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Individuals with Post-Traumatic Stress Disorder (PTSD) faced one or more traumatic events in their lifetime that can lead to symptoms such as anxiety, flashbacks, and avoidance. As a result, these individuals can suffer from impairments such as a loss of functioning, inability to go work, and overall difficulties in coping with the difficulties of everyday life. Low-income individuals with PTSD face additional barriers due to the high costs of effective treatment. One evidence-based treatment for PTSD is Eye Movement Desensitization and Reprocessing (EMDR). Noting the equal need for people of low socioeconomic status to receive treatment, a grant proposal was drafted to develop a program that would offer subsidized, short-term EMDR treatment for low-income individuals who are adults (18 years and older) in Orange County. This program would reduce the symptoms of PTSD such that individuals can achieve a higher level of functioning. The grant was written in collaboration with the Norooz Foundation Clinic. Actual submission and funding of the grant are not required for the completion of the project.

Thesis (M.S.W.)--University of Hong Kong, 1976. / Includes bibliographical references (leaves 56-59) Also available in print.

O risco de agressões a profissionais da área de saúde mental tem sido evidenciado devido ao número crescente de ocorrências. Assim surgem algumas questões: A violência aos profissionais de saúde mental apresenta especificidade e sinais de alerta? Esse profissional está preparado para as variabilidades de suas atribuições? Como agir a um comportamento inesperado? Em busca de resposta a essas questões, este estudo objetiva entender as atividades realizadas por estes profissionais, identificando as dificuldades e variabilidades encontradas e os determinantes de risco. Como metodologia foram utilizadas observação das atividades e entrevistas e a aplicação do Modelo de Analise e Prevenção de Acidente do Trabalho (MAPA) em três casos de acidentes do trabalho selecionados em um Centro de Atenção Integrada em Saúde Mental (CAISM). Os resultados demonstraram que existem vários determinantes de agressão relacionados às características do paciente com TMC e a presença de comorbidades. A existência ou não de planos, programas e equipe direcionados à gestão da segurança e saúde no trabalho adequado às características dos pacientes atendidos e a falta de capacitação dos profissionais quanto ao agir diante de comportamento agressivo inesperado representam fatores fundamentais na ocorrência ou não deste evento indesejado. / The risk of aggression to mental health professionals has been evidenced due to the increasing number of occurrences. Thus, some questions arise: Does violence to mental health professionals show specificity and warning signs? Is this professional prepared for the variability of his / her duties? How to act on unexpected behavior? In order to answer these questions, this study aims to understand the activities performed by these professionals, identifying the difficulties and variabilities encountered and the determinants of risk. The methodology used was the observation of the activities and interviews and the application of the Work Accident Analysis and Prevention Model (MAPA) in three cases of occupational accidents selected in an Integrated Mental Health Care Center (CAISM). The results demonstrated that there are several determinants of aggression related to the characteristics of the patient with TMC and the presence of comorbidities. The existence or not of plans, programs and staff directed to the management of safety and health at work adequate to the characteristics of the patients attended and the lack of capacity of the professionals to act in the face of unexpected aggressive behavior represent fundamental factors in the occurrence or not of this undesired event .

Thesis (Psy. D.)--Wheaton College Graduate School, 2002. / Abstract. Includes bibliographical references (leaves 66-68).

Thesis (Psy. D.)--Wheaton College Graduate School, Wheaton, IL, 2002. / Abstract. Includes bibliographical references (leaves 66-68).

Thesis (Psy. D.)--Wheaton College Graduate School, Wheaton, IL, 2002. / Abstract. Includes bibliographical references (leaves 66-68).

O risco de agressões a profissionais da área de saúde mental tem sido evidenciado devido ao número crescente de ocorrências. Assim surgem algumas questões: A violência aos profissionais de saúde mental apresenta especificidade e sinais de alerta? Esse profissional está preparado para as variabilidades de suas atribuições? Como agir a um comportamento inesperado? Em busca de resposta a essas questões, este estudo objetiva entender as atividades realizadas por estes profissionais, identificando as dificuldades e variabilidades encontradas e os determinantes de risco. Como metodologia foram utilizadas observação das atividades e entrevistas e a aplicação do Modelo de Analise e Prevenção de Acidente do Trabalho (MAPA) em três casos de acidentes do trabalho selecionados em um Centro de Atenção Integrada em Saúde Mental (CAISM). Os resultados demonstraram que existem vários determinantes de agressão relacionados às características do paciente com TMC e a presença de comorbidades. A existência ou não de planos, programas e equipe direcionados à gestão da segurança e saúde no trabalho adequado às características dos pacientes atendidos e a falta de capacitação dos profissionais quanto ao agir diante de comportamento agressivo inesperado representam fatores fundamentais na ocorrência ou não deste evento indesejado. / The risk of aggression to mental health professionals has been evidenced due to the increasing number of occurrences. Thus, some questions arise: Does violence to mental health professionals show specificity and warning signs? Is this professional prepared for the variability of his / her duties? How to act on unexpected behavior? In order to answer these questions, this study aims to understand the activities performed by these professionals, identifying the difficulties and variabilities encountered and the determinants of risk. The methodology used was the observation of the activities and interviews and the application of the Work Accident Analysis and Prevention Model (MAPA) in three cases of occupational accidents selected in an Integrated Mental Health Care Center (CAISM). The results demonstrated that there are several determinants of aggression related to the characteristics of the patient with TMC and the presence of comorbidities. The existence or not of plans, programs and staff directed to the management of safety and health at work adequate to the characteristics of the patients attended and the lack of capacity of the professionals to act in the face of unexpected aggressive behavior represent fundamental factors in the occurrence or not of this undesired event .

Submitted by admin tede (tede@pucgoias.edu.br) on 2018-04-20T13:50:29Z No. of bitstreams: 1 ANNA FLÁVIA FERREIRA BORGES.pdf: 1959666 bytes, checksum: f64ca41b6445e1fb7508cae72568084d (MD5) / Made available in DSpace on 2018-04-20T13:50:29Z (GMT). No. of bitstreams: 1 ANNA FLÁVIA FERREIRA BORGES.pdf: 1959666 bytes, checksum: f64ca41b6445e1fb7508cae72568084d (MD5) Previous issue date: 2017-12-12 / This master’s dissertation presents an empirical study results which intends to investigate the shift work impacts and to discuss how this model of working can interfere in the worker’s family and social life and in his health. This is a descriptive exploratory study, based theoretically and methodologically on the Psychodynamics of Work approach, carried out with a group of 12 employees of a state-owned electric power company - operators of substation and hydro-electric power station - that perform their job in rotational shift work schedule. Three collective discussion sessions and a meeting for the research's validation were developed. The data were examined through the work clinical analysis. Three categories were adopted for this study's purposes: the first one is concerned to the shift work; the second was the Organization of Work and, the third one, the subjective mobilization. According to the Psychodynamics of Work premises, work is a central factor in the constitution of worker's health and identity, and the main link between individuals and society; for that reason, the experiences of pleasure and suffering in the work of these professionals were investigated. Concerning to the shift work, allied to the rigid and bureaucratic routine of the investigated workers, the data point to the occurrence of suffering supported by them, evidenced in: difficulty in reconciling work and social/family life; domestic overtasks; difficulty in disconnecting mentally from work; risks they are submitted to, due to the profession; relatedshift work pathologies. It was verified that the shift work most affects the workers' health is the night one, causing damages evidenced by the following symptoms: irritability, discouragement, mood disorders, headaches and fatigue. In this study, the main pathologies identified were insomnia or excessive drowsiness, irritability, stress, fatigue and depression. However, the clinic demonstrated that there are cooperation and trusting among the group, which added to the symbolic recognition are decisive for all people of the company recognize the importance of the work developed by the substation operators in rotating shifts and also feel themselves part of this laborer group, strengthening their identity. It should be noted that the main strategies identified in the group studied were union and cooperation, advocated by the psychodynamics of work as an essential mediation in the formation and renewal of solidarities against suffering at work. In the category Subjective Mobilization, workers experience the pleasure in work concerning to: availability on days-off to solve particular and familiar issues; travels; remuneration; relationship with colleagues; challenges and new job opportunities and a work positive sense in the operator position, which influence the mental health maintenance in the group of the surveyed workers. It is believed that the greatest gain obtained with this research by the workers was to rethink the pertinent questions to their work and for that, It is suggested the permanence of the space for collective discussion so that workers can develop individual and collective strategies to help them to deal with this regime of work, as well as implementations of actions at individual, collective and family levels in order to minimize the impacts caused by the shift work model. / A presente dissertação traz resultados de um estudo empírico que teve por objetivo investigar os impactos do trabalho em regime de turnos de revezamento e discorrer sobre como essa modalidade de jornada de trabalho pode interferir nas esferas familiar, social e na saúde desses trabalhadores, que é uma categoria pouco estudada. Trata-se de um estudo de caráter descritivo exploratório, embasado teórica e metodologicamente na abordagem da Psicodinâmica do Trabalho (PDT), realizado com um grupo composto por 12 trabalhadores de uma empresa estatal de energia elétrica – ocupantes do cargo de “operador de subestação e usinas hidrelétricas” – que desempenham suas atividades em turnos de revezamento. Foram desenvolvidas três sessões de discussão coletiva e um encontro para validação da pesquisa. Os dados foram analisados por meio da análise clínica do trabalho. Foram adotadas, para fins deste estudo, três categorias: a primeira delas consistiu no trabalho em turnos; a segunda foi a Organização do Trabalho e a terceira, a Mobilização Subjetiva. O trabalho para a (PDT) é um elemento central na constituição da saúde e da identidade e o principal elo entre indivíduos e a sociedade; por esta razão, investigaram-se as vivências de prazer e sofrimento no trabalho desses profissionais. No que diz respeito ao trabalho em turnos, aliado à rotina rígida e burocrática dos trabalhadores estudados, os dados apontam para a ocorrência de sofrimento por eles vivenciado, manifesto na(o): dificuldade em conciliar trabalho e vida sociofamiliar; sobrecarga doméstica; dificuldade em se desligar do trabalho; riscos a que estão expostos pela profissão; patologias adquiridas pelo trabalho em turnos. Constatou-se que o turno que mais impacta a saúde dos trabalhadores em turnos é o noturno, causando prejuízos evidenciados pelos sintomas de irritabilidade, desânimo, alterações de humor, dores de cabeça e cansaço. As principais patologias identificadas por esse estudo foram insônia ou sonolência excessiva, cansaço, irritabilidade, estresse, fadiga e depressão. No entanto, a clínica mostrou que há cooperação e confiança no grupo, aspectos que, somados ao reconhecimento simbólico, são decisivos para que todos atribuam sentido positivo ao trabalho de operadores de subestação em turnos e sintam-se pertencentes a este grupo profissional de trabalhadores, fortalecendo sua identidade. Ressalta-se que as principais estratégias identificadas no grupo pesquisado foram a união e cooperação, preconizados pela psicodinâmica do trabalho como uma mediação imprescindível na formação e na renovação das solidariedades contra o sofrimento no trabalho. Na categoria compreendida como Mobilização Subjetiva, os trabalhadores vivenciam mais o prazer no trabalho relacionado a: disponibilidade nos dias de folgas para resolver questões particulares e familiares; viagens; remuneração; relacionamento com as pessoas no local de trabalho; desafios e novas oportunidades de trabalho e sentido positivo do trabalho como operador. Acredita-se que o maior ganho obtido com essa pesquisa pelos trabalhadores foi repensar as questões pertinentes ao seu trabalho e por isso, sugere-se a continuidade do espaço de discussão coletiva para que os trabalhadores possam encontrar nesse espaço, um local de fala e escuta das questões laborais, além de implementações de ações em níveis individual, coletivo e familiar que visem minimizar os impactos causados pela organização temporal de trabalho em regime de turnos.

Personality disorder has been and continues to be a contested diagnosis. Those who attract this form of diagnosis have been particularly vulnerable to the effects of stigma and have tended to be excluded from service provision. This thesis provides an examination of how recent developments in law, policy and practice have impacted upon the status of personality disorder as a diagnosis of exclusion in Scotland. The theoretical framework that provides this thesis with its structure is derived from the post-empiricist approach proposed by Derek Layder. This approach seeks to contextualise emergent inductive findings within a broader historical and contemporary analysis. In the case of this research the broader context consists of the interplay between mental health law, policy and practice in the field of mental health and the diagnosis of personality disorder more specifically. The empirical enquiry at the core of this thesis is based upon an analysis of the views, beliefs and expectations of front-line staff (psychiatrists and social workers qualified as mental health officers) involved in the process of assessment and service provision. In addition to front-line staff (n = 27) a range of key informants who were in a position to shed light on the strategic imperatives underpinning recent developments in law and policy were also interviewed. This analysis is contextualised within a review of key developments in law and policy that have particular significance for anyone who may attract a diagnosis of personality disorder. Despite the ostensibly inclusive approach towards those who may attract a diagnosis of personality disorder evident within the Mental Health (Care and Treatment) (Scotland) Act 2003, the reality is a highly selective and very limited inclusion of those who attract this form of diagnosis. The effective inclusion of those who may attract a diagnosis of personality disorder has been obstructed by several key impediments: 1: an insufficiently robust policy framework to drive forward the process of inclusion; 2: residual ambivalence towards the legitimacy of the diagnosis of personality disorder itself and the legitimacy of the claims made upon services by those who may attract a diagnosis of personality disorder; 3: insufficient and inadequately focused resources; 4: service structures that have not been redesigned sufficiently to engage successfully with service users who may attract a diagnosis of personality disorder. As a consequence of these impediments to inclusion, the majority of those who may attract a diagnosis of personality disorder in Scotland are likely to continue to face high levels of marginalisation and exclusion.