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Som chef inom vård och omsorg är en viktig del att hantera utmanande samtal, även om chefen saknar formell utbildning för att genomföra dessa samtal. Det finns förväntningar från verksamheten att du som chef ska kunna hantera dessa utmanande samtal. I dessa samtal blir kommunikationsförmåga, ledarstil och samtalskompetens avgörande faktorer för hur väl samtalen faller ut. Syfte med studien är att undersöka och förstå hur chefer inom vård och omsorg uppfattar och hanterar svåra samtal med sina medarbetare. Studie när kvalitativ och utgår från en fenomenografisk ansats. 10 enhetschefer inom tre olika verksamhetsområden intervjuades. Samtliga chefer som deltar i studien är anställda inom vård och omsorg i offentlig sektor såväl som privat verksamhet. Den fenomenografiska analysen utmynnade i tre beskrivningskategorier; Samtalstyper, Förberedelse och Stöd. Beskrivningskategorierna presenterar resultatets variationer med nio olika uppfattningar. / As a manager in healthcare sector, an important part is handling challenging conversations, even if you lack formal training to carry out these conversations. There are expectations from the organization and employer that you will be able to handle these challenging conversations. In these conversations, communication skills, leadership style and conversation skills become decisive factors in how well the conversations turn out. The purpose of the study is to investigate and understand how managers in healthcare and social care perceive and handle difficult conversations with their employees. The study is qualitative and based on a phenomenographic approach. 10 unit managers within three different operational areas were interviewed. All managers who participate in the study are employed in health care in the public sector as well as private operations. The phenomenographic analysis resulted in three description categories; Conversation types, Organization and Support. The description categories present the variations of the result with nine different perceptions operational areas were interviewed.

本研究主要目的為，運用點偵測作業探討高社交焦慮者面對環境中的社會威脅訊息的注意力處理歷程，並釐清在實驗中加入誘發社交焦慮情緒程序對高社交焦慮者的注意力處理是否造成影響。由於過往研究對高社交焦慮者對社會威脅訊息的注意力處理意見分歧，學者們分別提出過度警覺－逃避假設與過度警覺－難以轉移假設，兩假設皆有相關理論與研究支持，本研究企圖檢驗這兩個假設的合理性。 　　本研究篩選出高社交焦慮組30人與低社交焦慮組30人參與實驗，受試者在接受所分派的情緒誘發程序後，進行以生氣臉與嫌惡臉所組成的威脅臉為實驗刺激的點偵測作業，以評估個體對威脅的注意力。 　　研究結果發現，接受社交威脅誘發程序的高社交焦慮者對社會威脅訊息的注意力處理，傾向為過度警覺－逃避假設的歷程，對威脅產生警覺後，便逃避對威脅的處理；而接受中性情緒誘發程序的高社交焦慮者對社會威脅訊息的注意力處理，傾向為過度警覺－難以轉移假設的歷程，對威脅產生警覺後，便無法將注意力自威脅轉移。 　　高社交焦慮者對社會威脅訊息，有明顯的注意力偏誤，且此偏誤會隨個體所處的情境與接觸威脅的時間而有所變化。由於這些偏誤扮演著維持個體的社交焦慮的重要角色，故在釐清高社交焦慮者在不同情境下對威脅的注意力處理後，有助於選擇適當的治療策略，協助高社交焦慮者因應環境中的威脅。 / The purpose of the present study was to utilize the dot-probe task to investigate the attention processing for social threat in high social anxiety, and to know what under conditions of social threat influence. Owing to the conflicts of the past studies, there are hypervigilance-avoidance hypothesis and hypervigilance-difficult to disengagement hypothesis for the attention processing. This study attempt tests the rationality of the two hypotheses. Performance on a face-probe task was assessed in high (n=30) and low (n=30) social anxiety. After participants were assigned the mood induction procedure randomly, they were presented the task. The results revealed that under conditions of social threat high social anxiety are at first vigilant of threat faces, and avoid them. And under conditions of neutral high social anxiety are at first vigilant of threat faces, and difficult to disengage them. These results suggest that the attention bias for social threat in high social anxiety would be changed by the context and how long the individual face the threat. Know that the attention processing for social threat in the different context in high social anxiety would help the psychologists to choice the applicable therapy for high social anxiety.

THEME: Kinesitherapy means effectiveness determination for ill with juvenile spinal column osteochondropathy. THE WORK CARRIED OUT: Ausra Aleksandroviene. THE WORK SUPERVISOR: ass. prof. Dr. P.Zachovajevas THE AIM OF THE WORK: to determine the most effective kinesitherapy means out of those which were applied PC Silainiai polyclinic kinesiotherapy consulting-room visiting patients ill with juvenile spinal column osteochondropathy. TASKS: 1. To determine kinesitherapy means impact on children's general balance. 2. To determine kinesitherapy means impact on children's flexibility. 3. To determine kinesitherapy means impact on the abdomen, back, waist muscles endurance power. 4. To determine kinesitherapy means impact on aerobic working capacity . SUMMARY: Many people have back pains. The reasons of these pains are different, they are caused by various diseases. One of the most met diagnosis of late - juvenile spinal column osteochondropathy which has several names - they are juvenile ciphosis or Schojerman - Mau disease. This disease has a property to become chronic, to cause various complications, lasts more than one year. Due to early diagnostics the first symptoms of the disease are found out though many have no complaints. The inveteracy of the disease has impact on human self-feeling, cause muscles and nerves pain, decrease working capacity. The spinal column injuries and diseases determination complexity is related to this that up till now practically there is no healthy... [to full text]

Clients diagnosed with Borderline Personality Disorder (BPD) interact with healthcare professionals in compelling ways. By virtue of the symptoms that define BPD, it is likely that the client will challenge the therapist with regards to their theoretical approach or therapeutic style. In addition, clients with BPD are likely to project their need for a therapeutic interaction that is both genuine, empathic and at the same time, flexible. In light of this, it is not uncommon for healthcare practitioners to consider clients with BPD as “difficult” in some way or the other. This study explores how clinical psychologists in Gauteng conceptualise and manage a “difficult” client presenting with Borderline Personality Disorder. Further, coping strategies of the clinician will also be explored. The qualitative study, couched in a social constructionist paradigm, involved interviewing seven clinical psychologists practicing in Gauteng, South Africa. The transcripts of the semi-structured interviews were thematically analysed. The findings of the current study indicated that the difficulties experienced are reflective of the general criteria of the disorder. The picture of the difficult client is painted by personal experience, as well as stereotypes gained from interactions with colleagues and other healthcare professionals. It was further found that management of these patients were viewed and implemented based on the nature of the disorder. In addition, management by the clinician often included supervision and leisure activities. / Psychology / M.A. (Clinical Psychology)

Abstract This dissertation is aimed at exploring the utilization of select works by children's book author Markéta Zinnerová in literary education. The selected texts all feature a child protagonist in a difficult life situation with regards to their immediate or wider family circle. The vantage point was primarily the ouvre of M. Zinnerová, particularly the titles Indiáni z Větrova ('The Indians from Větrov'), Tajemství proutěného košíku ('The Secret of the Woven Basket'), and Kde padají hvězdy ('Where Stars Fall'). The dissertation is divided into a theoretical and a practical part. The theoretical part contains first a description of the general characteristics of narrative prose from the life of children with an emphasis on the issues of personal and social education. Furthermore, it focuses in detail on the utilisation of prose in literary education in primary schools, the methodology and different types of literary analysis and the insertion of all these activities into the relevant curriculum. The practical part deals with concrete classical and activising methods of application with regards to select texts from M. Zinnerová's works. The aim of the dissertation was to create work sheets based on excerpts from the prose of this author and to test them in practice in the environment of an after-school care centre where primary school children were to engage with them. This part of the dissertation describes said work sheets as well as the procedural methodology and the reasoning behind their creation. The work sheets were used when working with 3rd -grade school children in an after-school care centre. The ways in which they cooperated with us and were captivated by the texts, as well as the precise way in which the activities involved in working with the proposed sheets proceeded are described in the following chapter of the practical part. The concluding reflection upon the utilisation of the work sheets proposes certain possible corrections, expansions or other possible uses of these work sheets.

Les objectifs du droit de la faillite sont divers. Ils évoluent dans le temps et dans l’espace. Vouloir éliminer le mauvais débiteur qui ne paie pas ses dettes et le punir, garantir le règlement des créanciers, tels sont les objectifs traditionnels. Assurer la survie de l'entreprise et prévenir les difficultés, tels sont les objectifs modernes. La diversité entraîne la hiérarchie des objectifs. L’étude comparative oppose les systèmes pro-débiteur et pro-créancier en fonction de la finalité prioritaire retenue. Elle montre que les objectifs des législations convergent vers le sauvetage des entreprises. Le droit fédéral des Etats-Unis, fondé sur la philosophie du nouveau départ, inspire les législateurs européens. L’analyse économique du droit, renouvelle la question des objectifs du droit de la faillite au regard de l’efficience, critère de légalité. Elle explique la convergence. La recherche de l’efficacité procédurale et substantielle guide l’orientation de la Commission européenne dans l’optique de promouvoir le marché unique. Ainsi, le consensus sur l’objectif de sauvegarde de l’entreprise rend possible l’harmonisation des règles substantielles au niveau européen. La révision du règlement (CE) n°1346/2000 relatif aux procédures d’insolvabilité confirme l’adhésion générale à l’idée de seconde chance. L’opposition entre systèmes pro-débiteur et pro-créancier s’estompe et laisse place à un système mixte. Chaque législation essaye de tendre vers la conciliation des intérêts contradictoires, ce qui entraîne le déplacement de la valeur du respect de la parole donnée, vers le concept plus difficile à cerner, mais qui fonde la force obligatoire des obligations: la confiance. / The objectives of bankruptcy law are varied and evolve over time and situation. Eradicating and punishing bad debtors and guaranteeing payment to creditors are traditional goals. Ensuring the survival of the company and preventing difficulties are modern goals. This diversity leads to a hierarchy of objectives. A comparative study contrasts pro-debtor and pro-creditor systems according to the priority of their identified objectives. It shows that the objective of legislations tends towards the salvaging of companies. Federal US law, founded on the principle of fresh start, inspires laws in Europe. Economic analysis of law reiterates the question of the objectives of bankruptcy law from the perspective of an efficient legal standard, explaining this tendency. The search for procedural and substantial efficiency guides the European Commission in the promotion of a single market. Therefore, consensus on the objective of salvaging the company makes harmonization of the substantive rules at the European level possible. The revision of Regulation (EC) N°1346/2000 on insolvency proceedings confirms the general acceptance of the idea of a second chance. The opposition between pro-debtor and pro-creditor systems diminishes, giving way to a mixed system. Each law attempts to move towards the reconciliation of conflicting interests, leading to the displacement of the value of respect for the word towards the concept, more difficult to define, but which founds binding obligation: trust.

Ce mémoire vise à produire des énoncés théoriques par une synthèse des connaissances sur les enjeux controversés dans le cadre de l’enseignement de l’histoire au secondaire. Nous posons au corpus de la recherche les questions suivantes : Comment le contexte influence-t-il le traitement scolaire des enjeux controversés ? Comment se manifestent les différentes approches pédagogiques et quels sont leurs effets sur les élèves ? Notre synthèse révèle que le traitement des enjeux controversés est limité par différents facteurs contextuels, comme la mémoire collective, la pression normative et la pression sociale. Puis, elle révèle aussi que les discussions sur des enjeux controversés contribuent au développement des habiletés intellectuelles, des compétences citoyennes et des connaissances lorsqu’elles s’opèrent selon certains critères. / The purpose of this thesis is to produce theoretical statements by gathering the available knowledge from the existing body of research on the teaching of controversial issues in high school history classrooms. We ask the following questions: How does context influence the school treatment of controversial issues? What are the possible approaches and how do they affect students? Our work reveals that school treatment of controversial issues is limited by contextual factors such as collective memory, normative pressure and social pressure. It also reveals that discussions of controversial issues contribute to the development of intellectual abilities, citizenship skills and knowledge when they follow certain criteria.

High-performance materials such as stainless steels and nickel based super alloys are widely used in demanding applications where high mechanical and thermal properties are required. The applications of super alloys are mainly found in jet engines, power plants and gas turbines demanding high fatigue strength, corrosion and oxidation resistance as well as wear resistant properties. In order to use them, they go through various machining processes such as milling, turning, cutting, polishing etc. until the final product is achieved. Modern manufacturing industries employs various machining tools and technologies to improve the machining process of heat resistant super alloys. However, there are still challenges which needs to be addressed. Among them, adhesive wear of the machining tools is one of the main wear mechanism during the tribological interaction of tool and workpiece, preventing them to achieve the desired quality and surface finish of the end product. Moreover, it damages the tool reducing its lifecycle and in return, increasing the production cost. Among the cutting tools tungsten carbide (WC/Co) tools coated with TiAlN coating due to their good high temperature performance are extensively used. Nonetheless, these coatings still face issue like adhesive wear, abrasion, oxidation at higher temperature damaging the tools and subsequent machining. Therefore, it is imperative to understand the initiation mechanism of adhesive wear during the tribological interaction of super alloys and coated cutting tool material. In this research work, the tribological response of two coatings deposited by physical vapour deposition (PVD), having the composition Ti60Al40N and Ti40Al60N have been studied against two super alloys material, i.e. Inconel 718 and stainless steel 316L. A high temperature SRV (Schwingung (Oscillating), Reibung (Friction), Verschleiß (Wear)) reciprocation friction and wear test set up was employed to investigate the friction behaviour, wear rate and dominant wear mechanisms.  For Ti60Al40N coating, the experimental results revealed that generally, friction increases in case of sliding against Inconel 718 up to 400 °C and drops at 760 °C. A high wear volume at room temperature and a decrease to a minimum at 760 °C has been observed for Inconel 718. On the other side, Stainless steel 316L (SS 316L) faces a continuous rise in friction coefficient with highest value at 760 °C during sliding against Ti60Al40N coating. Wear is highest at 400 °C for SS 316L pin. The worn surfaces shows that both workpiece materials experience increase in material transfer due to adhesive wear with rise in temperature. At 400 °C, adhesion is the primary wear mechanism for both workpiece materials. A further rise in temperature to 760 °C promotes the adhesive wear through oxides formation on both material surfaces.  Similarly, Ti40Al60N coating shows the same friction behaviour with change in average steady state friction values for both material of Inconel 718 and SS 316L. Both workpiece materials responds in a similar way to wear volume loss, i.e. lowest at room temperature and highest at 760 °C. For Inconel 718, transfer of coating constituents on to the Inconel 718 pin surface was detected and associated with coating rupture and peeling, exacerbating with rise in temperature. Adhesion, abrasion, and oxidation are primary wear mechanisms at 400 °C and 760 °C. For SS 316L, coating transfer only happen at 400 °C. No damage of coating at 40 °C, a complete damage at 400 °C, and formation of dense porous oxides layers at 760 °C have been noticed. At 400 °C, adhesion, abrasion, and chipping while at 760 °C, adhesion, three body abrasion, ploughing and oxidation are the main wear mechanisms.

Объектом исследования явились представления психологов о трудностях психологического консультирования. Предметом исследования стало содержание представлений о трудностях психологического консультирования у практикующих психологов и студентов психологических направлений подготовки. Магистерская диссертация состоит из введения, двух глав, заключения, списка литературы (80 источников) и приложения, включающего в себя бланки применявшихся методик. Объем магистерской диссертации 140 страниц, на которых размещены 11 рисунков и 47 таблиц. Во введении раскрывается актуальность проблемы исследования, разработанность проблематики, ставятся цель и задачи исследования, определяются объект и предмет исследования, формулируются основная и дополнительные гипотезы, указываются методы и эмпирическая база, а также этапы проведения исследования, научная новизна, теоретическая и практическая значимость работы. Первая глава включает в себя обзор иностранной и отечественной литературы по теме трудностей психологического консультирования. Представлены разделы, посвященные особенностям клиента и особенностям консультанта. Выводы по первой главе представляют собой итоги по изучению теоретического материала. Вторая глава посвящена эмпирической части исследования. В ней представлено описание организации и методов проведенного исследования и результатов, полученных по всем использованным методикам: методу опроса экспертов; методу семантического дифференциала; методике незаконченных предложений; методике самооценки эмоционально-личностного благополучия Л.В. Карапетян, Г.А. Глотова; Методике диагностики эмоционального интеллекта Н. Холла; Методике диагностики уровня субъективного контроля Е. Ф. Бажина, Е. А. Голынкиной, Л. М. Эткинда. В главе представлен дескриптивный, сравнительный и корреляционный анализ результатов исследования, а также контент-анализ результатов исследования по методике незаконченных предложений и угловое преобразование Фишера. В заключении в обобщенном виде изложены результаты теоретической и эмпирической частей работы, а также выводы по выдвинутым гипотезам. / The research object was the representations of psychologists about the difficulties of psychological counseling. The research subject was the content of representations about the difficulties of psychological counseling among practicing psychologists and students of psychological training areas. The master’s thesis consists of an introduction, two chapters, a conclusion, a list of references (80 sources), and an appendix, which includes forms of the applied techniques. The master’s thesis volume is 140 pages, which contain 11 figures and 47 tables. The introduction reveals the relevance of the research problem, the degree of development of the problem, sets the goal and objectives of the research, defines the research object and subject, formulates the main and additional hypotheses, specifies the methods and empirical base, as well as the research stages, scientific novelty, the theoretical and practical significance of the work. The first chapter includes a review of foreign and domestic literature on the subject of the difficulties of psychological counseling. The sections devoted to the peculiar features of the client and the characteristics of the consultant are presented. The conclusions of the first chapter represent the results of the research of the theoretical material. The second chapter is devoted to the research empirical part. It contains the description of the organization and methods of the conducted research and the results obtained by all the techniques used: the method of interviewing experts; the method of semantic differential; the method of unfinished sentences; the method of self-assessment of emotional and personal well-being by L.V. Karapetyan, G.A. Glotova; the method for diagnosing emotional intelligence by N. Hall; the method of diagnosis of the level of subjective control by E.F. Bazhin, E.A. Golynkina, L.M. Etkind. The chapter presents a descriptive, comparative, and correlation analysis of the research results, as well as a content analysis of the research results under the method of unfinished sentences and the Fisher angular transformation. The conclusion summarizes the results of the research theoretical and empirical parts, as well as the findings on the hypotheses put forward.