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Angst und Depression in der primärärztliche Versorgung / Anxiety and depression in the primary careKunert, Mario January 2012 (has links) (PDF)
Die vorliegende Studie untersucht den Einsatz von Kurz-Screening-Instrumenten (bestehend aus dem PHQ-4, mit seinen beiden Untereinheiten dem GAD-2 und dem PHQ-2) hinsichtlich der Tauglichkeit für einen Routineeinsatz in Hausarztpraxen. Gescreent wurde auf das mögliche Vorliegen einer Angst- und/oder depressive Störungen mit anschließender Validitätsprüfung einer kleineren Stichprobe. Hinsichtlich der Validitätsprüfung konnte zwischen den CIDI- und den Screening-Ergebnissen eine gute Übereinstimmung ermittelt werden (prozentuale Über-einstimmung von 80,8% bei einem Cohen-Kappa von 0,62). Insgesamt betrachtet lässt sich mit einem vertretbaren Mehrbedarf an Zeit für nicht-ärztliche Mitarbeiter ein PHQ-4-Screening in einer Hausarztpraxis durchführen. Durch diese Maßnahme können - bei gleichzeitiger Entlastung des Arztes - wichtige Informationen für eine Krankheitserkennung und für eine ggf. notwendige Therapie gewonnen werden. Über einen Routineeinsatz von Kurz-Screenern in der primär-ärztlichen Versorgung sollte nachgedacht werden. / The present study investigates the use of short screening instruments (consisting of the PHQ-4, with its two subunits the GAD-2 and PHQ-2), regarding the suitability for routine use in primary care practices. It was screened for the possible presence of anxiety and / or depressive symptoms with a following validity check on a smaller unit. The accordance between CIDI and the screening-results could be rated as good (accordance percentage of 80.8% with a Cohens kappa of 0.62). The PHQ-4 leads to a need of more non-medical employees(more time needed), but overall is the PHQ-4 a pracitable instrument in the primary care. Through a routine use of short-Screenern in the primary health care should be considered.
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Om bildningens utmaningar och möjligheter i den svenska grundskolanKjellsson, Anders January 2022 (has links)
The aim of this study is to develop new knowledge about the challenges and possibilities of Bildung in the Swedish compulsory school. Based on a qualitative analysis of five elite interviews with five theorists of Bildung, this study is inspired by curriculum theory and, in particular, the key analytical concepts of curriculum models, frame factors and room for freedom The results make visible both challenges and possibilities for Bildung in the Swedish compulsory school. First, through a thematic analysis, five themes were identified: i) Bildung as an open process; ii) Bildung in relation to coherence and overview; iii) Bildung and meaning making; iv) Bildung in education; and v) Bildung as resistance. This thematic analysis has shown that tensions exist between Bildung and the measurable results that are the focus in the Swedish school. Furthermore, a one-sided alignment to measurability tends to neglect several dimensions of Bildung. Second, the outcomes from the thematic analysis were considered in light of the curriculum theory framework in the form of an additional analysis based on three theoretical curriculum models. Using the theoretical concepts frame factors and room for freedom, the analysis demonstrates that various curriculum models, in different ways, both restrict Bildung and make it possible. Despite this, the results illustrate how Bildung, to a greater or lesser extent, can be operationalized through different curriculum models. The third analysis reveals a shift in the understanding of Bildung in the Swedish school, from something differential to something for every pupil. The final results are visualized as three “windows” of Bildung, each of which presents how Bildung can be a natural component of the Swedish compulsory school: i) a democratized and expanded view of Bildung; ii) a fluid dialogue between the subjective and objective dimensions of Bildung; and iii) Bildung as resistance. This study contributes to a current and forward-looking discussion about the role of Bildung, with a special focus on the Swedish compulsory school; however, it is also of relevance outside the Swedish context.
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Preschoolers using narrative to evidence an understanding of mindSzarkowicz, Diane Louise, University of Western Sydney, Macarthur, Faculty of Education and Languages January 1999 (has links)
Children's theories of mind have been researched extensively over the past two decades. Generally, studies concerning this understanding have focused on children between three and five years of age because it is believed that an understanding of mind develops during this period. However, evidence from naturalistic contexts suggests that many younger children can demonstrate an understanding of the mind. Despite this, the focus in many studies has been the age at which children are able to demonstrate a representational understanding of mind. Less interest has been directed towards how children use their understanding during their everyday interactions. Evidence suggests further investigations need to consider the social nature of a theory of mind. For example, a growing amount of research indicates that social contexts are important in facilitating an understanding of mind. Relationships have been reported between a theory of mind and the following: peer popularity, family size and level of fantasy play. Given these, it appears necessary for research to address the social implications of an understanding of mind in 3-5 year olds. Interview and observation methods were adopted for data collection. The interview phase of this study investigated whether or not selected characteristics of narrative influenced children's performance on four non-traditional literature based false belief tasks. Results indicated that narrative style, active participation and narrative detail were significant predictors of children's ability to demonstrate an understanding of false belief. Age was not identified as a significant variable. The results from both phases in this study suggest that 3-5 year olds can demonstrate an understanding of mind during non-traditional false belief tasks and everyday interactions. It is argued that an understanding of mind is characterised by a range of behaviours and that not all these are addressed in the traditional paradigm. / Doctor of Philosophy (PhD)
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Whakawhiti whakaaro, whakakotahi i a tatou: convergence through consultationTipuna, Kitea January 2007 (has links)
None available
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He tirohanga a Ngāti Awa uri taone mo ngā ahuatanga Māori: An urban Ngāti Awa perspective on identity and cultureRaerino, Kimiora January 2007 (has links)
Tribal traditions and practices are integral to iwi identity. From the past to the present, the biggest impact on iwi identity was colonisation and subsequent urbanisation. Urbanisation changed the foundation of identity largely due to the demographic rural-urban shift, effectively creating a distance physically and spiritually for Māori between their place of residence and their traditional tribal turangawaewae. Today a larger proportion of tribal members reside in the main urban centres of New Zealand and Australia. This phenomenon provides an ideal opportunity to explore how iwi identity is maintained in an urban setting – away from the traditional sites of cultural practice. The study, which focuses on Ngāti Awa members residing in Auckland, provided evidence that the foundation of an iwi identity is still heavily reliant on strong iwi-based whānau. The corollary is that, strengthening the tribal knowledge base of whānau residing in urban centres may require new or increased active participation in the customs and practices of their iwi. Regrettably, only three of the ten research participants had an in-depth knowledge of their whakapapa, histories and traditions. However, all the participants indicated the need to become more pro-active in creating and expanding on their knowledge base of iwitanga (including te reo). There was also acknowledgement that urban-based iwi marae and whānau wānanga can provide individuals with the opportunities to learn more about their iwi traditions (and thereby reinforce their sense of tribal identity). Encouragingly, each participant confirmed that identifying as Ngāti Awa was important to them, largely due to the sense of belonging and identity. The study concluded that the sustainability of iwi is reliant on iwi members supporting their iwi regardless of the location of their upbringing.
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Rural tourism development in the eastern Hokianga areaEruera, Alice January 2008 (has links)
Rural Tourism is increasingly being used as a development strategy to improve the social and economic well being of rural areas. Rural Tourism encompasses a huge range of activities, natural or manmade attractions, amenities and facilities, transportation, marketing and information systems (Sharpley & Sharpley, 1997). Rural tourism is very diverse and fragmented in terms of operational structures, activities, markets and operating environments (Roberts & Hall, 2001, citing Pearce, 1989). Benefits of rural tourism have been expressed as employment growth and broadening a region’s economic base, repopulation, social improvement, and revitalization of local craft (Sharpley, 2000). Governments can play active roles in tourism. In short the literature suggests rural tourism development policy approaches require: regeneration/revitalization, horizontal and vertical integration, interdependence, stewardship/sustainability, mediation, cataclysm, service and welfare provisions, spatiality – awareness, intra and inter regional complementariness, opportunism, realism and quality (Roberts & Hall, 2001). Murphy (1985) proposed a community approach to tourism development which included formation of businesses networks, and the sharing of resources and information. For rural tourism to be successful, collaboration needs to exist amongst entrepreneurs (Wilson et al., 2001). Useful integrated approaches to rural studies include acknowledging the importance of locally controlled agendas to reach centralization, awareness of the benefits for shared ideas and funding developments, and creating appropriate tourism plans for rural areas (MacDonald & Jolliffe, 2003). There are numerous challenges when attempting rural tourism development: the total product package must be sufficient; significant investment may be required; there is the adaption to a service role; the quality of products and services and the availability of skills and resources for effective marketing (Sharpley, 2000). Tourism development requires attractions, promotion, infrastructure and services and hospitality (Wilson et al., 2001, citing Gunn, 1988). The remote Eastern Hokianga area is situated in the Far North (Northland) region of New Zealand. The area has a low population and is sparsely populated presenting an ideal place to relax with an unhurried atmosphere, flourishing fauna and flora, rich in New Zealand history and culture. This is an economically depressed area that is situated in the centre of Northland’s three key tourism icons - The Bay of Islands, the Waipoua Forest, and the top of the North Island. The location of the Eastern Hokianga presents an opportunity to create a tourism destination that will attract travellers frequenting the key tourism icons. To date there has been no research on rural tourism development conducted in the Eastern Hokianga. Although comprehensive research was conducted previously in the Hokianga by the James Henare Maori Research Centre (1999) it was concentrated specifically to the “Maori culture”. This research aims to examine and identify the key challenges of rural tourism development for the Eastern Hokianga through an analysis of rural tourism development approaches, and identifying the social and economic impacts of tourism. Key findings show that the Eastern Hokianga is an undeveloped area and does not fit with the majority of the rural tourism definitions as described in the literature. The area is displaying positive impacts of rural tourism development. The negative impacts are minimal as the Eastern Hokianga is still in the initial development stage of rural tourism. There are many integrated approaches to rural tourism development currently. A strategic approach is occurring with a tourism policy and community involvement in decision making. There is an integration approach with one RTO actively involved in the communities’ tourism association with the local businesses. Two key clustering approaches are being utilized – the Twin Coast Discovery Route and total product packaging. Regeneration is not occurring but was not an issue raised by the community, whereas a financing approach was an identified challenge by Eastern Hokianga businesses. The need to improve accessibility through infrastructure was the second key challenge to rural tourism development. The area was not restricted by the other challenges of government’s role, education / experience and marketing.
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"Die Letzte macht das Licht an?" eine psychologische Untersuchung zur Situation junger Frauen in apostolisch-tätigen Ordensgemeinschaften in DeutschlandKluitmann, Katharina January 2007 (has links)
Zugl.: Rom, Pontificia Univ. Gregoriana, Diss., 2007
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Police Interviews with Victims and Suspects of Violent and Sexual Crimes : Interviewee's experiences and interview outcomesHolmberg, Ulf January 2004 (has links)
<p>The police interview is one of the most important investigative tools that law enforcement has close at hand, and police interview methods have changed during the twentieth century. A good police interview is conducted in the frame of the law, is governed by the interview goal, and is influenced by facilitating factors that may affect the elicited report. The present doctoral dissertation focuses on police interviews in cases of very serious crimes of violence and sexual offences. Results reveal crime victims’ and perpetrators’ experiences of being interviewed and police officers’ attitudes towards conducting interviews related to traumatizing crimes. Study 1 revealed that when police officers interviewed <i>murderers</i> and <i>sexual offenders</i>, the interviewees perceived attitudes characterized by either <i>dominance</i> or <i>humanity</i>. Police interviews marked by dominance and suspects’ responses of <i>anxiety</i> were mainly associated with a higher proportion of denials, whereas an approach marked by humanity, and responses of being <i>respected</i> were significantly associated with admissions. In line with Study 1, the victims of rape and aggravated assault in Study 2 also revealed the experience of two police interview styles, where an interviewing style marked by <i>dominance </i>and responses of <i>anxiety</i> was significantly associated with crime victims’ omissions of information. Moreover, a <i>humanitarian</i> interviewing style, and crime victims’ feelings of being <i>respected</i> and <i>co-operative,</i> was significantly related to crime victims providing all information from painful events. Special squad police officers’ attitudes towards<i> interviewing</i> <i>crime victims</i>, in Study 3, also showed a <i>humanitarian</i> approach and <i>two dominant approaches</i>, one affective and the other refusing. The attitude towards <i>interviewing suspects</i> of crimes in focus revealed <i>humanitarian</i> and <i>dominant</i> interviewing attitudes, and an approach marked by <i>kindness</i>. The present thesis shows that, during their entire career, an overwhelming majority of the special squad police officers have experienced stressful events during patrol as well as investigative duty. Results show that symptoms from stressful event exposures and coping mechanisms are associated with negative attitudes towards interviewing suspects and supportive attitudes towards crime victim interviews. Thus, experiences from stressful exposures may automatically activate ego-defensive functions that automatically generate dominant attitudes. Moreover, it is important to offer police officers who have been exposed to stressful events the opportunity to work through their experiences, for example, through debriefing procedures. After debriefings, police officers are better prepared to meet crime victims and suspects and, through conscious closed-loop processes, to conduct police interviews without awaking ego-defensive functions. </p>
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Socialisationen av kvinnlig sexualitet på behandlingshem för unga kvinnor : ett symbolisk interaktionistiskt perspektivLarsson, Magdalena January 2006 (has links)
<p>Using a symbolic interactionistic analytical approach, this essay aims to study the socialisation of young women’s sexuality in treatment institutions for young women. Through qualitative interviews with staff members at said institutions, concerning their views on young female sexuality, and how they discuss sexuality with the young women in the institutions, my aim was to identify the socialisation of young women’s sexuality. I have also investigated how the staff experiences their own sex as an important factor in conversations about sexuality with young women, as well as the possible effect sexually mixed or sexually segregated institutions exert upon conversations about sexuality. I have therefore interviewed both male and female staff, as well as staff of both sexually mixed and sexually segregated treatment institutions.</p><p>The results indicate that the staff does talk about sexuality with the young women, but in varying degree and form. Treatment ideology seems to have an impact on the conversations of sexuality. The staff perceives their sex to be of importance for the conversations about sexuality but they also emphasise the importance of trusting relationships. They believe that sexuality as a subject arises more often in sexually mixed treatment institutions than in sexually segregated institutions. The staffs’ view on young female sexuality is not characterized by a discourse of desire, but rather by concern for the young women’s vulnerability, triggered by their own behaviour, as well as doubts about the young women’s own sexual desire.</p>
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Damfotbollsspelares uppfattningar om stretching : En intervjustudieOlsson, Fredrik, Eriksson, Tom January 2009 (has links)
<p> </p><p>ABSTRACT</p><p><strong>Background:</strong> There are many studies of stretching and its effects on the body. Research shows that stretching can have both positive and negative effects on the body. Meantime there are no qualitative studies on stretching and how the opinion of stretching is among soccer players. Female soccer players are a group that is rapidly growing and that is injured to a great extent.</p><p><strong>Purpose:</strong> To describe stretching exercising female soccer players’ opinion of stretching.</p><p><strong>Method:</strong> Ten stretching exercising female soccer players over fifteen years of age from two teams were interviewed in a semi-structured interview. The recordings were analyzed through a qualitative content analysis containing a process of abstraction.</p><p><strong>Results:</strong> The participants’ said that there are specific body- and surrounding factors that affects them to exercise stretching. The participants say that when they exercise stretching they follow a specific pattern. They also said that they have been given to little and that they would like more information of stretching. The participants’ talk about the knowledge they have about stretching from their own experiences of exercising stretching.</p><p><strong>Conclusion:</strong> The participants’ opinion of stretching varies like results found in previous research. This study also shows that the participants’ would like more information about stretching and that they find that other people largely affect them to exercise stretching. Further research is needed about to be able to generalize the results found in this study and to deepen the understanding of the topic.</p><p> </p>
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