Text in English / This study aimed at exploring the “lived experiences” and “meanings” of employees who had been diagnosed with work related stress, anxiety, depression and/or burnout, referred to as work dysfunctions. The researcher wished to create an opportunity and safe environment that would allow the participants to have their “voices and stories” told, heard and understood. The researcher adopted social constructionism as an epistemological framework for dialogue with the participants. Five in-depth, semi-structured conversational interviews, using the qualitative research approach and the case study method, were conducted. Participants’ selection was effected through purposive sampling. The thematic content analysis method was used to analyse the data and later align it to the relevant literature. Thematically analysed content was reconstructed into individual participants’ stories. The conversational and relational process with the researcher also generated new meanings and insights beneficial for the participants. The rich and in-depth information around their unique experiences and realities contributed towards a better understanding of work dysfunctions and also towards the improvement of the well-being interventions. It is also argued that additional insights from the study would add value to the organisational incapacity management process of employees with work dysfunctions. / Psychology / Ph. D. (Consulting Psychology)

The Countried experience of Aboriginal and Torres Strait Islander Peoples of (Australia), ground a resilience and strength in sovereign thinking through the Stories we share laterally with family and inter-ancestrally through our connections to the Dreaming. The stories we share develop a sense of inalienability we have that is connected to the Countries of origin we share and identify with across the continental scape of Land, Water and Sky Country. As a formative philosophical assumption, the Countried existence that this dissertation develops, illuminates the significance of this research thinking to contribute to the continued development of Indigenous education for Aboriginal and Torres Strait Islander students attending secondary high schools across (Australia). By attending to the ways Elders as significant Indigenous leaders describe and develop their storied lives through lived experience, this Countried philosophy emerges through the Storied knowing of Country. By examining the approaches to learning Aboriginal and Torres Strait Islander students adopt, further evidence can be contributed to the research surrounding Indigenous thinking and cognitive approaches to thinking through education learning tasks. By examining the perceptions and beliefs of non-indigenous teachers, this dissertation aims to contribute evidence to Indigenous pedagogies that teachers can deploy in the delivery of meaningful Indigenous Knowledge curricula content. Summatively, this thesis found that when deep engagements are made into the notion of inalienability of Countried experience, salient avenues of thinking and learning and teaching emerge surrounding the ways education can continue to elaborate and relate meaningfully to the First Peoples of Australia.

L'oncogénétique, l'étude des prédispositions héréditaires au cancer, constitue une discipline médicale dynamique, faisant l'objet de nombreuses innovations, tant technologiques que thérapeutiques. Les progrès scientifiques en oncogénétique rendent le recours aux tests génétiques à la fois moins coûteux, plus rapide et plus efficace, ce qui soulève ou réactualise paradoxalement de nombreux enjeux éthiques et psychosociaux tels que la capacité des patients à formuler un consentement éclairé ou le risque de dérives liées à des mésusages des tests génétiques. Face à ces changements, nous avons choisi d’explorer la façon dont est mobilisée l'expérience vécue ou projetée dans la mise en sens des enjeux éthiques et psychosociaux liés aux innovations technologiques et thérapeutiques en oncogénétique. Ce travail de recherche, résolument ancré en psychologie sociale, s'inscrit dans une approche critique des questions de santé où sont interrogés à la fois les besoins, attentes et contraintes des professionnels et usagers du système de soins, et les relations de pouvoir qui s'exercent tant au niveau interindividuel qu'au niveau plus large des politiques de santé. C'est grâce à la notion d'expérience vécue ou projetée que nous avons cherché à comprendre la façon dont les individus font sens de leur monde, et plus particulièrement des évolutions qui touchent l'oncogénétique. L'expérience, nécessairement sociale et socialement construite, est multidimensionnelle, nous proposons d'investiguer plus particulièrement trois de ces dimensions : - une dimension pratique centrée sur l’étude des relations soignants-patients, - une dimension de connaissances étudiée au travers de la négociation des connaissancesexpertes et du savoir de sens commun grâce à la théorie des représentations sociales, - et enfin une dimension émotionnelle envisagée sous l'angle des phénomènes de partage social des émotions et de régulation émotionnelle.Afin de répondre à ces objectifs, deux études complémentaires reposant sur des méthodologies qualitatives ont été mises en place dans une perspective de triangulation des données. La première étude a visé à investiguer la mise en sens des pratiques professionnelles ainsi que la façon dont les soignants se projettent dans un champ disciplinaire en pleine transition et dans leurs pratiques futures. Nous avons mené des entretiens semi-directifs auprès de 27 professionnels en oncogénétique (oncogénéticiens et conseillers en génétique). Les données recueillies ont fait l'objet d'une analyse interprétative phénoménologique (IPA) adaptée à un large échantillon sur les données recueillies, en nous appuyant sur le logiciel d'aide à l'analyse N-Vivo. La seconde étude avait pour objectif d'explorer la co-construction des représentations liées aux nouveaux usages de l'oncogénétique, ainsi que d'étudier l'impact de la l'expérience vécue sur la compréhension des enjeux éthiques liés àl'oncogénétique. Dix focus groups, reposant principalement sur la résolution de dilemmes éthiques, ont été réalisés auprès de 18 femmes ayant l'expérience d'au moins une consultation en oncogénétique et 21 femmes n'ayant pas d'expérience similaire, toutes recrutées par le biais de la plateforme Les Seintinelles, qui constitue une communauté d'intérêt autour du cancer. Une analyse inspirée de l'IPA a été réalisée sur les données ainsi recueillies avec appui sur le logiciel N-Vivo.Notre recherche a permis de souligner le caractère résolument social de la recherche de prédispositions génétiques en oncologie. L’oncogénétique est définie socialement autour de deux de ces objectifs : permettre de mettre en place des mesures de prévention destinées aux individus porteurs d’une mutation génétique, et donner une explication à une histoire familiale de cancer..... / Genetic testing for cancer, which aims to identify hereditary predispositions to cancer, is a dynamic medical field, where many technological and therapeutic innovations emerge. Scientific progress allows genetic testing to be both less expensive, faster and more efficient, which paradoxically raises new ethical and psychosocial issues, such as the patient’s ability to give informedconsent, or the risk of misuses of genetic testing. These changes led us to explore how lived experience is mobilized in the process of making sense of the ethical and psychosocial issues related to innovations in the field of genetic testing of cancer. This research, anchored in social psychology, is based on a critical approach of health issues, which questions the needs, expectations and constraints of health professionals and patients, and the power relationships that take place both at the interindividual level and, on a larger scale, within health policies. Based on the theoretical notion of lived experience, we aimed to understand how individuals make sense of their world, and more particularly of innovations in the field of genetic testing. Lived experience, necessarily social and socially constructed, has many dimensions, among which we chose to investigate the following three: - A practical dimension, based on the study of doctor patient-relationship, - A knowledge dimension, investigated through the negotiation of expert knowledge and common sense thanks to the social representations theory, - And an emotional dimension, based on the study of the phenomena of emotion regulation and social sharing of emotions.Based on the principles of methodological and data triangulation, our exploration was based on two complementary qualitative studies. The first study aimed to investigate sense making processes related to professional activities and how health professionals working in genetic testing for cancer imagine their future and the future of genetic testing. We led 27 semi-structured interviews with genetic counsellors and clinical geneticists. An Interpretative Phenomenological Analysis (IPA) was performed analyze the data gathered, with the assistance of N-Vivo software. The second study aimed to explore the co-construction of representations related to new uses to genetic testing of cancer, and to investigate the impact of lived experience on the understanding of ethical issues related to genetic testing. We led ten focus groups, based mostly on the resolution of ethical dilemmas, with 18 women who attended at least one genetic counselling consultation, and 21 women who did not have a similar experience. All women were recruited thanks to the online collaborative research platform “Les Seintinelles”, which constitutes a cancer related community of interest.This research allowed us to highlight the social nature of genetic testing of cancer. This medical field is defined by two main goals: allowing carriers of genetic predisposition to undergo preventive measures, and making sense of a family history of cancer. Genetic counselling professionals report a high level of personal involvement in their work and emotion regulation strategies acquired on purpose and based on a strict division between their personal and professional life. The acknowledgement oftheir professional skills and the perceived quality of their relationships with their patients contribute highly to the work-related satisfaction of genetic testing professionals. The doctor-patient relationship is structured by an ideal of non-directivity, which can be questioned by the need to accompany and protect the patients, who are considered as vulnerable. Because of the risks of misuses of genetic testing, the strict legislation related to these practices in France is most often considered as valuable.Clinical geneticists and genetic counsellors are considered the most likely to provide genetic testing within an ethical framework.

Submitted by SBI Biblioteca Digital (sbi.bibliotecadigital@puc-campinas.edu.br) on 2017-02-14T13:55:22Z No. of bitstreams: 1 MHARIANNI CIARLINI DE SOUSA BEZERRA.pdf: 2425826 bytes, checksum: f544bda5fafd02ef25fb51357cf8abe5 (MD5) / Made available in DSpace on 2017-02-14T13:55:23Z (GMT). No. of bitstreams: 1 MHARIANNI CIARLINI DE SOUSA BEZERRA.pdf: 2425826 bytes, checksum: f544bda5fafd02ef25fb51357cf8abe5 (MD5) Previous issue date: 2016-12-14 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / This research aimed to understand from a phenomenological stand point the experience of psychologists who recently went through a multiprofessional residency course in the healthcare system. It is a qualitative and exploratory investigation inspired in Edmund Husserl?s phenomenology and based on the Person Centered Approach?s psychological perspective. The researcher held dialogical encounters with six participants who attended three different Multiprofessional Residency Programs in the interior of S?o Paulo state. Through the researcher?s empathic attitude, each encounter became a phenomenological experiential field that contributed to the development of the subjective elements of the participant?s experience. The encounters were analyzed through the construction of comprehensive narratives as well as a synthesis narrative that brought together the essential structural elements of the phenomenon. These revealed that the professionals? scheme of total dedication to the residency in their field of action challenges their limits, generating suffering and exhaustion, as well as satisfaction when they are able to overcome the challenges and recognize their capacities. This reality enables personal and professional growth stemming from meaningful learning, promoting human growth. The participant?s experience portrays a reassessment of psychologist?s particular way of integrating a multiprofessional health team. The practice of psychological attention is developed in relationship with a sense of responsibility toward an integrated care promoted in several contexts. As the participants attempt to handle all the complex demands which arise daily, several distinct kinds of psychological attention have been developed. The participants identified the hospital as the place of excellence for the health psychologist to work, manifesting certain affinities with the medical model that privileges care based on sub-specialties. The tension between teaching strategies and health service passes through their experience, in a significant way, interfering in the possibility of an integrated vision about the relationship between university and health system to serve the vulnerable population. It is concluded that the comprehensive nature of this research study made it possible to reveal significant elements of the inservice training process that stimulate reflections about its potentialities and limitations. / Esta pesquisa objetivou compreender fenomenologicamente a experi?ncia de psic?logos que vivenciaram, recentemente, a forma??o profissional num curso de especializa??o em car?ter de resid?ncia multiprofissional em redes de aten??o ? sa?de. Consistiu em pesquisa qualitativa de car?ter explorat?rio com inspira??o na fenomenologia proposta pelo fil?sofo Edmund Husserl e fundamentada na perspectiva psicol?gica da Abordagem Centrada na Pessoa. Foram realizados encontros dial?gicos entre a pesquisadora e seis participantes de tr?s programas de resid?ncia multiprofissional de um munic?pio do interior do estado de S?o Paulo. Por meio da atitude emp?tica da pesquisadora, cada encontro consistiu em campo fenomenol?gico experiencial que contribuiu para o desvelamento dos elementos subjetivos da experi?ncia das participantes. A an?lise dos encontros foi realizada a partir da constru??o de narrativas compreensivas e de uma narrativa s?ntese que reuniu os elementos que comp?em a estrutura essencial do fen?meno em estudo. Revelou-se que a din?mica de dedica??o total do profissional ? resid?ncia leva-o a uma imers?o nos contextos de atua??o que desafia seus limites, gerando sofrimento e cansa?o, mas tamb?m satisfa??o quando consegue superar os desafios e reconhecer suas capacidades. Essa realidade torna-se propiciadora de transforma??o pessoal e profissional a partir de aprendizagem significativa que promove crescimento. A experi?ncia das participantes revelou um processo de apropria??o singular da profiss?o pela via da participa??o em equipe multiprofissional da sa?de. A pr?tica da aten??o psicol?gica desenvolve-se vinculada ao compromisso com a integralidade no cuidado disponibilizado em contextos diversos. Na tentativa de atender ?s demandas complexas que surgem cotidianamente, s?o desenvolvidas distintas modalidades de aten??o psicol?gica. As participantes identificam o hospital como lugar de excel?ncia para o exerc?cio do trabalho do psic?logo na ?rea da sa?de, demonstrando afinidade com o modelo m?dico que privilegia a??es de cuidado pautadas em subespecialidades. A tens?o entre as estrat?gias de ensino e de servi?o atravessaram a experi?ncia das participantes de modo significativo, interferindo na possibilidade de uma vis?o integradora sobre a rela??o entre a universidade e o sistema de sa?de no atendimento ? popula??o vulner?vel. Conclui-se que o car?ter compreensivo desse estudo possibilitou desvelar elementos significativos do processo de forma??o em servi?o que estimulam reflex?es sobre suas potencialidades e limita??es.

Submitted by SBI Biblioteca Digital (sbi.bibliotecadigital@puc-campinas.edu.br) on 2017-03-13T17:30:32Z No. of bitstreams: 1 THAIS DE CASTRO GAZOTTI.pdf: 1821100 bytes, checksum: 3759609fe41c54c293cf4d93f0cdec2e (MD5) / Made available in DSpace on 2017-03-13T17:30:32Z (GMT). No. of bitstreams: 1 THAIS DE CASTRO GAZOTTI.pdf: 1821100 bytes, checksum: 3759609fe41c54c293cf4d93f0cdec2e (MD5) Previous issue date: 2017-02-07 / Conselho Nacional de Pesquisa e Desenvolvimento Cient?fico e Tecnol?gico - CNPq / This qualitative research study, of exploratory nature, aimed to describe and phenomenologically comprehend psychologists? experience of working in multidisciplinary teams at hospital. Nine psychologists, who work in three different large cities of the State of S?o Paulo, participated in the study, eight women and one man. The researcher invited each one of them for a dialogical encounter. Following each encounter, the researcher wrote a comprehensive narrative containing the main elements, which emerged from the participants? lived experience, apprehended by the researcher through an intersubjective movement. After this, the researcher created a synthesis narrative, presenting some significant elements of participants? lived experience as a whole. From this synthesis narrative, it was possible to describe the structure of the experience in focus in the study. It was concluded that: 1) the multidisciplinary team doesn?t always recognize the importance of the psychologist?s presence in the team, which requires him to break barriers; 2) there is a daily overload of demands on the psychologist due to the team member?s and institution?s manager?s incomprehension about his role; 3) the psychologist tries to contribute to the team?s care to patients in order to fulfill Brazilian?s unified health system principle of integral care; 4) attitudes such as empathic comprehension and unconditional positive regard characterize psychologist?s role towards patients, their relatives and team members; 5) a trustful and complicity relationship among multidisciplinary teams? diverse specialists is crucial to certify a well-functioning team; 6) due to the service?s demands, the psychologist feels the need to take care of himself, emotionally, in order to be able to effectively perform his role in the team; and 7) a well qualified Psychology under graduation training, as well as a major in Hospital Psychology, are pointed as necessary for a proficient practice within a hospital multidisciplinary team. / Esta pesquisa, qualitativa de natureza explorat?ria, objetivou descrever e compreender fenomenologicamente a experi?ncia de psic?logos que atuam como membros de equipes multidisciplinares em hospital. Participaram do estudo nove psic?logos, sendo oito mulheres e um homem, que trabalham em institui??es hospitalares localizadas em tr?s diferentes cidades do estado de S?o Paulo. A pesquisadora convidou-os para se reunirem a ela num encontro dial?gico individual. Ao finalizar cada um dos encontros, redigiu uma narrativa compreensiva contendo os principais elementos que emergiram da viv?ncia do participante e que foram apreendidos por ela num movimento intersubjetivo. Ap?s esta etapa, foi constru?da uma narrativa s?ntese contendo os elementos significativos das viv?ncias dos participantes como um todo. A partir da narrativa s?ntese, foi poss?vel descrever a estrutura da experi?ncia em foco neste estudo. Concluiu-se que: 1) nem sempre as equipes multidisciplinares reconhecem a import?ncia da presen?a do psic?logo entre seus membros, o que lhe exige romper barreiras; 2) h? uma sobrecarga de demandas cotidianas sobre o psic?logo que decorre da incompreens?o sobre suas fun??es por parte de outros membros da equipe e, tamb?m, de gestores da institui??o; 3) o psic?logo busca contribuir para que o cuidado dispensado aos pacientes pela equipe cumpra o princ?pio da integralidade preconizado pelo SUS; 4) a compreens?o emp?tica e a aceita??o positiva incondicional s?o atitudes que caracterizam a atua??o do psic?logo em rela??o aos pacientes, aos familiares e aos membros da equipe; 5) uma rela??o de confian?a e cumplicidade entre os diversos especialistas que comp?em a equipe ? fundamental para assegurar seu bom funcionamento; 6) em decorr?ncia das exig?ncias do trabalho, o psic?logo sente necessidade de cuidar de si mesmo, do ponto de vista psicol?gico, para ser capaz de exercer suas fun??es junto ? equipe; e 7) uma boa forma??o como psic?logo, assim como uma forma??o p?s-graduada espec?fica na ?rea de Psicologia Hospitalar s?o percebidas como necess?rias para atuar de maneira competente em uma equipe hospitalar multidisciplinar.

The overall aim of this research project was to explore and describe the significance of assistive devices in daily life. The project involves two qualitative and two quantitative studies. Three of these studies were from the perspective of persons with stroke and one from the perspective of spouses of persons with stroke. A hermeneutic phenomenological lifeworld approach was used in the qualitative studies and data was obtained through conversational interviews with the two study groups, 22 persons with stroke and 12 spouses of persons with stroke, after the devices had been used for about a year. The results indicated that the lived experiences of assistive devices in respect of the different lifeworld existentials (lived body, lived space, lived time, lived human relation) are closely interconnected in both study groups. The lived body existential included aspects of habits, feelings and the incorporation, figuratively speaking, of the devices into their own bodies. Lived space concerned the gradual development of a new view of the environment and the devices’ role as a prerequisite for being able to live at home. The devices brought about a changed relation to lived time with respect to the temporal perspectives of past, present and future. To be able to take control of one’s own time was an important experience that the devices facilitated. Assistive devices were an integral part of the lived human relation between the couples in the study groups, as well as between the disabled persons/spouses and other people, including the health-care professionals. The devices contributed either to the maintenance or the change of social roles, but they sometimes also gave rise to the experience of being stigmatised. The results in the case of both study groups showed that the use of different devices is complex and often contradictory, especially when it comes to persons with stroke. Overall the persons’ experiences of the advantages of the devices overshadowed their experiences of the disadvantages. The quantitative studies included a pre- and post-assessment design. Thirty-two persons with disabilities after stroke were included. The impact of an outdoor powered wheelchair on activity and participation (IPPA, WHODAS II) and quality of life (PIADS, EQ-5D) was measured. Statistical analysis with mainly non-parametric tests was used to determine significant within-group and between-group changes after intervention. The conceptual framework ICF was used in one of the quantitative studies when classifying the participants’ stated problems. The results showed that the outdoor powered wheelchair is an essential device for persons with disabilities after stroke with regard to overcoming activity limitation and participation restrictions in everyday life. Furthermore it mostly has a positive impact on such users’ quality of life. However, it is also important to highlight the negative experiences of a few with regard to the use of powered wheelchairs. In sum, these results will enable prescribers to better understand the individual experiences of using assistive devices and the individuals’ and the families’ need for support in connection with the prescription of assistive devices, the particular example being powered wheelchairs.

As a relatively recent phenomenon, the increasing overrepresentation of Aboriginal persons in both the child welfare and criminal justice systems is of critical importance to the field of social work. As social control systems, how do social workers contribute to or mitigate against overrepresentation as contemporary colonialism? What can social work professionals who themselves have been through these systems add to our social work discourse? A sample of fifteen Aboriginal social workers who had as youth been in either one or both of these systems were interviewed with respect to: what they found was helpful or unhelpful in their interactions as youth with social workers, why they subsequently chose social work as a career, the supports and barriers they encountered along their career path, and the difference their experiences had for their own professional practice. Using structural social work theory, overrepresentation as a contemporary colonializing process was re-conceptualised as structural violence. Institutional Ethnography (IE) and Hermeneutic Phenomenology were used to explore how these neo-liberal ruling relations are produced, maintained, and potentially deconstructed. The findings from this unique population have implications for decolonizing social work practice, education, and research.

The overall aim of this thesis is to investigate if the somatic comorbidity and increased mortality among persons with psychiatric disability (residents in supported housing facilities) can be influenced. The thesis comprises four papers. Paper I describes the lived experience of health and body. Papers II and III examine the effects of a lifestyle programme on physiological markers (II) and on psychological and quality of life parameters (III). Paper (IV) illustrates the meaning of participating in a life style programme. The data in Papers I and IV comprises narrative interviews with residents (n=11). The studies in Papers II and III are focused on residents and were carried out with a randomized design. The randomization was performed on a group level (supported housing facility). The 12 month intervention consisted of study circles with a theoretical and practical application of dietary information and physical activity for two hours, on a twice weekly basis under the supervision of a study circle leader. The controls were offered an aesthetic study circle and met once a week. The data in Paper II comprises physiological quantitative data from both residents (n=41) and staff (n=41) and in Paper III questionnaires on symptoms and quality of life completed only by residents (n=41). The data was analysed with Qualitative description (I), Phenomenological-hermeneutics (IV), and for papers II and III relevant statistical calculations were used. Health is described in paper I as “having a life as others have” and discloses the losses of important life domains (family, work, security) and the experiences of being deviant and stigmatized. Health is described as “absence of psychological and physical problems” and its hampering effects on quality of life and self-esteem. Health is understood as a phenomenon that could “be influenced by one self”, and there is an insight that health is manageable. Participating in a life style intervention (paper II) meant a significant improvement in risk factors for metabolic syndrome among the residents in comparison with controls. No differences were seen on weight, BMI and improved physical capacity. In paper III a significant positive increase in the Sense of Coherence compared to controls was seen. However no effect was seen on quality of life, psychosocial function or on reduction of symptoms in comparison with controls. Participating in a lifestyle intervention can be understood as the gaining of insights that health can be improved and that the daily life is partly given a changed content (paper II). The participation is also described as meaning an increased sense of closeness and equality in relation to the staff and sometimes a painful insight of their life situation. Participating is also described as entailing a hope that one’s life situation can be affected. In summary this thesis shows that there is some possibility of influencing the physical health (reduced risk of metabolic syndrome) among persons with psychiatric disability by participating in a 12 month intervention programme. The intervention does not show any effects on measures such as quality of life, psychosocial function and presence of symptoms. However, the participants describe that the participation had a meaning in a number of respects. This is a finding that is confirmed by the positive change in sense of coherence. The need to develop preventive care for persons with psychiatric disability and the importance of monitoring the treatment with neuroleptics and its side effects on physical health is an important clinical implication. Furthermore the importance of the responsibility of the care staff is emphasized as well as the importance of supporting a change in lifestyle.

Xhosa people practise the circumcision ritual. The exciting period is during the pre- circumcision. It is also the time when Xhosa teenage boys experience various problems associated with the ritual. The main purpose of the study was to explore and describe Xhosa teenage boys' experiences of the period prior to the circumcision ritual in East London in the Eastern Cape Province. A descriptive, exploratory and descriptive qualitative research design was followed and 28 participants volunteered to participate. In-depth phenomenological focus group interviews were conducted. Data analysis revealed two themes: social pressure on teenage Xhosa boys associated with the ritual, and depression associated with the treatment of teenage Xhosa boys by their communities. The study recommends that all stakeholders be involved in the performance of the ritual. A limitation of the study was failure to include stakeholders. The researcher recommends further research to involve all stakeholders of the ritual. / Health Studies / M.A. (Public Health)

No description available.