This thesis analyses women’s stories and experiences of living in a relationship with domestic violence. The study is done in order to gain a deeper understanding of what the retaining mechanisms are that prevents women from leaving their partner. The research is carried out by the usage of qualitative textual analysis of autobiographical novels. With the support of the theories of shame and the normalization process it is possible to accentuate how women are staying in their relationships because of the mental degradation caused by the man. The retaining mechanisms are numerous and complex and both socio-economic and psychological factors contribute to that women stay in the relationship, which previous research also has concluded. This research concludes that the retaining mechanisms evolve and change throughout the relationship. The women’s reason for staying in the relationship is in the beginning their love for the man but later on in the relationship it evolves further into embracing the reality of the man and making the reasons for the violence legitimate

Internetbaserad kognitiv beteendeterapi (IKBT) för olika former av psykisk ohälsa har presenterats som ett alternativ till traditionell samtalsbehandling baserat på forskning från det senaste decenniet. Trots klinisk relevans och flera fördelar för patienter och behandlare går implementeringen långsamt i flera europeiska länder. Syftet med den föreliggande studien var att undersöka behandlares erfarenheter av att implementera IKBT i sina verksamheter. Intervjuer genomfördes med åtta behandlare hos en svensk offentlig vårdgivare, varefter en tematisk analys gjordes. Fyra huvudteman arbetades fram: En ny metod, En ny roll, Premisser och Lärande. Behandlarna har en övergripande samstämmighet och förståelse kring IKBT och dess användning, vilket är en viktig aspekt av implementeringen. Behandlarna beskriver dock också att kollegor som inte arbetar med behandling, men har en roll i implementeringen, ibland har bristande kunskap och negativa fördomar som förhindrar arbetet. Vidare berättar behandlarna att organiserat samarbete mellan aktiva behandlare bortprioriteras i den kliniska vardagen. Resultaten från analysen diskuteras med utgångspunkt i Normalization Process Theory. Vidare forskning kan utforska upplevelsen hos IKBT-utbildade behandlare som inte börjat arbeta med IKBT och hos icke-behandlande kollegor på arbetsplatser där metoden implementeras. / Internet-based Cognitive Behavioral Therapy (ICBT) for different kinds of mental health issues has been presented as an alternative to traditional face-to-face treatment based on research from the last decade. Despite clinical relevance and several advantages for both patients and therapists the implementation of the method is progressing slowly in many European countries. The purpose of this study was to examine therapists’ experiences of implementing ICBT in their everyday work. Interviews were conducted with eight therapists in a Swedish public health care setting, after which a thematic analysis was made. Four main themes were defined: A new method, A new role, Premises and Learning. The therapists have an overarching mutual comprehension of ICBT and its use, which is an important aspect of the implementation. The therapists explained that colleagues that don't work with ICBT, but still have a role in the implementation, sometimes lack knowledge and have negative preconceptions which obstruct the work. Furthermore, therapists talked about organized collaboration between active therapists not being prioritized in the everyday clinical work. Results from the analysis are discussed by applying Normalization Process Theory to the findings. Further research could examine the experiences of ICBT-trained therapists who have not yet started working with ICBT and of colleagues who do not work with treatment in workplaces where ICBT is being implemented.

Domestic violence is a public health and international problem. Previous research outlined the extensivity of the problem internationally and the missing approaches of professionals who work with young children. The study aims to explore the methods and routines used by preschool teachers in approaching suspected cases of domestic violence among preschool children in Sweden. The results show that there are only a few available methods and routines given by governmental agencies in guiding the preschool teachers to approach such cases. As an alternative, the preschool teachers themselves develop individual approaches like observation, documentation, and collaboration with different actors involved. The interviews were conducted with semi-structured interviews with four preschool teachers to give a deeper understanding of their knowledge about the topic and experiences with suspected cases of domestic violence and methods and routines. The normalization process theory (NPT) was used to highlight the complexity of modifying methods and routines for complex problems e.g. domestic violence. The method of deductive thematic analysis provided pre-determined themes connected to the theory and new themes emerged from the data during the analysis process.

Den här studien undersöker kvinnor utsatta för våld i heterosexuella parförhållanden med syftet att undersöka vad som kan påverka att en del kvinnor under lång tid stannar i destruktiva och våldsamma relationer. Den teoretiska referensramen hämtas från ett strukturellt/kulturellt perspektiv i teorin om våldets normaliseringsprocess samt från ett socialpsykologiskt perspektiv genom teorin om det traumatiska bandet. För att uppnå studiens syfte har en kvalitativ metod använts i form av intervjuer. Fem kvinnor med tidigare erfarenhet av våld i nära relationer har intervjuats. Genom en tematisk analysmetod har intervjumaterialet sedan analyserats. Analysen är uppdelad i de tre temana relationernas början, våldets utveckling samt våldets bindande kraft. Slutsatserna av studien är att de våldsutsatta kvinnorna genomgått ett nedbrytningsförlopp som männen styr över där de successivt brutits ner och manipulerats. Slutsatserna visar även att de känslor som kvinnorna beskrivit har haft en bindande verkan till männen vilket bidragit till att de stannat kvar i de destruktiva relationerna under en längre period.

Bakgrunden till den här studien har varit ett skolutvecklingsprojekt med syfte att tillsammans med lärare i svenska och lärare i modersmål undersöka vilka erfarenheter ett faktiskt samarbete mellan lärarkategorierna ger upphov till. Pragmatism har som teoretisk ansats influerat projektets utformning. Lärarnas samarbete har varit begränsat till ett temaarbete med utgångspunkt i läsning och bearbetning av ett skönlitterärt verk. Syftet med studien har varit att undersöka möjliga samarbetsformer för lärare i svenska och lärare i modersmål. Studien har genomförts i form av deltagande observation av planerings- och utvärderingsmöten med lärare kopplade till två olika skolor. För att kunna analysera lärarnas handlingar har inspiration hämtats från en aktionsteori som fokuserar hur deltagares handlingar möjliggör respektive hindrar implementeringen av nya praktiker – Normalization Process Theory (NPT). Lärarnas tal om samarbetet och det didaktiska innehåll som de planerar under mötena har spelats in och i efterhand analyserats med hjälp av ett växelspel mellan begrepp inspirerade av NPT och egna kategorier som har skapats med utgångspunkt i det empiriska materialet. Resultatet visar att lärarnas tal om syftet med samarbete mellan lärare i svenska och lärare i modersmål kretsar kring möjligheter att stärka modersmålslärarnas position, att utöka det kollegiala lärandet samt att stötta elevernas lärande och välmående. Vidare visar resultatet att lärarnas tal om den didaktiska planeringen synliggör tre huvudsakliga samarbetsformer som jag har valt att kalla: spegelundervisning, komplementär undervisning och stödämnesfunktion. Dessa olika samarbetsformer har fördelar och nackdelar som bland annat är kopplade till möjligheterna till gemensam planering, utjämnande av ämnenas olika förutsättningar gällande tid samt stöttning av elevernas lärande. Huvudsakliga hinder för ett språkutvecklande samarbete mellan lärare i svenska och lärare i modersmål är enligt resultatet tidsbrist som på olika plan ger upphov till svårigheter att formulera gemensamma mål för undervisningen i de två ämnena. / <p>Svenska</p>

Abstract The purpose of this qualitative study was to answer the questions by interviewing eight women about their experiences: How do women who have been subjected to psychological violence in close relation feel that they have been met by their social network? Why do women stay in relationships where they are subjected to psychological violence? The theoretical framework of the study includes Pierre Bourdieu's concept of social capital and Thomas Scheff's theory of social ties. A gender perspective has been used to map patriarchal structures. The results showed that the weak ties that arise in the relationship lead to the women experiencing shame and fear, which means that they remain in the relationships and that they do not tell the network about the violence. Women are treated to varying degrees but usually with understanding and empathy. It also emerged that the women tended to stay in the relationship if they lacked other people to identify with. How women's living conditions are degraded by destructive relationships is also affected by women's subordination in society. Keywords: Violence in close relationship, psychological violence, social networking, the normalization process, shame, separation

This study attempts to identify normalization cues within multimodal scholarship to highlight moments of "un-seeing" multimodal composing practices and theoretical contributions from non-Western traditions. Advocates of this approach to teaching composition understand it as an effective way for incorporating other voices into the curricular structures of composition courses. However, the instructional resources do not include or cite research that does not lend itself easily to dominant views of composing within academia. I assert that academia must go further with how value is assessed. There is research that acknowledges the multiliteracies practices found within subcultures of America, and plenty of work that deems the communicative practices observed in these subcultural communities as valuable. However, it is more than just including and citing scholarship from and about people of color's compositional practices, academia must also employ these ways of knowing and being to fully empower students and utilize the knowledge that the students bring with them to the FYC classroom. The dominant assignment genre in academia is the academic essay. Other dominant methods of communication and transferring scholarship are the journal article, annotated bibliography, proposal, and personal essay. Not to mention the many scholars who have critiqued academia for privileging print literacies, which although may be multimodal, promotes a multimodality of one culture and ideological standpoint. Although the seminal texts from the study offer exceptional multimodal composition research and classroom resources, if we can agree that "the mission of education…is to ensure that all students benefit from learning in ways that allow them to participate fully in public, community, and economic life" and that literacy pedagogy, essentially what the FYC course offers, "is expected to play a particularly important role in fulfilling this mission," then failing to see the value and utilize the scholarship from and about people of color ensures those that are marginalized continue to be "un-seen" and students remain unprepared for the tasks of composing and communicating outside of school (New London Group 60).

Bakgrund: Våld i nära relationer drabbar främst kvinnor. Normaliseringsprocessen får kvinnan att anpassa sig efter mannen, detta medför isolering, känslor av skam och värdelöshet vilket resulterar i ett lidande. Sjuksköterskans ansvar är att möta och lindra lidande genom ett förhållningssätt som bygger på respekt och empati. Syfte: Syftet var att belysa kvinnors upplevelser av våld i nära relationer. Metod: En kvalitativ metod valdes och en kvalitativ innehållsanalys användes för att analysera sex självbiografier. Resultat: I resultatet framkom nio kategorier med tre teman; Anpassning, Att leva under hot och Att kontrollera situationen. Slutsats: Genom kvinnors upplevelser kan sjuksköterskan få ökad kunskap angående våld i nära relationer. Förståelse för vikten av att ställa frågan angående våld och ett respektfullt bemötande var avgörande för att tillit ska skapas. / Background: Violence in close relationships mainly affects women. The normalization process causes the woman to adapt to the man, this results in isolation, feelings of shame and worthlessness which results in suffering. The nurse's responsibility is to meet and alleviate suffering through an approach that is based on respect and empathy. Purpose: The aim was to highlight women's experiences of intimate partner violence. Method: A qualitative method was chosen and a qualitative content analysis was used to analyze six autobiographies. Result: In the result, nine categories with three themes emerged; Adaptation, Living under threat and To control the situation. Conclusion: Through women's experiences, the nurse can gain more knowledge about intimate partner violence. Understanding the importance of asking the question about violence and a respectful manner was crucial to creating trust.

Engaging youth with Type 1 diabetes (T1D) in the self-management of daily tasks and decision- making provides opportunities for positive health outcomes. However, emerging adulthood and care transitions are associated with decreased clinic attendance and diabetes complications. The process of shared decision making (SDM) comprises four key elements – acknowledge, consider, decide, act - and is identified as an optimal approach to making self-management decisions, yet it has been difficult to implement in practice. Personal health record (PHR) technology is a promising approach for overcoming such barriers. Still, today PHRs have yet to root themselves into care and present an opportunity for improvement in SDM and engagement in self-management decision making. Using a sequential two-phased investigation, this dissertation describes how PHRs can be designed to enable SDM and integrated into clinical practice to engage youth with T1D in self-management decision making. Phase 1 proposed an integrated SDM–PHR (e-PHR) functional model justified by youth with T1D (n=7) and providers (n=15) via a user-centered design approach. Located within an interconnected EHR ecosystem, e-PHR integrates 23 PHR functionalities for the SDM process, whereby each SDM element was mapped to PHR functions with a moderate level of agreement between patients and providers (Cohen's kappa 0.60-0.74). The Phase 2 mixed methods, pre-implementation evaluation utilized an online measurement instrument and survey and individual interviews, underpinned by the Normalization Process Theory (NPT), to describe the four cognitive and behavioural processes (coherence, cognitive participation, collective action, reflexive monitoring) known to influence the success of complex socio-technical implementations. Youth with T1D (n=8), providers (n=11), and EHR/clinical leaders (n=8) in British Columbia participated. Reliability tests of NPT-based instrument negated the use of scores for the coherence and reflexive monitoring constructs. Qualitative results indicated that e-PHR made sense as explained by two themes for ‘Coherence’: game changing technology and sensibility of change. Participants strongly agreed (mean score=4.6/5) with ‘Cognitive Participation’ processes requiring an investment in commitment, explained by two themes: sharing ownership of the work and enabling involvement. Weak agreement (mean score=3.6/5) was observed with ‘Collective Action’ processes requiring an investment in effort, explained by one theme, uncovering the challenge of building collective action, and 3 sub-themes, assessing fit, adapting to change together, and investing in the change. Participants appraised e-PHR as explained by two themes for ‘Reflexive Monitoring’: reflecting on value, and monitoring and adapting. Finally, participants strongly agreed (mean score=4.5/5) that e-PHR would positively affect engagement in self-management decision making in two themes: care is efficient and care is person-centred. The establishment of a e-PHR functional model is a precursor to system design requirements. Using the NPT framework, findings from the process evaluation indicated participants invest in sense-making, commitment and appraisal work of this technology. However, successful integration of e-PHR into clinical practice to positively affect engagement in self-management decision making will only be attained when systemic effort is invested to enact it. Further research is needed to explore this gap to inform priorities and approaches for future implementation success. / Graduate

Syftet med föreliggande studie var att undersöka poliser inom ingripandeverksamhets (IGV) upplevelser av kvinnans inställning till att medverkai utredningen, baserat på initiala brottsplatsförhör, i partnervåldsärenden.Vidare var syftet även att undersöka hur IGV-poliser upplever att manbör arbeta för att motivera kvinnor till att medverka i utredningen. SjuIGV-poliser intervjuades med en semistrukturerad intervjuguide somsedan analyserades med hjälp av tematisk analys. Med hjälp av analysenidentifierades fyra teman samt åtta subteman. Resultatet påvisade attkvinnors inställning till att medverka i utredningen var negativalternativt ambivalent. Den negativa inställningen berodde till stor del pånormalisering av våldet samt misstro till polis och rättsväsende. Denambivalenta inställningen grundade sig i rädsla för våld samt ovisshetkring exempelvis rättsprocessen. Resultatet till den del av studien somsyftade till att förklara hur poliser upplever att de bör arbeta för attmotivera kvinnor till medverkan i utredningen påvisade att strategiersamt uppträdande är de mest centrala delarna. De strategier som ansågsmest centrala var patrullens uppbyggnad samt avskildhet. Att ha tålamodsamt den förhörsteknik som används under förhöret var de viktigastefaktorerna rörande hur man bör uppträda för att motivera kvinnor attmedverka i utredningen. Normaliseringsprocessen användes för attförsöka förklara kvinnors inställning till att medverka i utredningen. / The aim of this study was to examine police officer’s experiences ofwomen's attitudes towards participating in an investigation, based on theinitial crime scene hearing, in cases regarding domestic violence.Furthermore, the aim was also to investigate how police officer’s thinkthey should work to motivate women to participate in the investigation.Seven police officers were interviewed using a semistructured interviewguide. The results were analyzed using thematic analysis. Four themesand eight sub-themes were identified. The result showed that women'sattitudes toward participating in an investigation was either negative orambivalent. The negative attitude were due to normalization of theviolence and mistrust to the police and the legal system. Theambivalence attitude was caused by fear of repeated victimization anduncertainty concerning for example the legal proceeding. In terms ofhow police officer’s think they should work to motivate women toparticipate in the investigation, showed that strategies and appearancewere the two most central parts. There were two strategies that wereconsidered as most central. These were the structure of the patrol anddetachment. To have patience and how the hearing proceeds were seenas the most important factors regarding how to appear to be able tomotivate women to participate in the investigation. The Normalizationprocess were used as an explanation regarding women's attitudestowards participation in an investigation.