Made available in DSpace on 2014-06-11T19:28:20Z (GMT). No. of bitstreams: 0 Previous issue date: 2011-02-24Bitstream added on 2014-06-13T20:57:53Z : No. of bitstreams: 1 santos_ms_me_botfm.pdf: 779386 bytes, checksum: fc70c43e8e7c37574e15a6ecb6fa9d86 (MD5) / Ministério da Saúde / Este estudo teve como objetivo conhecer as estratégias comunicativas dos enfermeiros de unidades críticas no momento das interações com pacientes e familiares de um hospital público do interior do Estado de São Paulo. Trata-se de um estudo de abordagem qualitativa, que utilizou o referencial teórico da Comunicação Interpessoal e o referencial metodológico da Análise de Conteúdo. Foram entrevistados 12 enfermeiros assistenciais das unidades críticas compreendidas por Unidade de Terapia Intensiva (UTI) Adulto, Pediátrica, Neonatal e Sala de Recuperação Pós-operatória. A coleta dos dados ocorreu em três etapas consecutivas, por meio de entrevista semiestruturada gravada em aparelho áudio e digital, com aplicação de uma escala adaptada de Silva (2008) de uso efetivo e/ou ineficaz da comunicação não verbal e registro em diário observacional de campo, a fim de conhecer o comportamento comunicativo verbal e não verbal durante as interações desses enfermeiros com pacientes e familiares. Os resultados evidenciaram que os enfermeiros têm consciência da importância do processo comunicacional com pacientes e familiares neste momento de angústia, medo e incertezas que representa a internação de um ente querido em uma unidade crítica. Estes resultados estão demonstrados por meio das seguintes categorias temáticas: os enfermeiros reconhecem a admissão como momento de interação com pacientes e familiares; utilizam os procedimentos técnicos e o horário de visitas como oportunidade de criar vínculo; iniciam o processo comunicativo de forma verbal; complementam e substituem o verbal de forma não verbal; demonstram afetividade; buscam validar a comunicação, mas por outro lado, encontram dificuldades em serem reconhecidos como coordenadores do cuidado por parte dos pacientes e familiares. Esses profissionais reconhecem admissão como necessidade de uma abordagem... / This study aims to know the nurse`s communication strategies of critical care units in the moment of patient and family`s interactions of a public hospital inside São Paulo`s State. It consists of a qualitative approach using the theoretical reference of Interpersonal Communication and methodological reference of Content Analysis. We interviewed 12 nurses critical care units included in the Intensive Care Unit (ICU) Adult, Pediatric, Neonatal, and the Post-operative room. Data collection occurred in three consecutive steps, using semi-structured interviews and recorded on digital audio device, applying a scale adapted from Silva (2008) for effective and/or ineffective use of nonverbal communication and observational journaling field to know the communicative behavior verbal and non verbal of these nurses during the contact with patients and families. Results showed that the nurses are conscious about the communicational process`s importance in these moments of angst, fear and uncertainty. These results are demonstrated through the following themes: nurses recognize the admission as their interactions with patients and families; using the technical procedures and time of visits as an opportunity to create bonds; begin the process of communicating verbally; complement and replace the verbal form of nonverbal; show affection; seeking to validate the communication, but on the other hand, have difficulties in being recognized as coordinators of care for patients and families. They recognize the need an adequate first contact to initiate the communicative process with an adapted verbal language. They considered the communication like a humanistic process. They also complement the verbal language with a non verbal way, using the touch, the look and emotional expressions, they bonded to patients and families and show affective. The nurses intended yet, to authenticate the communication asking ... (Complete abstract click electronic access below)

While early-onset bipolar disorder (EOBD) has increased in prevalence, much remains to be understood about its phenomenology. Research and treatment models remain rooted in neurobiological conceptualizations of the illness that borrow heavily from models for the traditional adult-onset form of bipolar disorder. This study utilized a transcendental phenomenological design as a first step in obtaining an understanding of the lived experience of EOBD. A purposive sample of eight participants ages 18-25 participated in semi-structured interviews that elicited information on experiences of EOBD symptomatology and course of illness, stigma, experience with healthcare and treatment, and impact on identity, interpersonal relationships, and coping responses. Transcendental phenomenological analysis was used to construct individual and composite descriptions of participants’ experience of EOBD between ages 13 and 17. Implications of findings are presented for research and treatment of EOBD, as well as social work education and policy reform.

There is little doubt that social and interpersonal processes are key factors in the development and maintenance of, as well as recovery from, psychosis. Many aspects of the social world have been researched in relation to psychotic experiences and much learnt about the impact of early family life, difficulties in social cognition and the importance of social support, rejection and stigma. However, little is understood about the lived experiences of these interpersonal processes from the point of view of those with psychosis themselves. The aim of the following study was to explore how people with psychosis experience other people and make sense of their interpersonal experiences. Semi-structured interviews were conducted with two men and five women experiencing psychosis. Interpretative Phenomenological Analysis (IPA) was used to analyse the verbatim transcripts, from which three master themes emerged. These were: 'Finding a place in society', 'Interpersonal mistrust' and 'Undermined by inner/outer disturbance'. These findings are discussed in relation to the literature on interpersonal processes and psychosis along with the limitations of the current study. Implications and suggestions for future research and clinical practice are also discussed.

Historical and contemporary literature on post-abortion issues draws attention to the complexity of women’s experiences in this regard. The literature observes a vast range of potential effects of abortion on the mental health of women. This study contributes to the current understanding of post-abortion issues, by exploring women’s subjective experiences of post-abortion distress and the impact on interpersonal relationships. The relational impact is further situated in the context of its importance to psychological well-being. Four women, between the ages of 23 and 45, described their lived experiences of post-abortion distress during semi-structured interviews. Each participant gave detailed accounts of the abortion event, the difficulties experienced afterwards and the perceived impact that this kind of distress had on their lives and specifically, their relationships with others. The data was subsequently analysed using interpretative phenomenological analysis (IPA). Twelve main themes emerged from the transcripts, each of which is discussed separately as well as in relation to other pertinent literature. The critical examination of the findings presented in this study revealed divergent aspects to those found in some of the existing literature, as well as understandings comparable with previous research. The meanings that emerged from these women’s stories revealed intense cognitive, emotional and behavioural dilemmas, all of which highlight the subjective experience of post-abortion distress as a complicated and deeply personal issue, with profound effects on their relational worlds. / Dissertation (MA)--University of Pretoria, 2011. / Psychology / Unrestricted

Many sex trafficking survivors report problems in their interpersonal relationships, yet few studies have investigated the nuance of these important relational bonds. This phenomenological study began addressing this gap by exploring survivors’ perceptions of the quality and utility of their relationships with family members, peers, and service providers, specifically in the context of transitioning out of sex trafficking. Semi-structured qualitative interviews were conducted with six survivors in a residential recovery program. Analyses yielded three themes that represented distinct relational domains (1. non-professional, 2. professional, and 3. spirituality) and sub-codes which appeared to highlight nuance within each domain in the sense that some relationships were simultaneously helpful and challenging to negotiate. This poster will provide an overview of themes and codes, as well as a description of the practical significance of the results. Findings help extend existing literature and may inform potential modifications to resources provided by recovery programs.

Philosophiae Doctor - PhD / Adolescence, a critical developmental period, requires a certain level of adjustment and may negatively impact youth psychosocial development. Unsurprisingly, adolescent substance use continues to be a major public global health concern. Additionally, some adolescents are immersed in various interpersonal relationships and exposed to various stressors daily, which may affect their psychological well-being and developmental trajectories. This research aimed to explore the experiences of interpersonal relationships, stress and coping, and determine substance use patterns, symptoms of two common mental disorders (depression and generalized anxiety) amongst adolescents who report using substances (legal and illegal) in low-income communities in South Africa by employing Bronfenbrenner’s bio-ecological theory and the person-process-context-time model as a theoretical lens.

As one of the most important emotional goals pertaining to humankind, achieving happiness has been the central focus of scientists, philosophers, and the general population alike since the beginning of recorded history. This study strove to examine the association of body image satisfaction and relationship quality as it relates to happiness. Four hundred college-age participants completed the Subjective Happiness Scale, the Multidimensional Body-Self Relations Questionnaire (Appearance Scales), and the Network of Relationships Inventory (Relationships Quality Version) for close friendships of the same-sex and opposite-sex. Statistical analysis indicated that while body image satisfaction was significantly correlated with happiness, quality of interpersonal relationships was not. The results of this study emphasize the importance of one’s satisfaction with one’s body in the cultivation and maintenance of subjective well-being and the need to examine other potential predictors of happiness.

This study investigated the influence of past witnessed or experienced abuse on heterosexual cohabiting couples' Premarital Personal and Relationship Evaluation for Cohabiting Couples (PREPARE-CC) couple relationship types. The researcher utilized preexisting data from 5,000 cohabiting couples who had previously participated in the PREPARE marriage preparation program and had completed the PREPARE-CC inventory including a demographic section that elicited information about past abuse. Discriminant analysis was conducted in SPSS to answer the question of whether the presence of past witnessed or experienced abuse could successfully predict relationship type among cohabiting couples. Results of the discriminant analysis yielded no significant ability to classify cohabiting couples by individuals' experience of past abuse, however, isolating females and males with the highest frequencies of past abuse indicated that males abused "very often" had a higher frequency of higher-satisfaction relationship types than the general sample consisting mostly of individuals with little or no history of abuse. Females reporting abuse "very often" did not follow this same pattern. Recommendations were made for future longitudinal studies and for strength-based research on healthy heterosexual cohabiting couples in an effort to understand what contributes to these couples' success.

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Gringa-Rican is a collection of short stories told through the lens of various female, Puerto Rican protagonists. They highlight the duality of one’s existence, when one is from neither here nor there. The stories explore ideas of dislocation, assimilation and identity, through a Puerto Rican family that moves from their home island to the United States. I was inspired to write these stories because of my own family’s pursuit of the American Dream. This thesis is, in part, a labor of love. Growing up, there were not many stories with families like mine. For this reason, when I decided I wanted to be a writer, I found myself trying to depict someone I wasn’t. I did not feel like I could truly write about my experience in the diaspora, because it did not matter. Eventually, this changed when I read books like We the Animals by Justin Torres, When I Was Puerto Rican by Esmeralda Santiago, and The House on Mango Street by Sandra Cisneros. For the first time, I saw myself as someone with a story worthy of being written and read. This collection is the product of years of writing, drafting and editing. I have laughed and cried, worried and dreamed. Now, I send it off to the world hoping that my work inspires others. I hope that these stories serve as both mirrors and windows. I hope that these characters, these lives I’ve created, feel as real to the reader as they do to me.