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[pt] O objetivo desta dissertação foi instrumentalizar pesquisas em assertividade sexual no Brasil. Para isso foram realizados dois estudos, o primeiro foi uma revisão sistemática buscando por ensaios clínicos randomizados que tivessem uma intervenção com desfecho em assertividade sexual, e quais suas principais características e fatores que mais impactariam neste resultado. Retornaram 10 estudos revisados, com nove intervenções diferentes e envolvendo 1285 participantes no total. Uma meta-análise apontou que comparado ao grupo controle, todas as intervenções experimentais foram efetivas, fossem estudos exclusivamente com adolescentes estadunidenses ou com adultos iranianos, esse último grupo apresentando alta heterogeneidade em seus resultados. O segundo estudo se propôs a investigar as propriedades psicométricas da Escala de Assertividade Sexual para mulheres brasileiras. Foi conduzida uma pesquisa transversal que contou com 1031 mulheres, com mulheres que tiveram relações sexuais recentes e outras que não. Verificamos que o instrumento é psicometricamente aceitável e possui bons índices de ajuste, e não apresentou diferença de resposta nesses dois grupos de mulheres. Evidencia-se assim que a assertividade sexual é uma habilidade social com diversos benefícios a autonomia sexual, portanto integrar e expandir seu desenvolvimento no Brasil pode impactar positivamente na saúde sexual da população, além de termos uma medida que pode ser replicada em estudos e na prática clínica, verificando essas mudanças na assertividade sexual. / [en] The objective of this dissertation was to provide tools for research on sexual assertiveness in Brazil. To this end, two studies were conducted. The first was a systematic review searching for randomized clinical trials with an intervention with an outcome in sexual assertiveness, and their main characteristics and factors that would most impact this result. Ten reviewed studies were returned, with nine different interventions and involving 1,285 participants in total. A meta-analysis showed that compared to the control group, all experimental interventions were effective, whether studies exclusively with American adolescents or with Iranian adults, the latter group presenting high heterogeneity in their results. The second study aimed to investigate the psychometric properties of the Sexual Assertiveness Scale for Brazilian women. A cross-sectional study was conducted with 1,031 women, including women who had recent sexual intercourse and others who had not. We found that the instrument is psychometrically acceptable has good adjustment indices, and did not present a difference in response in these two groups of women. It is thus evident that sexual assertiveness is a social skill with several benefits to sexual autonomy, therefore integrating and expanding its development in Brazil can have a positive impact on the sexual health of the population, in addition to having a measure that can be replicated in studies and clinical practice, verifying these changes in sexual assertiveness.

This dissertation employs a case study research design and reviews literature from the field of animal assisted therapy (AAT) with an emphasis on equine facilitated psychotherapy (EFP), as a possible therapeutic alternative for treating inappropriate aggressive behaviour in a young boy. The research suggests that Horse Whispering can indeed be regarded as a viable therapeutic technique when intent on breaking the aggressive behaviour cycle. / Educational Studies / M.Ed.

Text in Afrikaans / In hierdie verhandeling word gepoog om teen die agtergrond van multikulturele skoolsituasies in Suid-Afrika 'n oorsig van die problematiek random kommunikasievaardighede te gee. Algemene intra- en interpersoonlike kommunikasievaardighede word uitgelig. In aansluiting by 'n literatuurondersoek is kwalitatiewe data deur middel van onderhoude met skoolhoofde en onderwysers wat by multikulturele skoolsituasies betrokke is, ingesamel. Die wyse waarop mense met mekaar praat is deurslaggewend. Kommunikasieprobleme kan ontstaan wanneer kultuurgroepe met mekaar kommunikeer. Die hantering van misverstande en konflik in multikulturele skoolsituasies is belangrik. Onderwysbestuurders moet verskeie kommunikasievaardighede tydens 'n konfliksituasie aanwend. Die doeltreffende funksionering van 'n skool word grootliks medebepaal deur effektiewe kommunikasievaardighede wat toegepas word om verhoudinge tussen verskillende groepe te verbeter. Onderwysbestuurders behoort opgelei te word om effektief met alle betrokkenes in 'n konfliksituasie te kommunikeer. / This paper endeavours to give a review of the problematic nature of communication skills against the background of multicultural school situations in South Africa. General intra and interpersonal communication skills are highlighted. Further to the literature review, qualitative data has been gathered through interviews with a number of principals and teachers who are involved in multicultural school situations. The manner in which people speak to each other is important. Communication problems can occur when culture groups communicate. The management of misunderstandings and conflict is important in multicultural school situations. Education managers must utilise several communication skills during a conflict situation. The successful functioning of a school is essentially co-determined by the employment of effective communication skills to improve relationships between different groups. Education managers should be trained to communicate effectively with all persons involved in a conflict situation. / Educational Leadership and Management / M. Ed. (Onderwysbestuur)

Cette thèse a testé un modèle explicatif de santé psychologique au travail, intégrant comme variable bipolaire, l'épuisement professionnel et le bien-être psychologique. Sur la base du Job Demands-Resources Model, des facteurs d'exigences (conflits de rôles et charge de travail) et de ressources organisationnelles (justice organisationnelle, autonomie au travail et soutien social) ont été catégorisés. Le postulat de base de ce modèle a été de prédire des effets directs et indirects des exigences et des ressources sur la santé psychologique par l'intermédiaire de l'assertivité. L'objectif était la validation prévisionnelle et transculturelle du modèle, à travers une modélisation par équations structurelles, auprès de deux échantillons comprenant des enseignants et des infirmiers français et gabonais. L'effectif total de la première vague de données regroupait 273 participants (France : N = 90 enseignants, N = 45 infirmiers ; Gabon : N = 93 enseignants, N = 45 infirmiers) et celui de la deuxième vague s'élevait à 400 participants (France : N = 108 enseignants, N = 96 infirmiers ; Gabon : N = 141 enseignants, N = 55 infirmiers). En France, les résultats démontrent que les exigences au travail agissent directement sur la santé psychologique et que leurs effets sont aussi médiatisés par l'assertivité. Les ressources, pour leur part, influencent directement la santé psychologique. Quant aux résultats du Gabon, les exigences et les ressources organisationnelles prédisent directement la santé psychologique, sans effet médiateur de l'assertivité. De plus, au sein des deux populations, l'assertivité s'est avérée être non seulement une variable salutaire au regard des conditions de travail, mais aussi un fort prédicteur de la santé psychologique au travail. / This thesis tested an explicative model of psychological well-being at work, including as a bipolar variable, burnout and psychological well-being. Based on the Job Demands-Resources Model, jobs demands (role conflict and workload) and job resources (organizational justice and social support) were categorized. The basic assumption of this model was to predict the direct and indirect effects of job demands-resources on psychological health at work through assertiveness. The goal was the previsional and transcultural validation of the model through structural equation modeling, with two samples : teachers and nurses French and Gabonese. The total of the first wave of data consisted of 273 participants (France : N = 90 teachers, N = 45 nurses ; Gabon : N = 93 teachers, N = 45 nurses) and the second wave was 400 partcicipants (France : N = 108 teachers, N = 96 nurses ; Gabon : N = 141 teachers, N = 45 nurses). In France, results demonstrate that the job demands act directly on the psychological health and their effects are also mediated by assertiveness. resources, in turn, directly affect psychological health. As for results of Gabon, job demands-resources directly predict psychological health, unmediated effect of assertiveness. In addition, in both populations, assertiveness is not only a beneficial variable compared to working conditions, but also a strong predictor of psychological health at work.

Objetivo: Avaliar a influência de sintomas de ansiedade e depressão, nível de estresse, consumo de álcool e drogas e repertório de habilidades sociais na prática de sexo sem preservativo em uma amostra representativa de indivíduos com HIV/AIDS em tratamento ambulatorial na cidade de São Paulo. Métodos: Participaram da pesquisa 667 pacientes, 383 (57,4%) homens e 284 (42,6%) mulheres, portadores do vírus HIV em tratamento na Casa da AIDS, Emílio Ribas, CRT Santa Cruz, SAE DST/AIDS Campos Elíseos, SAE DST/AIDS Cidade Líder II, CR DST/AIDS Nossa Senhora do Ó, AE Vila Prudente e CR DST/AIDS Santo Amaro. Para a coleta de dados foram utilizados os seguintes instrumentos: Mini Exame do Estado Mental, questionário sociodemográfico, Escalas de Avaliação de Ansiedade e Depressão de Beck, Inventário de Sintomas de Estresse, Escala de assertividade de Rathus, questionário sobre uso de álcool, tabaco e outras drogas, AUDIT, Questionário sobre Comportamento Sexual na Vida e a Escala de Avaliação de Comportamento Sexual de Risco - SERBAS. Os pacientes foram entrevistados nos locais onde faziam seu tratamento. Resultados: A análise múltipla mostrou que ter algum parceiro soropositivo e ter feito uso de maconha antes do sexo foram associados negativamente ao uso do preservativo. Ter dois ou mais parceiros sexuais nos últimos três meses foi associado a ter trabalho regular, ter feito sexo em grupo, contaminação anterior por alguma outra doença sexualmente transmissível, parceiro soropositivo, não residir com o parceiro, sexo em troca de álcool, droga, abrigo/comida alguma vez na vida, orientação homossexual, prática de sexo anal, CD4 acima de 350 cels/mm3 e uso de cocaína antes do sexo. Sintomas de ansiedade e depressão, nível de estresse e falta de habilidades sociais afetaram significativamente a vida sexual dessa população diminuindo as chances de fazer sexo nos três meses anteriores à entrevista, mas não mostraram associação com o uso de preservativo e múltiplos parceiros. Conclusão: Pessoas com HIV que fazem sexo sem preservativo apresentam características diferentes daquelas que tem múltiplos parceiros. A sorologia do parceiro foi uma variável importante para a prática de sexo sem preservativo. A orientação homo e bissexual, prática de sexo anal e o sexo masculino foram mais associadas a ter mais parceiros sexuais. O consumo de álcool e outras drogas esteve presente nos dois comportamentos de risco. Identificar os fatores associados a esses comportamentos de risco e as diferenças encontradas no perfil das pessoas que fizeram sexo sem preservativo e daquelas que tiveram múltiplos parceiros são pontos importantes para programas de prevenção. Tais características podem servir como marcadores que auxiliam os profissionais de saúde a detectar possíveis comportamentos de risco e planejar estratégias de prevenção / Introduction: The AIDS epidemic is a major public health problem. It is estimated that, even after becoming aware of their serostatus, one in three people with HIV continues to have sex without a condom, regardless of the partner\'s serostatus. Purpose: To evaluated the influence of symptoms of anxiety and depression, stress level, alcohol and drug use and the range of social skills on having sex without a condom in a representative sample of individuals living with HIV/AIDS and receiving outpatient treatment in the city of São Paulo. Methods: 667 patients - 383 (57.4%) men and 284 (42.6%) women - with HIV and being treated at Casa da AIDS, Emílio Ribas, CRT Santa Cruz, SAE DST/AIDS Campos Elíseos, SAE DST/AIDS Cidade Líder II, CR DST/AIDS Nossa Senhora do Ó, AE Vila Prudente and CR DST/AIDS Santo Amaro participated in the study. The following tools were used to collect data: Mini-Mental State Examination, social and demographic survey, Beck Anxiety and Depression Inventories, Stress Symptom Inventory, Rathus Assertiveness Schedule, alcohol, tobacco and other drugs use survey, Alcohol Use Disorders Identification Test (AUDIT), Sexual Behavior Survey, and Sexual Risk Behavior Assessment (SERBAS). Patients were interviewed at the places where they were being treated. Results: The multiple analysis has shown that having an HIV-positive partner and using marijuana before sex were negatively associated with condom use. Having two or more partners over the past three months was been associated with having regular job, have done group sex, previous infection with other sexually transmitted infections, an HIV-positive partner, not living with the partner, sex in exchange for alcohol, drug, shelter/food at least once in their lives, homosexuality, engagement in anal sex, CD4 cells/mm3 count above 350, and use of cocaine before sex. Anxiety and depression symptoms, stress level and lack of social skills significantly affected the sexual lives of that population, making them less likely to have sex in the three months before the interview, but they were not associated with the use of a condom and multiple partners. Conclusion: The characteristics of HIV-positive individuals who have unprotected sex are different from those who have multiple partners. The partners\' serostatus was an important variable for engaging in unprotected sex. Homosexuality and bisexuality, anal sex and male gender were more associated in individuals who had more sexual partners. Use of alcohol and other drugs was present in both risk behaviors. Identifying the factors associated with those risk behaviors and the differences between the profiles of the individuals who had sex without a condom and those who had multiple partners is critical for prevention programs. Such characteristics can serve as markers to help health care professionals identify possible risk behaviors and plan prevention strategies ____________________________

“Girl-on-girl” behaviour is portrayed as sexy, liberating, and edgy in contemporary popular culture, mass media, and public settings such as bars and parties. This study looked at the relation of women’s participation in public same-sex sexual behaviour (PSSSB), age, and sexual orientation (heterosexual versus some degree of same-sex orientation) with the following dependent variables: perceptions of PSSSB pressure, reasons for and feelings after engaging in PSSSB, sexual depression, sexual assertiveness, sexual self-efficacy, sexual locus of control, sexual monitoring, and use of PSSSB to explore sexual orientation. Of the 451 women (ages 19-40) who completed the online questionnaire, 54% reported having engaged in PSSSB. Most participants agreed that young women feel pressured to engage in PSSSB and listed media, popular culture, male friends, and peers as sources of this pressure. Exclusively heterosexual women who had engaged in PSSSB (n=100) reported significantly higher perceived social pressure, more subsequent negative feelings, higher sexual depression, greater external sexual locus of control, lower sexual assertiveness than all other participants, and lower scores on sexual self-efficacy than PSSSB women with same-sex orientations. Emerging adult, but not older heterosexual PSSSB women, had significantly higher sexual compliance scores. Heterosexual and same-sex orientation PSSSB women had the highest rates of sexual monitoring, and although their reasons for engaging in PSSSB were different, a majority of both listed alcohol and exploration as factors that contributed to their public girl-on-girl behaviour. Heterosexual women who had not engaged in PSSSB indicated the lowest rates of sexual exploration. Reasons for these differences are discussed. / Graduate

This dissertation employs a case study research design and reviews literature from the field of animal assisted therapy (AAT) with an emphasis on equine facilitated psychotherapy (EFP), as a possible therapeutic alternative for treating inappropriate aggressive behaviour in a young boy. The research suggests that Horse Whispering can indeed be regarded as a viable therapeutic technique when intent on breaking the aggressive behaviour cycle. / Educational Studies / M.Ed.

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The purpose of the study was to investigate the perceived lack of empowerment of registered nurses in the Mpumalanga Province. To determine the reasons for the perceived lack of empowerment and the effect thereof on professional conduct after which empowerment guidelines would be developed which managers can apply in order to enhance the empowerment of registered nurses in their service, and in turn cultivate confident nurse leaders. The main study objectives were to describe what empowerment entails, and its effect on professional conduct in the workplace; explore the level of empowerment among nurse managers and registered nurses; ascertain the effect of perceived powerlessness on the professional conduct and behaviour of nurse managers and registered nurses; establish the reasons for the perceived lack of empowerment among nurse managers and registered nurses; determine if there is a difference in the way in which nurse managers and registered nurses perceive the existing empowerment in their public hospitals and to develop empowerment guidelines for nurse managers and registered nurses. Kanter’s Theory of Structural Empowerment formed the basis of the study and guided the structure of the report. This theory contains three components, each with several dimensions resulting in 14 factors to be tested. A quantitative research approach, with an exploratory and descriptive design was used. Using a researcher-developed questionnaire as the data collection instrument. The site population consisted of one randomly selected district containing eight public hospitals in the Mpumalanga Province. All nurse managers and registered nurses in these hospitals were invited to participate in the study. The researcher delivered the questionnaires to the respondents of the eight hospitals that met the inclusion criteria. Two hundred and sixty seven (267) completed questionnaires were collected upon completion resulting in a response rate of 30.2%. Descriptive and inferential statistics were used to analyse the data. Generally, the results indicated that the majority of the respondents felt empowered with the dimensions contained under the structural empowerment, psychological empowerment and positive work behaviours and attitudes components of Kanter’s Theory. However the respondents noted that they had limited resources. According to the results those nurse managers and registered nurses who felt empowered, scored strongly in the areas of structural and psychological empowerment. The empowerment guidelines were developed for dimensions which were found to be non-empowering to assist nurse managers and registered nurses in creating workplace environments that could enhance the empowerment of registered nurses in their hospitals. / Health Studies / D. Litt. et Phil. (Health Studies)