Syfte. Undersöka användningen av kängurumetoden hos extremt för tidigt födda barn. Bakgrund. Kängurumetoden (KM) är en evidensbaserad metod som innebär att barnet bärs hud mot hud på förälderns bröst i upprätt ställning. Metoden har många fördelar för det för tidigt födda barnet och har visat sig vara effektiv för att skapa starka band föräldrar och barn emellan. Forskning visar att det är en säker vårdmetod även för extremt för tidigt födda barn.   Design. En retrospektiv explorativ journalgranskningsstudie med både kvantitativ och kvalitativ ansats. Journaler granskades för de 49 extremt för tidigt födda barn vårdade vid Norrlands universitetssjukhus mellan oktober 2011 och oktober 2013. Metod. Statistiska beräkningar gjordes med icke parametrisk korrelation enligt Spearman och Wilcoxon signed ranks test. I den kvalitativa delen utfördes textanalys av journalanteckningar. Resultat. Medianålder vid kängurudebuten var fyra dagar. De flesta barn kängurudebuterade med mamman, och pappor utövade känguruvård i mindre utsträckning än mammor. Ju tidigare barnet var fött, desto längre dröjde kängurudebuten, men känguruvård har förekommit så tidigt som dag fyra hos de mest för tidigt födda barnen. Slutsats. Neonatalvården har mycket att vinna på om vårdpersonalen lyckas hjälpa föräldrar i allmänhet, och pappor i synnerhet, till att tidigt våga närma sig och känguruvårda sina extremt för tidigt födda barn. Med utbildning och träning för personal och stöd till föräldrarna, kan KM användas i större utsträckning för de extremt för tidigt födda barnen. Kliniska implikationer. Resultaten av denna studie bidrar till insikter och djupare kunskap om användningen av KM för extremt för tidigt födda barn. Resultatet kan användas för att identifiera utvecklingsmöjligheter men även för att utvärdera framtida förbättringsarbete. Kunskapen om och tron på vinsterna med KM kan rädda liv. / Aims. To study the use of the KMC for extremely preterm infants. Background. Kangaroo-Mother care (KMC) is an evidence-based method that involves carrying the infant skin to skin on the parent’s chest in an upright position. The method brings many benefits for the preterm infant and has proven to be effective for creating strong bonds between parents and infants. Research shows that KMC is a safe method even for extremely preterm infants. Design. A retrospective exploratory medical records review using both quantitative and qualitative approach. Medical records were reviewed for the 49 extremely preterm infants cared for at Norrland’s University Hospital between October 2011 and October 2013. Methods. Statistical analysis were made by non-parametric correlation by Spearman and Wilcoxon´s signed ranks test. In the qualitative part text analysis of medical records was performed. Results. KMC onset was in a median age of four days after birth. The kangaroo onset was most often with the mother, and fathers performed less KMC than mothers. The more preterm the infant was born, the later kangaroo onset, but KMC has occurred as early as day four for the most preterm infants. Conclusion. Neonatal care has much to gain if nursing staff succeed in helping parents in general, and fathers in particular, to an early KMC onset. With education and training for staff and support to the parents, KMC can be used for the extremely preterm infants to a greater extent. Relevance to clinical practice. The results of this study contribute to the understanding and deeper knowledge about the use of KMC for extremely preterm infants. The result can be used to identify needs for development, but also to evaluate future improvements. Knowledge of and belief in the benefits of KMC can save lives.

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The aim of the diploma thesis "Maternal Identification in Anorexia Nervosa" is to map the developmental context of the onset of anorexia nervosa in female patients related with the formation of relationships with immediate caregivers and the detailed focus on the daughter's relationship with the mother. The theoretical part offers a cross-section of psychoanalytic theories that specifically deal with such process. These are mainly the object relations theory, the attachment theory as well as the recent theory of mentalization. The initial premise of the whole work is the femininity itself, the age of the patients when the period of adolescence and female gender are amongst the main risk factors for the development of anorexia nervosa and contribute to the disproportion between male and female patients. The concept of identification between daughter and mother within the separation-individuation process is described both in early childhood and during adolescence. The empirical part focuses on a particular examination of the patient's relationships with primary caregivers, the immediate environment from childhood to adulthood and the factors involved in the development of the disease. Through a semi-structured in-depth interview, the study monitors key moments of psychosocial development in four...

La presente investigación tuvo como objetivo describir el vínculo afectivo entre padres e hijos, en estudiantes de universidades privadas que cambian de carrera en los primeros ciclos. Para ello, se realizó un estudio cualitativo, de diseño fenomenológico. Se aplicó la entrevista semiestructurada a 12 participantes, divididos en cuatro núcleos familiares, conformados por un padre, una madre y el o la estudiante. Además, se realizó un análisis de contenido a la información recolectada. Los resultados demostraron que ante el cambio de carrera algunos padres se involucraron más de lo que sus hijos perciben como necesario, y esto limitó su autonomía para elegir la carrera. Por otro lado, otros padres acompañaron desde el diálogo y la escucha, lo cual fomentó la libertad de elección de los hijos y promueve sentimientos de seguridad. Asimismo, se evidenció que el estado emocional de los padres influenció directamente en los recursos del hijo para afrontar el cambio, tanto de forma positiva como negativa. Por último, se encontró que el cambio de carrera podría originarse, en parte, debido a procesos inconscientes que se ponen en juego en el vínculo entre padres e hijos. / The purpose of this research was to describe the emotional bond between parents and their children, in private university students who change majors in the first semesters. For this, a qualitative study was carried out, with a phenomenological design, using an in-depth interview for each of the participants, as a data collection technique. In addition, there were 12 participants, divided into four family systems which were composed of a father, a mother and the student. A content analysis was executed. Results showed that, when changing majors, some parents were overly-involved in the process, limiting the student's sense of autonomy. On the other hand, some parents established an open dialogue, promoting the student’s liberty of choice and enabling feelings of security in them. The parents' emotional state had a direct influence, both positive and negative, on the student’s ability to face the challenges related to the process. Finally, it is suggested that changing majors could be, partially, a result of the unconscious processes that occur in the parent-student bonding dynamic. / Tesis

Guided by attachment theory and principles of positive psychology, a conceptual model was developed depicting the direct and indirect effects of attachment insecurity, state hope, belongingness, and meaning in life on wellness indicators (i.e., life satisfaction, physical health, and depression) of first generation Latino immigrants in the U.S. Specifically, the present study proposed that the effects of attachment insecurity on Latino immigrants' wellness would be mediated by two tiers of factors. The first tier consisted of state hope (i.e., general state hope, spiritual state hope, mastery state hope) and sense of belonging (i.e., general belongingness; connectedness with mainstream/ethnic community), which represented individual-level and relational factors, respectively, salient in Latino culture. Greater attachment insecurity was hypothesized to contribute to a compromised MIL and poorer wellness by decreasing state hope and sense of belongingness. A total of 352 first-generation Latino immigrants from Texas participated in this study. The exploratory factor analysis on the Experiences in Close Relationships Scale revealed a two-factor factor structure that is different from the two factors of adult attachment typically found with American samples (i.e., anxiety and avoidance). The emerged two factors represent anxious-distancing attachment and comfort-seeking attachment. Results from structural equation modeling analysis showed adequate model fit with the data. The final model indicated that the effects of comfort-seeking attachment on wellness were fully mediated by two layers of mediators (belongingness and state hope as the first layer and meaning in life as the second layer). In addition, the effect of anxious-distancing attachment on wellness was fully mediated by belongingness and meaning in life but not through state hope. Bootstrap methods were used to assess the significance magnitude of these indirect effects. Comfort-seeking attachment explained 13% of the variance in state hope and both attachment variables explained 36% of the variance in sense of belongingness. Anxious-distancing attachment, comfort-seeking attachment, state hope, and sense of belongingness explained 78% of the variance in meaning in life, and the overall model explained 75% of the variance in wellness. Limitations, future directions, and implications for counseling and theory are discussed from attachment theory, positive psychology, and immigration perspectives.

NÁMĚSTKOVÁ, Petra. Support systém of families with handicap children. Praha: Katedra sociální práce, Universita Karlova, 2015. 70 p. Diploma thesis. This work is devoted to problems of support systems of families with handicap children. The aim of this work is exploring the support systems of families with handicap children in the Czech Republic. (There is possibility to compare the region of Prague and Pardubice.) The theoretical part describes basic characterization of disability, it is intent on families who are take care of children with disability, it describes too social network and it also points out the common problems of the social care for individuals with handicap and possibilities of support goups. In order to achieve the aim of this work, it was necessary to obtain needful data. Therefore, a structured interview was used as one of the techniques of qualitative research. Among those who were interviewed were parents of handicap children. Because there are only twenty families in the research group of this diploma thesis it is not possible to generalize obtained information for all families with handicap children. It is necessary to take this fact into account and to apply all the conclusions only for the explored group which arised at a certain place and time. Based on the results of...

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The aim of this study is to get a deeper understanding, from a Swedish context, of how you can do social work with vulnerable and orphaned children in a developing country such as Uganda. We have investigated this through the example WEBALE, an NGO working in a context where among other things HIV/AIDS, poverty and a defective social safety net have led to social problems affecting children. Further, we have also aimed at acquiring a deeper understanding of what it is that motivates the volunteers and the director to work with vulnerable children at WEBALE. In order to fulfil this aim, the research has the following two key questions: What is the motivation for the teacher volunteers and the manager to work with vulnerable children at WEBALE? How do the teacher volunteers perceive the social work with the children in everyday life at WEBALE and what experiences do they have from this? The study is a field study with a phenomenological and ethnological approach. We were present at and took part in the everyday life of the informants at the school and orphanage in Uganda for eight weeks. The investigation uses a qualitative method where four interviews and participant observations were carried out. The results are analyzed in connection with theories on social work defining preventions and interventions, where theories on risk- and protection factors and the salutogenetic theory on SOC have been used. The analysis is also connected to theories on social work with children from a developmental-ecological and attachment-theoretical perspective. The results show what it is that motivates the volunteers and manager to work as volunteers in this specific contest through personal accounts of their background. Our observation is that the motivation of the volunteers and the manager to work with orphaned and vulnerable children is closely connected to their own background and childhood. The biggest reason for this kind of a life choice seems to be a sense of coherence and the largest motivating factor is that the work they do feels meaningful. The results further highlight the social work that is carried out and how the volunteers perceive their work at WEBALE. The study shows that the volunteers (who mainly consist of teachers) carry out what can be called social work, according to the definitions of interventions and preventions within various fields, such as health, education, emotional and behavioural development, ability to take care of oneself, social behaviour, family and social relations, and identity.

När barn börjar i förskolan kan det innebära en stor omställning där barnen får möjligheter till att skapa nya relationer. Relationerna som utvecklas i förskolan kommer att ligga till grund för barns välbefinnande. Syftet med studien är att undersöka och bidra med kunskaper om hur pedagoger arbetar för att stödja trygga relationer/anknytning till barn i åldern 1–3 år, samt hur pedagoger svarar på barns behov av trygghet i utforskandet under leksituationer. Två kvalitativa metoder tillämpades; strukturerade icke-deltagande observationer, samt semistrukturerade intervjuer. Anknytningsteorin tillämpades genom en tematisk analysmetod. Resultatet i studien visade att pedagogernas strategier var grundläggande för hur trygga relationer ska utvecklas till barnen. Pedagogerna tillämpade och berättade att den viktigaste strategin var lyhördhet, närvaro och anpassningsbarhet för att möta barnens kontaktsökande. Vår slutsats är att pedagogernas relationsarbete visade sig ha betydelse för barns välmående och för barns lek. Förskollärarna synliggör anknytningens olika aspekter som beskrivs vara grundläggande i hur barns relationer utvecklas, alla barns relationer ser olika ut och utvecklas på olika sätt. Vidare tar även förskollärarna upp hur viktigt det är att relationsskapandet ska ske på barns villkor för att en trygg relation ska vara möjlig. / When children start preschool, it involves a big adjustment where the children get opportunities to create new relationships. The relationships that develop in preschool will form the basis of the child's development and their well-being. The purpose of the study is to examine and contribute knowledge about how preschool teachers work to promote safe relationships with children in the age of 1–3 years old, as well as how preschool teachers respond to children's needs for security in the exploration during free play. Two qualitative methods were applied: structured non-participatory observations, as well as semi-structured interviews. The attachment theory was applied through a thematic analysis method. The results of the present study showed that the preschool teachers strategies were fundamental of how secure relationships should develop to the children. The preschool teachers applied and said that the most important strategy was sensitivity, presence, and adaptable preschool teachers to meet the children's contact-seeking. Our conclusion is that the preschool teachers relationship work proved to be important for children's well-being and for children's play. The preschool teachers describe the various aspects of attachment that are fundamental in how children's relationships develop. All children's relationships look different and develop in different ways. The preschool teachers want to highlight that the relationship must take place on the child's terms in order so a secure relationship can be possible.

Master of Science / Department of Family Studies and Human Services / Anthony Jurich / This study explored the parents’ perspective of having a child with Autism living in the home. Specifically, the researcher was looking to explore the attachment style between the parent and child, as well as the process of the parents’ changing their expectations of their child, from the expectation of raising a normal child to raising a child with Autism. In order to understand the experience of both families interviewed, the researcher, through semi-structured, qualitative interviews, interviewed each parent separately. A multiple case study approach was used in order to allow for comparison within each family. Methods for analyzing the data included coding the data, so that the data could be analyzed from the individual interviews and also analyzed based on family response. For the parents interviewed in the study, four themes emerged that were similar for all parents. These themes included the diagnosis process, the differences in attachment before and after their child was diagnosed, the changing expectations of themselves, each other and their diagnosed child, and the parents’ views on getting professional help, such as therapy. Both families shared the experience of confusion during the diagnostic process, especially confusion surrounding the cause and prognosis of Autism. All parents in the study illustrated the attachment injury after their child’s diagnosis, in addition to when the child began showing the classic signs of Autism. The study also found that each parent’s expectations changed from higher ones of themselves, spouse and diagnosed child to more moderate and low expectations of their spouse and diagnosed child. Last, all parents interviewed expressed that seeking therapy would have helped them deal with the diagnostic process and better cope with having a child with Autism. It is believed by the researcher that these themes have emerged because of the families’ shared experience of raising an Autistic child.