Dr. Fagelson, (Professor Audiology, ETSU) will discuss the unusual challenges facing patients and providers when tinnitus severity is linked to traumatic exposure. Interactions between neural mechanisms associated with tinnitus, posttraumatic stress-disorder (PTSD), and traumatic memory will be reviewed with particular attention to the way and degree to which such interactions affect tinnitus and disorders of sound tolerance. Conference attendees will be provided theoretical models of emotional memory consolidation that underscore trauma‘s durable effects on a patient‘s emotional state, reaction to the tinnitus signal, and to potentially-triggering environmental sounds. The putative benefits of tinnitus counseling will be presented in the context of trauma interventions that employ well-established counseling techniques as an element of patient-centered care. Audiologists must provide trauma patients a safe environment and opportunity for dialogue that contributes to a holistic understanding of the patient‘s situation and perceptions; the ultimate goal is to employ interventions and self-assessment instruments that can be used to evaluate patient needs and progress when tinnitus is related to trauma. The potentially-exacerbating effects of comprehensive audiologic assessment will also be addressed.

Made available in DSpace on 2016-03-15T19:48:52Z (GMT). No. of bitstreams: 1 Alcilene Evangelista Campos Rodrigues.pdf: 112814 bytes, checksum: 03c48b2ca41c5dc909bc9f5b05716876 (MD5) Previous issue date: 2009-08-05 / This work starts with the presupposition that the psychological methods, though they are prepared from a vision centered in the man and, in most of the cases, reject completely the idea of God, they cannot be disregarded in their totality, because, anyway, they provide elements that can and must be used in the context of the biblical counseling. Even some more radical subdivisions, which even deny the existence or the necessity of any spirituality for the human being, contain elements that point out searches that are common to the counseling. The inter-relation psychology-counseling remains, to a certain extent, nowadays, isolated, due to the resistance of part of the Biblical Counseling proponents that insist in rejecting any use of the secular systems. However, there are some moments, that it is shown with more or less understanding and making efforts to list and to check the applicability of these points of contact is necessary. For that, it is needed to reconsider the cooperation occurred in the end of the nineteenth (19th) century and to develop this study to the slopes appeared during the twentieth (20th) century. In this sense, it can be considered, in this work, the applicability of the Logotherapy system, defended by the existentialist psychologist Viktor Emil Frankl as a useful tool to the pastoral care,considering the contributions of the counseling model and Gary R. Collins integrationist point of view. / Este trabalho parte do pressuposto que os métodos psicológicos, embora sejam elaborados a partir de uma visão centrada no homem e, na maioria dos casos, rejeitem completamente a idéia de Deus, não podem ser desprezados em seu todo, pois, em maior ou menor grau, fornecem elementos que podem e devem ser utilizados no contexto do aconselhamento bíblico. Mesmo algumas vertentes mais radicais, que chegam até a negar a existência ou a necessidade de qualquer espiritualidade para o ser humano, contêm elementos que apontam para buscas que são comuns ao aconselhamento. A inter-relação psicologia aconselhamento permanece até certo ponto velada, atualmente, devido à da resistência de boa parte dos proponentes do Aconselhamento Bíblico que insistem em rejeitar qualquer utilização dos sistemas seculares. Há momentos, entretanto, que ela se torna manifesta com maior ou menor clareza e o empreendimento de esforços para listar e verificar a aplicabilidade destes pontos de contato se faz necessária. Deve-se, para tanto, retomar a cooperação ocorrida no final do século 19 e expandir este estudo às vertentes surgidas durante o século 20. Neste sentido, considera-se, no presente trabalho, a aplicabilidade do sistema logoterapêutico, defendido pelo psicólogo existencialista Viktor Emil Frankl, como ferramenta de apoio ao cuidado pastoral, considerando as contribuições do modelo de aconselhamento e da visão integracionista de Gary R. Collins.

This study compared the projections by young people in a rural school of risk factors and protective resources in the first and second sand tray. From an indigenisation perspective, the assumption was that sand tray therapy could be suitable to understand risk factors and protective resources in two sand trays of young people. As part of a clinical case study design first and second sand trays (n=22) of clients (n=11) were purposefully selected for comparative analysis. Data sources included visual data (photographs), accompanying client narratives (verbatim transcriptions and field notes), ASL student reflections, and semi-structured interviews with purposefully sampled ASL students. Following thematic data analysis two main themes emerged: risk and protection in first and second sand trays of young people in a rural school; and progression in projections of first and second sand trays of young people in a rural school. Sand tray therapy has utility for use with young people in a rural ecology to (i) use as a contextually and culturally appropriate technique (ii) use in groups in school-based educational psychology services (iii) assess risk factors, (iv) protective resources and (v) the use of first and second sand trays for young people to project positive progression in their experiences of their life-worlds. Consequently, educational psychologists can integrate sand tray therapy, as a contextually appropriate technique, into intervention programmes to understand the experiences of young people in rural ecologies and support them. / Dissertation (MEd)--University of Pretoria, 2017. / Educational Psychology / MEd / Unrestricted

O objetivo desta pesquisa foi investigar as percepções dos cuidadores informais de pacientes de um serviço de assistência domiciliar sobre o cuidar e seu impacto, estudando aspectos positivos e negativos associados a este papel e a influência da assistência domiciliar para o seu desempenho. Participaram 50 cuidadores de pacientes inscritos no NADI Hospital das Clínicas da FMUSP, que responderam uma entrevista semi-dirigida e a Caregiver Burden Scale. Os cuidadores referem aspectos positivos dos cuidados, associados ao aprendizado e ao ganho narcísico, bem como aspectos negativos, como a perda de liberdade. Conclui-se que cuidar traz perdas e ganhos ao cuidador, relacionados ao seu envolvimento com a atividade e que as orientações da equipe são importantes para o sentimento de segurança do mesmo / The objective of this research was to investigate the perception of informal caregivers of patients attended by a home care program, about the care and its impact, studying positive and negative aspects associated with this role and the influence of home care and its development. Fifty caregivers of patients registered at NADI Hospital das Clínicas of FMUSP, participated in the study, answering the questions of a semi-structured interview and the Caregiver Burden Scale. Caregivers refer to positive aspects of caring related to learning and narcisistic gains, as well as to negative ones, such as the loss of freedom. It includes that caring brings losses and gains to the caregiver which are related to his involvment with the activity and that the staff´s orientation is very important for their feeling of security

O objetivo desta pesquisa foi investigar as percepções dos cuidadores informais de pacientes de um serviço de assistência domiciliar sobre o cuidar e seu impacto, estudando aspectos positivos e negativos associados a este papel e a influência da assistência domiciliar para o seu desempenho. Participaram 50 cuidadores de pacientes inscritos no NADI Hospital das Clínicas da FMUSP, que responderam uma entrevista semi-dirigida e a Caregiver Burden Scale. Os cuidadores referem aspectos positivos dos cuidados, associados ao aprendizado e ao ganho narcísico, bem como aspectos negativos, como a perda de liberdade. Conclui-se que cuidar traz perdas e ganhos ao cuidador, relacionados ao seu envolvimento com a atividade e que as orientações da equipe são importantes para o sentimento de segurança do mesmo / The objective of this research was to investigate the perception of informal caregivers of patients attended by a home care program, about the care and its impact, studying positive and negative aspects associated with this role and the influence of home care and its development. Fifty caregivers of patients registered at NADI Hospital das Clínicas of FMUSP, participated in the study, answering the questions of a semi-structured interview and the Caregiver Burden Scale. Caregivers refer to positive aspects of caring related to learning and narcisistic gains, as well as to negative ones, such as the loss of freedom. It includes that caring brings losses and gains to the caregiver which are related to his involvment with the activity and that the staff´s orientation is very important for their feeling of security

Syfte Syftet med uppsatsen är att undersöka hur de lärosäten i Sverige som erbjuder ämneslärarprogrammet för gymnasiet med ingång idrott och hälsa, tolkar och tillämpar det centrala innehållet spänningsreglering och mental träning från kursen idrott och hälsa 1. Genom intervjuer med utvalda representanter från lärosätena samt en genomförd dokumentanalys av relevanta dokument ämnar vi att finna svaren på följande frågeställningar: 1. Vad finns i lärosätenas utbildning kopplat till det centrala innehållet spänningsreglering och mental träning? 2. Vilka kunskaper ska studenterna få med sig inom det centrala innehållet spänningsreglering och mental träning efter genomförd lärarutbildning? 3. Hur ser diskursen ut om prestation och hälsa i relation till begreppen spänningsreglering och mental träning? 4. Anser lärosätena att spänningsreglering och mental träning är relevanta begrepp inom utbildningen?  Metod I den första delen av uppsatsen användes en dokumentanalys utifrån Bergs (2003) modell för att undersöka utvalda kursplaner. En intervju genomfördes med vardera representant från lärosätena och kodades därefter med stöd av Watts Boolsens (2007) innehållsanalys. Tolkningarna gjordes med hjälp av Lindes läroplansanalys (2012), vilket var studiens teoretiska ramverk. Urvalet i intervjuerna var studierektor eller närliggande yrkestitel, från de sju lärosäten som erbjuder ämneslärarutbildning för gymnasiet med ingång idrott och hälsa samt utvalda kursplaner och styrdokument från lärosätena och Skolverket. Resultat Lärosätena anser att det är svårt att tolka begreppen. Spänningsreglering är det begrepp som används mest frekvent medan begreppet mental träning ofta väljs bort till förmån för andra begrepp. Hälsa utifrån ett salutogent synsätt är en gemensam utgångspunkt vid alla lärosäten, varje representant använde något av verktygen yoga, tai-chi eller aktiviteter ute i naturmiljö i deras utbildning vilket går i linje med Skolverkets bedömningsstöd. Användandet och inställning till idrottspsykologiska metoder ser olika ut bland lärosätena, framförallt prestationsinriktad idrottspsykologi kopplat till mental träning är en vattendelare. Slutligen anser lärosätena enhetligt att ett förtydligande av begreppen krävs, på grund av faktorer kopplat till samhällets förändring samt en otydlighet i att begreppen är utskrivna i centralt innehåll men inte återfinns som ett kunskapskrav vilket Skolverket har ansvar över. Slutsatser Mental träning är ett begrepp som lärosätena inte har tagit till sig i stor utsträckning vid utbildningarna, vilket syns i kursplanernas innehåll samt i representanternas svar. En kommunikation finns mellan lärosätena kring flera undervisningsområden men inte om det centrala innehållet spänningsreglering och mental träning, samtidigt som att representanterna uttrycker en osäkerhet i tolkningen av begreppen, vilket vi har identifierat som ett problem. Det finns en diskurs om prestation och hälsa i relation till spänningsreglering och mental träning, representanternas har olika åsikter gällande användning av begreppen. En majoritet anser att de kan arbeta med prestationsinriktning om innehållet kontextualiseras till skolans miljö, men trots det syns det inte i nuläget i stor utsträckning i kursplanerna på utbildningarna. / Aim The aim of the thesis is to investigate how the universities in Sweden that offer the PE-teacher program for upper secondary school, interpret and apply the central content of tension adjustment and mental training for the course physical education and health 1. Through interviews with selected representatives from the universities and a document analysis of relevant documents, we aim to find the answers to the following questions: 1. What is in the universities education linked to the central content of tension adjustment1 and mental training? 2. What knowledge should the students acquire linked to the central content tension adjustment and mental training after completed education?3. What does the discourse look like about performance and health in relation to the concepts of tension adjustment and mental training? 4. Does the universities think tension adjustment and mental training are considered as relevant concepts through the education? Method In the first part of the essay, a document analysis based on Berg's (2003) model was used to examine selected curriculums and course plans. For the main part of the essay, an interview guide was created based on a qualitative open-ended form of interviews (Hassmèn & Hassmèn, 2008). An interview were conducted with each representative from the universities and were then coded with the support of Watts Boolsen's (2007) content analysis. The interpretations were made with the help of Linde's curriculum analysis (2012). The sample for the interviews was the director of studies or related professional titles at the seven universities that offer PE-teacher education for upper secondary school, as well as selected syllabus and governing documents from the universities and the The Swedish National Agency for Education. Results The universities consider it difficult to interpret the concepts. Tension adjustment is the term most frequently used while the term mental training is questioned and is often excluded in favor of other concepts. The work with health from a salutogenic approach is common at all universities, each representative use the tools yoga, tai-chi or activities in the environment in their education, which is in line with The Swedish National Agency for Education. The use and attitude to sport psychology methods looks different among the universities, and then above all performance-oriented sports psychology methods linked to mental training is a watershed. Finally, the universities unanimously believe that a clarification of the conceptis required, due to factors like changes in the society and the current unclear content in Skolverkets central content but which is not included as a knowledge requirement.  Conclusions Mental training is not a concept that the universities have adopted much in their educations, based on the the representatives' answers and in the curriculum. There is a communication between the universities how they work within other teaching areas, but not about this and at the same time the representatives express an uncertainty in the interpretation of the concepts, which we have identified as a problem. There is a discourse in performance and health in relation to tension adjustment and mental training, the representatives have different opinions regarding the use of terms. The majority of the representatives believe that it is possible to work with performance focus if the content is contextualized to the school. But right now it ́s not a big part because it ́s not included in the curriculum of the universities.