Children constitute a large part of the client group that social workers deal with on a daily basis. Establishing a helping relationship between the child client and the social worker is crucial for accurate assessments and successful interventions. In the rural areas there are limited resources for social workers and that impedes referrals for therapeutic interventions with children. The social worker is then expected to be able to intervene in order for children to deal with their problems and improve their well-being. If the social worker is unable to establish a relationship with the child client, then his/her assessments and interventions would be affected detrimentally. The literature is clear that an established helping relationship is necessary in order for social workers to be able to intervene successfully. This study endeavoured to qualitatively explore the relationship building experiences in the initial phase of social work intervention between social workers and child clients in their middle childhood years. The findings of the study showed that it is indeed a wonderful and motivating experience to be able to establish a helping relationship with a child and to be allowed to influence the child’s life. But social work is practical and sometimes has to focus on immediate needs and crisis decisions instead of solely focusing on building a helping relationship. First impressions are lasting and the helping relationship often has to be built swiftly and in difficult circumstance. There are a few major constraints to establishing the helping relationship in the initial phase of social work. Limited time and resources prevent social workers from committing to individual intervention with a child. Children are wary of social workers due to the stigma of statutory work, and building rapport is thus difficult as a result of the resistance the social worker experiences from the child client and/or his parents. Rural social workers often have to travel to the child client as the child does not have the means to come to the social worker, and these guest locations are usually not child- and/or intervention-friendly. The participants observed that the children are not familiar with play material which limits the initial relationship building activities that one can employ. An interesting experience that the social workers had, was that they withdrew from certain individual interventions with children for fear that they might worsen the child’s experience due to their lack of skills in working with children on sensitive matters. Certain professional attributes of the social workers aid the initial relationship building experience with children. It was observed that the natural appeal between the social worker and child plays a significant role in establishing the relationship and that it cannot be forced. Based on the findings of the study certain recommendations could be made towards further research in the future. Apart from discussing their experiences and constraints in relationship building during the initial phase, the children and social workers also made suggestions for practice. These suggestions were captured in guidelines for the readers of this report. Propositions are made to non-government organisations for training opportunities for social workers in the field. A few recommendations are also made to researchers who propose to do research with children as participants. / MSW, North-West University, Potchefstroom Campus, 2014

Children constitute a large part of the client group that social workers deal with on a daily basis. Establishing a helping relationship between the child client and the social worker is crucial for accurate assessments and successful interventions. In the rural areas there are limited resources for social workers and that impedes referrals for therapeutic interventions with children. The social worker is then expected to be able to intervene in order for children to deal with their problems and improve their well-being. If the social worker is unable to establish a relationship with the child client, then his/her assessments and interventions would be affected detrimentally. The literature is clear that an established helping relationship is necessary in order for social workers to be able to intervene successfully. This study endeavoured to qualitatively explore the relationship building experiences in the initial phase of social work intervention between social workers and child clients in their middle childhood years. The findings of the study showed that it is indeed a wonderful and motivating experience to be able to establish a helping relationship with a child and to be allowed to influence the child’s life. But social work is practical and sometimes has to focus on immediate needs and crisis decisions instead of solely focusing on building a helping relationship. First impressions are lasting and the helping relationship often has to be built swiftly and in difficult circumstance. There are a few major constraints to establishing the helping relationship in the initial phase of social work. Limited time and resources prevent social workers from committing to individual intervention with a child. Children are wary of social workers due to the stigma of statutory work, and building rapport is thus difficult as a result of the resistance the social worker experiences from the child client and/or his parents. Rural social workers often have to travel to the child client as the child does not have the means to come to the social worker, and these guest locations are usually not child- and/or intervention-friendly. The participants observed that the children are not familiar with play material which limits the initial relationship building activities that one can employ. An interesting experience that the social workers had, was that they withdrew from certain individual interventions with children for fear that they might worsen the child’s experience due to their lack of skills in working with children on sensitive matters. Certain professional attributes of the social workers aid the initial relationship building experience with children. It was observed that the natural appeal between the social worker and child plays a significant role in establishing the relationship and that it cannot be forced. Based on the findings of the study certain recommendations could be made towards further research in the future. Apart from discussing their experiences and constraints in relationship building during the initial phase, the children and social workers also made suggestions for practice. These suggestions were captured in guidelines for the readers of this report. Propositions are made to non-government organisations for training opportunities for social workers in the field. A few recommendations are also made to researchers who propose to do research with children as participants. / MSW, North-West University, Potchefstroom Campus, 2014

La tesi si compone di sei capitoli, articolati in due parti fondamentali allo scopo di esaminare il tema dell’intervento educativo in particolari condizioni di disabilità, esplorando il campo ancora poco indagato delle sindromi e malattie rare. La prima parte affronta il problema della cura e del prendersi cura, nel loro stretto legame con la scienza pedagogica: muovendo da alcune riflessioni di carattere filosofico, si giunge a delineare il ruolo, il significato e i contesti in cui è possibile identificare possibili percorsi di care educativo. La seconda parte dell’elaborato sarà interamente focalizzata sullo studio delle problematiche educative connesse ad alcune condizioni genetiche rare. Dopo una disamina di carattere generale, vengono affrontate nel dettaglio quattro sindromi specifiche: la sindrome di Prader-Willi, di Angelman, di Rett e di Kabuki. Per ognuna di esse, vengono presentate le più recenti acquisizioni nel campo del funzionamento cognitivo, dello sviluppo della personalità e delle possibili strategie di intervento educativo, riabilitativo e di inserimento sociale. / The thesis is composed by two parts, with the purpose of examining the theme of educational intervention with children affected by rare genetic syndromes. The first part deals the problem of the terms “cure” and “care” , in their relationship with educational sciences: from philosophical reflections to the role, the meaning and the fields in which it is possible to identify trackways of care. The second part of this work is focused on the study of educational problems about four rare genetic syndromes: Prader-Willi syndrome, Angelman Syndrome, Rett Syndrome and Kabuki Syndrome. For each one of these syndromes, we presented new acquirements about cognitive functions, personality development and strategies of educational, rehabilitative intervention and social integration.

本研究旨在探討以優勢觀點為基礎之社會工作實施場域中，社會工作者與情感性精神疾病個案助人關係歷程、雙向復元因素與意涵，與不同組織政策與文化對雙向復元之影響，進一步形成實務場域中助人關係與雙向復元之建議與策略。 　　本研究運用質性研究深度訪談法與詮釋現象學觀點，採立意與滾雪球抽樣，使用半結構式訪談大綱與研究者於田野之互動與觀察，再現八名受訪者（五名優勢觀點社工、三位情感性精神疾病個案）之生活經驗，回歸現象本質綜觀與探討。 　　本研究主要發現如下： 一、情感性精神疾病的重新詮釋：社會工作者正視個案憂鬱或躁狂發作而產生生理、心理與社會的排除，將疾病常態化、普同化，並經由多面向的宏觀檢視以打破原本負面框架與預設立場，包含：1.給予自殺的生命解套—給予選擇與自我決定；2.賦予反覆訴說的意義—重新詮釋生命的機會。 二、歷經「隧道」、不斷攀升—助人關係發展之歷程：歸納優勢觀點社會工作者與情感性精神疾病個案發展助人關係之歷程，可分為想像期、建立期、考驗期、合作期與復元期五大階段，形塑「穿越生命隧道之旅」般的助人關係意象，並發現差序格局文化下的助人關係連續體之特色。 三、雙向復元的實質意涵：由個案「置身死地而後生」與社會工作者「從助人意義中回觀自我」的復元經驗中，歸納「雙向復元」之實質意義與內涵，是一種助人關係與個人內、外在情境三者交互作用而成的超越狀態與主體終極目標，影響成因包含個人、人際與環境三大層面和七個項目。 四、組織政策與文化對雙向復元之影響：不同組織政策與文化之對雙向復元具有實質之影響，分析受訪社會工作者所屬的機構內部可發現「考驗」與「支持」的態樣，後者不但創造充分的人際支持與成長環境，更能促進社會工作者的復元、提升個案服務品質與績效、穩定社工流動率。 依據上述研究發現，提出以下建議： 一、情感性精神疾病個案之助人關係策略：1.增強個體權能：擱置並轉化問題、充分尊重與信任、著力優勢與能力、累積成功經驗、創造選擇性。2.善用關係影響：借重家庭的影響力、保持助人關係中的接觸與等待、建立分享與互惠的彈性關係、善用權力落差形成改變。3.導入環境資源：地緣與文化的親近性、開放的會談地點與時間、連結資源與網絡合作。 二、正視雙向復元之目標：回歸自身被忽略的正向經驗，賦予生命及工作狀態之意義，個案或社會工作者復元的同時也使對方進一步昇華和復元，像漣漪效應般能擴及旁人，間接影響家庭與社會系統，啟動整體社會文化的善循環。 三、機構推動優勢觀點模式之建議：瞭解如何有效學習並運用優勢觀點模式、適度激勵並給予充分支持、提供合理的保障與實質誘因。 四、未來研究之建議：瞭解情感性精神疾病之特性並有所應變、具備接近田野之管道並增加研究對象的多元性、學習與受訪對象共創新的復元價值。 / The study aimed to explore the process, elements and meanings of mutual recovery for social workers and the clients with mood disorder, the organizational influences on the mutual recovery, and to propose strategies for mutual recovery for social workers. The methodology adopted in this study was hermeneutic phenomenology. Using purposive/ snowball sampling, the researcher interacted, observed, and in-depth interviewed the participants using a semi-structured interview guide. Though this process, the living experiences of the eight interviewees (five strengths-based social workers and three clients with mood disorder) were represented to reveal the nature of the phenomenon of mutual recovery. The major discoveries of this study include: 1.Re-definition of mood disorder: social workers could recognize the consequence of clients being seriously excluded from the society due to their depressive or manic episode; they helped the clients to normalize their disease, as well as to break their own negative assumptions toward the disorder. The tactics that they used were such as like：a) Providing relief to suicide–personal choice and self-determination, b) giving meaning to repetitive narratives– opportunity to redefine life. 2.“Tunnel” process, continuing to rise, the process of helping relationship: the process of strength-based social workers in developing relationship with clients with mood disorder could be categorized into five stages: imagination stage, development stage, challenge stage, cooperation stage, and recovery stage. Hence, the nature of helping relationship was like “going through the life tunnel” . The characteristics of such a relationship reflected the differential association continuum among Chinese culture. 3.Essential meaning of mutual recovery: For the clients, the recovery experiences were as if being brought back to life. For the social workers, they rediscovered of themselves in the meaning of assisting others. The real meaning and essence of mutual recovery could be summed up as the interaction of within a person, internal and external environment, and in turn further shaping the transcendental force to help acquire the life goal. Moreover, those goal were affected by personal, relational and environmental factors. 4.Organizational influences on mutual recovery: by analyzing the effects of organizational policies and cultures on mutual recovery, we found that “supportive surrounding” creates an environment which was better for the development of interpersonal relationship than an “challenging surrounding”. The former could help facilitate the recovery and performance of social workers, as well as decrease the turnover rate of social workers. Based on these findings, we propose: 1.Strategy for forming the helping relationship with clients with mood disorder: 1) empowering individual: letting go and transform problems into respect, trust, and focusing on advantages, capabilities, and successful experiences to create options. 2) Better utilizing the effects of interpersonal relationship: by using the influences from family, maintaining the contacts in interpersonal relationship, building mutual and flexible relationship, and using the power differentiation to facilitate changes. 3) Introducing resources from surrounding: an open location and timing that connect the clients/social workers with their surrounding and culture, and enabling the linkage of resources and networks. 2.Emphasizing mutual recovery: stressing the positive experiences that were over sighted previously and finding meaning to life and work status. The recovery of the clients and social workers will further influence their families and the whole social system, and create a benign cycle accordingly. 3.Suggestions for organizations in promoting the strength-based model: to learn the effective ways of learning and applying strengths-based models, giving adequate encouragement and support, and providing reasonable assurance and incentives. 4.Recommendations for future research: should understand the characteristics of mood disorder and know how to handle the situations, to expand the sources of participants, and to have the intention of creating the new meaning of recovery with participants.

Des études récentes confirment que la violence au travail dans le secteur de la santé est universelle, malgré certaines différences locales, et qu’elle impacte aussi bien les hommes que les femmes, (Di Martino, 2002). Cette recherche, s’attache à décrire les perceptions de la violence et de la souffrance chez ces professionnels de santé, à travers l’évaluation de la perception des risques psychosociaux, par les infirmiers et ce, dans les services des urgences, et d’hospitalisation à Tunis.Il s’agit de souffrances délétères multiples, qui se teintent du stress, et du burn out, s’alimentent de l’anxiété, s’amplifient par un système organisationnel défaillant et une qualité relationnelle inconsistante Il s’agit d’une étude, descriptive, transversale, prospective, portant sur une population d’infirmiers, exerçant dans trois hôpitaux répartis sur des services d’urgence et des services d’hospitalisation. L’étude est divisée, en parties ; exploratoire, quantitative et qualitative. Le cadre de référence général, étant l’approche systémique, notamment par Brondenfenbrenner (1979), ainsi que ; dans le domaine de l’organisation, par Mintzberg et en communication par l’école Palo Alto…, associée, essentiellement, à L’approche transactionnelle, sur le stress et le coping ; ainsi que l’approche humaniste en sciences infirmières (en matière de la relation soignant-soigné). / Recent studies, confirm that workplace violence in the health sector is universal, despite some local differences. It affects both men and women. (Di Martino, 2002). This research attempts to describe the perceptions of violence and suffering within these health professionals through the evaluation of perception of psychosocial risks by nurses in the emergency and hospitalization departments in the governorate of Tunis. It is about multiple deleterious sufferings, which are tinged with stress, and burn out. Fed with anxiety, and amplified by a faulty organizational system, and an inconsistent relational quality. It is a descriptive cross-sectional prospective study of a nursing population working in three hospitals distributed over emergency and hospitalization departments. The study isdivided into exploratory, quantitative and qualitative parts. The general frame of reference, being the systemic approach, notably by Brondenfenbrenner (1979), as well as; in the field of organization, by Mintzberg, and in communication, by the school Palo Alto ..., associated essentially with the transactional approach, on stress and coping as well as the humanistic approach to nursing (Healer-healed relationship).

No description available.

Heuristic qualitative research techniques (Moustakas,1990) were used to explore the dynamic of the help-seeking / helping relationship in illegal drug use from the perspective of the professional. Six professionals, expert in helping people living with an addiction, shared their opinions and insights, analyzed problems, explained the rewards, and made recommendations for improvement, based on their own practices within the health care and social services systems. These professionals identify stigma as a major barrier to the provision of quality care in addictions, and analysis shows that a cultural predilection for scapegoating underlies the application of stigma. The many layered social purposes served by the designation of certain substances as illegal and the utility of scapegoating to hegemonic, vested interests is surveyed. This thesis reviews the true social costs of addictions, the entrenched and enmeshed nature of the alternate economy, and the many above ground institutions and professions sustained by the use of drugs designated as illegal. Prohibition and imprisonment as a response to illegal drug use is exposed as costly, inhumane, dangerous, and overwhelmingly counterproductive in terms of limiting harm from illegal drug use. A recent example of drug prohibition propaganda is deconstructed. Consideration is given to the role of the Drug War as a vehicle to accelerate social creep toward a fragmented self-disciplining surveillance society of consumer-producers in the service of economic elites. Classism is brought forward from a fractured social ground characterized by many splits: sexism, racism, age-ism, able-ism, size-ism, locationism, linguism, and others, to better track the nature of the social control that illegal drugs offer to economic elites. The moral loading that surrounds illegal drug use is deconstructed and the influence of religion is presented for discussion. The primitive roots of human understanding that endorse the ritual Drug War and its supporting mythology, leading to the demonization of illegal drugs and the people who use them, are uncovered. Direction is taken from Benner and Wrubel’s Primacy of Caring (1989) and other leaders in the professions as a means to move practitioners away from their roles as agents of social control into a paradigm of social change.

Heuristic qualitative research techniques (Moustakas,1990) were used to explore the dynamic of the help-seeking / helping relationship in illegal drug use from the perspective of the professional. Six professionals, expert in helping people living with an addiction, shared their opinions and insights, analyzed problems, explained the rewards, and made recommendations for improvement, based on their own practices within the health care and social services systems. These professionals identify stigma as a major barrier to the provision of quality care in addictions, and analysis shows that a cultural predilection for scapegoating underlies the application of stigma. The many layered social purposes served by the designation of certain substances as illegal and the utility of scapegoating to hegemonic, vested interests is surveyed. This thesis reviews the true social costs of addictions, the entrenched and enmeshed nature of the alternate economy, and the many above ground institutions and professions sustained by the use of drugs designated as illegal. Prohibition and imprisonment as a response to illegal drug use is exposed as costly, inhumane, dangerous, and overwhelmingly counterproductive in terms of limiting harm from illegal drug use. A recent example of drug prohibition propaganda is deconstructed. Consideration is given to the role of the Drug War as a vehicle to accelerate social creep toward a fragmented self-disciplining surveillance society of consumer-producers in the service of economic elites. Classism is brought forward from a fractured social ground characterized by many splits: sexism, racism, age-ism, able-ism, size-ism, locationism, linguism, and others, to better track the nature of the social control that illegal drugs offer to economic elites. The moral loading that surrounds illegal drug use is deconstructed and the influence of religion is presented for discussion. The primitive roots of human understanding that endorse the ritual Drug War and its supporting mythology, leading to the demonization of illegal drugs and the people who use them, are uncovered. Direction is taken from Benner and Wrubel’s Primacy of Caring (1989) and other leaders in the professions as a means to move practitioners away from their roles as agents of social control into a paradigm of social change.

The presented work deals with social-pedagogy approaches in the issue-based youth work centres. The first part attends to the analysis of the idea {\clqq}unattached youth``. It takes aspect of the lifestyle sociology, the social education and the developmental psychology. The viewed group of the unattached youth is presented as a group of the adolescents; they have problems with the coping strategies in the post-modern society. The second part of the work takes their problems as a starting-point for the next reflec-tion. It determines criteria of the effective youth work dealing with the unattached youth. Finally the third applied part evaluates the four current types of the issue-based youth work: the German open youth work (Offene Kinder- und Jugendarbeit), the British youth work, the Czech issue-based youth work centres and the Czech open youth centres. The evaluation is focused on the criteria of the effective youth work dealing with the unat-tached youth; we derived in the second part. Overall the main aim of this work is to point out the effective issue-based youth work has to take into account the social and developmental needs of the target group.