Thesis (doctoral)--Universiteit Utrecht, 1992.

Thesis (Psy. D.)--Wheaton College Graduate School, Wheaton, IL, 2003. / Abstract. Includes bibliographical references (leaves 37-38).

Thesis (Ph. D.)--Florida State University, 2006. / Advisor: R. Jay Turner, Florida State University, College of Social Sciences, Dept. of Sociology. Title and description from dissertation home page (viewed Sept. 22, 2006). Document formatted into pages; contains viii, 97 pages. Includes bibliographical references.

Thesis (M.S.)--West Virginia University, 2007. / Title from document title page. Document formatted into pages; contains vii, 29 p. : ill. Vita. Includes abstract. Includes bibliographical references (p. 25-26).

Thesis (M.S.)--University of West Florida, 2006. / Title from title page of source document. Document formatted into pages; contains 89 pages. Includes bibliographical references.

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Die Arbeit befasst sich mit der Internetnutzung von psychiatrischen Patienten. Das Angebot an Therapien für Patienten mit psychiatrischen Erkrankungen steigt seit Jahren. Auch die Menge an Informationen, welche vor allem online zu bekommen sind, wird immer größer. Allerdings gibt es nur wenige Informationen zur Internetnutzung von psychiatrischen Patienten im Vergleich zur Gesamtbevölkerung. Sind psychiatrische Patienten bezüglich Zugang zum Internet und Nutzung von Internetinformationen und -therapien benachteiligt?

Mona Wilhelmsson Göstas, School of Health and Medical Sciences, Örebro University, SE-701 82 Örebro, Sweden, mona.vilhelmsson gostas@orebroll.se Attachment styles are relevant to psychotherapy since they highlight the way a person handles interpersonal and emotional stress. This thesis aimed to examine how psychotherapy patients in the public mental health care system report attachment styles related to interpersonal problems and diagnosis before and after psychotherapy and to examine problems and changes and psychotherapy contract and process from patients’ experiences of cognitive behavioural oriented therapy (CBT) and psychodynamic oriented psychotherapy (PDT). The studies are based on data from patients admitted to psychotherapy within the public psychiatric services in Örebro County Council. Studies I and IV were quantitative and used self-reports to examine attachment styles and interpersonal problems before and after psychotherapy. Studies II and III were qualitative interview studies examining patients experiences of problems, changes and psychotherapy process. The patients were diagnosed with mood disorders, anxiety disorders, adjustment disorders and personality disorders and reported insecure avoidant and anxious attachment styles that correlated positively with interpersonal problems when they started therapy. Psychotherapy with CBT or PDT enabled them to turn attachment styles into more secure ones and decrease interpersonal problems Patients aged between 26 and 39, patients who attended 11-25 sessions and patients diagnosed with a personality disorder reported greater changes in secure related attachment than others. Patients described their problems as emotions that could not be regulated, as cognitive disabilities and as problematic behaviours that implied a self-centredness. During the course of psychotherapy, the patients gained abilities to handle their problems. The perceived self-centeredness changed which increased their participation in their life-context. Similarities across the therapy orientations showed that the creation of a new context was essential to pay full attention to the patient’s problems, and that the working method and cooperation with the psychotherapist made up a whole. To make the therapy effective, it is important to build up confidence in cooperation and secure base functions like offering predictability and shaping interventions according to the needs of the patient and their ability to use them.

Orientador: Abilio da Costa Rosa / Banca: David Roberto do Carmo / Banca: Sílvio Yasui / Resumo: Este estudo tem como objetivo geral a leitura das configurações e a análise dos discursos e das práticas de um Centro de Atenção Psicossocial, destinada a atenção e cuidado de pessoas usuárias de álcool e outras drogas, em um município de médio porte, no estado do Paraná. O estudo levou em consideração o campo dos profissionais e da população usuária do serviço. Utilizamos como pautas para a investigação as prerrogativas do Ministério da Saúde, as perspectivas da Reforma Psiquiátrica e os princípios da Atenção Psicossocial. Para o processo investigatório utilizamos duas técnicas de investigação: a Observação Participante e o Grupo de Discussão, que utiliza o recurso da comunicação e expressão de um campo dialético, para obter o conhecimento e desenvolver a reflexão crítica sobre os saberes e as práticas existentes. Os resultados das análises, revelam que o CAPSad ainda está sem uma identidade que o possa definir mais claramente, dentro de um eixo teórico norteador para as práticas psicossociais e para as novas diretrizes nacionais. Apresenta uma relação fraca com o território e uma rede intersetorial pouco integrada, apontados como dificultadores de seu funcionamento. Os profissionais não conseguem articular os fundamentos psicossociais à prática. Para os usuários, o serviço funciona como fator de proteção e são emocionalmente dependentes da instituição, apresentam dificuldade em viver fora do ambiente institucional. O perfil social da maioria dos usuários se caracteriza por pessoas excluídas, marginalizadas socialmente e sem cidadania. / Abstract: The general objective of this study is the reading of the configurations and the analysis of the speeches and practices at a Psychosocial Attention Center destined to the attention and care of users of alcohol and other drugs, in an average city, of the state of Paraná. The study regarded the field of the professionals and the population using the service. We used as guidelines for the inquiry the prerogatives of the Health department, the perspectives of the Psychiatric Reform and the principles of Psychosocial Attention. For the investigating process we used two techniques of inquiry: the Participant Comment and the Group of Discussion, which uses the resource of communication and expression of a dialectic field, to obtain the knowledge and to develop the critical reflection on the existing knowledge and practices. The results of the analyses, disclosed that the CAPSad is still without an identity that could define it more clearly, inside of a guiding theoretical axle for the psychosocial practice and for the new national guidelines. It presents a weak relation with the territory and a poorly integrated inter-sectorial net, elicited as obstacles to its functioning. The professionals can not articulate the psychosocial fundamentals to the practice. For the users, the service works as a protection factor and they are emotionally dependent of the institution, they present difficulty in living outside of the institutional environment. The social profile of the majority of the users if characterizes by excluded people, kept out of society and without citizenship. / Mestre

This thesis examines the cultural and social history of Cardiff City Mental Hospital during the tenure of its first medical superintendent, Dr Edwin Goodall. When the hospital opened in 1908 the asylum movement was at a low point with numbers increasing and recovery rates falling. In spite of this Cardiff's new asylum opened with a spirit of great optimism and a belief that cures for mental disorders were possible. Two primary sources, previously undiscovered, are analysed. The first, the Medical Superintendent Letter Books, are examined and enable insights into the relationship between Dr Goodall and staff within the hospital, society beyond the hospital gates, the Commissioners for Lunacy and Board of Control, the Visiting Committee and the Board of Guardians for Cardiff. The second, the King Edward VII Hospital outpatient notes, give information about the foundation of an innovative approach to mental health care in the period outside of the confines of an asylum. The thesis examines the hospital from a number of perspectives: The relationship between the institution and Cardiff as a city; the role of the medical superintendent; the research conducted and gender relations among patients and staff. It is found that the hospital played a role in Cardiff's portrayal of itself as the Welsh metropolis and was surrounded by a semipermeable membrane allowing passage in both directions between itself and the local community. The role of the superintendent is discovered to have been one of negotiation and compromise rather than of authority. The research played little role in patient treatment yet was lauded by contemporaries but mostly lost to future generations. New light is shone on gender in terms of diagnosis of insanity and on the relationships between male and female staff. The thesis lays bare the culture of the institution in the early twentieth century and adds much to our knowledge of care of the mentally disordered in this period.