Extensive questions have been asked regarding the factors that influence psychotherapeutic effectiveness. Past research has addressed the methods, techniques, as well as the client and therapist variables which potentially influence psychotherapeutic effectiveness. The majority of the research indicates that the therapeutic relationship and other contextual variables exert the greatest influence on psychotherapy successes. This implicates the broader social context in psychotherapy processes. Language appears to be one of the primary contextual factors influencing psychotherapeutic processes and is also embedded in social discourse. Society dominant discourses appear to be based on deficit beliefs toward psychotherapy and emotional functioning. The more relevant issue concerning psychotherapeutic effectiveness therefore appears to be society's dominant discourses affecting the profession. Collaborative social discourses embracing psychology are seldom integrated into mainstream public discourse. A post-modern, ecosystemic perspective is applied to these concerns, proposing a collaborative approach to social discourse, psychotherapy and research. This utilizes reflective, multi-dimensional, respectful and nonjudgmental values, reflecting the shift in social paradigms from the Industrial Age to the Knowledge Age. This shift recognizes that cultural, social and language variables appear to have a greater impact on psychotherapeutic effectiveness than most therapeutic techniques or interventions. These discourses are explored and recommendations are made in an attempt to align psychotherapy with a shifting social paradigm. This alignment could enhance psychotherapeutic effectiveness and the general understanding of psychotherapy. / Psychology / D.Litt. et Phil. (Psychology)

The aim of the study was to understand the teachers’ experiences of learners with disciplinary problems. A literature study was conducted on various issues related to disciplinary problems in schools. In the empirical investigation a qualitative research approach with a phenomenological research design was used. The study was conducted in one secondary school in KwaZulu-Natal. The purposive sample comprised of 10 teachers who experienced discipline problems and two teachers who were knowledgeable about the issue. Semi-structured interviews were conducted and the data were analysed and interpreted by means of the theoretical frameworks of the Bar-On Model of Emotional Intelligence and the Bronfenbrenner ecological model of child development. The findings revealed how disciplinary problems impacted negatively on the emotional and social well-being of the teachers. It was concluded that teachers needed improved coping strategies and collaborative support from the School Management Team and the Department of Education to deal with disciplinary problems. / Inclusive Education / M. Ed. (Inclusive Education)

The aim of the study was to understand the teachers’ experiences of learners with disciplinary problems. A literature study was conducted on various issues related to disciplinary problems in schools. In the empirical investigation a qualitative research approach with a phenomenological research design was used. The study was conducted in one secondary school in KwaZulu-Natal. The purposive sample comprised of 10 teachers who experienced discipline problems and two teachers who were knowledgeable about the issue. Semi-structured interviews were conducted and the data were analysed and interpreted by means of the theoretical frameworks of the Bar-On Model of Emotional Intelligence and the Bronfenbrenner ecological model of child development. The findings revealed how disciplinary problems impacted negatively on the emotional and social well-being of the teachers. It was concluded that teachers needed improved coping strategies and collaborative support from the School Management Team and the Department of Education to deal with disciplinary problems. / Inclusive Education / M. Ed. (Inclusive Education)

Introdução: Em muitos países, em especial naqueles pobres e de renda média, há dificuldades para melhorar os indicadores de morbi-mortalidade materna e neonatal, mesmo com a universalização do acesso à assistência, como no Brasil. Muitas vezes são as concepções de gênero que orientam a prática dos profissionais e a organização dos sistemas e serviços de saúde típicos, o que resulta em sobrevalorização da tecnologia e minimização ou mesmo invisibilidade de seus efeitos adversos. As narrativas sobre desrespeitos, abusos, e maus-tratos às mulheres evidenciam a ocorrência de uma modalidade específica de violência institucional, recentemente nomeada como violência obstétrica. Neste trabalho, o termo é entendido como o desrespeito aos direitos da mulher na assistência a sua saúde sexual e reprodutiva, tendo em vista seus direitos humanos básicos e inalienáveis. A Iniciativa Hospital Amigo da Mulher e da Criança (IHAMC) foi proposta em 2015 para superar esse quadro. Objetivos: Mapear os facilitadores e obstáculos de um piloto de implementação da IHAMC para a superação da violência obstétrica, em especial nos critérios \"liberdade de movimentação no trabalho de parto e parto\" e \"presença de acompanhante de escolha da mulher\". Métodos: Este trabalho integra um piloto de implementação da IHAMC em duas maternidades do SUS, com análise dos dados produzidos na etapa inicial no campo paulistano da pesquisa (2016-17). Foram realizadas entrevistas individuais e atividades em grupo com gestores, profissionais de saúde e usuárias do serviço; observação do serviço e análise dos dados do Sinasc da maternidade. Foi criado um grupo de trabalho com gestores, profissionais da assistência, pesquisadores e usuárias para analisar os problemas identificados e atuar sobre eles. Resultados: As visões de gestores e profissionais de saúde contrastam com a observação e os relatos das mulheres, com verificação de interdições ao exercício do direito a acompanhante e à liberdade de movimentação no trabalho de parto e parto. Também foram recorrentes as falas no sentido de responsabilizar as mulheres pelas dificuldades que elas enfrentam na internação para o parto. Os atores envolvidos mostram disposição para aprimorar a qualidade da assistência, e propuseram mudanças nesta direção, algumas já em andamento. Conclusão: A IHAMC pode ser uma boa estratégia para superar a violência obstétrica em contextos como o brasileiro, uma vez que coloca em debate a qualidade da assistência tendo em vista os direitos das mulheres e propicia a incorporação dos atores envolvidos na solução dos problemas, contribuindo para sua solidez e sustentabilidade. / Introduction: In many countries, especially in poor and middle-income ones, there are difficulties in improving maternal and neonatal morbidity and mortality, even with universal access to care, as in Brazil. Often it is the gender conceptions that guide professionals\' practices and the organization of typical health systems and services, which results in overvaluation of technology and minimization or even invisibility of its adverse effects. The narratives about disrespect, abuses, and mistreatment of women show the occurrence of a specific modality of institutional violence, recently named as obstetric violence. In this thesis, the term is understood as the disregard for women\'s rights while caring for their sexual and reproductive health, in view of their basic and inalienable human rights. The Mother-Baby Friendly Birthing Facilities Initiative (MBFBF) was proposed in 2015 to overcome this situation. Objectives: To map out the facilitators and obstacles of a MBFBF implementation pilot to overcoming obstetric violence, particularly with respect to the criteria \"freedom of movement in labor and birth\" and \"presence of women\'s companion of choice\". Methods: This study is part of a MBFBF implementation pilot in two SUS maternity hospitals, with an analysis of the data produced at the initial stage in the São Paulo site of research (2016-17). Individual interviews and group activities were conducted with managers, health professionals and users of the service; observation of the service and analysis of Sinasc maternity data. A working group was created with managers, health professionals, researchers and consumers to analyze and act on the problems identified. Results: The visions of managers and health professionals contrast with the observation and women\'s reports. It was verified that right to presence of a support person and freedom of movement in labor and birth were denied to women. There were recurrent statements blaming women for the difficulties they face during hospitalization. However, all actors involved showed a willingness to improve quality of care, and proposed changes in this direction, some already in progress. Conclusion: The MBFBF can be a good strategy to overcome obstetric violence in contexts such as Brazil, since it raises the issue of quality of care with regard to women\'s rights and allows the incorporation of the actors involved in the solution of the problems, contributing for its solidity and sustainability.