This dissertation reports on the lived experiences of four child psychiatric nurses. The territory of child psychiatric nursing is explored in this investigation through the punctuation of many voices within this field of study. The methodology of the investigation is descriptive phenomenology and Colaizzis’ steps in descriptive phenomenology (map) are used to discover and describe the different template theories (the territory) that are unique to each of the four child psychiatric nurses who were interviewed. Following this, a story is punctuated, which is referred to as the structural synthesis. It is the heartbeat of the investigation. The dissertation concludes by reflecting on the paradox of how the invisibility of the child psychiatric nurses allowed for the visibility of the dissertation and encourages the reader to ask pivotal questions about the important role of the child psychiatric nurse, working as part of a multidisciplinary team, in order to improve patient care. / Psychology / M.A. (Clinical psychology)

This descriptive research addressed the challenges of working with the conscious and unconscious aspects of diversity in order to enhance insights into covert and deeper diversity dynamics in organisations. The research supported the evolving trend of shifting the systems psychodynamic orientation from the group to the individual context. The general aim was to describe a systems psychodynamic coaching model, and to determine its trustworthiness in assisting executives to work effectively with conscious and unconscious diversity dynamics. Literature was reviewed to provide a theoretical foundation of diversity challenges which executives face in South African organisations. This was augmented by systems psychodynamic literature, which provided a theoretical basis upon which to understand the intrapsychic aspects of the executives and their interplay with systemic dynamics. The empirical study was conducted over ten months to determine the trustworthiness of executive coaching in diversity from a systems psychodynamic perspective. Data was gathered using the organisational role analysis approach, and analysed by means of the systems psychodynamic discourse analysis method. Nine major themes and their related sub-themes were identified, namely, gender, race, ethnicity, authority, disability, language, age, de-authorisation of diversity work, and the coaching process. Through the coaching, the executives gained insights into their intrapsychic environment and the complex, multifaceted and intersecting nature of diversity in their organisations. They were assisted to take up their leadership roles more effectively and to take action on behalf of their organisations. The research hypothesis formulated and the conclusion made was that executive coaching from a systems psychodynamic perspective displays trustworthiness. / Industrial and Organisational Psychology / D. Litt. et Phil. (Consulting Psychology)

Consulting to the RIDE from a systems psychodynamic stance is different from other group relations training events. Consultants found it difficult to take up their roles as consultants and containers. They were not prepared for the impact of the island on the event and especially on themselves as consultants. The consultants had to work harder to contain their own feelings and anxieties in order to take up their roles. The symbolically laden setting of the RIDE predetermined that the diversities of race and gender were worked with while other diversities were largely ignored. During the RIDE, the consultants felt more anxious, fearful and inhibited. The consultants had to provide containment for the event as a whole, for the group and their fellow consultants as well as for themselves. The consultants found that they had never experienced a more enriching experience than they did with the RIDE. / Industrial and Organisational Psychology / M.Com. (Industrial and Organisational Psychology)

Made available in DSpace on 2016-04-28T20:39:27Z (GMT). No. of bitstreams: 1 Dissertacao Odila Weigand.pdf: 1845061 bytes, checksum: ec8f3a6a9ad23bd2662db8fa5b42b0e2 (MD5) Previous issue date: 2005-05-19 / The purpose of this study was to deepen and update the concept of grounding in Bioenergetic Analysis. This approach combines fundamental principles of psychoanalysis with direct work on the organism, seen from the viewpoint of its emotional, energetic and relational development. Both paradigms of psychoanalysis, pulsion and object-relations, were studied within the context of the historical development of Bioenergetics Analysis, in terms of their influence on the theory as well as on the practice. Brazilian Bioenergetic Analysis therapists have been building their own identity over the last 25 years. This should not be seen as a split from Alexander Lowen's ideas, as it actually means a differentiation born out of those therapists maturity. The integration of the object-relations paradigm, indicates the pathway for a model of psychotherapy which associates the construction of functional and integrative internal organizations with the phase, in psychotherapy, of dismantling repressive and defensive structures. In this study, a group of third-age women participated in Bioenergetics exercise classes for a period of four months. This research may be considered a social project with the objective of demonstrating an application of Bioenergetic Analysis that would preserve its healing potential, at the same time respecting the principles of intersubjectivity, of social inclusion, citizenship and ethics, and also that would be compatible with Brazilian social reality. The work with the group was conducted intending to create resources that might make possible for chronic primary defenses gradually to become unnecessary. Body work and level of excitation were adequated to the developmental level and physical possibilities of the participants. The changes observed in the group were verified by the subjective observation of the coordinators, as well as by verbal manifestations of participants, and by the analysis of the HTP test. In short, those verified changes were: improvement in vitality and flexibility, self-perception, social contact, increased maturity and ego strength, along with possible emergence of unconscious pulsional and traumatic contents. / O objetivo deste trabalho foi aprofundar e atualizar o conceito do grounding na Análise Bioenergética. Esta abordagem combina os princípios fundamentais da psicanálise com o trabalho direto no organismo visto do ponto de vista do seu desenvolvimento energético, emocional e relacional. Os dois paradigmas da psicanálise, pulsional e objetal, foram discutidos no contexto da evolução histórica da Análise Bioenergética, em termos de suas influências na teoria e na prática. Os terapeutas brasileiros vêm criando uma identidade própria ao longo dos últimos 25 anos. Não se trata de uma cisão em relação às idéias de Alexander Lowen, mas de uma diferenciação resultante do amadurecimento dos mesmos. A introdução do paradigma objetal indica o caminho para um modelo de psicoterapia no qual se agregam a construção de organizações internas funcionais e integradoras e a fase de desmonte das estruturas repressivas e defensivas. Neste estudo, mulheres da terceira idade participaram de um grupo de exercícios de Análise Bioenergética por um período de quatro meses. A pesquisa pode ser considerada um projeto social, com o objetivo de demonstrar uma aplicação da Análise Bioenergética que preservasse seu potencial curativo, ao mesmo tempo respeitando princípios de intersubjetividade, inclusão social, cidadania e ética, e também fosse compatível com a realidade social brasileira. O trabalho com este grupo foi conduzido com a intenção de criar recursos para que as defesas primitivas crônicas pudessem tornar-se gradualmente desnecessárias. Trabalhou-se corporalmente com níveis de excitação e técnicas adequadas ao estágio de desenvolvimento e capacidade física das participantes. As mudanças ocorridas no grupo foram constatadas por observação subjetiva das coordenadoras, por manifestações verbalizadas pelas participantes e pela análise do teste HTP. Em síntese caracterizam-se essas mudanças como: melhora na vitalidade e flexibilidade, na auto-percepção, no contato social, maior maturidade, fortalecimento do ego e possibilidade de emergência de conteúdos pulsionais e traumáticos inconscientes.

Made available in DSpace on 2016-04-28T20:38:37Z (GMT). No. of bitstreams: 1 Andrea de Davide Ratto Morelli.pdf: 720847 bytes, checksum: f67ae12322be10f9bae642d62c44bd21 (MD5) Previous issue date: 2013-03-15 / This study aims to gather information on some types of pathological organizations of the personality, using psychoanalytic knowledge. Several authors underlie it, starting with Sigmund Freud, Melanie Klein, Joan Riviere, Wilfred Bion, Herbert Rosenfeld, Hanna Segal and getting to John Steiner, Donald Meltzer, Frances Tustin, Judith Mitrani and James Grotstein, whose works in these areas are discussed more deeply. Efforts are made to understand and identify points of convergence, divergence and/or intersection among concepts like claustrum, psychic retreats, autistic capsules and adhesive pseudo-object relations. Discussion of the importance of continence and the development of schizo paranoid and depressive positions, permeate all the work and are fundamental to the approach of the clinical material presented. Analyst's psychic continence is questioned in face of difficulties as the claustrum seduction, attraction of adhesive pseudo-object relations, embarrassment of tenderness and struggles for dominate or exclusion of the analyst. Facing the difficulties of handling complex defensive systems, such as pathological organizations, confidence in the existence of unconscious need of psychic truth remains encouraging and cherishing, both to continue the trajectory of psychoanalytic exercise, and to achieve the needs of patients / Este estudo tem por objetivo recolher informações sobre alguns tipos de organizações patológicas da personalidade, utilizando conhecimentos psicanalíticos. Vários autores embasam-no partindo de Sigmund Freud, Melanie Klein, Joan Riviere, Wilfred Bion, Herbert Rosenfeld, Hanna Segal e chegando a John Steiner, Donald Meltzer, Frances Tustin, Judith Mitrani e James Grotstein, cujos trabalhos nessas áreas são discutidos mais profundamente. Esforços são realizados para compreender e identificar pontos de convergência, divergência e/ou intersecção entre conceitos como claustros, refúgios psíquicos, cápsulas autistas e pseudorrelações objetais adesivas. Discussões da importância da continência e da elaboração das posições esquizoparanoides e depressivas perpassam todo o trabalho e são fundamentais para a abordagem do material clínico apresentado. A continência psíquica do analista é questionada em face de dificuldades como a sedução dos claustros e a atratibilidade de pseudorrelações objetais adesivas, o embaraço diante da ternura e lutas por dominar ou excluir o analista. Diante da dificuldade de manejo com sistemas defensivos complexos, como os das organizações patológicas, a confiança na existência da necessidade inconsciente da verdade psíquica permanece estimulante e acalentadora tanto para continuar a trajetória do exercício psicanalítico, quanto para alcançar as necessidades dos pacientes

Made available in DSpace on 2016-08-03T16:34:47Z (GMT). No. of bitstreams: 1 Isabel Cristina Mal.pdf: 1230942 bytes, checksum: 559ed4faab30555f3a2230e2f3edf27f (MD5) Previous issue date: 2009-04-17 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / The Morbid Obesity and Bariatric Surgery clinic demands long term studies and applicant follow-up. The risks and benefits of surgically induced weight loss must serve as a warning beacon for health professionals. The interview usage within the psychology service is a guideline for the psychological therapy. Objectives: 1) Describe the social and demographical profile of the obese patients, applying for the bariatric surgery. 2) Analyze the patients perception about personality characteristics associated with obesity and feeding disorders. 3) Describe the psychodynamic contents of the subject s speech and evaluate the unconscious strain system of two patients, through the Phillipson s Object Relations Test (ORT). Method: methodological planning with data analysis through the epidemiological method and clinical case study, from a psychoanalytical orientation. At the first stage, 300 protocols from the psychological service were consulted and at the second stage, two patients with weight gain were followed after 24 months. They are patients who sought treatment at a specialized health center located in a Brazilian southeastern metropolis, under post-informed consent. The protocols were filled by 227 women and 73 men; average age around 36 years old; 53% of them with college and secondary education; most of them married; BMI between severe and super morbid (94,3%). Appointed surgical techniques Capella Bypass and Fobi- Capella (67%). Results: psychological characteristics mentioned by the patients; anxiety appeared in 93,7% of the answers, followed by hastiness, nervousness, depression, tolerance to frustration, low self-esteem, concern, problem solver (more than 50%). Family history of obesity is present in more than 70%. Depression and alcohol abuse in 30%; psychotherapy attendance (30%) and depression / anxiety control medication (10%). In the second stage, the psychodynamic diagnosis, using the Phillipson s Object Relations Test with two patients, whose analysis showed a need for psychoanalytic sychotherapy, because they had fixations on the schizo-paranoid position and displayed difficulty in dealing with losses and low motivation for change and insight. Conclusions: with the interview superposing and the empyrical observations registration, this semi directed interview script brings better conditions to assess and evaluate the contents disclosed by the patients. The contradictions between the answers and the speech, in the individual contact with the psychologist, point that an investment in preparing the patient for the surgery is needed, and, more acutely, the psychological follow-up in the first post-operatory year. There is a magical thought to be working through during the questionnaire application about beliefs toward the surgery and the weight loss and so invite the patient to fullfil the place of the subject implied in the pre and post operatory process. The Phillipson s ORT contributed to a better understanding of mental functioning of obese patients with weight gain after surgery.(AU) / A clínica da Obesidade Mórbida e a Cirurgia Bariátrica exige estudos e acompanhamentos do paciente. Os benefícios e riscos do emagrecimento por tratamento cirúrgico devem servir como ponto de alerta aos profissionais da saúde. O uso do questionário no serviço de psicologia é norteado pela escuta psicológica. Objetivos: 1) Descrever o perfil sócio-demográfico candidatos à cirurgia bariátrica. 2) Analisar a percepção dos pacientes sobre características de personalidade associadas à obesidade e transtornos alimentares. 3) Descrever os conteúdos psicodinâmicos da narrativa do sujeito e avaliar o sistema tensional inconsciente de dois pacientes por meio do Teste das Relações Objetais de Phillipson (TRO). Método: O delineamento metodológico com análise de dados pelo método epidemiológico e estudo de caso clínico, orientação psicanalítica. Na primeira etapa foram consultados 300 questionários do serviço de psicologia e na segunda dois pacientes com ganho de peso após 24 meses. São pacientes que procuraram tratamento em clínica especializada, em uma metrópole do sudeste brasileiro, sob consentimento pós-informado. Os questionários foram preenchidos por 227 mulheres e 73 homens; com média de idade igual a 36 anos; escolaridade ensino médio e superior, 53%; maioria casados; IMC entre grave e super mórbido (94,3%). Técnicas cirúrgicas indicadas Capella Bypass e Fobi-Capella (67%). Resultados: características psicológicas referidas pelos pacientes, a ansiedade apontou em 93,7% das respostas, seguidas por impulsividade, depressão, tolerância à frustração, baixa auto-estima, resolvedor de problemas dos outros (mais de 50%). No histórico familiar da obesidade está em mais de 70% depressão e uso do álcool em 30%; realização de psicoterapia (30%) e medicamentos para depressão e ansiedade (10%). Na segunda etapa, foi realizado o diagnóstico psicodinâmico, por meio do Teste das Relações Objetais de Phillipson com duas pacientes, cuja análise indicou necessidade de psicoterapia psicanalítica, pois tinham fixações na posição esquizoparanóide e apresentavam dificuldade em lidar com perdas e baixa motivação para mudança e insigth. Conclusões: Com a aplicação do questionário e o registro das observações empíricas, este questionário de entrevista semidirigida preenche condições de melhor acessar e avaliar os conteúdos revelados pelos pacientes. As contradições entre as respostas e o discurso, no contato individual com o psicólogo, apontam a necessidade de investimento no preparo do paciente para a cirurgia e mais acentuadamente o acompanhamento psicológico no primeiro ano do pós-operatório. Há um pensamento mágico a ser trabalhado durante a aplicação do questionário sobre as crenças frente à cirurgia e o emagrecimento e assim convocar o paciente a ocupar o lugar do sujeito implicado em seu processo pré e pós-operatório. O TRO contribuiu na compreensão do diagnóstico psicodinâmico de pacientes com ganho de peso após cirurgia e reforçou a necessidade de maior investimento no pré-operatório.(AU)

This dissertation reports on the lived experiences of four child psychiatric nurses. The territory of child psychiatric nursing is explored in this investigation through the punctuation of many voices within this field of study. The methodology of the investigation is descriptive phenomenology and Colaizzis’ steps in descriptive phenomenology (map) are used to discover and describe the different template theories (the territory) that are unique to each of the four child psychiatric nurses who were interviewed. Following this, a story is punctuated, which is referred to as the structural synthesis. It is the heartbeat of the investigation. The dissertation concludes by reflecting on the paradox of how the invisibility of the child psychiatric nurses allowed for the visibility of the dissertation and encourages the reader to ask pivotal questions about the important role of the child psychiatric nurse, working as part of a multidisciplinary team, in order to improve patient care. / Psychology / M.A. (Clinical psychology)

This descriptive research addressed the challenges of working with the conscious and unconscious aspects of diversity in order to enhance insights into covert and deeper diversity dynamics in organisations. The research supported the evolving trend of shifting the systems psychodynamic orientation from the group to the individual context. The general aim was to describe a systems psychodynamic coaching model, and to determine its trustworthiness in assisting executives to work effectively with conscious and unconscious diversity dynamics. Literature was reviewed to provide a theoretical foundation of diversity challenges which executives face in South African organisations. This was augmented by systems psychodynamic literature, which provided a theoretical basis upon which to understand the intrapsychic aspects of the executives and their interplay with systemic dynamics. The empirical study was conducted over ten months to determine the trustworthiness of executive coaching in diversity from a systems psychodynamic perspective. Data was gathered using the organisational role analysis approach, and analysed by means of the systems psychodynamic discourse analysis method. Nine major themes and their related sub-themes were identified, namely, gender, race, ethnicity, authority, disability, language, age, de-authorisation of diversity work, and the coaching process. Through the coaching, the executives gained insights into their intrapsychic environment and the complex, multifaceted and intersecting nature of diversity in their organisations. They were assisted to take up their leadership roles more effectively and to take action on behalf of their organisations. The research hypothesis formulated and the conclusion made was that executive coaching from a systems psychodynamic perspective displays trustworthiness. / Industrial and Organisational Psychology / D. Litt. et Phil. (Consulting Psychology)

Consulting to the RIDE from a systems psychodynamic stance is different from other group relations training events. Consultants found it difficult to take up their roles as consultants and containers. They were not prepared for the impact of the island on the event and especially on themselves as consultants. The consultants had to work harder to contain their own feelings and anxieties in order to take up their roles. The symbolically laden setting of the RIDE predetermined that the diversities of race and gender were worked with while other diversities were largely ignored. During the RIDE, the consultants felt more anxious, fearful and inhibited. The consultants had to provide containment for the event as a whole, for the group and their fellow consultants as well as for themselves. The consultants found that they had never experienced a more enriching experience than they did with the RIDE. / Industrial and Organisational Psychology / M.Com. (Industrial and Organisational Psychology)

This study explored the Object Relations of a sample of 45 subjects who were using alcohol and were diagnosed with co-morbid Depressive or Bipolar disorders and/or Personality disorders. All subjects were receiving treatment at a government psychiatric hospital in South Africa. The similarities and differences in the Object Relations of these individuals were identified. A biographical questionnaire, the Alcohol Use Disorder Test (AUDIT), which was used as a screening measure, and the Bells Object Relations and Reality Testing Inventory (BORRTI) were administered to obtain information from a purposive sample. Descriptive and inferential statistics were used to analyse the results of the assessment measures. Analysis of the BORRTI data indicated a high rate of depressive and personality disorders within this sample. Results of the sub-sample (n=29) whose scores were included in the Pearson’s Correlation Coefficient analysis indicate that higher levels of alcohol consumption result in increased levels of hallucinations and delusions. Other correlations were identified between high levels of alcohol consumption and heightened levels of reality distortions and more uncertainty in the perceptions of these individuals. Significant differences in the scores of the male and female participants were identified. With the female participants, the higher the level of alcohol consumption, the lower the individuals scored in terms of pathological levels of egocentricity, uncertain perceptions, insecure attachments, alienation, social incompetence as well as hallucinations and delusions. Alternatively, in the male sample, higher levels of alcohol consumption result in increased hallucinations and delusions, reality distortions, uncertainty in perceptions, alienation, social incompetence and egocentricity. / Psychology / M.A. (Research Psychology)