help is a clear area of concern. This urged the researcher to closely consider which factors might lead to negation of therapeutic services by the emerging adult. The study was performed at a South African university where students residing in campus residences where approached to volunteer their participation. In total fifteen participants participated in one of three focus groups with the focus on understanding which factors contribute to the negation of therapeutic services by emerging adults. The data crystallised into eleven main themes with different subthemes to support and describe the relevant main theme. The themes clearly emphasised the lack of awareness, pervasiveness of stigmatisation and the internalised beliefs emerging adults have about themselves and therapy that induce help negation. In addressing the issue of help negation in emerging adults this study suggests solutions and actions to the role players involved in the therapeutic intervention of emerging adults that would support the promotion of mental wellbeing and mental health awareness. / MA (Psychology), North-West University, Potchefstroom Campus, 2014

Contexte : Les étudiants universitaires représentent la catégorie la plus touchée par le stress, la détresse psychique et leurs conséquences (physiques et psychiques). Ils sont plus vulnérables aux troubles psychiques que la population générale et que les autres étudiants en raison des nombreux changements et des responsabilités qui accompagnent la période d’étude à l'université. Cette thèse a pour but, d’une part, de mieux comprendre le mal-être psychologique des étudiants universitaires, et, d’autre part, de se pencher sur les actions pouvant être menées pour faire face à ce problème. Format de la thèse : Cette thèse s’articule en deux axes. Le premier axe porte sur l’évaluation de la santé mentale, et notamment du stress, auprès d’un échantillon d’étudiants universitaires (Partie I : Santé mentale chez les étudiants universitaires: perspectives théoriques et études empiriques). Le deuxième axe porte sur l’élaboration et l’évaluation d’une intervention de gestion du stress menée auprès de ces étudiants (Partie II : Gestion du stress chez les étudiants : perspectives théoriques et études empiriques). Pour chaque axe, une revue de la littérature sur les concepts étudiés, ainsi qu’une revue des études empiriques ont été menées sous forme d’articles (publiés ou en cours).Le but de cette dissertation est donc double et s’articule autour de dix articles ;Conclusion: Malgré certaines limites, nos résultats constituent des apports nouveaux et prometteurs sur la gestion du stress via internet pour les étudiants universitaires. Cette proposition d'intervention via internet pourrait s'adresser particulièrement aux étudiants qui ne consultent pas. / Context: University students are the most affected by stress, psychological distress and their consequences (physical and mental). They are more vulnerable to mental disorders than the general population and other students because of the many changes and responsibilities that come with studying at the university. On the one hand, this thesis aims to better understand the psychological ill being of university students, and on the other hand, to look at ways to face this problem.Format of the thesis: This thesis is articulated in two axes. The first focuses on the evaluation of mental health, including stress, among a sample of university students (Part I: Mental Health among University Students: Theoretical Perspectives and Empirical Studies). The second focuses on the development and the evaluation of a stress management intervention for these students (Part II: Students Stress Management: Theoretical Perspectives and Empirical Studies). For each, a review of the literature on the concepts studied, as well as a review of empirical studies, was conducted in the form of articles (published or in progress). The purpose of this dissertation is therefore dual and is articulated around ten articles;Conclusion: Despite some limitations, our results constitute new and promising contributions on stress management online for university students. This proposal for an intervention online could be particularly aimed at students who do not consult.