M.Sc. (Occupational Therapy), Faculty of Health Sciences, University of the Witwatersrand, 2011 / Aim: To compile an assessment protocol, comprising of appropriate assessment methods, which can be used to assess activity participation in those suffering from mental illness. Research methods: An audit of existing performance-based instruments was carried out, and thereafter focus groups with clinicians were conducted. The methods of assessment were collected through review of existing performance-based assessments and by means of discussion groups with occupational therapists in mental health care. Following this the Activity Participation Assessment protocol was compiled. The content validity was then investigated through expert review. Results: Assessment methods for the domains of the Activity Participation Assessment were determined. Common methods of assessment included interviewing, activities, collateral information and standardised assessments. The content validity indices for all domains of assessment were above the 0.80 recommendation for new instruments. Conclusion: The Activity Participation Assessment has good content validity and can be used in the clinical setting.

This study explores the potential implications of narcissism in the way that Counselling Psychologists relate to themselves and their clients. Narcissism is understood as a situation that affects negatively one’s self-knowledge and ability to engage with others. This research examines therapists’ narcissism as it may manifest in their therapeutic practice and in relation to their ability to be aware of and use effectively the interpersonal dynamics of the therapeutic relationship. The researcher also explores how her own narcissism might appear in her relationships with others and her clients. The investigator chose a heuristic qualitative method as she thought that its focus on intrapersonal and interpersonal processes would help bring to light hidden dimensions of therapists’ narcissism in their practice as they were being reflected in the relationship between the therapists and the researcher. An interest in phenomenology and especially in aspects of dialogue and intersubjectivity, as well as the researcher’s commitment to constructionist epistemology shaped the way the methodology and method were implemented. The sample consisted of nine Counselling Psychologists, who participated in open-ended semi-structured interviews. The selection was based on their interest in the subject. The data collection arose from continuous interactions between participant and researcher as a result of the on-going relationship. The research design followed Moustakas’ (1990) phases of heuristic inquiry: initial engagement, immersion, incubation, illumination, explication and creative synthesis. The data were analysed through self-dialogue as well as the interaction between the researcher and the co-researchers. Drawing on hermeneutics helped the researcher unpack complex meanings about the participants’ experience of the phenomenon. The findings of this research suggest that narcissism manifests as a false, superior persona that serves to cover feelings of insignificance stemming from the early frustration of the individual’s needs for love and attention. Practitioners’ narcissistic needs often appear in their clinical work. Male therapists tend to ask for validation and mirroring from their clients and female therapists tend to deny their needs for admiration and approval behind a selfless facade. Nevertheless, both functions can be found in the same person. Narcissistic needs and vulnerabilities are frequently dissociated, denied and projected onto others, as their acknowledgement possibly causes a great amount of shame. By being open to their narcissism and their hidden needs for love and approval practitioners seem to become more able to reflect and relate openly to themselves and their clients. This increased ability can be associated with what Symington (1993) calls a “reversal” of narcissism. This research suggests that through acknowledging their narcissism and reflecting on their deep and hidden emotions practitioners can more easily engage in an honest and mutual exploration with their clients, which can help them to reach a greater knowledge about themselves. The researcher also found that her own narcissistic vulnerabilities, if unacknowledged can stop her from engaging openly and freely in the relationship with clients. The importance of looking at the therapists’ emotional baggage and commitment to achieve greater interpersonal growth, which is important to the field of Counselling Psychology, is emphasised in this study. Future researchers are encouraged to look at the clients’ perceptions of therapists’ ability to acknowledge their narcissistic vulnerabilities in order to attain a wider knowledge about the phenomenon.

Orientador: Abílio Costa-Rosa / Banca: Sílvio José Benelli / Banca: Doris Luz Rinaldi / Resumo: Nosso objetivo principal foi pensar a clínica da Atenção Psicossocial à luz dos referenciais teórico-técnicos e ético-políticos psicanalítico e marxiano, considerando a análise paradigmática, postulada por Costa-Rosa, que define o Paradigma Psicossocial como um passo além da Reforma Psiquiátrica brasileira. A partir da práxis clínica e institucional, tentamos fundamentar uma modalidade de psicotherapia na qual a psicanálise do campo de Freud e Lacan é aplicada. Especificamos o enfoque desta reflexão no campo da Saúde Coletiva e na clínica do recalcamento (contexto das "neuroses"). Partimos do Dispositivo Intercessor, como um novo Modo de Produção de subjetividade e "conhecimento". De natureza transdisciplinar, o Dispositivo Intercessor parte, principalmente, da psicanálise e do Materialismo Histórico - bem como de inspirações da Análise Institucional francesa e da Filosofia da Diferença - para definir dois momentos de produção radicalmente diferentes: o momento da práxis clínica junto aos "sujeitos do tratamento" e da práxis institucional junto ao "coletivo de trabalho"; e o momento da reflexão teórica, produzida a posteriori, sobre o processo de produção realizado no primeiro momento. Se Freud idealizou a possibilidade de inserção da psicanálise nas instituições públicas, nossas reflexões pretendem demonstrar que essa empreitada é tão possível quanto eticamente necessária. Para tal, recorremos também aos desdobramentos teórico-técnicos e éticos realizados por Lacan. Nessa perspectiva, consideramos que, se as psicoterapias em geral, partindo de "um cura" ativo, fazem enxertos de sentido imaginário-tautológico na tentativa de suturar a fenda aberta pela angústia, produzindo readaptação a favor do instituído social, uma psicotherapia Outra parte da orientação ética psicanalítica de suspensão do Saber-Poder-curar, tendo como ... / Abstract: Our main objective was to reflect on the clinic of Psychosocial Care in the light of technical-theoretical as well as ethical-political psychoanalytic and Marxian references, considering the paradigmatic analysis, postulated by Costa-Rosa, who defines the Psychosocial Paradigm as a step beyond the Brazilian Psychiatric Reform. From a clinical and institutional praxis, we have attempted to found a modality of psicotherapy in which Freud and Lacan's psychoanalysis is applied. We specify the focus of this reflection in the field of Collective Health and in the clinic of suppression (context of "neurosis"). We start from the Intercessor Device as a new Mode of Production of subjectivity and "knowledge". Of transdisciplinary nature, the Intercessor Device originates mainly from psychoanalysis and Historical Materialism - as well as from inspirations of the french Institutional Analysis and Philosophy of Difference - to define two radically different moments of production: that of clinical praxis together with the "subjects of treatment" and of institutional praxis with the "collective of work"; and the moment of theoretical reflection, produced a posteriori, on the production process carried out along the first moment. If Freud envisioned the possibility of inclusion of psychoanalysis in public institutions, our reflections intend to demonstrate that this endeavor is both possible and ethically necessary. For such, we also resort to theoretical-technical and ethical unfoldings also carried out by Lacan. In this perspective, we consider that if psychotherapies in general, from an active "healer", produce grafts of imaginary-tautological sense in trying to suture the slit opened up by anxiety, producing readaptation in favor of the socially-instituted, anOther psychotherapy sets itself out from the psychoanalytic ethical guidance of suspending Knowledge-Power-cure, having as effect the ... / Mestre

The provision of school based psychological services in Victorian primary and secondary schools dates back to well before the Second World War. Since then, however, the activities that make up the role of school psychologists have changed substantially. School psychologists' roles have become more varied than the original psychometric focus and reflect a more systemic approach to the conceptualization of student problems. Within Australia, school psychologists can be found servicing single or multiple schools in the government, independent and Catholic school sectors, fulfilling a range of functions and dealing with a diversity of student issues. However, Australian academic research into the professional practice issues associated with the provision of school-based psychological services is rare. Therefore, this thesis sought to investigate a range of professional issues associated with the provision of school-based psychological services for Victorian school psychologists working in single and multiple schools in the government and non-government primary and secondary school sectors. In addition to surveying Victorian school psychologists, principals and teachers were also surveyed in order to ascertain their attitudes towards school-based psychological services. The sample consisted of 81 school psychologists, 21 principals and 86 teachers. The results revealed that school psychologists participate in a variety of activities, including a number of activities that reflect a systemic model of service delivery. They also deal with a broad range of student issues, some of which are quite serious in nature. However, the study also revealed a number of professional issues that were in need of improvement. Some of these included a lack of participation in regular supervision for school psychologists, school psychologists' dissatisfaction with some industrial and professional conditions associated with their role and differences in attitudes between psychologists, principals and teachers regarding the activities and responsibilities of school psychologists. Results from the study provide plausible evidence for the need to support school psychologists in the valuable work that they do within schools through improved industrial conditions, appropriate professional development, and regular supervision. Furthermore the results also reveal a need to educate and participate in dialogue with the educational community in order to increase understanding of school psychologists' roles and professional responsibilities.

Made available in DSpace on 2015-03-05T19:35:30Z (GMT). No. of bitstreams: 0 Previous issue date: 14 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / Investigar o abandono de atendimento psicológico de crianças auxilia na avaliação da qualidade das terapias na clínica da infância. O trabalho com crianças torna mais complexa a situação de tratamento, onde o campo terapêutico constituir-se-á não somente do par analista-paciente, mas de uma tríade analista-paciente-pais. Pesquisar clínicas-escola cria possibilidades de aperfeiçoamento, sendo também uma forma de prevenir e enriquecer esse ambiente de formação, principalmente se possui um número alto de pacientes que não completam o tratamento. O objetivo deste estudo é examinar, entre crianças que estiveram em atendimento psicológico numa clínica-escola, variáveis que possam ter influenciado no abandono de seus processos psicoterápicos. Para realizar este estudo foram analisados protocolos de atendimentos no arquivo de uma clínica-escola, localizada na região metropolitana de Porto Alegre, para examinar os casos de atendimento de crianças de 3 a 12 anos de idade, no período de 1999 a 2006. Os protocolos contêm / To investigate psychology treatment dropout of children helps the evaluation of the quality of therapy in children´s clinic. The work with children makes the treatment situation more complex, where the therapeutic field will constitute not only of the couple patient-analyst, but of a triad analyst-patient-parents. To assess school-clinics creates possibilities of improvement, being also a form to prevent and enrich this training environment, principally if it has a large number of patients that do not complete the treatment. The objetive of this study was to examine, among children who were attending a psychology clinic, variables that might have influenced the abandonment of their psychotherapeutic processes. In order to execute the study the protocols from the archive of the school-clinic located in the metropolitan region of Porto Alegre were analyzed. All children´s cases ages 3 to 12 years old from 1999- 2006 were examined. The protocols contained sociodemographic information, the case evolution, referra

Made available in DSpace on 2014-06-11T19:29:04Z (GMT). No. of bitstreams: 0 Previous issue date: 2002-07-26Bitstream added on 2014-06-13T19:17:12Z : No. of bitstreams: 1 garcia_as_me_assis.pdf: 271128 bytes, checksum: 9f41707f06f965688850e42ec36260f5 (MD5) / A saúde mental na saúde pública segue a trajetória histórica que teve origem em países europeus e nos EUA no pós-guerra e posteriormente no próprio movimento brasileiro e estadual paulista que busca a humanização através de movimentos antimanicomiais e de democratização dos serviços. Neste contexto histórico, a presente pesquisa buscou compreender como pacientes inseridos nos serviços de saúde pública, que apresentam queixas físicas, estabelecem a relação inicial em psicoterapia de orientação psicanalítica. Para tanto utilizamos estudos da psicossomática e identificamos que a expressão através do corpo torna-se a principal via de comunicação, onde esta forma de representação dos conteúdos internos constitui a identidade do sujeito, e por vezes, o abandono do tratamento a partir das entrevistas iniciais ocorre como forma de manutenção dos sintomas e preservação da identidade constituída. A inserção das entrevistas iniciais em uma instituição de saúde pública demandou a análise do funcionamento institucional, onde a organização das funções da instituição presentes em seu discurso é que produzem a subjetividade, sendo também produtoras da exclusão do indivíduo em decorrência dos conflitos institucionais entre as práticas instituídas e os movimentos em curso dentro da instituição. Concluiu o presente estudo que os pacientes aqui mencionados estabelecem a relação inicial em psicoterapia através da expressão de seus sintomas, sendo assim, o uso da técnica embasada no referencial psicanalítico será mais produtiva se efetuar a relação da linguagem dos sintomas e da história de vida de cada indivíduo, em detrimento da fala como expressão de sentimentos. / The mental health in the public health follows the historical trajectory that later had origin in European countries and U.S.A. in the postwar period and in the proper Brazilian movement and state native of São Paulo who searchs the humanização through antimanicomiais movements and of democratization of the services. In this historical context, the present research searched to understand as patient inserted in the services of public health, that present physical complaints, they establish the initial relation in psycotherapy of psychoanalític orientation. For in such a way we use studies of the psychosomatic one and we identify that the expression through the body becomes it main way of communication, where this form of representation of the internal contents constitutes the identity of the citizen, and for times, the abandonment of the treatment from the initial interviews occurs as form of maintenance of the symptoms and preservation of the identity constituted. The insertion of the initial interviews in an institution of public health demanded the analysis of the institucional functioning, where the organization of the functions of the institution gifts in its speech is that they produce the subjectivity, being also producing of the exclusion of the individual in result of the instituted institucional conflicts between the practical ones and the movements in course inside of the institution. It concluded the present study that the patients mentioned here establish the initial relation in psycotherapy through the expression of its symptoms, being thus, the use of the technique based in the psychoanalític referencial will be more productive to effect the relation of the language of the symptoms and the history of life of each individual, in detriment of speaks as expression of feelings.

Made available in DSpace on 2016-02-05T18:30:07Z (GMT). No. of bitstreams: 0 Previous issue date: 2014-01-30. Added 1 bitstream(s) on 2016-02-05T18:34:14Z : No. of bitstreams: 1 000781535.pdf: 1338398 bytes, checksum: 3afbff35ab06f0fcad3f04d3d5615717 (MD5) / Nosso objetivo principal foi pensar a clínica da Atenção Psicossocial à luz dos referenciais teórico-técnicos e ético-políticos psicanalítico e marxiano, considerando a análise paradigmática, postulada por Costa-Rosa, que define o Paradigma Psicossocial como um passo além da Reforma Psiquiátrica brasileira. A partir da práxis clínica e institucional, tentamos fundamentar uma modalidade de psicotherapia na qual a psicanálise do campo de Freud e Lacan é aplicada. Especificamos o enfoque desta reflexão no campo da Saúde Coletiva e na clínica do recalcamento (contexto das neuroses). Partimos do Dispositivo Intercessor, como um novo Modo de Produção de subjetividade e conhecimento. De natureza transdisciplinar, o Dispositivo Intercessor parte, principalmente, da psicanálise e do Materialismo Histórico - bem como de inspirações da Análise Institucional francesa e da Filosofia da Diferença - para definir dois momentos de produção radicalmente diferentes: o momento da práxis clínica junto aos sujeitos do tratamento e da práxis institucional junto ao coletivo de trabalho; e o momento da reflexão teórica, produzida a posteriori, sobre o processo de produção realizado no primeiro momento. Se Freud idealizou a possibilidade de inserção da psicanálise nas instituições públicas, nossas reflexões pretendem demonstrar que essa empreitada é tão possível quanto eticamente necessária. Para tal, recorremos também aos desdobramentos teórico-técnicos e éticos realizados por Lacan. Nessa perspectiva, consideramos que, se as psicoterapias em geral, partindo de um cura ativo, fazem enxertos de sentido imaginário-tautológico na tentativa de suturar a fenda aberta pela angústia, produzindo readaptação a favor do instituído social, uma psicotherapia Outra parte da orientação ética psicanalítica de suspensão do Saber-Poder-curar, tendo como ... / Our main objective was to reflect on the clinic of Psychosocial Care in the light of technical-theoretical as well as ethical-political psychoanalytic and Marxian references, considering the paradigmatic analysis, postulated by Costa-Rosa, who defines the Psychosocial Paradigm as a step beyond the Brazilian Psychiatric Reform. From a clinical and institutional praxis, we have attempted to found a modality of psicotherapy in which Freud and Lacan's psychoanalysis is applied. We specify the focus of this reflection in the field of Collective Health and in the clinic of suppression (context of neurosis). We start from the Intercessor Device as a new Mode of Production of subjectivity and knowledge. Of transdisciplinary nature, the Intercessor Device originates mainly from psychoanalysis and Historical Materialism - as well as from inspirations of the french Institutional Analysis and Philosophy of Difference - to define two radically different moments of production: that of clinical praxis together with the subjects of treatment and of institutional praxis with the collective of work; and the moment of theoretical reflection, produced a posteriori, on the production process carried out along the first moment. If Freud envisioned the possibility of inclusion of psychoanalysis in public institutions, our reflections intend to demonstrate that this endeavor is both possible and ethically necessary. For such, we also resort to theoretical-technical and ethical unfoldings also carried out by Lacan. In this perspective, we consider that if psychotherapies in general, from an active healer, produce grafts of imaginary-tautological sense in trying to suture the slit opened up by anxiety, producing readaptation in favor of the socially-instituted, anOther psychotherapy sets itself out from the psychoanalytic ethical guidance of suspending Knowledge-Power-cure, having as effect the ...

Made available in DSpace on 2014-11-10T11:09:57Z (GMT). No. of bitstreams: 0 Previous issue date: 2014-01-30Bitstream added on 2014-11-10T11:57:29Z : No. of bitstreams: 1 000781535_20160130.pdf: 425965 bytes, checksum: a1871ca845e83a3c501197a7406f3922 (MD5) Bitstreams deleted on 2015-04-13T18:26:27Z: 000781535_20160130.pdf,Bitstream added on 2015-04-13T18:27:07Z : No. of bitstreams: 1 000781535_20160130.pdf: 336765 bytes, checksum: 09aa088597765c0e58d3ce8779719534 (MD5) / Nosso objetivo principal foi pensar a clínica da Atenção Psicossocial à luz dos referenciais teórico-técnicos e ético-políticos psicanalítico e marxiano, considerando a análise paradigmática, postulada por Costa-Rosa, que define o Paradigma Psicossocial como um passo além da Reforma Psiquiátrica brasileira. A partir da práxis clínica e institucional, tentamos fundamentar uma modalidade de psicotherapia na qual a psicanálise do campo de Freud e Lacan é aplicada. Especificamos o enfoque desta reflexão no campo da Saúde Coletiva e na clínica do recalcamento (contexto das “neuroses”). Partimos do Dispositivo Intercessor, como um novo Modo de Produção de subjetividade e “conhecimento”. De natureza transdisciplinar, o Dispositivo Intercessor parte, principalmente, da psicanálise e do Materialismo Histórico – bem como de inspirações da Análise Institucional francesa e da Filosofia da Diferença – para definir dois momentos de produção radicalmente diferentes: o momento da práxis clínica junto aos “sujeitos do tratamento” e da práxis institucional junto ao “coletivo de trabalho”; e o momento da reflexão teórica, produzida a posteriori, sobre o processo de produção realizado no primeiro momento. Se Freud idealizou a possibilidade de inserção da psicanálise nas instituições públicas, nossas reflexões pretendem demonstrar que essa empreitada é tão possível quanto eticamente necessária. Para tal, recorremos também aos desdobramentos teórico-técnicos e éticos realizados por Lacan. Nessa perspectiva, consideramos que, se as psicoterapias em geral, partindo de “um cura” ativo, fazem enxertos de sentido imaginário-tautológico na tentativa de suturar a fenda aberta pela angústia, produzindo readaptação a favor do instituído social, uma psicotherapia Outra parte da orientação ética psicanalítica de suspensão do Saber-Poder-curar, tendo como ... / Our main objective was to reflect on the clinic of Psychosocial Care in the light of technical-theoretical as well as ethical-political psychoanalytic and Marxian references, considering the paradigmatic analysis, postulated by Costa-Rosa, who defines the Psychosocial Paradigm as a step beyond the Brazilian Psychiatric Reform. From a clinical and institutional praxis, we have attempted to found a modality of psicotherapy in which Freud and Lacan’s psychoanalysis is applied. We specify the focus of this reflection in the field of Collective Health and in the clinic of suppression (context of “neurosis”). We start from the Intercessor Device as a new Mode of Production of subjectivity and “knowledge”. Of transdisciplinary nature, the Intercessor Device originates mainly from psychoanalysis and Historical Materialism - as well as from inspirations of the french Institutional Analysis and Philosophy of Difference - to define two radically different moments of production: that of clinical praxis together with the “subjects of treatment” and of institutional praxis with the “collective of work”; and the moment of theoretical reflection, produced a posteriori, on the production process carried out along the first moment. If Freud envisioned the possibility of inclusion of psychoanalysis in public institutions, our reflections intend to demonstrate that this endeavor is both possible and ethically necessary. For such, we also resort to theoretical-technical and ethical unfoldings also carried out by Lacan. In this perspective, we consider that if psychotherapies in general, from an active “healer”, produce grafts of imaginary-tautological sense in trying to suture the slit opened up by anxiety, producing readaptation in favor of the socially-instituted, anOther psychotherapy sets itself out from the psychoanalytic ethical guidance of suspending Knowledge-Power-cure, having as effect the ...

Orientador: Marlene C. W. Martinez / Banca: Ana Maria Teresa Benevides Pereira / Banca: Francisco Hashimoto / Resumo: A saúde mental na saúde pública segue a trajetória histórica que teve origem em países europeus e nos EUA no pós-guerra e posteriormente no próprio movimento brasileiro e estadual paulista que busca a humanização através de movimentos antimanicomiais e de democratização dos serviços. Neste contexto histórico, a presente pesquisa buscou compreender como pacientes inseridos nos serviços de saúde pública, que apresentam queixas físicas, estabelecem a relação inicial em psicoterapia de orientação psicanalítica. Para tanto utilizamos estudos da psicossomática e identificamos que a expressão através do corpo torna-se a principal via de comunicação, onde esta forma de representação dos conteúdos internos constitui a identidade do sujeito, e por vezes, o abandono do tratamento a partir das entrevistas iniciais ocorre como forma de manutenção dos sintomas e preservação da identidade constituída. A inserção das entrevistas iniciais em uma instituição de saúde pública demandou a análise do funcionamento institucional, onde a organização das funções da instituição presentes em seu discurso é que produzem a subjetividade, sendo também produtoras da exclusão do indivíduo em decorrência dos conflitos institucionais entre as práticas instituídas e os movimentos em curso dentro da instituição. Concluiu o presente estudo que os pacientes aqui mencionados estabelecem a relação inicial em psicoterapia através da expressão de seus sintomas, sendo assim, o uso da técnica embasada no referencial psicanalítico será mais produtiva se efetuar a relação da linguagem dos sintomas e da história de vida de cada indivíduo, em detrimento da fala como expressão de sentimentos. / Abstract: The mental health in the public health follows the historical trajectory that later had origin in European countries and U.S.A. in the postwar period and in the proper Brazilian movement and state native of São Paulo who searchs the humanização through antimanicomiais movements and of democratization of the services. In this historical context, the present research searched to understand as patient inserted in the services of public health, that present physical complaints, they establish the initial relation in psycotherapy of psychoanalític orientation. For in such a way we use studies of the psychosomatic one and we identify that the expression through the body becomes it main way of communication, where this form of representation of the internal contents constitutes the identity of the citizen, and for times, the abandonment of the treatment from the initial interviews occurs as form of maintenance of the symptoms and preservation of the identity constituted. The insertion of the initial interviews in an institution of public health demanded the analysis of the institucional functioning, where the organization of the functions of the institution gifts in its speech is that they produce the subjectivity, being also producing of the exclusion of the individual in result of the instituted institucional conflicts between the practical ones and the movements in course inside of the institution. It concluded the present study that the patients mentioned here establish the initial relation in psycotherapy through the expression of its symptoms, being thus, the use of the technique based in the psychoanalític referencial will be more productive to effect the relation of the language of the symptoms and the history of life of each individual, in detriment of speaks as expression of feelings. / Mestre