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Shoyer, Beth G. "Psychotherapist self-care : beliefs, practices, and outcomes /." free to MU campus, to others for purchase, 1998. http://wwwlib.umi.com/cr/mo/fullcit?p9901280.
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McNicolls, Christopher Ferdinand. "Self-understanding and the care for being : Heidegger's ethical thought /." *McMaster only, 1998.
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Borgwald, Kristin E. "Extending Care." Scholarly Repository, 2011. http://scholarlyrepository.miami.edu/oa_dissertations/517.
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In recent years, sentimentalist care ethics has been developed and defended as a normative ethical theory alongside and in opposition to Kantian liberalism. Carol Gilligan introduced the idea of a woman’s moral perspective that emphasizes maintaining relationships and responding to need, and saw it as a different way of framing moral issues. Care ethics is no longer associated only with women, and it is presented as a theory for both men and women that has its own distinctive accounts of ethical notions like justice and autonomy. These accounts have developed from analyses of injustice towards women and uncaring attitudes that they face in patriarchal societies, but ironically, care ethics has failed to discuss women’s anger at their own mistreatment, and their inability to deal with that anger. This notable lacuna in the care ethics literature is of philosophical importance because analyzing the phenomenon of women’s anger uncovers epistemic issues that have not been addressed. I discuss these epistemic issues in order to strengthen care ethics from within and extend it into other areas of ethics. My goal is to make care ethics a real contender among normative ethical theories and a truly feminist ethic.
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Davis, John K. "Precedent autonomy, surviving interests, and advance medical decisionmaking /." Thesis, Connect to this title online; UW restricted, 2001. http://hdl.handle.net/1773/5705.
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Engdahl, Ylva. "HOPE Platform Digital Toolfor Type 2 Diabetes : Supporting Newly Diagnosed Patients in Self-Care." Thesis, KTH, Medicinteknik och hälsosystem, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-297535.
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Type 2 diabetes is a chronic disease whose incidence has increased with more than 200% during the past 20 years. The increasing number of type 2 diabetes patients could result in more patients suffering from lower quality of life and life threatening complications. Furthermore, the growing need of care will increase the load on healthcare. To counteract this effect, digital tools could be used to put more care responsibility on the patient. The aim of this project was to find and implement the relevant features for a digital type 2 diabetes tool for newly diagnosed patients. The final goal was to encourage self-care, reduce anxiety and thus improve quality of life, while decreasing the risk of complications. The research process of this project consisted of five phases: literature study (to find relevant features and their clinical evidence), interviews (to find the desires of patients and practitioners), data analysis (to prioritise features), development of the features and evaluation of the tool. The results showed that important features were documentation of blood glucose measurements, patient education, data transfer, communication and care plan overview, but even more importantwas the possibility to individualise the tool for different patients. The evaluation indicated that a clear care plan overview that was easy to understand could help the patient prioritise care activities. Furthermore, patients could be encouraged by reminders, seeing improvements and having continuous communication with healthcare. It was found that for positive clinical outcomes, high usability is essential. To reach patient acceptance the tool must be relevant and easy to use. It must also give valuable output, such as decision support for self-care or new knowledge. To reach practitioner acceptance the tool should be based on evidence based methods and integrate well with existing systems. Finally it was concluded that the knowledge and technology needed to build a successful tool is already present, they only need to be put together and formulated in a way which is understandable and useful for both patients, caregivers and developers.Diabetes typ 2 är en kronisk sjukdom vars incidens har ökat med mer än 200% de senaste 20 åren. Det stigande antalet patienter med diabetes typ 2 kan leda till att fler patienter blir lidande av lägre livskvalitet och livshotande komplikationer. Dessutom ökar det stigande vårdbehovet belastningen på vården. För att motverka denna effekt kan digitala verktyg utvecklas så att mer ansvar kan läggas på patienten. Syftet med detta projekt var att hitta och implementera relevanta funktioner för ett digitalt verktyg för nydiagnostiserade patienter med diabetes typ 2. Målet var att uppmuntra egenvård, minska oro och därmed öka livskvaliteten samt minska risken för komplikationer. Projektets forskningsprocess bestod av fem faser: litteraturstudie (finna relevanta funktioner och deras evidens), intervjuer (kartlägga krav från patienter och vårdgivare), dataanalys (prioritera funktioner), utveckling av funktioner i HOPE platform och slutligen utvärdering av verktyget i HOPE platform. Resultaten visade att dokumentation av blodglukosmätningar, patientutbildning, dataöverföring, kommunikation och vårdplansöversikt var viktiga funktioner, men ännu viktigare var möjligheten att individanpassa verktyget för varje patient. Utvärderingen indikerade att en tydlig vårdplansöversikt som är enkel att förstå hjälper patienten att prioritera de viktigaste vårdaktiviteterna. Vidare kan patienter motiveras av påminnelser, att se förbättring och att ha kontinuerlig kontakt med vården. Det konstaterades att hög användbarhet är nödvändig för att uppnå positiva kliniska effekter. För att nå acceptans hos patienterna måste verktyget vara relevant, enkelt att använda och ge något värdefull tillbaka, så som beslutsstöd för egenvård eller ny kunskap. För att nå acceptans hos vårdgivarna bör verktyget baseras på evidensbaserade metoder och vara kompatibelt med nuvarande system. Slutligen drogs slutsatsen att kunskapen och tekniken för att skapa ett lyckat verktyg redan finns, men att kraven måste sammanställas och formuleras på ett sätt som är förståeligt och användbart för både patienter, vårdgivare och utvecklare.
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White, Lacie. "'Of All Mindfulness Meditation, That on Death is Supreme': A Dialogical Narrative Analysis with Palliative Care Nurses." Thesis, Université d'Ottawa / University of Ottawa, 2020. http://hdl.handle.net/10393/41119.
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“Mindfulness gets thrown around all the time, but what does it actually mean in practice?” I interpreted this question posed by a nurse in this inquiry, as a statement of curiosity and concern. As conceptualizations, practices, and programs of mindfulness continue to diversify, there is a call to understand mindfulness as a socially and culturally embedded practice. Some critiques suggest mindfulness is moving too far from its ethical orientation and becoming instrumentalized as a tool. Therefore, the pervasive presence of ‘mindfulness’ across work and educational settings renders the question what does mindfulness actually mean in practice? an important one for nursing as a discipline, and within palliative care nursing practice.
Mindfulness is proposed broadly here as an approach to meet therapeutic and relational aims for nurses within palliative care practice. What it means to be mindfully present and compassionate in the midst of suffering, strong emotion and profound uncertainty is rarely discussed. Grounded in conversations with nine palliative care nurses (their words italicized), I explored how mindfulness shapes relationally engaged ways of being while caring for people with terminal disease and existential distress. Using a contemplative dialogical narrative approach, I analyzed nurses’ stories as units of data to explore multilayered narratives with personal, social, and cultural storylines. Using an emergent and iterative design, I dialogued across various aspects of the research process enacting an integrative approach. Metaphorically, this dissertation is structured as a contemplative walk within a classical seven-circuit labyrinth; readers are invited to walk a circuitous path while following along as stories take the lead.
Seven turns in the labyrinth outline a path conveying key recursive narratives of mindfulness. Turning in various directions three guiding story threads are woven together to create the path: 1) palliative care nursing as mindfulness is an embodied ethic creating space(s) for creativity and ‘connection’ through the ‘big stuff’; 2) such ‘space’ can be generated and accessed through somatic practices of ‘self-awareness’ and ‘self-care’; and 3) spaces of caring are continuously transforming within the communities in which they are practiced. Nurses’ stories foreground ways organizational and educational systems support or constrain how mindfulness as an embodied ethic of care can be enacted. This study adds to the ongoing conversation of mindfulness and its value when practiced/understood as palliative care nursing. As the historical Buddha was quoted to have said “of all mindfulness meditation, that on death is supreme.”
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Moffat, Mary I. "Certified Case Managers’ Lived Experiences in Hospital Networks: A Phenomenological Inquiry." Ohio University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1510574423348934.
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Atibaka, Sunday O. "Anthropology of Aging: Assessment of Old Age Needs and Ethical Issues regarding the Use of Assistive Technologies." Thesis, University of North Texas, 2018. https://digital.library.unt.edu/ark:/67531/metadc1404544/.
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The main goal of this research has been to investigate elderly people's needs, perceptions, fears, hopes, and expectation regarding elderly care, including ethical issues linked to assistive technologies. As faith seems to take an important place in how some elders face the aging process, the spiritual dimension was also included. Therefore, the research was conducted among 15 church congregants. Results show that most respondents fear the physical and mental decay due to aging, often resulting in becoming a burden to someone else, along with abandonment and lack of financial resources. Most ethnic groups perceive that other cultures take better care of their elders than their own. Faith seems to offer a great support, as it gives the confidence that divine power will always be there for them even beyond death. The respondents in this research suggest that guidance should be provided in a more structured way, more focus should go on the youth and the elderly, more activities should be organized and practical information should be shared. Regarding the ethical issues of assistive technologies, they are not well informed about their possibilities but acknowledge their potential usefulness, combined with human care. They don't want technology to be too intrusive in their daily life, but they are willing to sacrifice (part of) their privacy for more (medical) safety. There is a general concern that the access to qualitative care would be depending on financial resources.
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Pires, Neto Luiz de Camargo. "A vida como obra de arte: entrelaçamentos entre ética e estética da existência no momento socrático-platônico segundo Michel Foucault." Pontifícia Universidade Católica de São Paulo, 2013. https://tede2.pucsp.br/handle/handle/11627.
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Previous issue date: 2013-05-21This work aims investigate the entanglements between ethics and aesthetics of existence in the writings of Michel Foucault in which the philosopher studies what he called socratic-platonic moment . Based on the research presented by the philosopher in the course taught in 1982, named The hermeneutics of the subject, the present study departs from an analysis of the notion self care around two famous characters of the Antiquity: Socrate and Alcibíades, to indicate the possibility of a life as a work of art. Divided into four chapters, this analysis indicates a contextualisation of ethical reflection on Foucault s philosophical trajectory, exposes entanglements between epiméleia heautoû (self care) and gnôthi seautón (self-knowledge), philosophy and spirituality, presents the self care in the platonic dialogues and expresses the possibility of reusing the philosophy of the Ancients for the present moment
Este trabalho busca investigar os entrelaçamentos entre ética e estética da existência nos escritos de Michel Foucault em que o filósofo estuda aquilo a que denomina momento socrático-platônico . Fundamentado na pesquisa apresentada pelo filósofo no curso ministrado em 1982, denominado A hermenêutica do sujeito, o presente estudo parte de uma análise da noção cuidado de si em torno de dois conhecidos personagens da Antiguidade Sócrates e Alcibíades , para indicar a possibilidade de uma vida como obra de arte. Dividido em quatro capítulos, esta análise indica uma contextualização da reflexão ética no percurso filosófico de Foucault, expõe entrelaçamentos entre epiméleia heautoû (cuidado de si) e gnôthi seautón (conhecimento de si), filosofia e espiritualidade, aborda o cuidado de si nos diálogos platônicos e manifesta a possibilidade de retomar os Antigos para pensar o momento presente
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Urel, Ana Laura Jeremias. "Filosofia com crianças : estudo de uma proposta paulista e considerações a partir da ética /." Marília : [s.n.], 2010. http://hdl.handle.net/11449/96314.
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Resumo: A pesquisa pretende abordar o problema que se refere à perspectiva abordada pela Secretaria da Educação do Estado de São Paulo no que tange à escolha da temática ética para as oficinas de filosofia para crianças. Problema que nos leva a buscar um caminho que nos indique como pensar esse tema pelo viés do sujeito e não pelas finalidades estabelecidas pela educação escolarizada. O objetivo primeiro desta dissertação é analisar a Oficina de Enriquecimento Curricular Filosofia para o Ciclo I do Ensino Fundamental, na busca pelos elementos que dificultam a realização dessas oficinas nas escolas públicas do Estado de São Paulo. Para tanto, entendemos que nossa primeira preocupação é analisar a concepção de Educação à qual o projeto está vinculado, no sentido de compreendermos o que motiva a elaboração desse projeto. Nossa pesquisa se caracteriza metodologicamente pela análise documental, com base em autores da Filosofia da Educação. Escolhemos como objeto de pesquisa os documentos que propõem a oficina de filosofia para crianças. A partir da concepção de Ética explícita nos documentos, buscamos uma possibilidade da proposta dessa temática aliada ao conceito de Cuidado de si, perspectivado por Michel Foucault. Analisamos, também, a palavra experiência por meio de Jorge Larrosa, ao qual acreditamos ser possível uma possibilidade de abertura para pensarmos como o cuidado de si indicaria uma disposição ética do sujeito a si e aos outrosAbstract: The objective of the present dissertation is to approach the debatable perspective taken by São Paulo State Secretariat of Education when choosing the theme ethics for its Philosophy workshops for children. In order to do so, it seems necessary to encounter an approach that leads to the consideration of the topic in the light of the Subject instead of the purposes established by formal education. The main aim of the study is to analyze the Workshop of Curricular Enrichment - Philosophy in the first stage of Brazilian Fundamental Education (i.e. students aged 6 to 10 years), seeking elements that hinder the accomplishment of these workshops in public schools in São Paulo state. Firstly, the concept of Education to which the project is affiliated is analyzed in order to understand the motivation behind the project‟s elaboration. The research‟s methodology consists of document analysis based on authors who specialize in Philosophy of Education. The study‟s corpus comprises the documents utilized in the philosophy workshops for children. The study proposes the conflation of the conception of Ethics presented on the documents with the concept of Care of the Self, as devised by Michel Foucault. The word experience was also analyzed as per Jorge Larrosa, offering a possibility to consider how the Care of the Self may indicate an ethical disposition of the Subject toward itself and toward others
Orientador: Alonso Bezerra de Carvalho
Coorientador: Carlos da Fonseca Brandão
Banca: Pedro Ângelo Pagni
Banca: Marcelo Carbone Carneiro
Mestre
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Almeida, Tereza Joelma Barbosa. "Educação ambiental e valorização da ética para o cuidado do ambiente escolar." Universidade Catolica de Salvador, 2018. http://ri.ucsal.br:8080/jspui/handle/prefix/429.
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Esta dissertação intitulada, “Educação Ambiental e Valorização da Ética para Cuidado no Contexto Escolar”, tem por objetivo compreender os fatores que mobilizam estudantes do Ensino Fundamental e Ensino Médio a depredarem o patrimônio escolar, os sentidos que atribuem aos conhecimentos aprendidos sobre educação ambiental e os modos como representam e se relacionam com o ambiente escolar onde estudam. A ideia original para a pesquisa surgiu ao considerar os aspectos de depredação escolar e sua inter-relação com a questão da educação ambiental. O campo empírico da pesquisa é a escola pública estadual, Colégio Estadual Professora Sílvia Ferreira Brito, ambiente escolar onde os aspectos de depredação é uma problemática, e por isso adotada neste estudo para análise e compreensão. Nessa perspectiva, optei por uma pesquisa de natureza qualitativa, com uma abordagem (auto) biográfica, cujos instrumentos para produção do gênero literário foram os grupos focais e as entrevistas narrativas. Na análise do material produzido emergiram categorias como as representações sociais dos estudantes como um referencial de vida e para compreendê-las busquei estabelecer diálogos com autores como Moscovici (2015) e Halbwachs (1990); revelaram-se as projeções afetivas dos estudantes, cuja dimensão do afeto se apresenta como guia orientador das escolhas e condutas estudantis, as quais analiso alicerçada nas ideias de Piaget (1999), Vygotsky (2000), Morin (2015), Cortella (2015), Puig e Araújo (2007); destaco, também, os sentidos dos tipos de valores humanos, dos quais a ética do cuidado é ressaltada como um valor essencial para a vida, nessa reflexão estabeleci uma conexão com autores como Milton Rokeach (1973), Schwartz (1999), Pimentel (2004), Vinha e Tognatta (2009), Chauí (2007), Boff (2012), Gadotti (2003) e Dias (2004). Os resultados da pesquisa revelam uma complexidade de fatores que provocam a problemática ambiental dentro do contexto escolar, os quais permeiam a dimensão das relações intrapessoais, interpessoais e ambientais, envolvendo a construção dos valores humanos e a formação da personalidade do adolescente como fase crucial para estruturação destes valores e sinalizam a ética para o cuidado do ambiente escolar como um valor essencial para a vida. Nesse sentido, percebo que a educação ambiental necessita ser vista a partir uma educação socioambiental, que permita aos estudantes reconhecer e reconstruir valores pessoais, sociais e ambientais a luz da reflexão ética para o cuidado. E vislumbro na Pedagogia de Projetos essa possibilidade educativa para a formação dos estudantes.
This dissertation, entitled "Environmental Education and Valuation of Ethics for Care in the School Context," aims to understand the factors that lead elementary and high school students to depredate school assets, the meanings they attribute to knowledge learned about environmental education, and the ways they represent and relate to the school environment where they study. The original idea for this research study emerged from considering aspects of school depredation and its relationship with the issue of environmental education. This study was conducted at the State School Teacher Sílvia Ferreira Brito, a school where the aspects of depredation are problematic. The purpose was to analyze and understand this environment. A qualitative research with a (auto) biographical approach was adopted, and focus groups and narrative interviews were the instruments chosen. In the analysis of the material produced emerged categories as the social representations of the students as a reference of life and to understand them I tried to establish dialogues with authors like Moscovici (2015) and Halbwachs (1990); (1999), Vygotsky (2000), Morin (2015), Cortella (2015), and the other students' , Puig and Araújo (2007); I also point out the meanings of the types of human values, of which the ethics of care are emphasized as an essential value for life, in this reflection I established a connection with authors such as Milton Rokeach (1973), Schwartz (1999), Pimentel (2004) ), Vinha and Tognatta (2009), Chauí (2007), Boff (2012), Gadotti (2003) and Dias (2004). The results of the research reveal a complexity of factors that provoke environmental problems within the school context, which permeate the dimension of intrapersonal, interpersonal and environmental relations, involving the construction of human values and the formation of the adolescent personality as a crucial phase for structuring these values and indicate ethics for the care of the school environment as an essential value for life. In this sense, I realize that environmental education needs to be seen from a socioenvironmental education, which allows students to recognize and reconstruct personal, social and environmental values in the light of ethical reflection for care. And I see in Project Pedagogy this educational possibility for the formation of students.
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Tietboehl, Lúcia Karam. "Política na rua : modos de subjetivação e resistência nos movimentos de ocupação dos espaços públicos." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2015. http://hdl.handle.net/10183/148292.
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Este estudo tem como tema os movimentos sociais contemporâneos, em especial aqueles que utilizam a ocupação dos espaços públicos como estratégia de resistência. A partir de 2011, novas formas de insurgência tomaram as ruas em diferentes países e continentes. Guardadas as diferenças locais que marcaram estes encontros populares, tem-se a estratégia de ocupação do espaço público como linha que transversaliza essas expressões. A ocupação, nestes moldes, toma visibilidade e importância diferenciadas, configurando-se como uma expressão própria deste tempo. No acompanhamento de coletivos que se organizam pela ocupação do espaço público na cidade de Porto Alegre, foram mapeados as formas de subjetivação que estão envolvidas nesta nova modalidade de articulação política. Ao perguntar-me se este é um modo de resistência às formas subjetivantes hegemônicas, atento para as práticas que dão um caráter singular a estes fenômenos urbanos, analisando quais potências de invenção estão em jogo nestes processos. A noção de “ética do cuidado de si”, proposta por Michel Foucault, é um interessante articulador do pensamento para pensar sobre estas possibilidades éticas e políticas. No campo dos movimentos sociais e da atitude crítica coletiva torna-se pertinente a problematização do poder e da liberdade, temas sobre os quais Foucault também olha de maneira muito especial. Tomo como ponto de partida uma contextualização dos movimentos de ocupação dos espaços públicos e suas condições de possibilidade, em âmbito internacional e na cidade de Porto Alegre, para apresentar as duas linhas que, ao enredarem-se, compõem os modos de politizar-se que pretendo colocar em análise: a linha da ocupação do público e os modos de ocupação de si. A experiência de pesquisar se deu a partir do lugar de militante e, a partir dela, foram mapeados alguns efeitos destes novos encontros, na cidade e para os sujeitos que ocupam, atentando para as possibilidades de constituir uma militância ligada a modos de fazer éticos.The present study is about the contemporary social movements; mainly, the ones that take the occupation of public spaces as a strategy of resistance. Since 2011, new ways of insurgency have taken the streets in different countries and continents. Taking apart the local differences, a typical characteristic of these popular meetings, the occupation of public spaces arises as a tendency that cuts across these expressions. The occupation, by these means, takes different visibility and importance, becoming a singular expression of our period. Following the works of collectives that support the idea of the occupation of public spaces in the city of Porto Alegre, were established the ways of subjectification related to this new way of political articulation. Wondering if this is a way of resistance against the subjecting hegemonic ways, I attend to the practices that give a singular aspect to these urban phenomenons, analysing its possibilities of invention. The idea of an ethics of the care of the self, proposed by Michel Foucault, is an interesting tool to promote the investigation about these ethical and political possibilities. In the present field – the social movements and the collective and critical attitude – it is important to analyse the institutions of power and freedom, subjects specially examined by Foucault. As a starting point, the investigation of the occupation movements for public spaces; later on, its conditions of possibility, internationally and in Porto Alegre, to present two lines that, by merging, compose the ways of politicization that are here put in analysis. These are: the occupation of something public and the ways of occupying the self. This experience of research is produced from a militant position. Also by this position, were established some outcomes of these new ways of meeting, in the aspects of the city and the subjects that occupy, thinking about the possibilities of creating a militancy linked to ethical ways of acting.
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Oliveira, Gilberto Benedito de. "Cuidado de si e hermen?utica do sujeito em Michel Foucault." Universidade Federal do Rio Grande do Norte, 2011. http://repositorio.ufrn.br:8080/jspui/handle/123456789/16495.
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Previous issue date: 2011-12-07Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior
The work, here present, has as its objective to present in a clear and distinct manner the object of study of Michel Foucault in his last years of teaching at the College de France, namely, the care of the self. We present the care of the self in its birth, in its origin, from the character Socrates and its development until the beginning of the Christian age. With a keen eye, we present Foucault with a work of return and rescue of the care of the self to the personal and academic discussions; we propose, from the self care, to the contemporary subject a problematization of their life so that from this questioning he creates for herself ways of life that are coherence, knowledge and care with which he has of must particular, his himself. Passing by the sources that served as the source of study for Foucault to sketch the birth of care of the self, we design the form with which Foucault has dealt with the documents that speak of the care of self. We present Socrates as one who by excellence ensures that the other will give birth to the forms of knowledge and care of the self or, in other words, we present the care of the self socratic-foucauldian as a constant worry of the other to pay attention to ways in which he conducts her life, it creates for themselves ways of being and, therefore, creates ethics of existence. We present, finally, the care of the self as the cause of continuous immanence of modes of subjectivation of the subject that configure themselves in a non-accepting a determined essence, but a continually updated form . The care of the self leads to a single relationship and educator of modes of subjectivation of the subject; he creates, on the dynamics of temporality, ethical ways of living, which are sustained by an internal coherence of the subject with herself; he admits no stationary nature in the training of the subject, always wants a more beautiful work of himself; he is not isolation, he needs and is made with the other. The care of the self is the principle and the telos of battles and conquests of the subject within his temporality and existence
O trabalho, aqui desenvolvido, tem por objetivo apresentar o objeto de estudo de Michel Foucault em seus ?ltimos anos de ensino no Coll?ge de France, a saber, o cuidado de si. Apresentamos o cuidado de si em seu nascer, em sua origem, a partir do personagem S?crates e seu desenvolvimento at? o in?cio da era crist?. Com um olhar atento, apresentamos com Foucault um trabalho de retorno e resgate do cuidado de si ?s discuss?es pessoais e acad?micas; propomos, a partir do cuidado de si, ao sujeito contempor?neo uma problematiza??o de sua vida para que desta problematiza??o ele crie para si mesmo modos de vida que sejam coer?ncia, conhecimento e cuidado com o que ele tem de mais particular, seu si mesmo. Passando pelas fontes que serviram de fonte de estudo para Foucault esbo?ar o nascimento do cuidado de si, vamos desenhando a forma com a qual Foucault tratou os documentos que falam do cuidado de si. Apresentamos S?crates como aquele que por excel?ncia faz com que os outros d?em ? luz a formas de conhecimento e cuidado pr?prios ou, em outras palavras, apresentamos o cuidado de si socr?tico-foucaultiano como um constante inquietar o outro a prestar aten??o aos modos como ele conduz sua vida, cria para si modos de ser e, consequentemente, cria ?ticas de exist?ncia. Apresentamos, enfim, o cuidado de si como causa de cont?nua iman?ncia de modos de subjetiva??o do sujeito que se configuram em um n?o aceitar uma ess?ncia determinada, mas uma forma continuamente atualizada. O cuidado de si conduz a uma rela??o ?nica e formadora de modos de subjetiva??o do sujeito; ele cria, na din?mica da temporalidade, formas ?ticas de viver que se sustentam por uma coer?ncia interna do sujeito com ele mesmo; ele n?o admite estaticidade na forma??o do sujeito, deseja sempre uma obra de si mais bela; ele n?o ? isolamento, necessita e se faz com o outro. O cuidado de si ? o princ?pio e o telos das batalhas e conquistas do sujeito dentro de sua temporalidade e exist?ncia
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McNicolls, Christopher Ferdinand. "Self-understanding and the care for Being, Heidegger's ethical thought." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape9/PQDD_0024/NQ51004.pdf.
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Urel, Ana Laura Jeremias [UNESP]. "Filosofia com crianças: estudo de uma proposta paulista e considerações a partir da ética." Universidade Estadual Paulista (UNESP), 2010. http://hdl.handle.net/11449/96314.
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urel_apj_me_mar.pdf: 442054 bytes, checksum: 729319bb62e901878f9bd553fff1af6d (MD5)A pesquisa pretende abordar o problema que se refere à perspectiva abordada pela Secretaria da Educação do Estado de São Paulo no que tange à escolha da temática ética para as oficinas de filosofia para crianças. Problema que nos leva a buscar um caminho que nos indique como pensar esse tema pelo viés do sujeito e não pelas finalidades estabelecidas pela educação escolarizada. O objetivo primeiro desta dissertação é analisar a Oficina de Enriquecimento Curricular Filosofia para o Ciclo I do Ensino Fundamental, na busca pelos elementos que dificultam a realização dessas oficinas nas escolas públicas do Estado de São Paulo. Para tanto, entendemos que nossa primeira preocupação é analisar a concepção de Educação à qual o projeto está vinculado, no sentido de compreendermos o que motiva a elaboração desse projeto. Nossa pesquisa se caracteriza metodologicamente pela análise documental, com base em autores da Filosofia da Educação. Escolhemos como objeto de pesquisa os documentos que propõem a oficina de filosofia para crianças. A partir da concepção de Ética explícita nos documentos, buscamos uma possibilidade da proposta dessa temática aliada ao conceito de Cuidado de si, perspectivado por Michel Foucault. Analisamos, também, a palavra experiência por meio de Jorge Larrosa, ao qual acreditamos ser possível uma possibilidade de abertura para pensarmos como o cuidado de si indicaria uma disposição ética do sujeito a si e aos outros
The objective of the present dissertation is to approach the debatable perspective taken by São Paulo State Secretariat of Education when choosing the theme ethics for its Philosophy workshops for children. In order to do so, it seems necessary to encounter an approach that leads to the consideration of the topic in the light of the Subject instead of the purposes established by formal education. The main aim of the study is to analyze the Workshop of Curricular Enrichment – Philosophy in the first stage of Brazilian Fundamental Education (i.e. students aged 6 to 10 years), seeking elements that hinder the accomplishment of these workshops in public schools in São Paulo state. Firstly, the concept of Education to which the project is affiliated is analyzed in order to understand the motivation behind the project‟s elaboration. The research‟s methodology consists of document analysis based on authors who specialize in Philosophy of Education. The study‟s corpus comprises the documents utilized in the philosophy workshops for children. The study proposes the conflation of the conception of Ethics presented on the documents with the concept of Care of the Self, as devised by Michel Foucault. The word experience was also analyzed as per Jorge Larrosa, offering a possibility to consider how the Care of the Self may indicate an ethical disposition of the Subject toward itself and toward others
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Hammerton, Rachel. "Novice Therapists' Perception and Use of Self-Care." Thesis, Université d'Ottawa / University of Ottawa, 2019. http://hdl.handle.net/10393/39826.
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Self-care is necessary for psychotherapists to prevent burnout and to provide ethical services for clients. Counselling students often recognize the need for self-care, but neglect to implement it, preventing them from building the necessary practices to endure hardships related to practicing psychotherapy. Previous research, such as Butler and colleague’s work (2017), has examined the importance of self-care in counselling education, but has not examined how it is applied in practice. Therefore, this project’s research questions included: 1) How do novice therapists engage in professional self-care? 2) How do novice therapists bridge the gap between conceptual knowledge and practice of professional self-care? 3) What are the barriers to self-care? Thematic Analysis (TA) was used to distil meaning from common experiences of participants. Four psychotherapists with an average of 1.5 years of experience were interviewed using an in-depth semi-structured interview protocol. Eighteen subthemes were generated from the data, further categorized under four themes: (1) obstacles to self-care; (2) work-life balance; (3) pathways to self-care; and (4) effects of self-care. Implications of this research include structured self-reflection in counsellor training programs, integration of flexibility and self-care provisions in workplace cultures, and a strong policy emphasis on the need for counsellor self-care and improving professional guidelines to allow for counsellor self-care practices.
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Iarossi, Pauline. "L’ordonnancement singulier du sujet : autocensure et constitution du sujet politique." Thesis, Paris 4, 2016. http://www.theses.fr/2016PA040178.
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Au départ et de façon générale, on se propose ici une édification du concept d’autocensure. Mais le concept d’autocensure ne s’appréhende pas, à notre sens, sans l’élaboration simultanée d’un autre concept qu’est le sujet et particulièrement le sujet politique. En partant de la notion de refoulement et de sublimation chez Freud puis, en reconstituant les relations entre corps et monde nécessaires à la transformation de ce corps en sujet, nous proposons de comprendre la relation étroite entre une subjectivation historico-politique (souci de soi et ascèse chez Michel Foucault) et une autocensure c’est-à-dire une autoconstitution du sujet dans l’histoire par une interprétation symbolique incessante de l’homme et par un ensemble de technologies ( savoirs, vérités, pouvoirs). Celles-ci sont le support des réponses que le sujet, engagé dans l’histoire, se renvoie lui-même pour se déterminer à devenir un sujet politiqueIn the beginning and in general, I here propose a construction of the concept of autocensorship. In the sense in which I employ the term, however, the concept of auto-censorship cannot be grasped without the simultaneous elaboration of another concept, namely, the subject and the political subject in particular. Beginning with the notions of repression and sublimation in Freud before reconstituting the relations between body and world necessary for the transformation of the body into a subject, I propose an understanding of the strict relation between a historico-political subjectification (care of the self and asceticism in Michel Foucault) and an auto-censorship, that is to say, an auto-constitution of the subject in history by an endless symbolic interpretation of the human and a complex of technologies (knowledge or expertise, truths, powers). These technologies constitute the underpinning of responses that the subject, engaged in history, returns to itself in order to become a political subject
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Armstrong, Jennifer B. "Loneliness and Perceived Stigmatization Among Older Adults Enrolled in Opiate Substitution Treatment Programs and the Utilization of Mental Health Services." Antioch University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1440508405.
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Coleman, Ebony Denise. "An Exploration of Mental Health Practitioners' Perceptions of Ethical Requirements and Self-Care as Means to Maintain Professional Competence." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6314.
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A mental health practitioner must refrain from partaking in any mental health work if personal problems interfere with his or her ability to provide services in a competent manner. The purpose of this qualitative study was to explore how mental health practitioners manage personal problems to stay ethically compliant. Previous research has indicated that a significant amount of literature has revealed the causes and damaging effects of burnout among mental health workers. However, there remains an important gap in the current literature that links burnout directly with competently providing quality care. Ethical compliance, self-care, and mental health practitioners' perceptions were explored to answer research questions that were centered around the lived experiences of mental health workers. Guided by these research questions, semi-structured in-depth qualitative interviews were conducted with 8 current mental health practitioners who practice in a southern U.S. state. The data were analyzed according to interpretive phenomenological analysis procedures. Themes that were extrapolated are (a) building inner self-care rapport, (b) establishing healthy mental health practitioner and client relationships, and (c) personal and professional balance. Findings from this study, in addition to existing literature on mental health practitioner's self-care and ethical requirements, indicated that mental health practitioners' perceptions assist in their ability to maintain ethical compliance. This would be an important contribution to the existing literature and would enhance social change initiatives by explaining the importance of more self-care training for mental health practitioners and the facilities that employ them.
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Pylypa, Jennifer Jean 1969. "Self-care and self-medication practices in two California Mexican communities: Migrant farm worker families and border residents in San Diego County." Thesis, The University of Arizona, 1997. http://hdl.handle.net/10150/278600.
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Although medical anthropologists have recently taken up the study of medication use in both developing and developed nations, the medication practices of immigrants remain unstudied. The current research reports on self-medication practices among two California Mexican immigrant communities: immigrant families living along the California-Mexico border, and migrant farm worker families residing in illegal encampments and substandard housing in San Diego's North County. Medication and health seeking practices are found to be influenced by both political-economic forces, and the sociocultural context in which California Mexicans live. The U.S.-Mexico border area is considered as a special context for self-medication, since it permits border-crossing into Tijuana for the purpose of buying Mexican pharmaceuticals at low cost without a prescription. The popularity of injections and the cross-border purchasing of injectable antibiotics and vitamins are discussed as a case study.
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Rodohan, Eamonn Patrick. "Criminalisation for sexual transmission of HIV : emerging issues and the impact upon clinical psychology practice in the UK." Thesis, University of Hertfordshire, 2011. http://hdl.handle.net/2299/5873.
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Objective: Criminal liability for the sexual-transmission of HIV raises complex questions for both clinicians and service-users regarding their responsibilities and legal obligations to disclose information to others. This is the first research study to address the impact of these issues upon everyday clinical and professional management in the UK. The prevalence and incidence of clinical and HIV-legal issues reported by the 107 psychologists sampled are reported. Design: A cross-sectional approach comprising two components was utilised: Firstly, questionnaire survey (Response rate 22%) scoping the experiences of practice issues among psychologists from sexual-health and generic settings. Attitudes towards HIV-prosecutions and various measures of professional self-efficacy were also collected. Secondly, three focus groups (N=15) exploring the impact of practice issues upon clinicians’ likely confidentiality breaking behaviours. Methods: Clinical and legal issues are presented. Further statistical analyses explored the interaction of various demographic, clinical and attitudinal variables upon clinician’s perceived self-efficacy. Focus Group transcripts analysed using Thematic Analysis (Data-driven approach) with eight emergent themes. Results: Although no direct involvements in police investigations reported, two instances of psychology notes being subpoenaed plus multiple ‘near miss’ clinical experiences described. High proportions of sexual-health psychologists experienced HIV-clients disclosing problematic behaviours, including intentional transmission (9%; N=5) and/or ‘reckless’ behaviour (72%). Focus groups expressed high levels of anxiety regarding these scenarios associated to multiple influences (interpersonal, clinician, professional and service factors). Quantitative and qualitative results were triangulated to provide a detailed analysis of how psychologists manage the clinical impact of the issues. Conclusions: Psychologists broadly supported HIV-prosecutions for intentional transmission (81%) but only limited support around ‘reckless’ cases (44%), particularly among those sexual-health experienced. Those ‘critical’ attempted to mitigate the impact of legal issues by proactively raising awareness among HIV-clients and resisting overly-defensive service changes; whereas those ‘less-critical’ were more accepting. Clinical, training and therapeutic implications are briefly considered.
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Araújo, Cristina Batista de. "A construção de subjetividades no discurso escolar." Universidade Federal de Goiás, 2013. http://repositorio.bc.ufg.br/tede/handle/tede/7654.
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How have the school, Portuguese teaching and linguistics built their discourse on the subject and thus delineated subjectivities? Is there an ideal model or modes of existence that influenced and still influences school practices? What kind of subject is founded from the idea that power relations enroll subjects in social places, so its position will result in consequences /for others and for himself? How do linguistic-discursive processes of subjectivation of school subjects get, and how these requirements are expressed in documents, parameters, and other educational policies? It was from such questions that this study was designed, aiming to enter the universe of discourse to school, from it, to understand some of the practices of subjectivity resulting from the relationship between this universe and those that pervade. This study seeks, therefore, to understand, through the discursive approach, the construction of meaning and dialogue with the memory of expository discourses responsible for the production of subjectivities at school. It is known that society requires a certain school kind of man who is able to meet the demand of his time, and consequently, the school outlines subject from the government of others, putting aside the principles of self-care, favoring the creation of a man who watches and cares for each other, which protects the moral to the other. To comply with the objectives of defining subjectivity, we have combined the political management of the human species from scientific, legal categories etc., and the creation of body technologies, the disciplinary practices that orchestrate to regulate and evaluate what men do, what they say and what they are. According to the theoretical perspective of discourse analysis, French line, to handle the production of subjectivities and the relationship between knowledge and power, we must consider the world is constituted by discourse and everything, including subjects, are constituted by through discursive everyday practices. For this reason, research corpora are composed of statements which, in turn, are interwoven with others to endorse, reject, complement etc. what can or should be said in school discourse, without losing sight of the utterance, as constitutive of the enunciate function, assumes a position that also every individual can and should occupy to be his subject
¿Cómo la escuela, la enseñanza de la lengua portuguesa y la linguística constituyen su discurso en relación al sujeto? ¿Cómo delinean subjetividades? ¿Hay un modelo ideal o maneras de existencia que influenciaran y aún influencian las prácticas escolares? ¿Qué tipo de sujeto es constituido a partir de la idea de que las relaciones de poder inscriben los sujetos en sitios sociales, de manera que su posicionamiento resulte consecuencias para los otros y para sí mismo? ¿Cómo ocurren los procesos linguístico-discursivos de subjetivación de los sujetos escolares? Y, ¿cómo estos imperativos son manifestados en documentos, parámetros, políticas educacionales y otros? Fue a partir de cuestiones así, que este trabajo surgió y su objetivo es penetrar el universo del discurso escolar para, desde él, comprender algunas prácticas de subjetivación resultantes de la relación entre este universo y aquél que lo postergan. Desde el punto de vista del abordaje discursivo, este estudio busca comprender la construcción de sentido y el diálogo con la memoria enunciativa de los discursos responsables por la producción de subjetividades en la esfera escolar. Es sabio que la sociedad requiere de la escuela sujetos que sean capaces de atender a la demanda de su época y para alcanzar este objetivo, la institución delinea sujetos desde el gobierno de otros. Con eso, los principios de cuidarse de sí mismo son olvidados, favoreciendo, por consiguiente, la creación de un sujeto que mira, que cuida y que protege la moral del otro. Para cumplir con los objetivos de definición de subjetividad, hay una combinación entre la gestión política de la especie humana, a partir de categorías científicas, jurídicas etc., y la creación de tecnologías del cuerpo, de prácticas disciplinares que armonizándose regulan y avalúan lo que los sujetos hacen, lo que dicen y lo que son. Desde el punto de vista teórico del análisis del discurso, de línea francesa, para tratarse de la producción de subjetividades y de la articulación entre saber y poder, es necesario considerar que el mundo es constituido por los discursos y que todo, incluso los sujetos, son formados por medio de las prácticas discursivas cotidianas. Por eso, los corpora de la investigación son constituidos por enunciados que, entrelazándose a otros hacen referencia, rechazan, complementan etc., lo que se puede o lo que se debe decir en el discurso escolar, sin perder la visión de que el enunciado, como constituido de la función enunciativa, supone una posición que, también todo individuo puede y debe ocuparse para ser sujeto de él.
De que modo a escola, o ensino de língua portuguesa e a linguística têm construído seu discurso sobre o sujeito e, assim, delineado subjetividades?Existe um modelo ideal ou modos de existência que influenciaram e ainda influenciam as práticas escolares?Que tipo de sujeito se constitui a partir da ideia de que as relações de poder inscrevem os sujeitos em lugares sociais, de forma que seu posicionamento resulte em consequências para os outros e para si próprio?Como se dão os processos linguístico-discursivos de subjetivação dos sujeitos escolares, e como tais imperativos são expressos em documentos, parâmetros, políticas educacionais e outros?Foi a partir de questões como essas que este trabalho foi concebido, objetivando adentrar o universo discursivo escolar para, a partir dele, compreender algumas das práticas de subjetivação resultantes da relação entre este universo e aqueles que o perpassam. Este estudo busca, pois, compreender, por meio da abordagem discursiva, a construção de sentidos e o diálogo com a memória enunciativa dos discursos responsáveis pela produção de subjetividades na esfera escolar. Sabe-se que a sociedade requer da escola um determinado tipo de sujeito que seja capaz de atender à demanda de sua época e, em nome disso, a escola delineia sujeitos a partir do governo de outros, colocando de lado os princípios do cuidado de si; favorecendo a criação de um sujeito que vigia e cuida do outro, que resguarda a moral para o outro. Para cumprir com os objetivos de definição de subjetividades, há uma combinação entre a gestão política da espécie humana a partir de categorias científicas, jurídicas etc., e a criação de tecnologias do corpo, de práticas disciplinares que se orquestram para regular e avaliar o que os sujeitos fazem, o que dizem e o que são. De acordo com a perspectiva teórica da Análise do Discurso, de linha francesa, para tratar da produção de subjetividades e da articulação entre saber e poder, é preciso considerar que o mundo é constituído pelos discursos e que tudo, inclusive os sujeitos, são constituídos por meio das práticas discursivas cotidianas. Por essa razão, os corpora da pesquisa são constituídos por enunciados que, por sua vez, entrelaçam-se a outros para referendar, refutar, complementar etc. aquilo que se pode ou se deve dizer no discurso escolar; sem perder de vista que o enunciado, como constitutivo da função enunciativa, supõe uma posição que, também, todo indivíduo pode e deve ocupar para ser sujeito dele.
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Smith, Brian Reed. "The examined life personal therapy and the social worker's ethical obligations to self /." Thesis, University of Iowa, 2008. http://ir.uiowa.edu/etd/16.
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Blevins, Dawn M. "New Directions in Citizenship Education: Globalization, State Standards and an Ethical/Critical Social Studies Curriculum." The Ohio State University, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=osu1321839149.
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Ibarra, Andres Alfredo Rodriguez. "Uma relação sempre atual: a liberdade recalcitrante de Michel Foucault." Universidade de São Paulo, 2008. http://www.teses.usp.br/teses/disponiveis/8/8133/tde-05082008-083357/.
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A presente tese parte da afirmação reiterada e desconcertante desse filósofo francês de que ele não seria, de modo algum, um \"teórico do poder\", para mostrar que, para além das discussões em torno de se o primeiro Foucault (da arqueologia dos saberes), o segundo (da genealogia do poder), ou o terceiro (da ética e das condutas individuas), seria o mais importante, o \"melhor\", é possível falar numa unidade no que diz respeito à trajetória do seu pensamento e que essa unidade se dá em torno das relações políticas entre os homens, o que faz com que ele seja, eminentemente, um pensador da política, ou melhor, do político. Só que a política tal qual ele a entende não tem nada a ver com a aquela dos teóricos da política ou do poder e, sim, com a relação que ele passou a perseguir em um determinado momento dessa trajetória: a relação entre governantes e governados. Essa relação, cuja percepção se tornou possível por meio do conceito de governamentalidade, gestado no ano de 1978, constitui-se numa nova \"grade de leitura\" para a política, que permite: 1) dar um basta à idéia de que haja, nesse âmbito, modelos universais que possam dar respostas a todos os tipos de questões--modelos esses que legitimam a existência de \"intelectuais universais\", incumbidos de conceber esses modelos e apresentá-los aos \"explorados\" e \"ignorantes\", prometendo-lhes a sua libertação, bem como da \"vida política\" nas atuais democracias representativas--; 2) conceber uma noção de liberdade--enquanto uma relação entre governantes e governados que não possui limites a priori--que escapa à da tradição liberal que, gestada nos séculos XVII-XVIII, se tornou hegemônica no Ocidente a partir do século XIX, não só no plano discursivo, mas enquanto realidade sócio-econômica global. Onde quer que existam essas relações--e elas sempre existirão, para Foucault, do micro ao macro--é necessário que seja possível, sempre, pô-las sob questão; o que só acontece quando o pensamento é deixado solto para ser capaz de levantar o maior número de conflitos possível--e não de consensos--; para, crítico, apontar o maior número de problemas a serem resolvidos dentro do âmbito dessas. Algumas dessas relações irão, então, se sustentar, conseguir se justificar; outras, não, terão que ser revistas, num interminável trabalho de extensão dos limites da liberdade humana. Essa nova noção de liberdade, por sua vez, traz consigo a possibilidade de interrogação do fenômeno da subjetividade, na medida em que são sujeitos, sempre, os que participam dessas relações entre governantes e governados. Por isso, o presente trabalho se esforça em mostrar percursos intelectuais que, tendo sido percebidos e diretamente abordados por Foucault (caso de Kant e de Platão) ou não (segunda clínica lacaniana e perspectivismo ameríndio), mantêm, na ênfase que dão ao sujeito, uma visada em comum com a empreitada foucaultiana.This thesis initiates itself by the reiterated and astonishing declaration by this French philosopher that he would not be, under any circumstance, a \"power theoretician\", in order to show that, beyond the debates on whether it would be the first Foucault (the archeology of knowledge one), the second (genealogy of power one), or the third (the ethics and the individual conduct one), the most important one, the \"best\", it is possible to talk about a unity in what concerns the trajectory of his thought and that such unity concerns the political relations between men, which results in that he is, eminently, a thinker of politics, or rather, of the political. Except that politics as he understands it has nothing to do with that of the theorists of politics or of power but with a relationship that he began to pursue somewhere along such a trajectory: the relationship that exists between the governing and the governed. Such a relationship, whose perception became possible by means of the concept of governmentality, conceived in the year of 1978, constitutes itself as a \"grid of understanding\" for politics, which allows to: 1) declare that we\'ve had enough of the idea that there shall exist, in such domain, universal models that may answer all kinds of questions--models which legitimate the existence of \"universal intellectuals\", held responsible for conceiving such models and for presenting them to the \"exploited\" and \"ignorant\", promising their liberation, as well as of \"political life\" in current representative democracies--; 2) to conceive a notion of liberty--as a relationship between the governing and the governed which has no a priori limits--that escapes from the liberal tradition one which, created along the XVII/XVIIIth century, became hegemonic in the West since the XIXth century, not only on the discursive level, but as socio-economic global reality. Wherever such relations exist--and they will always do, for Foucault, from micro to macro--it is necessary that it be possible, always, to put them open to question; that which only occurs when thought is left free to be able to raise the highest number possible of conflicts--and not consensuses--, in order to, critic as it is, point out the highest number of problems to be solved in such domain. Some of those relationships will be able, then, to sustain themselves, to justify themselves; others, won\'t, they will have to be modified, in an interminable labor of extending the limits of human liberty. This new notion of liberty, by its turn, carries along with itself the possibility of the inquiry of the phenomenon of subjectivity, as it is that it is always subjects that participate in such relations between the governing and the governed. For this reason, this thesis makes an effort to present intellectual paths which, having been noticed and approached by Foucault (the case of Kant and Plato) or not (second Lacanian clinic and Amerindian perspectivism), maintain, in the emphasis they give to the subject, a common viewpoint with the Foucauldian enterprise.
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Ntozini, Anathi. "Psychological well-being of institutionalised and non-institutionalised isiXhosa and English ethnic speaking elderly south African residing within the Buffalo City area." Thesis, University of Fort Hare, 2017. http://hdl.handle.net/10353/6368.
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Background: International research has clearly indicated that the world’s population is ageing: almost all countries in the world are experiencing a significant growth in the proportion of older persons in their population. This is also true for developing countries such as South Africa that are beginning to show signs and symptoms of an ageing population. Among Southern African Development Communities (SADC), South Africa has the highest number of ‘senior citizens’. Population reports indicate that the population of old people rose from paltry 2.8 million in 1996 to more than 4 million in 2011 and this is expected to skyrocket to seven million by 2030. In spite of the increasing number of senior citizens in socio-structural landscapes in South Africa, there is still lack of adequate, workable and effective policy frameworks for the wellbeing of the elderly. There is also paucity of psychological data of the elderly, especially along racial divides to determine whether the after-effects of apartheid still hold sway or not in post-apartheid South Africa. This study was conceived to investigate the psychological well-being of the elderly in Buffalo City, Eastern Cape, South Africa between two racial-ethnic elderly groups. The specific objectives of the study were to explore the relationship between the socio-demographic characteristics and psychological well-being of the black (Xhosa) and white (English) elderly in Buffalo City, South Africa and second, to validate the relationship between psychological well-being and physical activity, loneliness, spirituality/religiosity as well as ageism among the sampled population. The set-point theory, selective optimisation compensation theory (SOCT) as well as the continuity theory were employed to guide the conduct of the study. Method: Psychological measuring instruments were deployed to collect data for the study from a total of 301 elderly respondents in retirement and private individual homes (191 isiXhosa and 110 English speaking elderly). Both simple random sampling (SRS) and purposive sampling procedures were used to select the respondents. The measuring instruments included the Ryff Scales of Psychological Well-being (RSPWB), Physical Activity Scale for the Elderly (PASE), Assessment of Spiritual and Religious Sentiments Scale (ASPIRES), University of California at Los Angeles (UCLA) Loneliness Scale, the Palmore Ageism Survey scale and a biographical questionnaire. Data was analysed using MANOVA, One-way variance analysis and regression coefficient. The racial differences logically influenced the selection of the respondents for the study. Results: The study revealed a significant statistical relationship between physical activity (PA) and psychological well-being of the elderly, regardless of the sociodemographic variables. PA showed a significant relationship with psychological wellbeing of the elderly. The study also discovered that loneliness correlates significantly with all four of the psychological well-being scales. It shows that the higher the levels of loneliness experienced by the elderly, socio-demographic variables controlled, the lower the levels of psychological well-being in terms of autonomy, environmental mastery, purpose in life, and self-acceptance. However, with the exception of the relationship between loneliness and purpose in life, ethnic affiliation moderates autonomy, environmental mastery and self-acceptance. English elderly constantly experienced higher levels of autonomy than the isiXhosa elderly do with an increase in loneliness. The study also found a positive relationship between ageism and psychological well- being. However, with low levels of ageism, the English elderly, in comparison with the isiXhosa elderly, is likely to show higher levels of autonomy. In addition, a significant statistical relationship between ageism and environmental mastery and purpose in life was found among the isiXhosa elderly. Although, with an increase in ageism, there is a slight increase in autonomy in both groups, the English elderly throughout showed higher levels of autonomy than the isiXhosa elderly showed. The study found a positive relationship between religiosity/spirituality and psychological well-being of the elderly. However, race could moderate the relationship between prayer fulfillment and psychological well-being at all four levels (autonomy, environmental mastery, purpose in life, and self-acceptance). With an increase in prayer fulfillment, the autonomy of the English elderly increases fairly quickly, while the autonomy of the isiXhosa elderly decreases slightly. Comparatively, the study found that isiXhosa elderly reported lower levels of psychological well-being than the English elderly. Conclusion/Recommendation: The study concludes that there is the need to develop a solid national data bases on needs and use of services, and process of ageing in order to access research data to assist planning, dissemination, delivery and evaluation of effective service delivery for the elderly population in South Africa, especially along racial divides.
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Simos, Emmanouil. "A sceptical aesthetics of existence : the case of Michel Foucault." Thesis, University of Cambridge, 2018. https://www.repository.cam.ac.uk/handle/1810/277823.
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A Sceptical Aesthetics of Existence: The Case of Michel Foucault Emmanouil Simos (Hughes Hall) Michel Foucault's genealogical investigations constitute a specific historical discourse that challenges the metaphysical hypostatisation of concepts and methodological approaches as unique devices for tracking metaphysically objective truths. Foucault's notion of aesthetics of existence, his elaboration of the ancient conceptualisation of ethics as an 'art of living' (a technē tou biou), along with a series of interconnected notions (such as the care of the self) that he developed in his later work, have a triple aspect. First, these notions are constitutive parts of his later genealogies of subjectivity. Second, they show that Foucault contemplates the possibility of understanding ethics differently, opposed to, for example, the traditional Kantian conceptualisation of morality: he envisages ethics in terms of self-fashioning, of aesthetic transformation, of turning one's life into a work of art. Third, Foucault employs these notions in self-referential way: they are considered to describe his own genealogical work. This thesis attempts to show two things. First, I defend the idea that the notion of aesthetics of existence was already present in a constitutive way from the beginning of his work, and, specifically, I argue that it can be traced in earlier moments of his work. Second, I defend the idea that this notion of aesthetics of existence is best understood in terms of the sceptical stance of Sextus Empiricus. It describes an ethics of critique of metaphysics that can be understood as a nominalist, contextualist, and particularist stance. The first chapter discusses Foucault's late genealogy of the subject. It formulates the interpretative framework within which Foucault's own conceptualisation of the aesthetics of existence can be understood as a sceptical stance, itself conceived as nominalist, contextualist and particularist. As the practice of an aesthetics of existence is not abstract and ahistorical but the engagement with the specific historical circumstances within which this practice is undertaken, the second chapter reconstructs the intellectual context from which Foucault's thought has emerged (Heidegger, Blanchot, and Nietzsche). The third chapter discusses representative examples of different periods of Foucault's thought -such as the "Introduction" to Binswanger's "Traum und Existenz" (1954), Histoire de la folie (1961), and Histoire de la sexualité I. La volonté de savoir (1976)- and shows in which way they constitute concrete instantiations of his sceptical aesthetics of existence. The thesis concludes with responses to a number of objections to the sceptical stance here defended.
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Meduri, Juliana. "A construção de si a partir do Ashtanga Vinyasa Yoga." Pontifícia Universidade Católica de São Paulo, 2017. https://tede2.pucsp.br/handle/handle/20062.
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Conselho Nacional de Pesquisa e Desenvolvimento Científico e Tecnológico - CNPq
The main objective of the masters thesis A Construção de si a partir do Ashtanga Vinyasa Yoga is to discuss the idea of self care, first conceived in ancient Greece in the 5th century B.C. as epiméleia heautoû, within Indian philosophical constructs, which had their foundation built upon sacred texts that date from 1500 B.C, to the 4th Century A.D. This theoretical crossing is used within this thesis to trace a parallel between the concept of self care proposed by Michel Foucault and the hindu ascetic ethic. This ethos is only achieved within a free body: free from passion, psychological disturbance, self-imposed physical binds, and external factors that disturb perception. The research within investigates which techniques and mechanisms were used by Ashtanga Yoga Gurus, specifically, resulting in their being sought out by so many people, from so many different places, sharing the cartesian paradigm of “body” and “self”, and being brought together through this practice that allows one to establish another perception of onself and one’s relation to one’s body. The different stages that build up the comprehension of the main points of this theses include field research with twelve current practitioners of yoga; reading and analysis of ancient yoga texts; insertion of the previously mentioned research within the context of ethical views expressed by contemporary authors such as Michel Foucault, Francisco Varela and Edgar Morin; followed finally by iconographic analysis related to yoga’s genealogy, involving transformations on a technical, symbolical and political level
O objetivo do trabalho de mestrado A construção de si a partir do Ashtanga Vinyasa Yoga é discutir a ideia de cuidado de si, trazida com clareza pelos gregos como epiméleia heautoû desde o século V a.C., em diálogo com as bases filosóficas indianas, que tiveram seu fundamento a partir de textos antigos hindus que datam de 1.500 a.C. até o século 4 d.C. Tal cruzamento teórico tem o sentido de traçar um paralelo entre o cuidado de si trazido por Michel Foucault e os princípios éticos que atravessam a ética ascética hindu. O êthos só é possível em um corpo livre: de suas paixões, da escravidão da mente, do governo da mente sobre si, de fatores externos em geral, que geram distúrbios à percepção. A pesquisa investigou de que técnicas e mecanismos, os Gurus do Ashtanga Yoga, em específico, lançaram mão, para que tantas pessoas, de tantos lugares, compartilhando o paradigma cartesiano de corpo e “si”, fossem à sua procura e se aproximassem de modo contundente a uma prática que estabelece outra percepção de si e outra relação com o corpo. As etapas para a compreensão destas questões consistiram em pesquisa de campo com doze praticantes atuais de yoga, na leitura e análise dos textos antigos do yoga e a articulação da pesquisa de campo e da análise dos textos antigos à visão de ética apresentada por autores contemporâneos como Michel Foucault, Francisco Varela e Edgar Morin, seguidos pela análise iconográfica relacionada à genealogia do yoga, que envolve diversas transformações no nível técnico, simbólico e político
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Barcroft, Dorothy A. "Working with birth to three : exploring the personal theories of early years practitioners." Thesis, University of Stirling, 2016. http://hdl.handle.net/1893/23935.
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Practitioners working with children under three are often marginalised; both in terms of group settings and in terms of being a focus of research (see Manning-Morton, 2006; McDowell-Clark and Baylis, 2012). This research prioritizes the practitioner’s voice by exploring the subject area of personal theory. In this thesis, personal theory is conceptualised as a composite of understandings and experiences including policy, organisational procedures, Early Years literature, training and Continuing Professional Development as well as personal and professional experiences, beliefs, and values. As Stephen and Brown (2004) indicate, particular constructions of care, learning, and children shape what is considered desirable educational practice. Drawing on Aristotle’s intellectual virtue of phronesis, this research’s aim is to understand how practitioners’ personal and professional experiences and understandings contribute to practitioners’ construction of personal theory. Research questions focus on: 1) understanding which relationships are particularly influential, 2) understanding which experiences are particularly influential and 3) identifying key features of practitioners’ personal theories. Case study methodology frames the research design. The research demonstrates that although personal theory is tacit, linking to specific instances of practice enables practitioners to articulate personal constructions of care, learning and children. Findings relate to six key characteristics of practitioners’ personal theories: practice as an ‘Ethic of Care’, practice as pedagogy, practice as ‘subsitute mothering’, practice as distinctive for children aged birth to three years, practice as rooted in experience and practice as emotional activity. Joan Tronto’s (1993, 2013) ‘Ethic of Care’ affords further consideration of personal theory; particularly the contradiction between personal theory that shapes engagements with young children as an ‘Ethic of Care’ and that which shapes engagements as ‘substitute mothering’. The thesis’ discussion highlights how the articulation and discussion of personal theory enables a richer construction of Early Years professionalism and professional identity within Birth to Three settings.
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Türkkan, Yeliz, and Caroline Kindberg. "”Det är en ständig balansgång” : En kvalitativ studie om hur biståndshandläggare förhåller sig till självbestämmande i mötet med äldre personer med demenssjukdom." Thesis, Linnéuniversitetet, Institutionen för socialt arbete (SA), 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-69884.
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The aim of this study was to understand how care managers in elderly care relate to self-determination when encountering older people with dementia. The study was conducted through qualitative interviews with a hermeneutic approach. We interviewed eight care managers experienced in working with older people with dementia. While interviewing we used a semi-structured interview guide. The material from the interviews were then analyzed through a hermeneutic circle and then theoretically analyzed by the use of Kant’s duty ethics, Bentham’s consequence ethics (normative ethics) and Foucault’s definition of power. Our main conclusions were that older people's self-determination is important and a legal right that clarifies that the power shall lie with the older person. Self-determination is, despite being a legal right, difficult to interpret in practice when it comes to older people with dementia. Depending on which ethical duty care managers lean on and what consequences that might bring, the decisions may differ. Sometimes older people's self-determination is unconditional, but sometimes the municipality’s final responsibility for older people is more authorized than older person's right to self-determination. Power within the relationship between care managers and older people with dementia is dynamic and care managers sometimes have to use their power in order to prevent danger. Our conclusion is that care managers find it difficult motivating departures from self-determination, since there is no coercive in Swedish legislation towards older people with dementia. Self-determination is therefore difficult to handle and requires well-balanced assessments, sometimes on the verge of what is considered as coercive.
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Darwich, Nadia, and Sari Hansen. "Synen på egenvård vid diabetes hos personer med olika etniska och kulturella ursprung." Thesis, Röda Korsets Högskola, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-55.
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Diabetes, speciellt typ 2, är ett växande globalt hälsoproblem. Idag är det cirka 220 miljoner människor i världen som är drabbade av diabetes och siffran uppskattas stiga till 366 miljoner fram till år 2030. Sverige är ett mångkulturellt samhälle, vilket ställer högre krav på att hälso- och sjukvård ska anpassa omvårdnaden till varje enskild patient med diabetes. Syftet med studien var att belysa uppfattningar om egenvård vid diabetessjukdom hos personer med olika kulturella/etniska ursprung. Studien genomfördes som en allmän litteraturstudie där tio kvalitativa forskningsartiklar analyserades. En modell för Transkulturell Kompetens har använts som teoretisk referensram. Resultat av denna studie visar att det finns kulturella/etniska skillnader vad gäller uppfattning om egenvård vid diabetessjukdom, framförallt vad gäller kunskap om diabetes, faktorer som påverkar livsstilsförändringar och egenvårdsinsatser, religion/tro samt stöd/brist på stöd i olika relationer. Vårdpersonalens förmåga att hantera kulturella olikheter och bedriva transkulturell omvårdnad ställer krav på att vårdgivare har kunskap om hur kulturella/etniskt ursprung kan påverka synen på egenvård vid diabetes. Ökad kunskap kan ge vårdpersonalen trygghet i sitt arbete, vilket bidrar till en mera individanpassad och säkrare omvårdnad.Diabetes, especially type 2, is a growing global health problem. Today there is about 220 million people worldwide suffering from diabetes and this figure is estimated to rise to 366 million by the year 2030. Sweden is a multicultural society, which places greater demands for health care to adapt to each individual patient with diabetes. The purpose of this study was to illuminate the perceptions of self-care in diabetes disease in people with different cultural / ethnic origin. The study was conducted as a literature review and ten qualitative research articles were analyzed. The Model for Development of Transcultural Competence was used as a theoretical framework. Results of this study indicate that there are cultural / ethnic differences in perception of self-care in diabetes, particularly in terms of knowledge of diabetes, factors that influence lifestyle changes and self-care activities, religion / faith and the support / lack of support in different relationships. Health professionals' ability to manage cultural differences and maintain transcultural nursing requires that healthcare providers have knowledge of how cultural / ethnic origin may influence the perception of self-care in diabetes. Increased knowledge can provide health care providers safety in their profession, which contributes to a more individualized and safer care.
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Wallin, Håkansson Helena, and Fredrik Borg. "Biståndsbedömning för klienter med demenssjukdom : Biståndshandläggares erfarenheter och upplevelser." Thesis, Högskolan i Gävle, Avdelningen för socialt arbete och kriminologi, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-32988.
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Title: Assistance Assessment for Clients with Dementia Disease - The Perceptions and Experiences of Care Managers Authors: Fredrik Borg and Helena Wallin Håkansson The study aimed to examine the experiences, difficulties and ethical positions of care managers in the assistance assessment of dementia clients. The study was based on the themes of self-determination and integrity, ethical approach, security and meaningful existence. Qualitative semi-structured interviews were used as data collection method. Empirical material was analysed based on empowerment and system theory. The result shows that care managers daily deal with ethical dilemmas regarding the client's self-determination and integrity, in relation to the right to security and meaningful existence. The informants conveyed that it’s mainly about being a fellow human with understanding and empathy, adapted to the current situation. Previous research shows ethical dilemmas regarding family caretakers and decision making for elderly with dementia, this was also evident in our study. For future research, we see the relevance in exploring the differences regarding the use of legal kinship privileges.Titel: Biståndsbedömning för klienter med demenssjukdom - Biståndshandläggares upplevelser och erfarenheter Författare: Fredrik Borg och Helena Wallin Håkansson Studiens syfte var att undersöka biståndshandläggares upplevelser, svårigheter och etiska ställningstaganden vid biståndsbedömning av klienter med demenssjukdom. Studien utgick från temana självbestämmande och integritet, trygghet och meningsfull tillvaro samt etiskt förhållningssätt. Kvalitativa semistrukturerade intervjuer användes som datainsamlingsmetod. Empiriskt material bestående av transkriberade intervjuer, analyserades utifrån teorierna empowerment och systemteori. Som resultat konstateras att biståndshandläggare dagligen hanterar etiska dilemman kring klientens självbestämmande och integritet, i relation till rätten till trygghet och meningsfull tillvaro. Informanterna förmedlade att det i praktiken handlar om att vara medmänniska med förståelse och empati, anpassat till den aktuella situationen. Tidigare forskning visar på bland annat etiska dilemman kring anhörigvårdare och beslutsfattande för äldre människor med demens. Detta framkom även i vår studie. För framtida forskning tror vi det kan vara relevant att kartlägga varför det ser olika ut kring användning av anhörigbehörighet.
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Reyre, Aymeric. "L’inquiétude des soignants en addictologie : entre défiance et amour, une dynamique éthique et clinique de la relation de soin." Thesis, Paris 11, 2015. http://www.theses.fr/2015PA11T010/document.
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La rencontre des patients addictés suscite fréquemment l’inquiétude. Celle-ci rend difficile l’exercice du soin, même spécialisé, et attaque ses conditions éthiques. Cette thèse se propose d’explorer l’expérience des professionnels de l’addictologie, dans la diversité de leurs approches et de leurs pratiques. Elle s’inscrit dans une épistémologie de la complexité et adopte une méthodologie complémentariste. Des discours socio-anthropologiques, philosophiques et psychanalytiques peuvent ainsi être mis en contact au profit d’une appréhension plurivoque de la problématique éthique et clinique de la relation de soin en addictologie. Dans un premier temps, nous avons exploré de manière qualitative l’expérience des soignants. L’étude « Éthique et Narrativité dans les Addictions » (EthNaA) nous a apporté de nombreuses données sur les sources et les effets de l’inquiétude dans le soin, ainsi que sur des voies de dégagement. Une lecture psychodynamique de ces résultats nous a permis d’extraire une première théorie de la relation de soin : dans la rencontre, soignant et patient se replient sur des positions narcissiques qui déterminent leurs représentations de l’autre et d’eux-mêmes, ainsi que leur modalités de lien ; alternativement monstres et héros, les acteurs s’agrippent et se rejettent dans un climat de défiance qui infiltre tous les espaces ; dans la douleur de cette expérience et dans la conscience des conséquences éthiques pour le patient, les professionnels cherchent des moyens de restaurer une confiance dans un soin de soi et une recherche de soutien à l’ « extérieur », sans toutefois pouvoir s’y engager. Dans un second temps, en tant qu’acteur de ce soin, il était nécessaire que nous présentions notre propre expérience, ainsi que des histoires cliniques, pour pouvoir prétendre soutenir un discours éthique. Cette expérience est très proche de celle des soignants d’EthNaA mais son exposé a permis de souligner l’ancrage intrapsychique des mouvements affectifs décrits précédemment. Cela nous a mis sur la voie d’une seconde théorie capable de soutenir des propositions de nature à restaurer le soin dans ses qualités éthiques et cliniques. La « relation inquiète » met en présence un patient souffrant dans une attente silencieuse, et un soignant désireux de s’investir mais vulnérable, en premier lieu du fait d’un affaiblissement de la fonction tierce en lui comme dans son cadre institutionnel. La relation de soin s’enferme alors dans une circularité qui évoque le cercle des attitudes de Jean-Paul Sartre, entre masochisme, haine, sadisme et amour. Cet amour, présent dans le discours des soignants, reste replié sur soi et défiant. Nous avons alors repris les idées des professionnels d’EthNaA et les avons complétées en proposant un souci de soi, resubjectivant et allié à un réinvestissement de la fonction tierce intériorisée. Cette nouvelle prise de position soignante, dans une affirmation du primat du tiers, doit permettre une reconnaissance de l’autre-patient comme sujet propre. Ce « jeu » entre les protagonistes doit s’inscrire dans une éthique simultanément exigeante et tolérante. La piste « amoureuse » ouverte par les soignants d’EthNaA peut alors rejoindre l’éthique de Vladimir Jankélévitch. La relation de soin entre deux sujets restaurés peut alors se relancer – portée par une nouvelle dialectique entre soin de soi et amour de l’autre, entre inquiétude saisissante et élancement, entre défiance et confiance – sur une trajectoire sinueuse et parfois chaotique, mais qui donne finalement au soin le dernier motThe encounter with addicted patients frequently arouses a feeling of disquiet. It renders the practice of care difficult, even in expert settings, and degrades its ethical conditions. The present work explores the experience of professionals from the field of addictions treatment taking account of the diversity of their approaches and practices. It is in line with an epistemology of the complexity and adopts a complémentariste methodology. In this way, sociological, philosophical and psychoanalytical theoretical corpus can be put in discussion in order to comprehend the complexity of the ethical and clinical questions emerging from the care relationship.In a first phase, we conducted a qualitative inquiry of the caregiver’s experience. The study “Éthique et Narrativité dans les Addictions” (EthNaA) provided us with numerous data on sources and effects of disquiet in the care setting, as well as on ways out. A psychodynamical reading of these results led us to a first theory of the care relationship: in the encounter, the caregiver and the patient both withdraw on narcissistic positions which determine how they depict one another and themselves, as well as their ways of establishing mutual bounds; alternatively monsters and heroes, the protagonists grab onto each other and reject each other in a climate of distrust which infiltrates all the areas of the relationship; through the pain of this experience and the consciousness of the ethical consequences for the patient, the caregivers seek resources allowing them to restore a trust by taking care of themselves and looking for support from the “outside”, but they still seem unable to commit themselves in this move.In a second phase, as a professional enrolled in the care of addicted patients, it was necessary that we exhibit our own experience and clinical stories in order to support an ethical stand. Our experience is very similar to the caregiver’s in the study but its report allowed us to underline the intrapsychic integration of the emotional dynamics previously described. It opened the way of a second theory able to support innovative propositions likely to restore the care in its ethical and clinical qualities.The “disquiet relationship” brings a suffering patient in a silent expectation face to face with a caregiver, willing to get involved but vulnerable, in the first place because of the weakening of the function of the third position in the caregiver’s thought as well as in the institutional frame. The care relationship then locks itself in a circularity witch evokes the circle of attitudes described by Jean-Paul Sartre among masochism, hatred, sadism and love. This love, present in the caregiver’s discourses, remains withdrawn into itself and distrustful. We then started again from the caregiver’s ideas, completing them by introducing a care of the self able to restore the subjectivity of the agent through its combination with the reinvestment of the function of the third position in the caregiver’s thought. This new caring stand, through the assertion of the primacy of the third position, shall allow the acknowledgement of the patient as a subject. This “play” between protagonists shall place itself in an ethic simultaneously demanding and tolerant. The “amorous” track opened by the caregivers of the study can then rejoin the ethic of Vladimir Jankélévitch. The care relationship between two restored subjects can then make a fresh start – supported by a new dialectic between care of the self and love of the other, between piercing disquiet and anxious yearning, between distrust and trust – on a sinuous and sometimes chaotic trajectory, but which finally gives to the care the last word
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Johanna, Waller. "Känslan av att inte räcka till : en essä om tid, närvaro och förskolebarn i behov av särskilt stöd." Thesis, Södertörns högskola, Lärarutbildningen, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:sh:diva-16709.
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In this essay I consider a self-experienced dilemma, and review how I, as a preschool teacher, treat a child with special needs. With the support of literature and theory, I can, with an essay writing approach, reflect and analyze the dilemma. In this way I will examine my practical knowledge and personal experiences of a complex situation. I want to examine whether children with special needs who are included in regular preschool activities, really get the support they need and deserve. Do educators have the conditions and does preschool have sufficient resources to realize this? Do educators have sufficient knowledge of how children with special needs should be responded to? I want to find out how the included children's social development and self-image is shaped by the treatment they receive at the preschool. I also question whether the preschool of today with its increased focus on learning and the additional duties it entails in terms of planning, documentation and evaluation of projects, reduce the time for the important close contact between teachers and children. I further discuss of whether children with special needs are affected to a greater extent than other children by reduced time for socializing. Finally I also explore how the balance between learning, caring and ethical values appears in preschool and how it may affect children's ability to develop good social relationships.I min essä utgår jag ifrån ett självupplevt dilemma, där jag granskar mig själv som pedagog i hur jag bemöter ett barn i behov av särskilt stöd. Med stöd av litteratur och teorier kan jag med den metod som essäskrivande innebär, reflektera och analysera över dilemmat. På så vis prövar jag mina praktiska kunskaper och egna erfarenheter kring en komplex situation. Jag vill undersöka om barn i behov av särskilt stöd som är inkluderade i förskolans ordinarie verksamhet, verkligen får det stöd de behöver och har rätt till. Hur ser pedagogers förutsättningar och förskolans resurser ut för att kunna förverkliga detta? Har pedagoger tillräckliga kunskaper i hur barn i behov av särskilt stöd bör bemötas? Jag vill ta reda på hur inkluderade barns sociala utveckling och självbild formas av det bemötande de får på förskolan. Jag ställer mig även frågan om det ökade kravet på lärandet och de tillkommande arbetsuppgifter det för med sig i form av planering, dokumentation och utvärdering av projekt, minskar tid till den viktiga nära samvaron mellan pedagoger och barn. Vidare ställer jag mig frågan om barn i behov av särskilt stöd påverkas i större utsträckning av minskad tid för samvaro än andra barn. Slutligen utforskar jag även hur balansen mellan lärande, omsorg och värdegrundsfrågor ser ut i förskolan och hur det kan komma att påverka barns förmåga att utveckla goda sociala relationer.
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Morgan, Chodaesessie Wellesley-Cole. "Cervical Cancer Screening Disparities in an Ethnically Diverse Population of Women Residing in the United States in 1999: A Secondary Analysis of Data from the 1999 Behavioral Risk Factor Surveillance System." [Tampa, Fla.] : University of South Florida, 2005. http://purl.fcla.edu/fcla/etd/SFE0001202.
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Mitchell, Dove Lakindra Michelle. "Got Hair that Flows in the Wind: The Complexity of Hair and Identity among African American Female Adolescents in Foster Care." PDXScholar, 2015. https://pdxscholar.library.pdx.edu/open_access_etds/2321.
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African American children are disproportionately over-represented in the child welfare system. Many of these children linger in the system and experience disconnection from their biological families, communities, cultural beliefs, values, and practices. Familial socialization and cultural exposure are essential to developing a positive ethnic identity and self-concept. For African American female adolescents, hair and hair care are critical areas for such socialization and support. This qualitative study explored the hair and hair care perceptions and experiences of African American female adolescents in foster care. The goal was to examine hair and hair's connection to, and influence on, sense of self and self-esteem for African American female adolescents in foster care.
Eleven African American female adolescents participated in individual interviews, and grounded theory was used to analyze the data. Four major themes emerged: hair care, perception of hair and identity as an African American female, societal influences on self-awareness, and influence of the foster care system. Results from the study indicated African American female adolescents in foster care identify hair as important. Participants noted hair is connected to appearance and shapes who they are and how they view themselves as African American females. Participants addressed the complexity of hair and politics associated with hair. The findings further emphasized the role of racial socialization and the importance of a supportive hair care environment. Participants also discussed their awareness of societal influences on their perception of African American women. They offered recommendations for improving the hair care experiences of African American children in foster care, for supporting positive development of identity and self-esteem, and for implementing standards of practice that will ensure these youths' cultural needs are addressed in the child welfare system.
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Love, Tiffany Ann. "EXAMINING HEALTH-RELATED DECISION MAKING PATTERNS OF AFRICAN AMERICANS WITH CORONARY HEART DISEASE: A HERMENEUTIC PHENOMENOLOGICAL STUDY." Case Western Reserve University School of Graduate Studies / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=case1311204052.
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Rivera-Hernandez, Maricruz. "Self-Management, Social Support, Religiosity and Self-Rated Health Among Older Mexicans Diagnosed with Diabetes." Miami University / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=miami1366390281.
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Lauri, Marcus. "Narratives of governing : rationalization, responsibility and resistance in social work." Doctoral thesis, Umeå universitet, Statsvetenskapliga institutionen, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-119783.
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For many years, Sweden has had a reputation for having a comprehensive and women friendly welfare state. However, as in many other European countries during the past few decades, the organization and governing of welfare has undergone profound changes. Through interviews with social workers and the application of theories of governmentality, this thesis analyzes the expressions and consequences of such current organization and governing. One result is that the introduction of meticulous documentation practices of social workers contact with clients, regulate their interaction and constitute a control over both client and social worker. Another result is that the current organization fragments labor and awards more authority to managers, which functions to produce loyalty to the organization and management, rather than clients. This is expressed in demands not to voice protest, as it is said to create a bad mood. It is also expressed in demands to spend as little as possible on clients; short duration of treatment, preference for outpatient treatment and by making it difficult to receive financial support. This austerity is legitimized through the intermeshing of different ideals; budget awareness, evidence that supports short and outpatient treatment and that clients in order to change their course of life should to be allowed or coerced into taking individual responsibility. Another important finding is that the current governing and organization of social work produce distance and detachment, and thus discourage caring subjects. This is a complex process in which an assemblage of different techniques and rationalities undermines the cultivation of a relationship between social worker and client. 1) The ideal of evidence-based practice favors rigid methods over a flexible and holistic approach. 2) Ideals of rationality, closely connected to notions of masculinity and professionalism, value objectivity and devalue and deter the surfacing of emotions. 3) Meticulous practices of documentation reduce the amount of time available to meet clients. 4) Ideals and particular methods designed to promote individual responsibility in clients legitimize social workers distancing themselves from clients’ dependency and needs. 5) A division of labor, in either assessment or treatment, reduces time spent with clients for those who work with assessment and ultimately engage in the rationing of resources. 6) Standardized digital templates, installed to aid in assessments, regulate and proceduralize interactions with the client. 7) Austerity, heavy workloads, individualized responsibility and stress further accentuate distance, as detachment becomes a means to cope with arduous working conditions. The transformation of social work described above produces alienation and a fragmentation of social workers’ collective subjects. Simultaneously, an ethos of caring makes some social workers work extra hard to provide for clients, which ultimately covers for flaws in the system. Although such an ethos of caring allows for the further exploitation of social workers, it is also understood as a means of resistance, which in turn also forms the basis for organized resistance.Sverige har ett internationellt rykte för att ha en omfattande och kvinnovänlig välfärd. Även om riktigheten i en sådan uppfattning sedan länge ifrågasatts har på senare år, likt i många andra Europeiska länder, det svenska välfärdssystemet genomgått en omfattande förändring i avseende på dess räckvidd, men också dess organisering och styrning. Fokus för denna studie är just denna organisering och styrning, och mer specifikt, hur detta påverkar ett av välfärdens kanske mest centrala område: socialt arbete. Genom att intervjua socialarbetare undersöks i denna studie uttryck för och konsekvenser av en sådan förändring, bland annat genom att undersöka hur könsbundna föreställningar och förväntningar är sammanflätade med det sociala arbetets organisering och styrning. I studien konstateras att socialarbetare erfar att deras arbete genomgått omfattande förändringar, vilket kopplas ihop med både organiseringen och styrningen av det sociala arbetet. Detta uttrycks både i de ideal som kringgärdar arbetet men också i dominerande arbetssätt. En sådan förändring är införandet av omfattande dokumentationsprocedurer av socialarbetarens arbete och kontakt med klienter, vilket medför att kontakten med klienterna blir ytligare. Dokumentationsprocedurerna utgör också en sorts kontroll av både klienterna och socialarbetarna själva. En annan förändring som konstateras är att nya organisationsmodeller och en förändrad ledarskapskultur skapar förväntningar på socialarbetarna att vara lojala med organisationen och ledningen snarare än klienterna. Bland annat utrycks detta genom förväntningar att inte protestera och skapa dålig stämning på arbetsplatsen, men också genom uttalade krav att spendera så lite resurser som möjligt på klienterna; korta behandlingstider, öppenvårdsalternativ och orimligt hårda krav för att få ekonomiskt bistånd. Detta legitimeras genom sammanväxningen av flera olika ideal; budgetmedvetenhet, att klienter inte mår bra av långa institutionsvistelser, men också att klienterna ska tillåtas eller bör tvingas att klara att sig själva. Ett av studiens huvudresultat är att den nuvarande organiseringen och styrningen av socialt arbete skapar avstånd och likgiltighet. Genom flera sammankopplade ideal och arbetssätt styrs dagens socialarbetare till att bry sig mindre om de klienter de möter. På så sätt undermineras förutsättningarna för framväxten av en djup relation mellan socialarbetare och klient; 1) Idealet och kravet att socialarbetare ska arbeta utifrån evidens, det vill säga metoder och förhållningssätt som i speciellt utformade utvärderingsmodeller visat sig ha effekt, gör att väl strukturerade och rigida metoder ges företräde. Denna instrumentalisering underminerar ett flexibelt, relationsorienterat och helhetsfokuserat sätt att arbeta. Dessutom gör evidensidealets fokus på enskilda individer och avgränsade utvärderingstider att mer samhällsinriktat kritiskt och långsiktigt inriktat arbete undermineras. 2) Ett rationalitetsideal, tätt sammanbundet med föreställningar om professionalitet och maskulinitet, värderar objektivitet och förmågan att frikoppla socialarbetarens egna känslor från sitt arbete. Detta maskuliniserade professionsideal innebär att empati och solidaritet med klienten undergrävs. 3) Omfattande krav på olika former av dokumentation av det sociala arbetet gör att tiden som socialarbetaren har till sitt förfogande för att besöka och att ha möten med klienten blir knapp. 4) Ett allmänt samhällsideal kring individuellt ansvar och en särskild arbetsmetod (motiverande samtal) som många socialarbetare förväntas lära sig, framhäver klientens eget ansvar för och vilja till förändring. Detta legitimerar ett avståndstagande från klientens behov av hjälp och stöd enligt logiken ”du måste klara detta själv”. 5) En vanligt förekommande uppdelning av socialarbetarnas arbetsuppgifter i en så kallad beställar-utförarmodell gör att vissa socialsekreterare arbetar med hjälp och stöd, medan andra arbetar med bedömningar av klienters behov. De senare, som också har inflytande över resurstilldelning, blir med en sådan organisering av arbetet alltmer frikopplade från den stödjande och hjälpande verksamheten och kontakten med klienten. 6) Standardiserade digitala bedömningsinstrument, skapade för att på ett likvärdigt sätt bedöma klienters behov och dokumentera det sociala arbetet, reglerar och instrumentaliserar kontakten med klienter. 7) Tunga arbetsbördor, individualiserat ansvar och stress, bidrar ytterligare till att skapa avstånd och likgiltighet eftersom det för vissa utgör ett sätt att genomleva en ohållbar arbetssituation. En allmän åtstramning av socialtjänstens resurstilldelning förstås som en viktig orsak till behovet av att skapa ovan distansmekanismer. Men distansen hänger också ihop med en tendens till ett återupplivande av en tidigare dominerande förståelse av marginalisering och sociala problem; där människors nöd ses som ett utslag av dålig karaktär och ett resultat av dåliga individuella val. De förändringar av det sociala arbetets premisser som beskrivits ovan gör att socialarbetarna alltmer görs främmande inför sitt arbete – de alieneras. Detta främmandegörande uttrycks genom att inte kunna identifiera sig med arbetet självt, sina kollegor eller med sig själv. Ett sådant främmandegörande underminerar, eller fragmentiserar, både relationen till klienten, men också en känsla av gemenskap med andra socialarbetare. En gemenskap som kan utgöra ett ”vi” och ligga till grund för att ställa krav, protestera och göra motstånd mot avhumaniserande ideal och reformer. På så vis är främmandegörandet inte bara en konsekvens av dagens organisering och styrning, utan också något som fyller en viktig funktion för en sådan styrning och organisering, och genomförandet av en allmän åtstramning i socialpolitiken. Samtidigt som dagens organisering och styrning av socialt arbete är främmandegörande, slår vissa socialarbetare knut på sig själva och arbetar extra hårt för att täcka upp för systemets brister och krympande resurser, för att trots det svåra läget ändå försöka ge det stöd som de upplever att klienten behöver. Ett sådant historiskt förankrat femininiserat omsorgsideal, dvs känslor av ansvar och empati inför behövande och en ilska inför oförrätter, utgör därmed på samma gång grund för en fördjupad exploatering av socialarbetarna, och ett vardagligt motstånd mot rådande system. I ett läge när flera upplever att kollegialiteten som grund för motstånd på arbetsplatserna underminerats, utgör ett sådant omsorgsideal samtidigt också grunden för organiserat motstånd utanför arbetsplatsen, bortom chefernas insyn, kontroll och härskartekniker. Medan nuvarande styrningssystem underminerar ett visst sorts motstånd, uppstår samtidigt grunden för nya.
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Zak, Gur. "Writing from exile: Petrarch's humanism and the ethics of care of the self." 2008. http://link.library.utoronto.ca/eir/EIRdetail.cfm?Resources__ID=742264&T=F.
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Thierman, Stephen. "Vulnerability, Care, Power, and Virtue: Thinking Other Animals Anew." Thesis, 2012. http://hdl.handle.net/1807/34944.
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This thesis is a work of practical philosophy situated at the intersection of bioethics, environmental ethics, and social and political thought. Broadly, its topic is the moral status of nonhuman animals. One of its pivotal aims is to encourage and foster the “sympathetic imaginative construction of another’s reality” and to determine how that construction might feed back on to understandings of ourselves and of our place in this world that we share with so many other creatures.
In the three chapters that follow the introduction, I explore a concept (vulnerability), a tradition in moral philosophy (the ethic of care), and a philosopher (Wittgenstein) that are not often foregrounded in discussions of animal ethics. Taken together, these sections establish a picture of other animals (and of the kinship that humans share with them) that can stand as an alternative to the utilitarian and rights theories that have been dominant in this domain of philosophical inquiry.
In my fifth and sixth chapters, I extend this conceptual framework by turning to the work of Michel Foucault. Here, I develop a two-pronged approach. The first direction – inspired by Foucault’s work on “technologies of power” – is a broad, top-down engagement that explores many of the social apparatuses that constitute the power-laden environments in which human beings and other animals interact. I focus on the slaughterhouse in particular and argue that it is a pernicious institution in which care and concern are rendered virtually impossible. The second direction – inspired by Foucault’s later work on “technologies of the self” – is a bottom-up approach that looks at the different ways that individuals care for, and fashion themselves, as ethical subjects. Here, I examine the dietary practice of vegetarianism, arguing that it is best understood as an ethical practice of self-care.
One virtue of my investigation is that it enables a creative synthesis of disparate strands of philosophical thought (i.e. analytic, continental, and feminist traditions). Another is that it demonstrates the philosophical importance of attending to both the wider, institutional dimension of human-animal interactions and to the lived, embodied experiences of individuals who must orient themselves and live their lives within that broader domain. This more holistic approach enables concrete critical reflection that can be the impetus for social, and self-, transformation.
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Ferreira, Adelino Alcides Abrunhosa. "Cuidado de si e metanoia em Michel Foucault." Doctoral thesis, 2015. http://hdl.handle.net/10362/15331.
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Na perspetiva genealógica e hermenêutica de Michel Foucault aplicada à Antiguidade, a nossa tese relaciona cuidado de si e metanoia, discutindo o contraste entre o modelo helenístico-romano do cuidado como conversão a si e o modelo cristão da conversão através da renúncia a si.
Com o olhar fixo neste horizonte temático pretendemos construir um percurso alinhado com o pensamento de Foucault, começando por sinalizar alguns dos seus textos mais importantes e delinear os traços mais marcantes do seu pensamento histórico-filosófico, mormente as suas investigações, não já sobre as tecnologias do poder e as tecnologias do saber, mas sobre as tecnologias do si na Antiguidade – técnicas culturais que deram origem à hermenêutica do sujeito, práticas complexas de subjetivação e objetivação dos sujeitos, cujas raízes remontam à cultura grega do séc. V a.C., mas que se consolidou apenas com os movimentos ascético-monásticos cristãos dos séculos IV e V. Excluída necessariamente a pretensão de redesenhar criticamente todo este longo desenvolvimento, propomos assinalar alguns dos mais importantes processos da cultura do cuidado de si na Antiguidade: - a análise filosófica do cuidado de si a partir do preceito délfico “Conhece-te a ti mesmo!”; - a cultura do si helenístico-romana; - as técnicas ou práticas do cuidado de si, em especial quatro: parrēsía, áskēsis, exomológēsis e exagóreusis. Neste contexto, afigura-se relevante que as duas primeiras sejam comuns à filosofia e ao cristianismo, mas com caraterísticas diferentes, sendo as duas últimas exclusivas desta religião, nas quais Foucault reconhece um impulso decisivo para a constituição da hermenêutica do sujeito – a prática sistemática da desvelação do si, algo que gregos e romanos não alcançaram, porque ainda não se tinha constituído culturalmente a noção de sujeito. Para esclarecermos este duplo movimento de conhecimento e modificação do si, procuramos mostrar o contraste cultural na Antiguidade entre dois modelos de subjetivação e de objetivação dos indivíduos, a ética como prática refletida da liberdade e a moral cristã da obediência. O primeiro modelo orbitou em torno do princípio geral do cuidado de si, assimilado pela cultura grega e repercutido na filosofia, o segundo foi marcado pela nova forma de domínio e submissão – o poder pastoral – justificado pela obediência e pela renúncia a si, que transformaram o cristianismo numa religião confessional.
Para confirmarmos esta interpretação, convocamos à reflexão a noção de conversão. Começamos por valorizar o contributo dos termos gregos epistrophē e metanoia. De seguida, justificamos a relevância da conversão para a Cultura Ocidental. Concluímos com a análise de três modelos históricos: platónico, helenístico-romano e cristão. O arco temático termina com a análise do valor paradoxal da renúncia a si em Paulo de Tarso, cujos textos Foucault não analisou no âmbito da cultura do si, mas que nós valorizamos e nos levam a divergir deste filósofo, para quem a renúncia a si anula a eficácia do cuidado de si, propondo em alternativa a tese de que as várias formas de renúncia, mesmo enunciadas numa perspetiva escatológica, não só integraram como intensificaram essa cultura do cuidado.
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Charlebois, Tim. "Coldness and compassion: the abnegation of desire in the political realm." Thesis, 2017. http://hdl.handle.net/1828/8292.
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The concept of compassion has recently held a controversial role in political thought. Critics have tied it with the condescension and latent self-interest of pity, while proponents have asserted it as the ethical posture from which to approach the suffering of others. This thesis looks at the role of compassion in the political sphere, arguing that political compassion involves a decentring of oneself as the primary subject of political action, looking instead to forego one’s own desire and to replace it with the desire of another. It pays particular attention to the thought of Hannah Arendt, who excludes this self-sacrificing compassion from the political sphere, due to the importance of speech to political action, and in turn, the importance of muteness to compassion. To Arendt, political speech intends to performatively bring one’s uniqueness into the world, whereas compassion performatively denies this subjectivity and is fundamentally unpolitical. She asserts that not only do public displays of compassion destroy their very value, but moreover, that a focus of compassion and suffering in the political sphere overshadows the need for cool, sober discourse between equals. I argue that, even in accepting Arendt’s definition of the political, there is space for compassion as a political labour. While Arendt asserts the need for speech and action in the political sphere, she conflates the free will involved in the plurality and uniqueness of the content of speech with the uniform, natural will to speak. Her articulations of the political realm, which require one to make oneself heard among equals, invoke at that same moment an immediate need for the labour of others foregoing their own desire to speak and act, to instead passively listen. Instead of being a realm exclusively to manifest one’s will, the political instead requires a reciprocity of desire, and its abnegation.Graduate
0615
0422
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charlebois@u.northwestern.edu
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Kalaitzidis, Evdokia. "professional ethics for professional nursing." 2006. http://arrow.unisa.edu.au:8081/1959.8/30081.
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The thesis proposes and defends a maxim which can serve as a foundation and guideline for professional ethics in nursing, the maxim that nurses should act so far as possible to promote patient's self-determination. The thesis is informed by philosophical ethics and by knowledge of professional nursing practice.
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Lester, Barbara-Ann. "A health promotion model for facilitation of self-care of women in midlife to support them in the attainment of wholeness." Thesis, 2005. http://hdl.handle.net/10500/2028.
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This phenomenological study examined the experiences of women in midlife. The primary purpose of the study was to develop and describe a model of health promotion that will facilitate self-care of women in midlife to support them in the attainment of wholeness.
A theory-generative, qualitative, explorative, descriptive and contextual design was utilized to achieve the objectives of the study, namely to explore and describe women's experience of midlife transition; classify concepts of the model; describe the structure and process of a model for support of women during midlife transition, and develop guidelines for operationalization of the model.
The study was undertaken in one of the northwest states of the United States of America. Purposive sampling of eight women included women between the ages of 40 and 55 years of age. Women who had undergone surgical menopause were excluded as the influence of prolonged hormone replacement therapy was seen as a bias. Data was collected by using an unstructured interview technique. Data was analyzed according to Tesch's protocol (in Cresswell, 1994:155).
Guba's model (in Krefting 1991:215) was utilized to ensure the trustworthiness of the study. Ethical issues were considered throughout and these are reflected in chapter one of the thesis.
The study identified two themes: (1) how the women experienced midlife and (2) how they managed it. The experiences of midlife were expressed in physical, psychosocial and spiritual changes while the management of the process was accomplished in two ways, namely self-care and the services of healthcare professionals. The researcher identified that health promotion was essential to facilitate the self-care practices of women in midlife.
Essential and related attributes of health promotion were identified, analyzed and synthesized to define health promotion. The process of health promotion was then defined with a description of the structure and process of the model. Concepts identified were classified, defined and placed into relationship statements after which the model was described and evaluated. Guidelines to operationalize the model were then formulated to assist health professionals to support women in self-care for the attainment of wholeness.Health Studies
D.Litt et Phil (Health Studies)
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Homola, Matouš. "Etika postmoderního subjektu a vztah k sobě samému." Master's thesis, 2014. http://www.nusl.cz/ntk/nusl-330427.
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This thesis is focused on ethics and subject in postmodernism and poststructuralism. The thesis contains methods of analysis, interpretation and comparison. These methods are primarily focused on French authors of the second half of the 20th century. In the text, there are answered questions like: "How society, knowledge and thiking of certain period affected the freedom of human being? What mechanisms exist in the language function structures that affect human way of thinking? What are the possibilities for individuals, to emancipate against the influence of powerfull government institutions and their strategies?" The aim of the thesis is to make an ethics rules that will be taken like an alternative to the codified normative morality. It shows the differences between modern universalism and posmodern pluralism. The dualism is interpreted primarily in the way of thinking of J.-F. Lyotard. There is also interpretation of dualism throught Deleuze and Guattari philosophy that is formulated due to theory of arborescent and rhizomatic structures. Most of the thesis is based on Michel Foucault's phylosophy of normalization and disciplining of a subject and authoritatively established ethics. The main topic of this thesis is Foucault's ethics based on the relationship of self to itselfs. This self-reflexive...
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"ANOTHER CHAPTER IN THE STORY: AN ANALYTIC AUTOETHNOGRAPHY OF MY JOURNEY THROUGH THE MENTAL HEALTH SYSTEM." Thesis, 2014. http://hdl.handle.net/10388/ETD-2014-11-1906.
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It is a common practice for therapists-in-training and experienced therapists to ensure their self-care and ethical competency requirements through seeking and maintaining therapeutic counselling when dealing with significant personal concerns (Moulden & Firestone, 2010; Everall & Paulson, 2004; Spelliscy, 2009; Pope, Sonne, & Green, 2006; Amundson, 2009; Tjetviet & Gottlib, 2010). However, therapists-in-training and experienced therapists have reported challenges and barriers that arise when making the decision to seek and maintain therapy. Some of these challenges and barriers of seeking and maintaining therapy noted in the current research literature, includes concerns of public and self stigmas, a fear of emotion, fear of treatment, confidentiality concerns, difficulties with the choice, accessibility, and acceptability of therapists’ credentials or educational programs, and the actual financial costs associated with obtaining therapy (Dearing, Maddux, & Tangney, 2005; Komiya, Good, & Sherrod, 2000; Holzman, Searight, & Hughes, 1996; Ey, Henning, & Shaw, 2000; Siebert & Siebert, 2007; Barnett & Hillard, 2011; Gilroy, Carroll, & Murra, 2002; Siebert, 2005). Similarly, current research literature regarding the challenges and barriers that Asian individuals face when deciding to seek or maintain therapeutic counselling, have also reported a list of institutional and sociocultural barriers to seeking services (Shea & Yeh, 2008; Sue & Sue, 2003; Braun, Tanji, & Heck, 2001; Park & Kim, 2008; Tsang, Tam, Chan, & Cheung, 2003; Chen & Mak, 2008; Akutse & Chu, 2006; Zane & Yeh, 2002).
Acculturation is the process of adapting to behaviours, values, knowledge, and identity of the dominant society (Kim & Abreu, 2001). It has been found, that different levels of acculturation will affect an individual’s level of tolerance towards social, professional, and cultural stigmas, as well as their level of confidence in seeking therapy (Zhang & Dixon, 2003). Leong & Lau, 2001, stated that an individual’s level of acculturation has a major influence on the attitudes towards seeking therapy. It is these themes in the current research literature on the challenges and barriers to seeking and maintaining therapy that resonated with my own personal experience navigating through the mental health system for therapeutic support as a first generation Asian individual, therapist-in-training. Being an acculturated first generation Asian and therapist-in-training, through careful consideration, I use analytic autoethnography as my methodology to explore, reflect, and share my experiences and journey navigating through my self-care journey before and after my father’s death. With the use of analytic autoethnography, I bring together parallels between my personal experience with what themes are noted in current research literature on the challenges and barriers to seeking and maintaining therapy.
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Liu, Ying-Chun, and 劉盈君. "Constructing the ethical self of nurses through providing end-of -life care within intensive care units." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/4psh45.
Full textAbstract:
博士國立陽明大學
護理學系
106
The modern medicine field in the intensive care unit (ICU) is geared by advanced technologies, which mainly aim at disease management leading to maintain the patients’ lives. In this kind of modernized technology-driven medical workplace, to provide end-of-life (EOL) care create a complicated phenomenon and experience. To explore and analyze the process experienced by ICU nurses who provide EOL care turns out to be the main theme of this study. This study was conducted by using interpretative phenomenological qualitative research method to analyze the data drawn from twelve sessions of group dialogues among 13 registered ICU nurses who provided EOL care. Data was gathered from digitally recorded group dialogues and then analyzed alone with the researcher's diaries and participants' feedback sheets. Interestingly, although the ICU nurses provided nursing care using advanced medical devices, meanwhile they may actually get a chance to reconstruct themselves and then turn to ethical selves through the process during providing EOL care. The process can be further divided into three parts including: (1) falling into the suffering, (2) compassion from suffering with, and (3) the oneness of mind and body. Nursing care is actually the ethical action which presented by which the very nurses giving care. It can’t be simplified as or framed by the general goals of medical care driven by guideline recommendations. ICU nurses participate in the medical managements, witness the sufferings, and then generate compassion leading themselves to exercise their body and mind to care patients. Through the practice repeatedly, nurses gain a new understanding and consequently transform themselves to be an ethical self which proactive in giving EOL care to meet the profound beauty behind the nursing work.
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Deka, Ankita. "RACIAL DISPARITIES IN SELF REPORTED HEALTH AND HEALTH CARE UTILIZATION. DOES PRIMARY CARE MATTER?" 2012. http://hdl.handle.net/1805/3044.
Full textAbstract:
Indiana University-Purdue University Indianapolis (IUPUI)A significant body of literature has accumulated in the last decade that provides evidence of the growing health care disparities among racial and ethnic groups in the United States. The literature suggests that Black adults share a disproportionate burden in death, disability, and disease. In 2002, the Institute of Medicine report, Unequal Treatment, showed that racial-ethnic disparities in health cannot be entirely attributed to problems of health care access, clinical performance, or patients’ personal characteristics. Many studies have shown that institutional and individual level discrimination that Blacks face in the health care system impacts their health status. This study used secondary data analysis to examine how primary care experience impacts self-reported health status and health care utilization among Black adults. Data were from the Medical Expenditure Panel Survey (MEPS) implemented by the Agency for Healthcare Research and Quality (AHRQ). Specifically, MEPS Panel 10 (2005-2006) and Panel 11 (2006-2007) data were used in the analyses. The final sample comprised of N=15,295 respondents ages 18 and over. Logistic regression analyses were carried out using Stata Statistical Software, version 11. The study results reflect the disparities among Blacks and Whites on self-reported health and health care utilization. Blacks were 15% less likely to report good health status compared to Whites and had 0.11 less expected office-based doctor visits. Respondents who had better primary care experience had 0.05 times higher expected office-based doctor visits than respondents who did not have good primary care experience. Health care Social Workers should advocate for structural changes in health policy that will take into account the historical marginalization and contemporary inequities that continue to encompass the lives of many Black Americans.
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Vigneault, Karine. "Rapport à soi et citoyennetés alimentaires : diagnostic d'une politique des plaisirs." Thèse, 2011. http://hdl.handle.net/1866/8544.
Full textAbstract:
Cette thèse s’intéresse à l’alimentaire en tant que discours social du « comment se nourrir » se déployant avec une intensité toute particulière dans l’actuel régime de gouvernement de libéralisme avancé. Elle propose plus spécifiquement de penser cette intensité comme participant d’un investissement de l’alimentaire en tant que lieu privilégié dans la production d’articulations du rapport à soi (relation éthique à soi-même) et d’une citoyenneté comprise en termes d’abord normatifs. Cette productivité est mise en évidence par le biais d’une « exemplification » des ensembles de régularités des discours alimentaires contemporains qui s’avèrent les plus saillants quant à leurs effets de citoyenneté.
Le premier de ces ensembles est abordé à travers une analyse de la campagne de réforme des habitudes alimentaires des écoliers britanniques Jamie’s School Dinners, considérée en tant qu’exemple des discours tendant aujourd’hui à faire d’une certaine culture alimentaire un enjeu de citoyenneté culturelle. Je m’intéresse dans un second temps aux dynamiques qui s’opèrent dans Mettez le Québec dans votre assiette!, une campagne sociétale en faveur de l’alimentation locale qui m’apparait exemplaire de la production contemporaine du « manger local » en tant qu’expression de confiance et de patriotisme envers une nation définie par ses terroirs. Finalement, je me tourne vers l’ouvrage In Defense of Food. An Eater’s Manifesto de Michael Pollan en tant qu’exemple de coprésence des deux ensembles de régularités discutés précédemment et d’un troisième (le « nutritionnisme ») que j’analyse en tant que réarticulation du discours de devoir de santé de la science nutritionnelle.
Cette thèse se conclut sur une discussion de quelques-uns des effets de cette coprésence et des citoyennetés alimentaires qu’elle informe. Je m’attarde plus spécifiquement à la politique des plaisirs qui traverse ces citoyennetés, une politique se déployant sur le mode de l’anxiété (face à un futur incertain) et selon une logique générationnelle par laquelle les espaces de la nation et de la famille se trouvent simultanément investis.This dissertation examines food and eating as a social discourse on “what to eat” that unfolds with a remarkable intensity within the current advanced liberal regime of government. More specifically, I propose to conceive of this intensity as participating of an investment of food and eating as a privileged site in the production of articulations of the ethics of the care of the self (ethical self-formation) and of a normative understanding of citizenship. This productivity is put forth by means of an “exemplification” of clusters of regularities in food and eating discourses that appear to be the most prominent in terms of their effects of citizenship. The first of these clusters is explored through an analysis of Jamie’s School Dinners, a campaign for a reform of the British school dinner system that I consider exemplary of discourses that are currently positing (a specific) food culture as an issue of cultural citizenship. I then look at some operations at play in Mettez le Québec dans votre assiette!, a social marketing campaign in favour of local food that, I contend, is exemplary of the contemporary production of “local eating” as an expression of trust and of patriotism toward a nation defined by its terroirs. I finally turn to Michael Pollan’s book In Defense of Food. An Eater’s Manifesto as an example of co-presence of the two clusters of regularities already discussed and a third one (“nutritionism”) that I regard as a rearticulation of the “duty to be well” put forth by nutritional science. This dissertation concludes on an examination of some of the effects of this co-presence and of the food citizenships that it informs. More specifically, I argue that these citizenships are pervaded by a politics of pleasure which works through anxiety (toward an uncertain future) and according to a generational logic which unfolds simultaneously in the space of the nation and in that of the family.