SammanfattningVid en förlust av en nära anhörig kan ett barns livsvärld förändras, vilket kan innebära ett lidande för barnet. Beroende på barnets ålder, utvecklingsstadium och tidigare erfarenheter reagerar alla barn olika. Sjuksköterskan kan möta barn i sorg inom vården och därför behöver denne veta hur barnet reagerar på förlusten av en nära anhörig.Syftet med studien är att belysa hur barn upplever förlusten av en nära anhörig. Vi gjorde en litteraturstudie mellan årtalen 1999-2011, där vi använde oss av åtta artiklar i vårt resultat. Där framkom fyra ämnen: barnets sätt att hantera sorgen, omständigheter kring dödsfallet, förståelsen av döden utifrån ålder och utveckling och genusperspektiv. Barnen behöver rak och ärlig information anpassat till dess ålder och utvecklingsnivå. Vidare framkom att sjuksköterskan behöver mer kunskap inom området.

Många närstående till en sjuk familjemedlem tar sig an rollen som vårdgivare vilket annars hade antagits av hälso- och sjukvårdspersonal. Nedskärningar inom den offentliga sektorn fortskrider och inte tillräckligt med fokus läggs på hur detta påverkar de närstående som vårdar en sjuk närstående i hemmet. Syftet med litteraturstudien var att beskriva upplevelsen och vad som påverkar upplevelsen av att vara vårdgivare i hemmet till en närstående med Parkinsons sjukdom. Studien utfördes som en litteraturstudie. I resultatet framkom fyra kategorier: Tid och relation, Stöd och information, Sjukdomsförlopp och Symtom. Resultatet visade att vårdgivare upplevde det svårt att ha en normalt fungerande vardag till följd av deras roll som vårdgivare. Vårdgivares upplevda börda ökade även i takt med den närståendes sjukdomsförlopp. En bra relation och mycket ömsesidighet mellan parterna minskade den upplevda bördan hos vårdgivarna samt ökade deras upplevda livskvalitet. Vårdgivare upplevde att stödgrupper minskar deras mentala börda genom att de fick möjlighet att dela med sig av sina erfarenheter till andra och att det hjälpte dem att förstå och själva handskas med sin situation. Vårdgivare upplevde att de inte fick tillräcklig information och stöd från hälso- och sjukvården. Vårdgivare ansåg att den fysiska funktionsnedsättningen var mer påtaglig vid direkt vård och gav mer fysisk påfrestning hos vårdgivaren än vad de psykiska symtomen gjorde. De psykiska symtomen hade större inverkan på vårdgivarens mentala hälsa och deras upplevda börda. Då antalet vårdgivare som vårdar en närstående i hemmet ökar är det av stor vikt att forskning genomförs och uppmärksammas. / Many people related to a sick person take on the role of caregiver, which would otherwise have been adopted by healthcare professionals. Cut downs in the public sector are progressing, and there is not enough focus on how this affects the persons who cares for a sick loved one at home. The purpose of this study was to describe the experience of being a caregiver and what factors affects the experience of a caregiver who cares for a loved one at home with Parkinson’s disease. The results revealed four categories: Time and relationship, Support and information, Disease duration and Symptoms. The results showed that caregivers find it difficult to have a normally functioning everyday life due to their role as caregivers. The caregivers perceived burden increases as the loved ones disease processes. A good relationship and a lot of mutuality between the parties reduce the perceived burden among caregivers, and increase their perceived quality of life. Caregivers feel that support groups reduce their mental workload by enabling them to share their experiences with others and that it helps them to understand and cope with their situation. Caregivers feel they do not receive adequate information and support from health care. The caregivers feel that the loved ones physical disability is more pronounced at the direct care and involves more physical stress than the mental symptoms makes. The psychological symptoms have a greater impact on caregivers’ mental health and their perceived burden. As the number of caregivers who care for a loved one at home increases it is of great importance to maintain research and attention to made research.

Funerals are still considered as very important and well attended occasion in the black townships of South Africa. In the recent past, traditional African funerals practices have affected a number of powerful and complex systems that have been interaction in Africa. The three most important being traditional African cultures, modern Western culture and the environment. The study was conducted to establish factors that led to excessive funerals expenditures in some black townships communities of South Africa, in order to create a pastoral response to this phenomenon. The project was done in Ramatlabama village in the North West province and also in Soweto in the province of Gauteng. A qualitative methodological plan was followed allowing exclusive experiences to emerge. Families, adults and young church groups, clergy, Bishop, Social group and a Funeral undertaker , an in-depth qualitative analysis was employed in order to find the real reasons that led to excessive funeral expenditure. The data collected and analyzed revealed that factors such as impressing neighbors, meeting community and family expectation were the reasons for the phenomenon. There were other external factors that contributed indirectly to the practice and such as commercialization and politicization. In order to address this practice that is making the poor more vulnerable, the Shepherding Model of Gerkin’s and Pollard’s Theory of positive deconstruction was explored. It was found that the Clergy needed to be helped to be aware of the fact that excessive funeral expenditure requires a pastoral response with the right attitude and meaningful dialogues with those affected. The pastoral care-giver with adequate knowledge and exposure to life of pastoral care seeker will have a greater advantage to help most if not all families that usually find themselves in this predicament or dilemma. The best way for the church to help the poor families venture into the future, it’s by educating our communities on how not to spend beyond their means. / Thesis (PhD)--University of Pretoria, 2013. / gm2013 / Practical Theology / unrestricted

The aim of this research was to uncover and understand the experiences, and the coping strategies employed by African teenagers in coming to terms with the death of a loved one, the support needs in relation to this, and the need to provide guidelines on how they would like to be supported by social workers. A qualitative research approach was employed, following an explorative, descriptive and contextual research design. The study was conducted in Cullinan near Pretoria in Gauteng Province. Data were collected, using structured interviews with a purposively selected sample of African teenagers who met the criteria for inclusion in the study. The data were analysed, according to the framework provided by Tesch to ensure the trustworthiness of the qualitative data was to be employed for the data verification. The findings included seven identified themes, the sub-themes and categories of which were supported by the extracts from the interview transcripts, and the literature reviewed for this research. The research report, together with the conclusions and recommendations, based on the conclusion, were drawn from the research- thereby, showing how the goals of the study were achieved. / Social Work / M.A. (Social Science (Mental Health))

In Gestalplaytherapy there is a need for guidelines with a pastoral perspective for the child that is experiencing loss. This research is undertaken to set Gestaltplaytherapeutic guidelines with a pastoral perspective for the therapeutic intervention of the primary school child who is experiencing loss due to the death of a loved one. The study consulted relevant literature and compared the literature study with experience acquired in practice. The impact of the loss that the child is experiencing has an influence on the child as a whole. The researcher has found that the Christian child's experience of loss due to the death of a loved one is influenced greatly by the child's spiritual experience. For this reason it is necessary that Gestaltplaytherapy includes a pastoral approach within the therapeutic setting when working with a child experiencing loss due to the death of a loved one. / In Gestaltspelterapie is daar 'n leemte aan riglyne vanuit 'n pastorale perspektief wat die kind wat verlies ervaar kan begelei. Hierdie navorsing het ten doel om Gestalspelterapeutiese riglyne met 'n pastorale perspektief daar te stel vir die hantering van die laerskoolkind wat verlies ervaar as gevolg van die dood van 'n geliefde. Die studie ondersoek die kind se geestelike belewing van verlies deur middel van navorsing in relevante literatuur en vergelyk dit met praktiese ervaring wat opgedoen is in die praktyk. Die impak van die verlies wat die laerskoolkind ervaar as gevolg van die dood van 'n geliefde raak sy totale menswees. Die navorser het waargeneem dat die Christenkind se ervaring en verwerking van die dood van 'n geliefde ook deur sy geestelike belewing beinvloed word. Daarom is dit nodig dat die kind wat verlies ervaar ook op die pastorale vlak binne die Gestaltspelterapeutiese opset hanteer word. / Social work / M. Diac. (Play Therapy)

In Gestalplaytherapy there is a need for guidelines with a pastoral perspective for the child that is experiencing loss. This research is undertaken to set Gestaltplaytherapeutic guidelines with a pastoral perspective for the therapeutic intervention of the primary school child who is experiencing loss due to the death of a loved one. The study consulted relevant literature and compared the literature study with experience acquired in practice. The impact of the loss that the child is experiencing has an influence on the child as a whole. The researcher has found that the Christian child's experience of loss due to the death of a loved one is influenced greatly by the child's spiritual experience. For this reason it is necessary that Gestaltplaytherapy includes a pastoral approach within the therapeutic setting when working with a child experiencing loss due to the death of a loved one. / In Gestaltspelterapie is daar 'n leemte aan riglyne vanuit 'n pastorale perspektief wat die kind wat verlies ervaar kan begelei. Hierdie navorsing het ten doel om Gestalspelterapeutiese riglyne met 'n pastorale perspektief daar te stel vir die hantering van die laerskoolkind wat verlies ervaar as gevolg van die dood van 'n geliefde. Die studie ondersoek die kind se geestelike belewing van verlies deur middel van navorsing in relevante literatuur en vergelyk dit met praktiese ervaring wat opgedoen is in die praktyk. Die impak van die verlies wat die laerskoolkind ervaar as gevolg van die dood van 'n geliefde raak sy totale menswees. Die navorser het waargeneem dat die Christenkind se ervaring en verwerking van die dood van 'n geliefde ook deur sy geestelike belewing beinvloed word. Daarom is dit nodig dat die kind wat verlies ervaar ook op die pastorale vlak binne die Gestaltspelterapeutiese opset hanteer word. / Social work / M. Diac. (Play Therapy)

本論文はイギリス20世紀のカトリック作家イーヴリン・ウォー(Evelyn Waugh)(1903-66)の後期作品、主に1940-1960年代に書かれた小説について論じるものであり、とりわけ、彼の最後の作品である『名誉の剣』三部作(the Sword of Honour trilogy)を中心に考察する。本論の考察の目的は、作品が書かれた時代のイギリス社会とウォーの作品との関連性、そして彼が希求した、キリスト教徒としての召命のテーマを探ることである。 / This dissertation is on Evelyn Waugh's (1903-66) later novels, written from 1942, through the Second World War, to 1965, especially on his last ones, the Sword of Honour trilogy. With discussions focusing on the relationship of Waugh's works with British society of the same period, this thesis clarifies the theme of vocation, which is observed in most of his novels. / 博士(英文学) / Doctor of Philosophy in English Literature / 同志社大学 / Doshisha University