Motivation can foster engagement in the Vocational Rehabilitation (VR) program leading to benefits that can potentially result in sustainable employment. The purpose of this study was to examine the impact of Motivational Interviewing using the Motivation Curriculum for Vocation Rehabilitation Consumers (MCRC) on stages of change, self-determination, functional disability limitations awareness and life satisfaction on minority and non-minority VR clients with disabilities that had open cases with The Florida Division of Vocational Rehabilitation. / Includes bibliography. / Dissertation (Ph.D.)--Florida Atlantic University, 2019. / FAU Electronic Theses and Dissertations Collection

Doctor of Philosophy(PhD) / This dissertation aims to examine the manner in which the concept of autonomy (jiritsu) is treated in modern and contemporary Japanese literature. This examination will be performed by analysing the autonomous attitude of a contemporary Japanese writer Nakagami Kenji (1946–1992). This dissertation focuses on examining Nakagami Kenji’s ambivalent attitude towards his act of writing. We will explore the manner in which his act of writing appears to be a paradox between self-identification and the integration into the collective. Then, we will observe the possibility in which Nakagami’s ambivalent attitude is extended to cover Maruyama Masao’s relative definition of autonomy and Karatani Kōjin’s interpretation of Immanuel Kant’s notion of freedom and responsibility. Nakagami’s attempt is certainly not confined to only his works. The notion of autonomy may be applied to perceive a similar thought that was represented by previous writers. We will also examine various never-ending autonomous attempts expressed by Sakaguchi Ango, Miyazawa Kenji and Nakahara Chūya. Moreover, we will analyse how Nakagami’s distrust of the modern Japanese language and his admiration of the body as an undeniable object are reflected in his major novels in detail and attempt to extend this observation into the works of the theatrical artists in the 1960s such as Betsuyaku Minoru, Kara Jūrō, Hijikata Tatsumi and Terayama Shūji and contemporary women writers such as Tsushima Yūko, Takamura Kaoru, Tawada Yōko and Yoshimoto Banana. These writers and artists struggled to establish their autonomous freedom as they encountered the conflict between their individual bodies that personifies their personal autonomy and the modern Japanese language that confines them in the fixed and submissive roles in present-day Japan. In this dissertation, I would like to conclude that Nakagami Kenji’s ambivalent attitude towards his act of writing can be an eternal self-legislation, that is, his endless attempt to establish autonomous freedom, which evolves from the paradox between the individual (body) and the collective (language).

The nature of human well-being has been debated in psychological research since the beginning of the study of human behaviour. Mechanistic perspectives regard humans to be independent objects motivated by external contingencies, with needs to be both self sufficient and self-enhancing. Organismic perspectives describe humans as having innate self-organisational tendencies, which partly depend on qualities of relationships with others. Basic needs for well-being include being self-determined and socially integrated. Both perspectives claim empirical support. Drawing on Self-Determination Theory (SDT), the present study proposed that basic needs for well-being include autonomy and relatedness, and ego-defensive needs that undermine health include independence, control and narcissism. To compare the effects of different needs on well-being, the present study measured people's perceived needs and the satisfaction of those needs, within the context of interpersonal interactions. Participants were sourced from the student population at a Melbourne university (N = 82), and various internet website forums (N= 171). Included were 82 participants who had received a diagnosis of social anxiety in the past two years. A new measure, the Interpersonal Needs Scale (INS) was developed to tap the strength of values for the five needs of interest, and the degree to which needs are satisfied. Factor analysis on the INS produced four value subscales: these were named Authenticity and Belonging, comprising autonomy and relatedness items, and Independence and Narcissism, both including Control items. The fmal version of the INS showed satisfactory reliability and validity. Results for Study 1 indicated that for the present sample, Authenticity and Belonging values were associated with overall interpersonal need satisfaction and with well-being. Conversely, Independence and Narcissistic values were associated with dissatisfaction of interpersonal needs and compromised well-being. For Study 2, cluster analysis was used to group participants according to their INS profiles: that is, similarities in their perceived needs and their degree of satisfaction of needs. In line with predictions, the groups included: the Selfother Balanced (N = 42), who reported significantly greater values for authenticity and belonging over independence and narcissism, and overall need satisfaction; the Slightly Lonely (N = 53), who reported similar value ranking but some dissatisfaction of needs; the Satisfied Narcissists (N = 45), who reported high values for ego-defensive needs and satisfaction of narcissistic needs only; the Needy Narcissists (N= 81), who also reported high values for ego-defensive needs but high overall need dissatisfaction; and the Individualists (N = 27), who reported low values for belonging and unsatisfied independence needs. The characteristics of each group were analysed and compared with each other according to a range of self-concept measures (autonomous-self, relational self, independent-self, and narcissistic personality), indicators of psychological wellbeing (depression, anxiety, stress, and self-esteem), and social well-being (alienation). The Self-other Balanced group reported the highest well-being scores and a predominantly autonomous self-concept, while those who reported low values for belonging needs (Individualists), and those who reported the least satisfaction of interpersonal needs (Needy Narcissists), reported the most compromised well-being. A large proportion of respondents with social anxiety belonged to the latter group. The implications of these results for understanding the impact of values and the satisfaction of interpersonal needs on well-being were discussed.

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Background   The patient's rights to self-determine their own health care is described in Swedish legislation and guidelines. However, due to infancy, unconsciousness, severe brain damage or certain diseases, some patients might be unable to make such decisions. Ethically difficult situations do occur, not infrequently associated with culture. Since the patient is vulnerable, there is a risk that the patient in the treatment and care can not be bothered to maintain right to autonomy and that the nurse violates patient integrity. Aim                 The aim of this study was to illustrate the nurse's dilemma when the patient refuses vital caring efforts. Method           A literature review of eight scientific articles with a qualitative approach was performed. Results           The results revealed the following domains to describe the nurse's dilemma when the patient refuses vital care interventions: patients’ reasons for treatment refusal, the nurse's understanding of the patient's refusal of care and contradictory legislation Conclusion     More knowledge and discussion of the patient's decision-making competence is needed for both the nursing profession and those who make decisions on legislation.

No description available.

Respect for autonomy has become the guiding principle at the forefront of health-care decision-making. In an attempt to preserve this principle, patients can be neglected to make decisions for themselves during times when they cannot make fully capable decisions. Under certain circumstances, it is necessary to have others assist a patient in making decisions that may have a significant impact on the patient’s life and, will ultimately, respect the patient's prior expressed capable wishes and values. This thesis aims to provide arguments in favor of both respect for autonomy and medical paternalism under very specific circumstances. It provides traditional, contemporary and psychological arguments in support of respect for autonomy. Several key arguments in favor of medical paternalism are also presented on the grounds of the loss of personal identity, a social insurance policy and the abandonment of vulnerable patients. Furthermore, the difficulties involved in both accounts are also discussed with respect to the idealization of autonomy and the potential abuses involved in medical paternalism. This thesis concludes through drawing upon the notion of an authentic self as applied to this discussion, allowing for a compatible defense of these two traditionally competing theories.

Respect for autonomy has become the guiding principle at the forefront of health-care decision-making. In an attempt to preserve this principle, patients can be neglected to make decisions for themselves during times when they cannot make fully capable decisions. Under certain circumstances, it is necessary to have others assist a patient in making decisions that may have a significant impact on the patient’s life and, will ultimately, respect the patient's prior expressed capable wishes and values. This thesis aims to provide arguments in favor of both respect for autonomy and medical paternalism under very specific circumstances. It provides traditional, contemporary and psychological arguments in support of respect for autonomy. Several key arguments in favor of medical paternalism are also presented on the grounds of the loss of personal identity, a social insurance policy and the abandonment of vulnerable patients. Furthermore, the difficulties involved in both accounts are also discussed with respect to the idealization of autonomy and the potential abuses involved in medical paternalism. This thesis concludes through drawing upon the notion of an authentic self as applied to this discussion, allowing for a compatible defense of these two traditionally competing theories.

People experience autonomy when they perceive their behaviour to be volitional and they feel controlled when their behaviour is driven by external demands or internal pressures. Gaine and La Guardia (2009) developed the Motivations for Relational Activities (MRA) scale to assess the extent to which romantic partners feel autonomous and controlled in a variety of specific relational activities. In a sample of mostly non-married individuals, Gaine and La Guardia (2009) found that the more willing and the less pressured individuals feel to engage in relational activities, the greater their relationship well-being. Study 1 examined whether autonomous and controlled activity motivations have similar implications for relationship well-being for married individuals. Results replicated the results from the non-married sample (Gaine & La Guardia, 2009). Study 2 assessed the relational activity motivation of both partners in married and common-law relationships and examined how one’s own motives relate to one’s own relationship well-being and one’s partner’s relationship well-being. Results suggested that one’s own motivations toward relational activities predict one’s own relationship well-being but not one’s partner’s well-being, with the exception of men’s relationship satisfaction, which was positively predicted by women’s autonomous activity motivation. Study 2 also employed daily diaries to examine the implications of each partner’s activity motivations for partners’ daily relational functioning and well-being. Results showed that when individuals are more willing and less pressured to engage in relational activities, they experience greater daily relationship well-being. Further, when individuals are more willing and less pressured in their relational activities, they are observed by their partner to be more engaged and responsive on a day-to-day basis. Finally, women’s willing engagement of relational activities emerged as a particularly important predictor of their own as well as men’s relational functioning and wellness.

The purpose of the study was to examine institutional autonomy within three selected Chinese universities. Research questions were designed based upon the elements of university autonomy (James, 1965), the essential ingredients of institutional autonomy (Ashby, 1966), and a unique feature of Chinese higher education, the Communist Party of China's leadership over universities. The five groups of research questions covered the CPC's leadership over universities, and personnel, academic, student and financial affairs. Findings were examined and interpreted through a framework of substantive autonomy and procedural autonomy, which was modified from Berdahl's (1990) work. Twenty-eight administrators and the CPC leaders at different levels were interviewed. Data were also drawn from university documents, published CPC documents, newspapers, periodicals and books, and the researcher's personal observations. The study found that at the university level the CPC controlled the decision-making power regarding all major issues, and the President took charge of university affairs only under the leadership of the CPC University Committee. At the college or department level, the dean or the head was given full authority to make decisions, while the Party branch played supervisory and safeguarding role to ensure the proper operation of the college or department under the Party's guidelines. The control of these universities by the upper authority was inverse to the ranking of the universities, the higher the status the university, the more freedom it gained. The CPC and the government rigidly controlled all the substantive matters. In terms of procedural matters, governmental authorities controlled the appointment of president and vice presidents, diploma granting, enrollment quotas, and tuition and fee levels. The degrees of autonomy in other procedural matters in personnel, academic, student and financial affairs varied with universities. Generally, the higher the ranking of the university, the more procedural freedom it was granted. Findings indicated that compared with the practice before the market-oriented economic reform, the amount of autonomy the universities had gained was notable, and the national higher education system had moved somewhat from the state-control model to more of a state-supervising model.