Den här kvalitativa studien syftar till att undersöka socialarbetares erfarenheter av att arbeta med patologiska samlare, med fokus på vilka socialpsykologiska faktorer som kan tänkas ha betydelse för att främja samarbete. Fjorton intervjuer har genomförts med socialarbetare som arbetar inom socialpsykiatrin inom olika stadsdelsförvaltningar inom Stockholms län. Resultatet har analyserats med hjälp av attributionsteori, samspelsinriktad teori och strukturell teori. Resultatet visar på att det finns flera faktorer som påverkar samarbetet med patologiska samlare. Samarbete upplevs vara avgörande för att den patologiska samlaren ska göra framsteg och det är också viktigt att yrkesverksamma är eniga kring hur man ska angripa problemet. Socialarbetarna betonar olika strategier för att bygga relation med klienten, som i många fall går utöver den konventionella handläggarrollen. Socialarbetarna är överens om att det är viktigt att gå försiktigt fram samt att låta processen ta tid. Socialarbetarna understryker betydelsen av att vara finkänslig men samtidigt tydlig med klienten. De framhåller att balansen mellan att vara finkänslig och tydlig är svår eftersom det har hänt att klienterna blivit kränkta när socialarbetarna reagerat vid möten. Socialarbetarna framhåller svårigheten att kunna hjälpa klienter som inte vill, varav den fria viljan kan sätta stopp för att kunna hjälpa klienterna. Samtidigt framhåller de att frivilligheten inte alltid ter sig frivillig när det föreligger underliggande vräkningshot. / This qualitative study aims to examine social workers experiences of working with hoarders, focusing on what social psychological factors may be thought to play a role in promoting collaboration. Fourteen interviews have been conducted with social workers in social psychiatry units in various districts of Stockholm county. The results have been analyzed using attribution theory, interaction theory and structural theory. The results show that there are several factors that affect the collaboration with the hoarder. Collaboration is considered vital for the hoarder to make progress and it is also important that there is consensus among professionals about how to approach the problem. Social workers experience a strong resistance in working with clients, which places high demands on the professional role to be persistent and patient. The social workers in this study emphasize different strategies for building relationships with the client, which in many cases go beyond the conventional role of the social worker. The social workers agree that it is important to proceed cautiously and allow the process to take time. The social workers in this study emphasize that it is important to think about being sensitive and at the same time direct with the client. They believe that the balance between being sensitive and direct is difficult as they have experienced that the clients has been offended by them showing strong reactions. The social workers emphasize the difficulty of being able to help clients that do not want to, of which the free will can create problems to be able to help the clients. At the same time, they point out that voluntary is not always voluntary when there are underlying eviction threats.

This qualitative interview study examines the shared and discrepant experiences that nine professionals, three from each field of psychiatry, social service, and housing have from working with people with hoarding disorder, and their view on help. The main difficulty when working with hoarding disorder is described as lack of insight and understanding of the severity and consequences of the disorder among people with the disability. Professionals highlight the importance of proper diagnosis and cooperation among disciplinary teams working with hoarding disorder. Approaches differ regarding the issue of how to best help a person with hoarding disorder, especially as the emphasis of autonomy becomes more prevalent. The landlords who were interviewed expressed the hoarders’ need of help from the society, whereas the social service interviewees accentuated voluntariness and motivation as a favorable long-term management. The psychiatry interviewees stressed that coercive measures are devastating, but sometimes necessary. The opinion that the view of normality in the context of hoarding needs to be questioned, was shared by the interviewees from all the three fields. In conclusion, the professionals describe their work with hoarding behavior as complex and emphasize the need for more knowledge concerning this subject. Empowerment theory is applied in the study.

Prostate cancer is the most common cancer in Sweden. Patients with the condition have a good prognosis in general and most cases can be treated. Localized prostate cancer is primarily treated via surgery or radiation therapy and is diagnosed with the help of different imaging modalities, such as magnetic resonance imaging, MRI, and positron emission tomography, PET. The diagnosis is confirmed and the aggressiveness of the cancer is determined through biopsies. Samples from a small part of the prostate are extracted and then examined. This could mean that parts of higher aggressiveness may be missed, which in turn could lead to under-treatment of the cancer. The aggressiveness of a lesion can be described by Gleason Score, GS, which is determined by an visual assessment of the shape, size and arrangement of the cells. The aim of this study was to correlate GS with in-vivo images using MRI and PET. This was accomplished by investigating image data from PSMA PET, Acetate PET, Ktrans MRI and T2-weighted MRI from a cohort of 26 prostate cancer patients containing 74 lesions. Regions of interests, ROI:s, were created and applied on all images. Statistics such as median and max value were extracted from each ROI. The statistics were combined to get a wide range of descriptive variables for each respective imaging modality. These were normalised against a certain zone of the prostate or only the absolute value. The results indicated that PSMA PET, Acetate PET and Ktrans MRI were correlated to GS, while T2-weighted MRI was not. Data also indicated that PSMA PET, Acetate PET and Ktrans MRI give complementary information to each other, which could indicate that a combination of the modalities would better predict GS. The implications of these findings could affect both the diagnostics and the treatment of prostate cancer.