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Ho, Dong-Chyr Morreau Lanny E. "Analysis of problem behavior in an institution for retarded persons." Normal, Ill. Illinois State University, 1985. http://wwwlib.umi.com/cr/ilstu/fullcit?p8514771.
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Thesis (Ed. D.)--Illinois State University, 1985.Title from title page screen, viewed June 7, 2005. Dissertation Committee: Lanny Morreau (chair), John Brickell, Jane Lee, Alan Repp, Mark Swerdlik. Includes bibliographical references (leaves 97-106) and abstract. Also available in print.
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Saint-Martin, Claire de. "Que disent les élèves de CLIS 1 de leur(s) places(s) dans l'école ? Un empan liminal." Thesis, Cergy-Pontoise, 2014. http://www.theses.fr/2014CERG0702/document.
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Au sein de l'école élémentaire, les CLIS 1 sont des classes spécialisées qui accueillent des élèves porteurs de troubles des fonctions cognitives. Ces élèves doivent connaître des temps d'inclusion en classe ordinaire, alors nommée « classe d'inclusion ». Ma thèse s'intéresse à ce que disent les élèves de CLIS 1 de leur(s) place(s) dans l'école, à partir du concept de liminalité, tel qu'il a été défini par Murphy. Il Je postule que la CLIS est un lieu de la liminalité, permettant aux élèves de rester dans l'école sans les y inclure totalement.Je questionne la situation liminale des élèves de CLIS 1 par la dialectisation du statut, de la situation et de la place de la personne handicapée, dans une double perspective socio-historique et socio-clinique. La CLIS 1 peut être pensée comme un espace liminal, au regard de la définition du handicap mental et de ses différentes dénominations, de la perspective historique de la scolarisation des enfants en situation de handicap et de la politique actuelle qui revendique une volonté inclusive. A l'appui des cadres méthodologiques de l'analyse institutionnelle et de la sociologie de l'enfance, j'ai élaboré un dispositif de socio-clinique institutionnelle pour mener une réflexion collective avec les élèves de trois CLIS 1. Il ne s'agissait pas rechercher une adéquation des discours des élèves à la réalité observable, mais de confronter leurs représentations aux observations faites, de façon à analyser leur(s) place(s) au sein de l'institution scolaire.Mes données me conduisent à enrichir le cadre théorique initial. La liminalité des élèves de CLIS1 est une liminalité plurielle, qui dépend de facteurs sociaux, culturels, environnementaux, institutionnels, mais aussi individuels. La recherche a mis à jour le concept d'empan liminal, à savoir un processus dynamique qui se décline différentes situations liminales selon les temps d'inclusion en classe ordinaire de chaque élève. Mon travail empirique d'une part et théorique d'autre part me conduit à interroger les modalités de la mise en œuvre de la politique d'inclusion au sein de l'école élémentaireWithin the French primary school, CLIS 1 are specialised classes which accept children with cognitive disabilities. These children should partake in inclusion times in regular classes, called "inclusion classes". My thesis focuses on what CLIS 1 students say about their place(s) in the school, from the perspective of liminality, as defined by Murphy. I suggest that the CLIS is a place of liminality, allowing children to stay at school without their total inclusion.I question the liminal status of students in CLIS 1, by discussing the situation and place of disabled children, from both socio-historical and socio-clinical perspectives. The CLIS 1 can be thought of as a liminal space, regarding the definition of mental disability and its various denominations, from the historical perspective of the education of disabled children and from the current policy which claims inclusive desire. In support of the methodological frameworks of institutional analysis and the sociology of childhood, I developed a socio-clinical institutional device to guide a collective reflection with the children of three CLIS 1. It did not seek to match children's reflections to observable reality, The aim was not to compare exactly what the children said to observable reality, but to express to the children the contradictions between what they say and my observations, to analyse their place in the school.My data lead me to enrich the initial theoretical framework. The liminality of the children in CLIS 1 is a plural liminality, which depends on social, cultural, environmental, institutional, as well as individual factors. The research has updated the concept of liminal span, which is a dynamic process that weakens different liminal situations according to the inclusion time in regular classes of each child. My empirical work as well as my theoretical work, has led me to question the methods of the implementation of the inclusion policy in primary school
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MILLERET, PHILIPPE. "L'observation ethologique en psychiatrie : mise au point d'une grille d'evaluation ethologique de comportements et d'interactions en institution : g.e.e.c.i.i." Toulouse 3, 1989. http://www.theses.fr/1989TOU31146.
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Gonggryp, Thibault. "L' hospitalisation sous contrainte du patient malade mental : la légitimité d'une institution attentatoire aux libertés." Aix-Marseille 3, 2007. http://www.theses.fr/2007AIX32039.
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La législation en santé mentale traverse une crise sans précédent et nombreux sont les praticiens, les élus et les auteurs à réclamer la réforme du régime juridique de l’hospitalisation psychiatrique sous contrainte, jugé obsolète, inadapté à la pratique moderne et trop dangereusement liberticide. Cet ouvrage, à l’orée d’une réforme décrite comme imminente, se divise en deux parties. La première est consacrée à la spécificité de la maladie mentale et à l’origine de la légitimité du régime de l’hospitalisation psychiatrique sous contrainte fondé sur une publicisation de la matière. Parce que l’aliénation mentale est une pathologie très particulière, que ses effets touchent l’ordre public, le droit a élaboré au fil du temps une législation complexe et équilibrée qui est toujours d’actualité. La seconde s’intéresse aux dispositifs de la loi de 1990 confrontés au règne des libertés individuelles et des droits du patient. De nombreuses options ont été envisagées pour établir un nouvel équilibre entre les droits du patient malade mental et ceux de la société de se protéger contre des pathologies parfois particulièrement violentes. Mais un consensus semble s’être établi autour de l’idée de soumettre au juge judiciaire, traditionnellement considéré comme le seul garant des libertés individuelles, soit la décision de placement, soit le plein contrôle de l’intégralité du contentieux en la matière. Or, cette « judiciarisation », loin de résoudre l’ensemble des insuffisances du système en vigueur, pose d’autres difficultés, bute devant le principe de la séparation des autorités administratives et judiciaires, et devant la réalité du dogme selon lequel le juge judiciaire serait le seul gardien crédible de la liberté, le juge administratif étant présumé arbitraire et partisan. L’étude approfondie de la législation et de la jurisprudence en santé mentale semble briser ce mythe. A l’image de la complexité de la matière, la réforme de cette branche du droit ne pourra être envisagée par des procédés simplistes ou des raccourcis fondés sur la seule certitude que le juge judiciaire résoudra toutes les difficultés d’un système à bout de souffleIn the field of mental health, the legislation is now experiencing an unprecedented crisis and there are many practitioners, elected members and authors who call for a reform of the legal system concerning psychiatric hospitalization under constraint which is nowadays considered as inadequate for modern practice and much too dangerously liberticidal. Preceding a reform presented as impending, this thesis splits in two. The first section is devoted to the specificity of mental illness and to the historical origin of psychiatric hospitalization under constraint. Because the mental alienation is a very peculiar pathology and because its effects concern public order, the law has elaborated a complex and balanced legislation through the years. And it is still topical. The second section focuses on the 1990’s legislations confronted to the rule of personal freedom and the patient’s rights. Several options have been considered to establish a new equilibrium between the rights of the mentally sick patient and the right of the society willing to protect itself against pathologies sometimes particularly violent. But it seems a consensus was reached: the idea is to submit to the judge, traditionally considered as the only guarantor of personal freedom, either the decision of admission or the total control of the entire contentious. Yet, this “judiciarization”, far from solving the want of the system in force, lays other difficulties. It stumbles over the principle of the separation between administrative and judiciary authorities, it comes up against the reality of the dogma according to which the judge is the sole credible protector of Liberty, the administrative judge being presumed to be arbitrary and partisan. A close investigation of the legislation and mental health precedents seems to shatter this myth. Similarly to the complexity of this subject, the reform of this wing cannot happen with simplistic processes or shortcuts based upon the sole certainty that the judge will solve every difficulties of a breathless system
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Eloff, Maryke. "Exposure to, perceptions and levels of mental skills among tertiary institution field hockey players / Maryke Eloff." Thesis, North-West University, 2010. http://hdl.handle.net/10394/4872.
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The importance of mental skills training (MST) is emphasized by previous/available research
findings which show that by combining MST with physical training it enhances players’ ability
to cope with the demands of the sport and subsequently results in better sport performance. The
main aims of the present study (presented in two articles which can be read independently) were
twofold. The first was to determine field hockey players’ perceived need for MST, and their
perception regarding their ability to prepare psychologically for matches, as well as compile a
general profile of their psychological skill for the total group and by gender. The second aim of
the study was to determine the possible positional differences in mental skill levels among 91
South African tertiary institutions’ male field hockey. A total of one hundred and ninety seven
(91 males and 106 females) South African field hockey players who competed in the 2008
University Sport of South Africa tournament participated in the study. The participants
completed the Psychological Skills Inventory (PSI) and the Ottawa Mental Skills Assessment
Tool–3 (OMSAT–3) questionnaires. The results from Article 1 showed significant gender
differences from the Psychological Skills Inventory (PSI) according to which the males
outperformed the females in the skills of concentration, activation and activation control. In
addition, significant gender differences were observed for mental skills training (MST) measures
for goal–setting and commitment in which the females outperformed the males, whilst the males
fared better than the females in stress reaction. The hockey players perceived MST as important
to enhance performance in field hockey. The players furthermore perceived their ability to
prepare psychologically for matches as good, which contradicts the results from the
questionnaires as the players showed poor mean scores for five of the six subscales of the PSI
questionnaire. The results from article 2 showed that the goalkeepers had the lowest scores for
seven of the 12 tested skills, whereas midfielders outperformed the other positions in six of the
12 subscales. It is clear from these results that MST is important for field hockey and therefore
warrants the attention of all role players in field hockey.Thesis (M.Sc. (Sport Science))--North-West University, Potchefstroom Campus, 2011.
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Tanner, Carolyn A. "Perception of palliative care practice of health care professionals in a mental institution : a descriptive study." Thesis, University of British Columbia, 1991. http://hdl.handle.net/2429/29703.
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The purpose of this descriptive study is to investigate the perception of practice of health care professionals at a mental institution, as it pertains to their work with dying patients, and also to identify areas of change. The conceptual framework is constructed of six factors important to palliative care that have been identified from the literature. These are personal death anxiety, organizational structure of the hospital system, role expectations of professionals, teamwork, education and training for care of the dying, and conveyance and exchange of diagnostic information. The sample surveyed by a written questionnaire included physicians, psychiatrists, health care workers, social workers and pastoral care workers from the Geriatric Division of Riverview Hospital, Port Coquitlam. The findings indicate that age, sex, marital status and length of working experience at Riverview Hospital had no significant association with personal death anxiety. Informal education such as workshops and in-services had a significant correlation with personal death anxiety, as did perception of being competent and/or confident about working with the dying. The study also raised concerns that not all was being done for the dying patients and their families at this institution. Suggestions such as education and training, support mechanisms, and less stereotyping of professional roles were
offered to improve this situation. As well, findings indicated that there was a need for palliative care service either in the form of a team or separate unit, or simply the practicing of the palliative care philosophy.Arts, Faculty of
Social Work, School of
Graduate
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Kristensson, Hanna. "Mental ohälsa och den psykiatriska institutionen - En fallstudie av den svenska psykiatrin." Thesis, Malmö universitet, Fakulteten för kultur och samhälle (KS), 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-21969.
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Denna kandidatuppsats har i syfte att granska de olika teknologierna för biomakt som gestaltas inom psykiatrivården i Sverige. Metoden som kommer att användas för analysen är fallstudier vilket kommer att användas tillsammans med teorier om biomakt. Den teoretiker som främst förekommer är Michel Foucault, men teorin kommer att kompletteras med fler filosofer och forskare. Analysen kommer att ha en avgränsning vid tre stycken diagnoser; schizofreni, bipolär sjukdom och borderline. I granskningen kommer teorierna och metoden användas för att identifiera vilka olika behandlingsformer som används för patienterna samt vilka teknologier för makt som förekommer i behandlingarna. Resultatet för analysen visar att de huvudsakliga behandlingsformerna för diagnoserna är läkemedel och kognitiv beteendeterapi vilka gestaltar två olika former av biomakt, både regulativ makt och disciplinär maktThe purpose of this bachelor thesis is to examine the different kinds of technologies of biopower that exist within the Swedish psychiatric institution. The method of use is case studies, that will be used in conjunction with theories about biopower. The theorist that is primarily used is Michel Foucault, however the theories about biopower will be further complemented by more philosophers and researchers. The analysis will be limited to three diagnoses; schizophrenia, bipolar disorder and borderline. The theories and methodology will be used in order to identify the different therapies used for the patients as well as the technologies of power that occur in the treatments. The result of the analysis shows that the main forms of treatment for the diagnoses are drugs and cognitive behavioral therapy which consist of two different forms of biopower, both regulatory power and disciplinary power.
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Sigenu, X. "Mental health nurses’ knowledge, attitude and practices related to tobacco dependence among mental health care users at a psychiatric institution in the Western Cape." University of Western Cape, 2021. http://hdl.handle.net/11394/8283.
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Magister Curationis - MCurResearch reported that it is very challenging for mental health care users to quit smoking and the risk of relapsing after quitting is high. However, tobacco dependence treatment is possible and potentially lifesaving for people. The delivery of tobacco dependence treatment by nurses is influenced by a variety of factors, including lack of knowledge and skills, limited professional leadership, and smoking within the profession. There is a strong link between mental illness and smoking-related diseases, including cancer, respiratory diseases and heart diseases that are linked with depression. There is a high incidence of cancer in people with bipolar mood disorder and schizophrenia due to smoking. In spite of this, smoking is regarded as part of the culture of psychiatric institutions and tobacco is seen as “necessary self- medication for the mentally ill”.
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Stevens, Andy. "The institutional care and treatment of people categorized as mentally defective before and after the Second World War : the Royal Eastern Counties Institution." Thesis, University of Essex, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.265261.
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Molaba, Ramatsobane Granny. "Adherence of mentally stable schizophrenic patients to antipsychotic medication at a mental health institution in the Limpopo Province." Thesis, University of Limpopo (Turfloop Campus), 2013. http://hdl.handle.net/10386/1148.
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Thesis (M.Cur) --University of Limpopo, 2013Adherence to antipsychotic medication is very important to patients with schizophrenia. Therefore, if patients with schizophrenia are non-adherent to treatment, they are at risk of relapse and being re-admitted at a mental health care institution in the Limpopo Province. Despite the proven benefits of antipsychotic medications, half of the patients with schizophrenia do not take their prescribed drugs. The researcher has observed the following occurrences during practice: • Lack of adherence to antipsychotic medications of schizophrenic patients results in symptoms not being relieved, poor drug effectiveness and patients developed other serious or costly consequences, such as being violent and damaging property; • High rate of relapse; and • High rate of re-admissions. This research questions has guided the study: • What are the factors affecting adherence of mentally stable schizophrenic patients to antipsychotic medications at a mental health institution in the Limpopo Province? • Do mentally stable schizophrenic patients adhere to prescribed treatment? • Are there any guidelines used to promote adherence to antipsychotic treatment? The aim of the study has been to determine the level of adherence of mentally stable schizophrenic patients to antipsychotic medication at a mental healthcare institution in the Limpopo Province. The objectives of the study have been to describe adherence of mentally stable schizophrenic patients to antipsychotic medication at a mental health institution in the Limpopo Province. It implies that participants have been given the opportunity to describe their experience while on medication. vi Their responses have led to the development of guidelines to promote adherence of mentally stable schizophrenic patients to antipsychotic medication. The study site has been the Thabamoopo Mental Healthcare Institution in the Capricorn District of the Limpopo Province. A descriptive, exploratory and contextual qualitative research design has been used in this study. The population has consisted of all mentally stable schizophrenic patients and all the carers of such patients. Non-probability purposive sampling has been used to select participants in this study. The researcher has used a semi- structured interview with two schedule guides for the patient and carers/relatives, which have specified the issues and questions covered. It has assisted the researcher with gathering information about the problem studied (De Vos et al. 2005).A total of twenty (n = 20) participants, consisting of fourteen (n = 14) mentally stable schizophrenic patients and six (n = 6) carers/relatives has been included voluntarily in the semi-structured interview sessions. The steps of data analysis as described by Tesch (1990) in Cresswell (1994) have been followed in this study. The findings of this study reveal a central storyline which indicates that participants share the same point of view in connection with aspects of adherence to antipsychotic treatment and also knowledge about the causes of mental illness and its prognosis. The following four themes and their sub-themes have emerged during data analysis: Theme 1: Participants share the same point of view related to aspects of adherence to antipsychotic treatment; Theme 2: Knowledge related to mental illness; Theme 3: Health seeking behaviours of mentally ill patients; and Theme 4: Experiences of relatives caring for mentally stable patients on treatment. Guidelines and recommendations based on the findings of this study are described in Chapter 4. The criteria for establishing the trustworthiness of qualitative data maintained in this study have been: Credibility, dependability, confirmability and transferability. The following ethical principles have been adhered to: The principle of beneficence, justice, the principle of human respect and dignity, permission to conduct the study, informed consent and confidentiality, privacy and anonymity.
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Dargère, Christophe. "La violence institutionnelle comme mode d’ajustement de filière : ethnographie et lecture goffmanienne d’une institution médico-sociale." Thesis, Lyon 2, 2011. http://www.theses.fr/2011LYO20008.
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Notre société possède une vaste coulisse contenant nombre d’individus considérés comme improductifs, déviants, inadaptés. Un partie de cette coulisse a pour fonction de contenir ces individus, et de les maintenir, parfois une vie durant, à la périphérie de notre évolution sociétale, dans des espaces n’ayant qu’une porosité réduite voir nulle avec la matrice sociale de référence. Ce processus de maintien repose sur la logique de filière : institution pour enfants, puis pour adolescents, puis pour adultes travailleurs, puis maison de retraite adaptée. La stabilisation de cette population dans ces cantonnements se fabrique avec les effets pervers du fonctionnement institutionnel, et notamment avec la violence institutionnelle qui régule ce fonctionnement. Pour illustrer cette idée, et tenter de décortiquer cette violence (issue d’une commande utopique, d’une mission originellement impossible à mettre en place) qui entrave les rouages de tout établissement « spécialisé », notre travail de recherche propose de mettre en perspective cette violence institutionnelle, inhérente au fonctionnement d’un institut-médico-professionnel recevant des adolescents placés et orientés par les instances officielles pour « déficience intellectuelle légère ». Cette étude est une ethnographie de terrain, puisque la méthode de travail repose exclusivement sur une observation participante. L’auteur, endossant la mission d’instituteur spécialisé, a passé six ans dans la structure avec ce statut, avant de l’observer pendant deux autres années, consignant sur un carnet de bord des scènes de vie quotidienne se déroulant dans l’institution (salle de classe, couloirs, salle du personnel, salle de réunion, réfectoire, …), mais aussi à l’extérieur de l’institution (rue, espaces divers, …). Inspiré par la sociologie d’Erving Goffman, cette analyse institutionnelle qualifie la structure selon des concepts goffmaniens (institution totale, institution totalitaire), des concepts de l’école de Chicago réajustés (institution bâtarde), voire des concepts élaborés (institution stigmate). Nous proposons de démontrer comment la promiscuité entre les usagers, l’hétérogénéité de la population, la complexité de la mission confiée à l’institution, la sanction du placement institutionnel, et la condition du personnel fabriquent un ensemble complexe, inextricable, pathogène, bridant l’évolution du pensionnaire de l’institution médico-sociale, « l’ajustant » à la filière suivante, et le maintenant dans une coulisse sociale ne lui offrant pas de perspective échappatoire, ni de retour vers « la société mère »In our society there is a vast wing containing a number of individuals who are considered unproductive, abnormal or maladjusted. Part of its function is to contain and maintain these individuals, sometimes for an entire lifetime, on the edges of our society's evolution, in spaces, which have only limited or no contact with mainstream society. This process of maintenance follows a chain of logic: an institution for children, likewise for teenagers, then for working adults, then an adapted nursing home. The stabilisation of this population within this system, perversely, is facilitated by function of the institution, and in particular by the culture of institutional violence through which it is regulated. To illustrate this, and to try to analyse this form of violence, which derives from a utopian order, from a mission which is fundamentally impossible to implement, and which hinders the wheels of every 'specialised' establishment: the present research puts into perspective the institutional violence, inherent, as it is, in the operation of an institut-medico-professional (a state special needs training facility) which receives teenagers who have been placed there by officials for 'slight mental retardation'. This research is an insider-study, as the method of research derives exclusively from participatory-observation. The author spent six years working as a Special Needs Teacher inside the establishment studied; then, for a further two years, systematically recorded into his logbook scenes of daily life, which took place within this institution (e.g. in classrooms, corridors, the staff room, meeting rooms, the cafeteria). Inspired by the social theories of Erving Goffman, this institutional analysis describes the target in terms of Goffman's concepts of “Total Institutions”, adjusted concepts from the Chicago School (“Bastard Institutions”), and elaborated concepts of “Stigma Institution”. This research proposes to demonstrate how the proximity and heterogeneity of the inmates, the complexity of the mission entrusted to the institution, the sanction of institutionalising a child, and the working conditions of the staff, all have resulted in a combination which is complex, pathogenic and intractable. Thus it restrains the evolution of the inmates of the institut-medico-professional, it “adjusts” them to follow along within the system, and places them within a social wing, which offers them neither any perspective on how to escape, nor any path to return to the “mainstream society”
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Colvin, Alex Don. "Variables influencing family members' decisions regarding continued placement of family members with mental disabilities in one state-operated institution." [College Station, Tex. : Texas A&M University, 2006. http://hdl.handle.net/1969.1/ETD-TAMU-1094.
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Ganyaza, Thulisile Zioner. "Multi-disciplinary teamwork in an admission unit of a psychiatric institution." Thesis, Stellenbosch : Stellenbosch University, 2000. http://hdl.handle.net/10019.1/51837.
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Zonke, Lulama Henrietta. "The newly qualified professional nurses' proficiency in utilizing psychiatric nursing skills in mental health institution and community health care facilities." Thesis, University of Fort Hare, 2012. http://hdl.handle.net/10353/d1001098.
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The aim of this study was to determine the ability and proficiency of the newly qualified professional nurses in utilising psychiatric nursing skills at Chris Hani District Psychiatric Health Care Services in the Eastern Cape, South Africa. The research method was a qualitative, phenomenological approach. A purposive sample of newly qualified professional nurses and supervisors participated in the study. The data were collected through interviews and focus group discussions, using semi – structured interview guides. Interviews responses were recorded on the interview guide. Data were analysed using the computer software Atlas ti and manually. Positive and negative themes were identified. Ethical considerations were ensured by means of privacy, anonymity and confidentiality. Ethical clearance was obtained from the University of Fort Hare and permission from the Provincial Department of Health and Chris Hani District Health and Mental Health Institution at Queenstown was sought. The findings revealed that newly qualified professional nurses performed well, according to the perception of their supervisors. Newly qualified professional nurses were faced with challenges such as shortage of resources, mental illness not considered as a priority and lack of skills development. The study also revealed that newly qualified professional nurses focussed on the curative aspect of ailments, rather than preventive care. However community health workers (CHW) focussed on the preventive aspect of care. Limitations and recommendations based on the findings of the study are presented.
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Gonaver, Wendy. "The Peculiar Institution: Gender, Race and Religion in the Making of Modern Psychiatry, 1842--1932." W&M ScholarWorks, 2012. https://scholarworks.wm.edu/etd/1539623354.
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Modern psychiatry in the United States emerged at the same time as debate about slavery intensified and dominated public discourse, contributing to dramatic denominational schisms and to the greater visibility of women in the public sphere. as the only institution to accept slaves and free blacks as patients, and to employ slaves as attendants, The Eastern Lunatic Asylum of Williamsburg, Virginia, offers unique insights into the ways in which gender, race and religion transformed psychiatry from an obscure enterprise in the early nineteenth century to a medical specialty with wide-reaching cultural authority by the twentieth century.;Utilizing a variety of sources, including a collection of un-catalogued and largely unexamined papers, this dissertation employs interdisciplinary methods to explore the meaning of interracial medical encounters, and the role of the asylum in promoting rational religion and normalizing domestic violence.;The dissertation begins by examining the life and writings of asylum Superintendent John M. Galt, whose experience at the head of an interracial institution led him to reject proposals for separate institutions for whites and blacks and to promote the cottage system of outpatient care. The following chapter addresses the labor of enslaved attendants, without whom the asylum could not have functioned and for whom moral rectitude and spiritual equality appear to have been the ethical foundation of care-giving. Discussion of ethics and spirituality, in turn, prompts consideration of the role of religion in asylum care. The association of enthusiastic religion with slaves and with abolitionism contributed to the regulation of religious expression as a common feature of asylum medicine. Religious evangelism was viewed by hospital administrators as a symptom of insanity, while religious rationalism was enshrined as normative and, paradoxically, as secular.;Asylum medicine also normalized domestic violence by treating the social problem of violence, from wife beating to the rape of slave women, as the medical pathology of individuals. In so doing, the asylum undermined the religious authority from which many women derived comfort, meaning and purpose; and overemphasized the role of female sexual and reproductive organs as an alleged cause of insanity. Ultimately, the struggle over efforts to contain interracial alliances, women's autonomy and enthusiastic religious expression coalesced in the state's promotion of eugenics in the early twentieth century.
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Pilkington, Christopher. "The architecture of the unwanted : crisis in the implementation of the community-scale institution case study: mental health facilities in Massachusetts." Thesis, Massachusetts Institute of Technology, 1985. http://hdl.handle.net/1721.1/88805.
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Thesis (M.S.)--Massachusetts Institute of Technology, Dept. of Urban Studies and Planning, 1985.MICROFICHE COPY AVAILABLE IN ARCHIVES AND ROTCH.
Bibliography: p. [120]
by Christopher Pilkington.
M.S.
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Rajeus, Samuel E. "Institution versus Family home : A comparison of community establishment and utilization of mental health services among unaccompanied refugee adolescents placed in samll residential care and family homes." Thesis, Örebro universitet, Institutionen för juridik, psykologi och socialt arbete, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-23268.
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In this study I investigated the community establishment and utilization of mental health services among refugee adolescents who received resident permit in Sweden in 2010. I compared a group of 20 adolescents –boys and girls- mainly from Afghanistan and Somalia, living in small residential care by the Social service management in Stockholm – Socialförvaltningen (SF) - with a group of 10 adolescents from the same countries, living in family homes. The study showed clear differences in adolescents´ adaptation processes. Those who were living in small residential care by SF had a better chance to adapt quickly into their new society compared with the other group. The study showed that refugee adolescents from both groups underutilized mental health services.
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Lecomte, Vanessa. "Evaluation d'un programme d'activités physiques adaptées sur la qualité de vie des personnes souffrant de handicap mental sévère et vivant en institution." Toulouse 2, 2008. http://www.theses.fr/2008TOU20065.
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This comparative study, tries to show beneficial effect of a physical work programme adapted to handicaped people, on quality of life of mental defective people who live in institution. We gathered various fields composing quality of life which we wish to study, in 4 categories: Psychological wellbeing, somatic balance, social relation and communication, and personal expression and realization of oneself. The sample of our study is composed of 174 people, reached average mental deficiency with severe, alive in specialized agency (M. A. S, Foyers, FDT, adult psychiatric Hospital). We carried out the analysis of their quality of life using three tools: A questionnaire of Quality of life, that we created, adapted to specificities of population, a dimensional graph, created starting from information on current state of the residents provided by the team of care, and this for various fields. The protocol of evaluation breaks up into two times: starting evaluation and final. The evolution of the data of quality of life between these two evaluations, was measured to establish a temporal appreciation of the quality of life, or quality of life in time, of the subject profiting from work programme. Results show an evolution of the quality of life, for experimental group of our study, which means that four categories which make it up have higher results speaking qualitatively, that those of group reference. The study made it possible to partially validate dimensional graph and the questionnaire for the use of measurements of quality of life. These instruments carried a sharp success near teachers, who also consider their use with an aim of having a return on their practice.
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Simar, Melinda. "“It’s All About You Being Successful as a Student”: Mental Health and Wellness at a Post-Secondary Institution in Ontario: A Governmentality Analysis." Thesis, Université d'Ottawa / University of Ottawa, 2020. http://hdl.handle.net/10393/40346.
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A mental health crisis is happening on post-secondary campuses in Ontario today. Post-secondary institutions provide mental health services to students in an effort to respond to this crisis and manage students in distress. The management of students and the implementation of these mental health services is the main concern of this thesis, more specifically, the ways in which these services expose conscious and/or unconscious beliefs about student mental health. By extension, these beliefs constitute the ways in which we can think about, talk about, and know about patient safety. The object of study is the intersection of the neo-liberal university with the ‘good’ student and the resulting effects of this relationship on the development and implementation of mental health services. These intersections themselves create possibilities for acting on students in distress, but that also create unintended contradictions in the services themselves. An examination of this intersection can address a gap in the literature on post-secondary student mental health.
The conceptual framework used in this study is primarily built from Michel Foucault’s concepts of subjectivity, and governmentality. The object of consideration is limited in this study to senior employees directly involved in student mental health at a university in Ontario. Documents are analysed to show how student mental health problems have been problematized nationally, provincially and locally and, thus, a behaviour to be regulated with governing practices. Data from interviews with senior University employees and observations of wellness events are analysed to examine the imbrication of advanced liberal rationalities and techniques in the implementation of mental health services on campus. The thesis argues that the development of these services is not an unproblematic process, whereby services and activities act simply as neutral tools to improve the mental health and well-being of students. Rather, these services aim to produce successful, enterprising students. Discourses of mental health and student success produce certain truths about practices and student subjectivities, obscuring and narrowing the definition of health and well-being and creating contradictions for students experiencing mental distress. In particular, this thesis shows how the University’s objectives for providing mental health services have implications for the development of mental health services and the governing of post-secondary in advanced liberal ways.
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Krzyzaniak, Patrice. "Georges Daumézon (1912-1979) : un camisard psychiatre et pédagogue : une contribution singulière aux sciences de l’éducation." Thesis, Lille 3, 2017. http://www.theses.fr/2017LIL30031/document.
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L’intention de cette thèse est d’étudier la démarche novatrice du psychiatre/pédagogue G. Daumézon (1912-1979) sur la question des relations entre le soin et l'éducation en institution psychiatrique, caractérisées au milieu du XXe siècle par l’émergence et le développement de la psychothérapie et de la pédagogie institutionnelles.L’hypothèse générale est que la mobilisation d’une démarche réflexive et compréhensive de cette œuvre singulière permettra de souligner la pertinence et l’importance de son apport au titre des Sciences de l’éducation.Il est montré, par la convocation d’une approche socio-historique, d’une étude documentaire et archivistique de l’œuvre de G. Daumézon et en mobilisant la pluralité et la transversalité de divers champs disciplinaires, que complète la réalisation d’entretiens d’enquête, en quoi et comment l’asile, puis l’hôpital psychiatrique ont été questionnés par l’éducation, la pédagogie et la formation.Il est enfin mis en perspective que cet héritage empirique et réflexif peut encore être aujourd’hui un enjeu et une ressource contributive, pour éviter le développement de la normalisation des modalités de la prise en charge psychiatrique de la maladie mentaleThis thesis intends to study the pioneering approach of the psychiatrist/pedagogue G. Daumézon (1912-1979), concerning the relationships between both caring and education in psychiatric institutions, marked by the emergence and the development of institutional psychotherapy and pedagogy. The general hypothesis is that the use of a comprehensive and reflective approach of this singular work will enable underlining the pertinence and the importance of its contribution in accordance with educational sciences.Both through a sociohistorical, documentary and archival study of G. Daumézon’s work, and a pluralist and cross-disciplinary analysis, completed with researching interviews, it is shown how the asylum, later on the psychiatric hospital, has been questioned by education, pedagogy and training.In the end, it is underlined that the empirical and reflective legacy might be nowadays a contributory recourse to avoid development and standardization of terms and conditions of psychiatric care of mental illness
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Weigert, Mariana de Assis Brasil e. "Entre silêncios e invisibilidades : os sujeitos em cumprimento de medidas de segurança nos manicômios judiciários brasileiros." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2015. http://hdl.handle.net/10183/140989.
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Esta tese estuda o cumprimento das medidas de segurança no Brasil contemporâneo, a fim de compreender o impacto da Reforma Psiquiátrica e da Lei nacional 10.216/01 no campo dos considerados loucos criminosos. Para tanto, apresento a lógica periculosista voltada a esse grupo de sujeitos vulneráveis, examinando a maneira como ela se constitui e se mantém. Tendo como referencial teórico fundamentalmente as obras de Foucault e de Agamben, faço o mapeamento dos mecanismos atuantes no campo do considerado louco infrator que autorizam e legitimam as mais diversas violências contra os internos dos manicômios judiciários brasileiros. Esta tese, pois, centra-se nas seguintes questões: que mecanismos existem nos campos das práticas punitivas que anulam as conquistas realizadas no campo da saúde mental (Reforma Psiquiátrica)? Como as expressivas mudanças trazidas pela Lei 10.216/01 têm repercutido na forma de lidar com os loucos infratores? A partir da obra Os Anormais, de Foucault, discuto como ocorre a fusão entre as ciências jurídicas e psiquiátricas voltando-se a esse sujeito que não é nem considerado propriamente doente nem propriamente criminoso, mas um anormal. Para realizar tal objetivo, foram analisados materiais como: entrevista com Ernesto Venturini, anotações realizadas após visitas ao IPFMC de Porto Alegre, censo 2011 sobre hospitais psiquiátricos judiciários no país, Dados do Departamento Penitenciário Nacional (DEPEN), Parecer sobre Medidas de Segurança e Hospitais de Custódia e Tratamento Psiquiátrico sob a Perspectiva da Lei 10.216/01, elaborado pela Procuradoria Federal dos Direitos do Cidadão (PFDC) do Ministério Público Federal (MPF), Lei da Reforma Psiquiátrica brasileira (Lei 10.216/01) e Lei da Reforma Psiquiátrica italiana (Lei 180). Parte da investigação foi realizada na Universidade de Bologna, Itália, sob a coorientação do criminólogo Massimo Pavarini, para compreender de que maneira o país vem tratando o cumprimento das medidas de segurança e como a Reforma Psiquiátrica tem propugnado mudanças no tratamento do considerado louco infrator. Como resultado da tese aponto que a união entre ambos os campos do saber gera um terceiro discurso, algo distinto daquilo que sozinhas produzem as ciências jus e as ciências psi. Já que não há uma epistemologia própria, nas práticas voltadas a esses indivíduos não há uma limitação adequada, não há freios, porque também não há uma ciência definida, mas o entrelaçamento entre duas. E se é assim, o que ocorre é a legitimação de condutas violadoras de direitos que atuam sobre o considerado louco infrator, muitas vezes, de maneira inclusive letal. Pessoas amontoadas em manicômios judiciários, diferenciadas dos demais considerados loucos pelo fato de terem praticado um crime, e nas quais é possível incidir não porque a ciência médica ou jurídica simplesmente determine, mas porque a união desses saberes cria um discurso próprio voltado a um sujeito próprio chamado de anormal.This thesis analyses the implementation of compulsory hospitalisation in Contemporary Brazil in order to understand the impact of the Psychiatric Reform and the National Law 10.216/01 on the considered insane offender field. Therefore, it presents the dangerous logic focusing on this group of vulnerable subjects, observing how it constitutes and maintains. Through the guidance of Foucault and Agamben’s works, it maps the mechanisms operating in the considered insane offender field, which authorize and legitimize the most diverse violence against inmates in Brazilian legal mental institutions. The central question of this thesis is, therefore, what are the existing mechanisms in the punitive practices field that nullify the achievements made in the mental health field (psychiatric reform)? How have the significant changes introduced by the Law 10.216/01 been reflecting in dealing with insane offenders? From Foucault’s Os Anormais book, I discuss how the merger between legal and psychiatric sciences occurs, focusing on this subject that is neither properly considered mentally ill nor strictly criminal, but an abnormal. To accomplish this objective, many resources were analysed, such as an interview with Ernesto Venturini; notes made after visits to IPFMC in Porto Alegre; the 2011 census on legal mental institutions in the country; data from the Departamento Penitenciário Nacional (DEPEN); researches on compulsory hospitalisation and Custody Hospitals and Psychiatric Treatment under the Law 10.216/01, carried out by the Federal Attorney for Citizens' Rights (PFDC) of the Federal Public Ministry (MPF), the Brazilian Psychiatric Law Reform (Law 10.216/01) and the Italian Psychiatric Law Reform (Act 180). Part of this research took place at the University of Bologna, Italy, under the co-direction of the criminologist Massimo Pavarini, in order to understand how the country has been dealing with the compliance of the compulsory hospitalisation and how the Psychiatric Reform has advocated changes in the considered insane offender treatment. As a result, this thesis states that the union between the two fields of knowledge generates a third stream/speech, something different from what the jus sciences and the psi sciences produce alone. Since there is not a specific epistemology, practices aimed at these individuals do not have a limitation; there are no brakes, because there is not a well-defined science, but a merge between those two. And, as consequence, what eventually occurs is the legitimation of conducts that violate rights, acting against the considered insane offender, often in lethal ways. People crowded in legal mental institutions, differed by the other so-called "crazy people" just by the fact of having committed a crime. The law is applied to them not by imposition of medical science or legal science, but because the union of these two fields creates its own discourse, which is addressed to a person considered abnormal.
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Martin, Penelope Dawnette. "The development of a model of emotional support for undergraduate nursing students working in mental health care settings." Thesis, University of Western Cape, 2013. http://hdl.handle.net/11394/3246.
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Philosophiae Doctor - PhDThe mental health care environment is a stressful environment because of the environment, perceived unpreparedness of students and the emotional demands placed on the students which are inherent in the nature of the work. The use of the self as a therapeutic tool also presents challenges for students. Whilst researchers have identified supportive interventions and strategies to address students support needs in mental health care settings, these interventions/strategies focus on meeting clinical learning objectives with the assumption that if the student learning needs are met, they will feel emotionally supported. Literature and experience indicates that it is imperative that in this field of study, students should be prepared to cope emotionally with the demands of mental health work. The aim of this research was to develop a model of emotional support for student nurses working in mental health care settings. A theory-generating design based on a qualitative, explorative and descriptive research approach was used to achieve the aim of the study. Purposive sampling was employed to select participants namely: students, educators and clinical staff who met the eligibility criteria. A sample of 40 students, nine educators and nine clinical staff who worked in the four psychiatric hospitals and community mental health clinics in the Western Cape participated in the study. Data collection was by means of focus group interviews (students) and indepth individual interviews (educators and clinical staff). Data was analysed by means of Tesch’s method of content analysis. The model was developed by means of the four steps of the theory generation process. Step one was concept development which consisted of two sub-steps namely concept identification and concept definition. A total of 22 concepts were identified which was further synthesised into six main concepts. The main concepts which were used to develop the model were: positive self-concept; positive work environment; academic and professional development; effective communication; formal and informal supportive interventions and collaboration between the Higher Education Institution and the mental health care setting. Step two of the theory generating process was model development. These main concepts were placed in relation with each other which formed an emotional support model for students working in mental health care settings. Step three was model description. The model was described using the three phases of interpersonal communication namely orientation phase, working phase and the termination phase. A visual application of the model which depicts the main concepts, the process and the context was shown. Step four dealt with the development of the guidelines for the implementation of the emotional support model. A critical reflection of the model was done using five criteria for model evaluation according to Chinn & Kramer. Trustworthiness of the data was ensured by means of applying Guba’ model of truth value, applicability, consistency and neutrality. Reflexivity was used by the researcher to further enhance trustworthiness. Permission to conduct the study was obtained from the relevant authorities. The ethical principles of respect for human dignity, beneficence and justice were applied throughout the study. Limitations were identified and ecommendations for nursing practice, education concluded the study.
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Reis, Kellen Dionísio dos. "A lógica gerencialista e a saúde mental do servidor público de uma instituição de ensino superior." Universidade Federal de Goiás, 2017. http://repositorio.bc.ufg.br/tede/handle/tede/7532.
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The aim of this study is to analyze the influence of the management model on the mental health of the public servants of a higher education institution located in Goiás state. Therefore three specific objectives were defined: i) to identify the perception of the servers on the management of the public HEI studied; Ii) to identify the presence of psychological suffering and the conditions of affection in the servers; and iii) to confirm the strategies of facing the IES management model. The literary base was the State reform and the psychodynamics of work (PDT), which deals with the worker´s health. The State reform refers to changes that has taken place in HEIs through the University Restructuring and Expansion Program (REUNI), in 2007, and originated from the state reformist movement in the 1970s, known as the New Public Administration. New Public Management (NPM), which emerged in response to the Welfare State crisis or “Social welfare”, proposing the reduction of the public machine, spreading the managerial management in state bodies, already consolidated in private companies. It is a neoliberal postmodern ideological reform, guided by the Toyotista sayings of flexible and lean production, which have created a growing wave of precarious labor, underemployment and world unemployment. The second theoretical support of this research was given by the “Dejours school”, which analyzes the dynamics between the subject and the company, and how does the experience of pleasure and suffering of the individual react before the incoherence of the work organization. This school also approaches the consequences for the worker when he faces unbeatable suffering at work, when he assumes defensive strategies to preserve the psychic health; And which complications occur when these failures are used excessively by the Individual, causing illness and social pathologies in the workplace. The research designed was qualitative, assuming the phenomenon related to the Subjective Subject. The methodological bias was the Critical Discourse Analysis (ACD), analyzing the sets of the interviewees for the identification of the ideological announcements of neoliberal social culture. The research tool used was the interview with semi-structured questions and the target audience was chosen from statistical data secondary medical licenses of Administrative Technicians and Teachers, electing the Academic Units (UA) of HEI with a higher incidence of medical licenses for Mental Disorder Behavioral (TCM) in 2015. The results pointed out characteristics of managerial management style (control, productivity, individuality). Within this context, the workers feel that pleasure is linked to the nature of the work they perform, but also suffering, when they use psychic defenses for confrontation. It was also identified that there are signs of excessive use of defense or the failure of its use, causing social pathologies in the work environment of the HEI studied. It is suggested that new research should be carried out, approaching other motivators of illness (physics, accidents) of these servers and that there are also studies that propose the implementation of a reintegration process of servers that were removed due to mental disorder in HEI.
O objetivo deste estudo é analisar a influência do modelo de gestão na saúde mental dos servidores de uma dada Instituição de Ensino Superior (IES) pública, situada no estado de Goiás. Para tanto, definiu-se três objetivos específicos, a saber: i) identificar a percepção dos servidores sobre a gestão da IES pública estudada; ii) identificar a existência de sofrimento psíquico e as condições de acometimento nos servidores; e iii) evidenciar as estratégias de enfrentamento frente ao modelo de gestão da IES. A base literária foi a reforma do Estado e a psicodinâmica do trabalho (PDT), que trata da saúde do trabalhador. A reforma do Estado se refere às mudanças ocorridas nas IES através do Programa de Reestruturação e Expansão das Universidades (REUNI), no ano de 2007, e se originou do movimento reformista do Estado na década de 1970, conhecido como a Nova Administração Pública (New Public Management - NPM), surgido em resposta à crise do Welfare State, ou “Estado do bem-estar social”, propondo o enxugamento da máquina pública, difundindo a gestão gerencialista em órgãos públicos, já consolidada em empresas privadas. É uma reforma de fundo ideológico pós-moderno neoliberal, guiado pelos ditos Toyotista da produção flexível e enxuta, que criaram uma onda crescente de precarização do trabalho, subemprego e desemprego mundial. O segundo suporte teórico desta pesquisa foi dado pela escola dejouriana, que analisa a dinâmica existente entre Sujeito/empresa, e como se dá as vivências de prazer-sofrimento do Sujeito diante das incoerências da organização do trabalho (OT). Esta escola também aborda as consequências para o trabalhador quando enfrenta sofrimento insuperável no trabalho, quando adota estratégias de defesa para a preservação da saúde psíquica; e quais complicações ocorrem quando estas falham ou são utilizadas excessivamente pelo Sujeito, ocasionando adoecimento e patologias sociais no ambiente de trabalho. O desenho de pesquisa foi qualitativo, assumindo o fenômeno relacionado ao Sujeito de caráter subjetivo. O viés metodológico foi a Análise Crítica de Discurso (ACD), analisando os enunciados dos entrevistados para a identificação das anunciações ideológicas da cultura social neoliberal. O instrumento de pesquisa utilizado foi a entrevista com perguntas semiestruturadas e o público alvo foi escolhido a partir de dados secundários estatístico de licenças médicas de Técnicos Administrativos e Docentes, elegendo as Unidades Acadêmicas (UA) da IES com maior incidência de licenças médicas por Transtorno Mental Comportamental (TCM) no ano de 2015. Os resultados apontaram características do estilo de gestão gerencialista (controle, produtividade, individualidade). Dentro deste contexto, os trabalhadores sentem prazeres ligados à natureza do trabalho que realizam, mas também sofrimentos, momento em quando se utilizam de defesas psíquicas para o enfrentamento. Também se identificou que existem sinalizações de uso excessivo de defesa ou o fracasso de sua utilização, ocasionando patologias sociais no ambiente de trabalho da IES pesquisada. Sugere-se que ocorram novas pesquisas abordando demais motivadores de adoecimento (física, acidentes) destes servidores e também que haja estudos que proponham a implantação de processo de reintegração de servidores que foram afastados por transtorno mental em IES.
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Slabbert, Meggan. "Three's a crowd: the process of triadic translation in a South African psychiatric institution." Thesis, Rhodes University, 2010. http://hdl.handle.net/10962/d1002565.
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Mental health care in South Africa has long been governed by inequalities (Foster & Swartz, 1997). During apartheid, those who did not speak English and Afrikaans could not access mental health services in the same way as those who did (Foster & Swartz, 1997). One main reason for this is the majority of mental health practitioners could not, and were not required to speak languages other than English and Afrikaans (Swartz, 1991). The South African mental health literature suggests that language and communication must be prioritised if there is to be an improvement in mental health care services for those individuals who do not speak English and Afrikaans (Bantjes, 1999; Drennan & Swartz, 1999; Swartz & Drennan, 2000; Swartz & MacGregor, 2002). Drawing on Prasad's (2002) interpretation of Gadamer's critical hermeneutic theory and utilising thematic networks analysis (Attride-Stirling, 2001), this study investigated the process of translated clinical assessment interviews within a psychiatric hospital in the Eastern Cape Province within South Africa. Results of the study revealed that contextual factors, issues concerning linguistic and cultural heritage, clinicians' role expectations regarding translators' role performance, as well as relational dynamics regarding individual levels of control and influence within the translation triad, all impacted on the effectiveness of communication, translation and service provision. These fmdings are supported by literature on the theory and practice of translation that identifies these issues as prominent (Robinson, 2003). Specific recommendations regarding the formalisation of translation practices within the hospital setting, as well as the familiari~ation of clinical practitioners and psychiatric nurses with the intricacies of translation processes are offered.
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Batista, Cristina Abranches Mota. "Inclusão escolar: equívocos e insistência - uma história de reis, príncipes, monstros, castelos, cachorros, leões, meninos e meninas." Pontifícia Universidade Católica de São Paulo, 2012. http://tede2.pucsp.br/handle/handle/2316.
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Previous issue date: 2012-05-07Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
The demand for school inclusion of students with mental disabilities we face today has caused a great commotion for all of those involved, both students and their families and educators of regular schools and professionals of specialized institutions. This research aims to address this theme analyzing the diagnosis and definition of this disability. Along the way, we encountered the heavy load of studies and researches on this subject, which are characterized by the profound discrimination which has historically followed this disability, as well as the difficulties human beings face when dealing with it. As a result, studies and solutions provided by the modern with the purpose of achieving normative ideals had segregative characteristics. Thus, specialized actions were taken towards people diagnosed with a disability associated to an organic and incurable pathology. In addition, the mental disability was slowly identified as children s intellectual and developmental disabilities, which made it become a monopoly of behavioral and organicistic sciences. When discussing this theme, psychoanalysis introduced the matter of the subject, which triggered an actual subversion of how de disability was approached, making it possible to introduce the subject of the unconscious in a clinic filled with behavioral concepts. Thus, we analyzed the psychoanalytical approach on the inhibition and difficulties to advance in this study, with the purpose of going beyond the understanding of a simple cognitive deficit for this disability. Therefore we dedicated a chapter to the disability, on how the subject, in a weak position, builds social ties and how the subject faces instances of symbolic, imaginary and real. Analysis of contemporaneity was required so that we can understand the world where we live and the place occupied by the current inclusion movement. We verified that we live a moment when an anthropological turn is taking place, where both social life and according to some authors, the very psychic economy. Our time is characterized by the weakening of the Great Other, by the loss of legitimacy of the father figure, which evidently have consequences on the subject, and, not by chance, the disability is increased in this context. In our contemporaneity, specialized institutions created in order to enforce segregation are able to reverse this process taking part of inclusion and enabling the subject to leave that weak position. However, this possibility is created if they accept changing themselves and performing actions which include subjective issues, normative and homogenizing ideals. The last chapter explores school institutions and those institutions specialized in education, mastery and teaching, expressing our point of view that the inclusion will take place when the subject is included in all of these functions of an institution
A exigência de inclusão escolar de alunos com deficiência mental que presenciamos em nossos dias tem causado grande celeuma para todos os atores envolvidos, tanto os alunos e seus familiares, quanto os educadores das escolas comuns e profissionais das instituições especializadas. Esta pesquisa se propõe a abordar esse tema contemplando o diagnóstico e a definição dessa deficiência. Nós nos deparamos, ao longo de nosso percurso, com o pesado legado dos estudos e pesquisas científicos a esse respeito, os quais se caracterizam pela profunda discriminação que historicamente acompanhou essa deficiência, assim como com as dificuldades que o ser humano tem em lidar com ela. Como efeito, os estudos e as soluções que a sociedade moderna encontrou no intuito de atender seus ideais normativos tiveram características segregativas. Dessa forma, as ações especializadas foram dirigidas a um público diagnosticado com uma deficiência associada a uma patologia orgânica e incurável. Somado a esse fato, a deficiência mental foi aos poucos se configurando como um déficit no desenvolvimento infantil e intelectual, o que fez com que ela se tornasse durante muito tempo monopólio das ciências comportamentais e organicistas. A psicanálise, ao se debruçar sobre o tema, introduziu a questão do sujeito, o que desencadeou uma verdadeira subversão na abordagem da deficiência, possibilitando introduzir o sujeito do inconsciente numa clínica impregnada de conceitos comportamentais. Diante deste fato, contemplamos a abordagem psicanalítica sobre a inibição e a debilidade para avançar nesse estudo, com a intenção de ir além da compreensão de um simples déficit cognitivo para essa deficiência. Assim, dedicamos um capítulo ao estudo da debilidade - como o sujeito, na posição débil, constrói seus laços sociais e como se situa perante as instâncias do simbólico, imaginário e real. A análise da contemporaneidade nos foi necessária para podermos entender o mundo em que vivemos e o lugar ocupado pelo atual movimento de inclusão. Constatamos que vivemos num momento em que está se dando uma verdadeira virada antropológica , na qual vem se transformando tanto a vida social, quanto, segundo alguns autores, a própria economia psíquica. Nossa época se caracteriza pelo enfraquecimento do Grande Outro, pela perda de legitimidade da figura paterna, o que evidentemente tem consequências sobre o sujeito; não por acaso, a debilidade tem se ampliado neste contexto. As instituições especializadas criadas para instituir a segregação têm, em nossa contemporaneidade, a possibilidade de inverter este processo participando da legenda da inclusão e possibilitando uma saída da posição débil para o sujeito. No entanto, esta possibilidade se apresenta com a condição de que aceitem se transformar e desenvolver ações que contemplem as questões subjetivas, libertando-se dos ideais normativos e homogeneizadores. O último capítulo se debruça sobre as instituições escolares e especializadas nos eixos da educação, da mestria e do ensino, reiterando nosso ponto de vista de que a inclusão se dá na medida em que se consegue a inclusão do sujeito em todas essas funções de uma instituição
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Day, Cheryl. "Magnificence, misery and madness : a history of the Kew Asylum 1872-1915 /." Connect to thesis, 1998. http://repository.unimelb.edu.au/10187/2443.
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The Kew Asylum has been a dominant feature of Melbourne’s built environment for over 100 years. In addition to the visual impact it has made on Melbourne’s skyline it has been very much a part of the psychological landscape of the collective imagination of the city’s inhabitants. Despite this, comparatively little has been written about its impact on society, and almost nothing has been recorded in any comprehensive sense, about its occupants or inmates. This dissertation aims to go some way towards redressing this, not with a broad sweep institutional biography, but with an intimate portrait of the asylum’s earliest days. Covering a time frame of less than 50 years, this thesis adopts a multi-theoretical approach in order to illuminate the different facets of asylum life with the maximum clarity. The thesis contains several themes, some of which overlap and interweave in order to examine the complexity of institutional life.
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Eklund, Johannes. "Vi möts för människan med psykisk ohälsa : En studie av samverkan mellan kommun och landsting inom habiliterings- och rehabiliteringsinsatser för människor med psykisk ohälsa." Thesis, Högskolan i Jönköping, Hälsohögskolan, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-40554.
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Ossola, Laurence. "Une sexualité cérébralement handicapée ? : représentations sociales de la sexualité des adultes handicapés cérébraux vivant en institution, pour une éducation pour la santé." Thesis, Aix-Marseille, 2017. http://www.theses.fr/2017AIXM0147.
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L’adulte handicapé cérébral, comme tout être humain, développe des sentiments d’amour, et à ce titre, a droit à une vie affective, intime et sexuelle. En institution (lieu de vie), les adultes cérébrolésés sont souvent dépendants des représentations sociales qui les ont construit, de celles des soignants qui les prennent en soins ou encore de celles des aidants-aimants-accompagnants et familles qui les accompagnent. Cette recherche a tenté de cibler les noyaux centraux et les éléments périphériques de toutes ces représentations sociales, au moyen de « l’association libre » et de « cartes émotionnelles », afin d’évaluer pour tous les acteurs, les progrès possibles en matière d’acceptation et par conséquent d’accompagnement de l’intimité et de la sexualité des personnes handicapées cérébrales institutionnalisées. Les personnes victimes de traumatismes crâniens sévères (handicap acquis) et les personnes porteuses d’infirmités motrices d’origine cérébrale (handicap congénital) ont été les principaux protagonistes de cette recherche. Les résultats montrent que selon le type de handicap (acquis ou congénital), la posture des soignants est quasiment la même ; celle des résidants eux-mêmes diffèrent légèrement ; quant à celle des aidants-aimants-accompagnants et familles, elle est radicalement différente : le handicap congénital ne laisse pas de place à un imaginaire intime et/ou sexuelle de leur part, envers leurs protégés. Quelles perspectives pour la mise en œuvre d’une éducation pour la santé sexuelle pour ces personnes handicapées cérébrales ? Quel accompagnement à la vie intime et sexuelle en structure d’hébergement ?Mentally-handicapped adults, like any other human beings, develop amorous sentiments and therefore, are entitled to an emotional, intimate and sexual life.In institution (living space), brain-damaged adults are often dependent on social representations which built them, of those of caregivers who cared them, or still of those of caregivers-loving-accompanying and families which accompanying them.This research tried to target the central cores and peripheral elements of all these social representations, by means of the “free association” and the “emotional cards”, to estimate for all actors, the possible progress regarding acceptance, and consequently accompaniment of intimacy and sexuality about institutionalized mentally-handicapped adults.Brain-damaged adults (acquired handicap) and people with mental disabilities (congenital handicap) were the main protagonists of this research.The results show that according to the type of handicap (acquired or congenital), the caregivers’ posture is almost the same; that of the resident differ themselves slightly; as for that some caregivers-loving-accompanying and families are radically different: people with congenital disabilities do not create an intimate imagination and/or sexual from them, to their mentally-handicapped adult.What perspectives for the implementation of an education for the sexual health for these cerebral disabled people? What sort of companying for privacy and sexual life in institution?
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Crawford, Dana Elaine. "Black Students’ Risk for Dropout at a Predominantly White Institution: The Role of Adjustment & Minority Status Stress." Oxford, Ohio : Miami University, 2009. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=miami1250535973.
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Almeida, Míriam Elena Cesar. "Jovens e adultos em escola especial para pessoas com deficiência intelectual: escolarização em debate." Universidade Federal de São Carlos, 2017. https://repositorio.ufscar.br/handle/ufscar/9341.
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This assignment has the goals to analyze the literacy condition of youth and adults, enrolled in the special school for intellectual disability and propose a reflexion about the educational purpose of the special school. The theoretical methodology basis looks at the Historical and Critical Pedagogy and its fundamentals. It has been investigated the literacy by ways of writing samples, produced from a list of words dictated by the researcher, the writing of their name and by oral questions about their knowledge of personal data, such as their full name and date of birth. The investigation was produced with students of two special schools, from a municipality located in the interior of the São Paulo state. The results show that the students enrolled for more than five years didn’t appropriate themselves of the system of alphabetical writing, necessary knowledge for learning and academical and social development. They also review that the special school doesn’t have a pedagogical planning that act in the promotion of knowledge and that demonstrate possibilities of advancement of those students. The research looks into offering elements for the analysis of a reality ruled in a model of philanthropic special education, in which will result in the school and social exclusion of private subjects of knowledge appropriation.
Este trabalho tem por objetivos analisar a condição de alfabetização de jovens e adultos, na escola especial para pessoas com deficiência intelectual e propor a reflexão acerca da finalidade educacional da escola especial. A base teóricometodológica pauta-se na Pedagogia Histórica Crítica e seus fundamentos. Investigou-se a alfabetização por meio de amostras de escritas, produzidas a partir de lista de palavras ditadas pela pesquisadora, da escrita do nome e por perguntas orais acerca de conhecimento de dados pessoais, como nome completo e data do nascimento. A investigação foi realizada com alunos de duas escolas especiais, de um município localizado no interior do Estado de São Paulo. Os resultados mostram que os alunos matriculados há mais de cinco anos não se apropriaram do sistema de escrita alfabético, conhecimento necessário para aprendizagem e desenvolvimento acadêmico e social. Revelam também que a escola especial não tem um planejamento pedagógico que atuem na promoção do conhecimento e que demonstrem possibilidades de avanço desses alunos. A pesquisa busca oferecer elementos para análise de uma realidade pautada num modelo de educação especial filantrópico, que resulta na exclusão social e escolar de sujeitos privados de apropriação de conhecimentos.
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Grugan, Cecilia Spencer. "Disability Resource Specialists’ Capacity to Adopt Principles and Implement Practices that Qualify as Universal Design at a 4-Year Public Institution." Wright State University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=wright1526997302503817.
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Razananirina, Bruno Richard. "Effets de l’incertitude sur l’ouverture des firmes familiales. Une analyse à travers la perception des différentes dimensions de l’incertitude par les dirigeants." Thesis, Lyon 3, 2011. http://www.theses.fr/2011LYO30111.
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La présente thèse rentre dans le cadre de la gouvernance des entreprises familiales malgaches. Il s’agit d’identifier, dans le cadre malgache, les relations entre l’incertitude et le degré d’ouverture des entreprises familiales. Nous avons procédé à l’analyse des cartes cognitives idiosyncratiques de cinq dirigeants-propriétaires d’entreprises familiales.Les résultats révèlent que la prise en compte des différentes dimensions de l’incertitude en tant qu’attribut des transactions, apporte une meilleure compréhension du degré d’ouverture de ces firmes en tant que mode de gouvernance. Par ailleurs, des variables exogènes qui relèvent de l’Institution influencent le choix des modes de gouvernance. De plus, le profil de l’entrepreneur ainsi que les caractéristiques de l’entreprise ont montré leurs capacités explicatives dans la détermination des limites de la firme.En somme, le travail a débouché sur un modèle intégré de la gouvernance sur une base cognitive. Ce modèle prend en compte la perception des attributs des transactions, les institutions mises en place pour encadrer ces transactions, tout ceci dans un contexte bien déterminéThis thesis is part of the global issue of malagasy family business’ governance. Our goal is to identify, in the malagasy context, the relationship between uncertainty and the degree of openness of those companies. We proceed through the analysis of the idiosyncratic cognitive cards of five owner-directors of family owned companies.The results show that by taking into account the different dimensions of uncertainty as an attribute of the transactions, bring a better understanding of the degree of openness as a choice of governance. Moreover, exogenous variable, part of Institution, influence the governance model. In addition of that, the entrepreneurs’ profile or the characteristics of the companies have shown their explaining abilities while determining the firms’ limits.In summ, we arrive to an integrated model of governance in a cognitive basis. This model consider the attributes of transaction, the institution and the particular context of the study
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Boueri, Iasmin Zanchi. "Instituições residenciais para pessoas com deficiência intelectual: um programa educacional para promover qualidade no atendimento." Universidade Federal de São Carlos, 2014. https://repositorio.ufscar.br/handle/ufscar/2926.
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Previous issue date: 2014-02-27Financiadora de Estudos e Projetos
The aims of the current research were to characterize the residential institutions for intellectually disabled persons in the State of São Paulo (Brazil) and elaborate, implement and evaluate the efficacy of an Educational Program to Professionals working with young and adults with Intellectual Disabilities (PEP-DI). In order to improve the organization it was decided to divide the research in two studies. In the Study 1 the Institutions were characterized through the description of the activities and strategies used in the daily practices of the professionals working in it. It was chosen 10 Brazilian Residential Institutions with 113 participants, being 14 administrative persons, 49 professionals on the technical team and 50 persons living or working in the neighborhood of these Institutions. The participants answered three different semistructured surveys, one for each group of professionals and another for the neighborhood. The goals of the applied instruments were to verify historical aspects, operations and institutional practices. The researcher visited on the spot all the Institution for data acquisition. The results show that the creation of the Institution, in general, occurred through social demands and solicitations of the municipal offices for social assistance, however the maintenance is occurs by mean of philanthropic actions. Regarding the Institutional Practices is related to the health care, hygiene and alimentation. The aims of Study 2 were to elaborate, implement and evaluate the efficacy of an educational program, the PEP-DI; verify the behavioral changing related to the professionals repertory and intellectually disabled residents proportionate by applying the training program on the Institutional Environment. It was made an educational program, the PEP-DI, adapted to the reality of the studied institution. The participants were three professionals and 4 intellectually disable individuals of an Institution. The multiple probe design with subjects and with behaviors was chosen to verify the effects of the intervention amongst the participants. The event‟s registration protocol of was used to evaluate the entry repertory and the behavioral changes of the individuals before, during and after implementing the training program. The results show the participants modified significantly their professional repertory, once the residents presented better performance on their daily activities. The study discuss the current aspects faced by the Institutions and what changes must be done to proportionate more favorable environments, improvement on the life quality and social insertion of this population.
Esta pesquisa teve como principais objetivos caracterizar as instituições residenciais para pessoas com deficiência intelectual, no estado de São Paulo e elaborar, implementar e avaliar a eficácia de um Programa Educacional para Profissionais que trabalham com Jovens e Adultos com Deficiência Intelectual (PEP-DI). Para apresentação deste trabalho, optou-se por dividi-lo em dois estudos. O Estudo 1 teve como objetivo caracterizar as instituições residenciais para pessoas com deficiência intelectual no estado de São Paulo, por meio da descrição das atividades desenvolvidas e das estratégias utilizadas na prática dos profissionais para atendimento à pessoa com deficiência intelectual. Fizeram parte do primeiro estudo 10 instituições residenciais e 113 participantes, sendo 14 profissionais administrativos, 49 da equipe técnica e 50 pessoas que residiam ou trabalhavam na vizinhança das instituições visitadas. Os participantes responderam a três roteiros de entrevista semi-estruturada, sendo um para cada um dos grupos de profissionais e outro para a vizinhança. Os instrumentos aplicados tinham o objetivo de verificar aspectos históricos e de funcionamento e práticas institucionais. A pesquisadora realizou visitas in loco em todas as instituições para coleta de dados. Os resultados obtidos demonstraram que a criação das instituições de forma geral se deu por demandas sociais e solicitações das secretarias municipais de assistência social. No entanto, a manutenção destas entidades dá-se por meio de ações filantrópicas. As práticas institucionais estão relacionadas ao atendimento à saúde, à higiene e à alimentação. O Estudo 2 teve como objetivos principais: elaborar, implementar e avaliar a eficácia de um programa educacional, o PEP-DI; verificar os benefícios proporcionados pela aplicação do programa no ambiente institucional; analisar as mudanças comportamentais ocorridas no repertório dos profissionais e residentes com deficiência intelectual quanto a participação no programa de formação. Foi construído um programa educacional, o PEP-DI, adaptado à realidade da instituição estudada. Foram participantes três profissionais de uma instituição residencial e quatro residentes com deficiência intelectual. Foi utilizado o delineamento de múltiplas sondagens entre sujeitos e entre comportamentos para verificar os efeitos da intervenção. O protocolo de registro de eventos serviu para avaliar o repertório de entrada e as mudanças comportamentais dos participantes antes, durante e após a implementação do programa de formação. Os resultados apontaram que as participantes apresentaram alterações significativas em seus repertórios profissionais, uma vez que, ao modificarem as contingências ambientais, os residentes melhoraram o desempenho na sua rotina diária. O estudo discute os aspectos atuais enfrentados pelas instituições e quais modificações devem ser iniciadas para propiciar ambientes mais favoráveis, aumento da qualidade de vida e inserção social desta população.
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Doehne, Bryce A. "Supporting Student Veterans Utilizing Participatory Curriculum Development." Antioch University / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1460681183.
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Avramopulosová, Andrea. "Proměny obce Bohnice." Master's thesis, 2011. http://www.nusl.cz/ntk/nusl-313110.
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The thesis brings a global insight into the Prague's suburb of Bohnice. Captures the appearance since the first settlements until nowadays. Focusing mainly on both historical and socio-economical milestones, which created the city. According to the lack of written resources for the historical part of the theses and to the fact, that Bohnice are often reduced to the activities of the famous mental institution, the main target is the forming of Bohnice city in the 20th century. Concentrates on institutions of both social and health care, which can compete the famous mental institution. The thesis also supplies materials about the urban concept of the housing estate of Bohnice including the traffic solutions through the past century. Points out also outstanding architectural solitaires.
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Novák, Marek. "Podnikatelský záměr možného využití sportovišť Psychiatrické léčebny Bohnice." Master's thesis, 2013. http://www.nusl.cz/ntk/nusl-341857.
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Title: Business plan of the use potential of the sports venues for the Psychiatric Institution of Bohnice. Objective: The thesis presents a business plan concerning a commercial use of the sport venue in the Psychiatric Institution of Bohnice. The objective is to provide information needed to the institute management for managerial decision as to the commercial use of sports venues in order to increase the income from additional activities. The issue for the institution management remains whether or not this business plan is to be put in place within the framework of additional activities by Governmental non-for-profit organisation or a civic association, of which the Psychiatric Institution of Bohnice is the founder. Methods: The methods applied in the diploma thesis are as follows: descriptive, comparative, financial and the SWOT analysis, and interview and a survey. The descriptive analysis focuses on the description of the sports venues' current condition, the comparative analysis deals with their competitiveness, the financial analysis covers varied financial flows of the project, the SWOT analysis determines the topical strengths, weaknesses, opportunities and threats of the business plan. The use of an interview then fine-tunes the business plan as such. The survey is conducted to carry out...
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Lin, Chia-Chien, and 林嘉倩. "The Adaptation Experience of the Chronic Mental Patients in Institution–SOC Model Perspective." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/3e3kc5.
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碩士國立東華大學
觀光暨休閒遊憩學系
102
Literature indicated that seniors can achieve successful aging through adaptation mechanism. The study attempted to explore the life and aging adaptation experience of chronic mental patients in institution. Data were collected with in-depth interview and participation observation methods and were analyzed using phenomenological method. The results emerged four major themes. (1) in terms of institutional experience, the informants tended to reconcile themselves with the environment, obey authority , and were inferior to doctor-patient relationship. (2) in life situation, the informants showed reality overlapping symptom, interpersonal indifference, followed institutional daily life arrangements, and viewed life only with their own perspectives. (3) for the aging experience, the informants remained young mentally, relied on functional assistance tools, and strived for freedom under institutional constraints. (4) the informants viewed aging as natural, as a continuation of youth, as deterioration of health and function, and expected elderly life to be adaptive, happy, healthy, and well. The study concluded that the aging adaptation experience of chronic mental patients in institution was consistent with the SOC model. Recommendations regarding management and successful aging were made for both institutions and chronic mental patients.
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Li, Shing-Jiuan, and 李幸娟. "The blue sky outside the enclosure - Treatment and living of the mental retardation institution." Thesis, 2006. http://ndltd.ncl.edu.tw/handle/48738790884355196495.
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Kung, Te-Yi, and 孔德宜. "Being a Psychotic Patient: Narratives and Experiences of Three Long-term Residents of Mental Institution." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/33c56u.
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碩士國立東華大學
諮商與臨床心理學系
106
Drawing three chronic schizophrenics on their narratives and experiences, this thesis aims to depict of how did they become psychotic patients and further to understand their sufferings through experiences. The project intends to verify the "impenetrable" of schizophrenic experiences, clarify the subtle, yet profound dynamics between patients and the institution, and recognize their differentiation and uniqueness, thereby to comprehend their solitude, helplessness, and desperation. It then reveals how the chronic patients living in a mental hospital locate themselves properly, adjust and behave themselves in the "patienthood," confront the conflicts and contradictions of clinical institution, and finally maintain vulnerable privileges over regulations. The project synthesizes patients' personal accounts along with the psychopathological criteria and challenges the dualistic mode of reason vs. madness, normal vs. abnormal, and regular vs. irregular. The thesis concludes that the schizophrenics simultaneously encounter with psychopathological disciplines and an inner unspeakable desolation. Insane and normal worlds co-exist; each refers to its own reality. The boundary between two realities has never been lucid but vague and committed paradoxical. Neither has truth.
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Tang, Chia-Hsuo, and 湯家碩. "Revisiting Long Fa Tang: Mental Health Governance and the Moral Career of an Institution, 1980-1990." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/rc8n25.
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碩士國立陽明大學
科技與社會研究所
102
Based on the institution’s history of Long Fa Tang in the 1980s, this study discussed how social actors, such as the community of psychiatrists, mass media, health authorities, and families of mental patients, co-constructed the network of mental health governance with Long Fa Tang at that time. In this study, I adopted the idea of “moral career” from sociologist Erving Goffman as the main concept. With analyzing and presenting details of aspects such as the expansion of the psychiatric profession, the survey research on Long Fa Tang of Dr.Jung-Kwang Wen, the problematization of mental illness in the 1980s in Taiwan, and the daily life of the mental patients’ families while coping with illness, I illustrated a series of moral processes in which Long Fa Tang had been observed and evaluated by external actors and the influences of the process on the social identity, the institution identity, and the form of life of Long Fa Tang. In the conclusion, I evaluated the institution’s early history in which Long Fa Tang had been repetitively intervened and observed. And tried to explain why Long Fa Tang had been in dispute over a long period of time.
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Weng, Jung-liang, and 翁榮良. "A Case Study about Religious Beliefs and Mental Health of Elderly within a Buddhist Nursing Institution." Thesis, 2015. http://ndltd.ncl.edu.tw/handle/7jdc29.
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碩士義守大學
醫務管理學系
103
Since Taiwan stepped into the early stage of the aged society in 1993, the speed of population aging has been much faster than expectation. The Council for Economic Planning and Development forecasts that Taiwan will reach the so-called ''Aged Society'' according to the definition of the international conventions and international institutes such as the United Nations. The importance and demands of nursing institutions will increase relatively. Because it is usually the last choice to live in the nursing institutes and the owners and employees in the nursing institutions are not their relatives of the ones who lives within, the support for their religious beliefs in the nursing institutions will play an important role in the mental health of the elderly that lives there. A qualitative exploratory method was used in this study. In the nursing institution, the study carried out in-depth interviews with 13 elders according to the convenient sampling method to interview anyone who was willing to talk with the interviewer on the spot from March to April in 2015. The interviews with elders in the nursing institution were to explore whether the Buddhist nursing institution can give more comfort to the elderly to satisfy their demand in mental and religious aspects. In addition, two interviews with the CEO and one professional in social work were implemented to understand how the nursing establishes religious environment and practices in religious activities. The framework of this study includes two primary dimensions. The first dimension is about religious beliefs and mental health of the elderly in the nursing institution that is composed of the feelings of waking up in the morning, physical and healthy condition, comfortable life in the nursing institution, help from religious beliefs to their lives, and the mental reactions of religious activities. The other dimension is about how the nursing establishes religious environment and practices in religious activities that contains the basic data of those who were interviewed, the ways the employees take care of and concern themselves with the elderly in the nursing institution, the space for religious activities, the planning of the place, the design and implementation of activities, the insistence of the nursing institution on giving impetus to religious activities, and the benefits of religious activities. The results of this study are as follows: 1. Most of the elderly who have religious beliefs tend to choose the nursing institution established by religious group. 2. The elderly with different religious beliefs can be in harmony with the environment of Buddhism. 3. The group activities can let the elderly be active in physical and mental aspects and bring interactions and stimuli in the foresaid aspects. 4. The non-religious group activities can eliminates the lethargies and boredom without self-awareness of the elderly. The religious group activities can satisfy the mental demand of the elderly. The elderly who are used to the environment of high religious accessibility can mostly have good feelings when waking up in the morning. In the interviews, the finding is noted that the elderly who have religious beliefs and participate in religious activities can take the status quo and enjoy their lives more properly that result in more comfortable lives in the nursing institution. Therefore, religion can provide support to mental health. Though the degree of participation in religious activities varies, some elders without devout religious beliefs and active involvement in the religious activities have promotion in mind, more satisfactions in life and good mental health in the surrounding of religion. The religious beliefs are very important to the running of the nursing institutions. If the institution can support for the religious beliefs and implement religious activities actively, it will be helpful for quality lives, the development in physical and mental aspects of the elderly. Then, taking good care of the elderly till the last moment can be achieved. This is the social responsibility of running the nursing institution, and also their most precious achievements.
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Smith, Dionne Maria. "In their own voices attitudes about mental health utilization by African American females at a predominantly white institution /." 2004. http://etd.utk.edu/2004/SmithDionne.pdf.
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Thesis (Ph. D.)--University of Tennessee, Knoxville, 2004.Title from title page screen (viewed Sept. 30, 2004). Thesis advisor: Schuyler W. Huck. Document formatted into pages (xiii, 169 p. : ill.). Vita. Includes bibliographical references (p. 125-137).
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CHUN-TING, LIN, and 林俊廷. "The Self-Determination Experience of Persons with Physical and Mental Disabilities in a Care Institution in Central Taiwan." Thesis, 2019. http://ndltd.ncl.edu.tw/handle/ntu9dt.
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碩士國立暨南國際大學
社會政策與社會工作學系
108
The purpose of this study was to explore the self-determination experience of people with disabilities in a full-time life care facility from the perspective of service users and service providers in a full-time life care organization; and to understand how the institutional service providers provide opportunities for people with physical and mental disabilities; and what the experiences and feelings of the people with physical and mental disabilities in the organization; and the institutional service providers' perceptions of the self-determination of the people with physical and mental disabilities and the providers’ limitations and dilemmas. This study adopts qualitative research as a research method, looking for research targets through sampling and snowball-assisted sampling methods, and using semi-structured in-depth interviews to interview five service users and six service providers for the data collection. This study finds that when a full-time life care institution performs self-determination on the life of the client, it is based on a group-way planning which has greater restrictions on individual needs, and it occurs unequal self-determination situation when the function of the client is different and therefore most of the self-determination of the service client is determined by the service provider. To meet the self-determination needs of service users, one should seek supportive-decision to replace the alternative-decision to improve the quality of life of the service users. To implement the human rights of people with physical and mental disabilities, we should consider and discuss issues of the social welfare resource allocations from the perspectives of the government, institutions, future researches and etc. to actively improve the existing limitations.
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Hui, Wu-Yu, and 吳毓慧. "The Effect of Physical and Mental Functional Activation Programs on Institution Residents: The Example of Patients with Chronic Schizophrenia." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/ske6w4.
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Simelane, Ganyani Lizzie. "Lived experiences of student nurses caring for intellectually disabled people in a public psychiatric institution." Thesis, 2015. http://hdl.handle.net/10210/13957.
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M.Cur. (Psychiatric Nursing)Caring for intellectually disabled people can be demanding for student nurses who are still novices in the profession. To ensure optimal nursing care is received, student nurses must have both an understanding of and a positive attitude towards intellectually disabled people. Nursing intellectually disabled people is a challenge that can have an impact on a person‟s body, mind and spirit therefore, student nurses need to have the ability to deal with stressful situations and environments. Student nurses need to be prepared to care for patients with long-term challenges, such as intellectual disabilities. These patients require a caring relationship that facilitates an enhanced awareness of life and health experiences. The caring relationship also facilitates health and healing processes as it involves the authentic and genuine needs of patients. This research aimed to explore and describe lived experiences of student nurses caring for intellectually disabled people in a public psychiatric institution, and to formulate guidelines for the facilitation of mental health of these student nurses. A qualitative, exploratory, descriptive and contextual design was used. Data were collected through individual in-depth interviews, focusing on the question “How was it for you to be working at this institution?” Thematic analysis was used to analyse the collected data and a consensus discussion was held with the independent coder. Ten participants were interviewed and five, who were not comfortable with interviews, wrote naïve sketches. Trustworthiness was assured by adhering to Lincoln and Guba‟s principles, that is, credibility, transferability, dependability, and confirmability. Four ethical principles were demonstrated throughout the research namely, principles of respect for autonomy, non-maleficence, beneficence, and justice. Three themes emerged from the data. Firstly, student nurses experience a profound unsettling impact on their wholistic being when caring for intellectually disabled people. iv Secondly, they develop a sense of compassion and a new way of looking at life, and lastly they require certain educational, emotional and spiritual needs to be met. Guidelines were formulated to facilitate the mental health of student nurses caring for intellectually disabled people in a public psychiatric institution.
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Kealeboga, Kebope Mongie. "An exploration of the nurses perception on causes of and management of in-patient aggression in a psychiatric institution in Botswana." Thesis, 2009. http://hdl.handle.net/10413/268.
Full textAbstract:
Inpatient aggression in mental health settings is a significant concern because it compromises the quality of care provided by health care workers. Nurses are one of the groups most affected by inpatient aggression because they are usually the client's first contact on admission. A number of studies have found that nurses are the most frequently assaulted professional group both inside and outside of the hospital setting, are more frequently assaulted than doctors and most are likely to experience some form of aggression in their career. The causes of inpatient aggression are frequently conceptualised as multidimensional and involving factors internal to the client e.g. age, factors relating to the environment such as inflexible ward routines and factors relating to the quality of the interaction between nursing staff and clients. Research studies suggest that nurses generally respond reactively and rely heavily on physical control strategies rather than on interpersonal strategies in managing inpatient aggression. Contemporary literature suggests that the perceptions nurses hold about aggression and its causes influences their management of the event and that this process is mediated by a number of client, environment and nurse-related variables including age, education, gender, nursing experience, perceptions of aggression and its causes. Although the causes and management of inpatient aggression in nursing is well documented in the United Kingdom and some other West European countries, this is not the case for Africa and in the case of this study, for Botswana. No studies have attempted to find the nurses' perception, perception on the cause, and management of inpatient aggression in Africa and more so in Botswana. Aim: The purpose of the study was to explore how nurses' demographic characteristics, their perceptions of aggression and its causes, influence the management of inpatient aggression by nurses in the main psychiatric institution in Botswana. Method: A descriptive, exploratory non-experimental design was used. Perception of inpatient aggression was captured by a Perception of Aggression Scale (POAS) and the perception on the cause and management of inpatient aggression was collected with Management of Aggression and Violence Attitude Scale (MAVAS).The sample comprised of 71 nurses, 48 of whom were females and 23 males. The mean age of the nurse respondents was 36 years. Of the 71 respondents 50 were registered nurses only while 20 were psychiatric registered nurses. More than two thirds of the respondents had a diploma in nursing, one had a masters degree and the remainder, a degree in nursing. The average nursing and psychiatric nursing experience of the respondents were 12.1 and 6.87 years respectively. ANNOVA test and t-tests were done to find the associations between the nurses' demographic variables, their perception, perception on the cause and management of inpatient aggression. Findings: The respondents In this study perceived inpatient aggression as both negative and positive. There was an overall agreement with the perception of aggression as always negative and as an action of physical violence against a nurse (81.73%). Nurses saw the cause of inpatient aggression as emanating from the internal, external and situational/interactional factors. The use of traditional methods of aggression dominated as shown by a high mean score of 80.5 as compared to interpersonal management with a mean score of 60.5. A statistical difference was found between gender, perception of aggression and perception of aggression and the traditional management of aggression while age, nursing and psychiatric nursing experience were statistically associated with the use of interpersonal management of aggression. Conclusion: The study provided insight into the nurses' perceptions, perceptions on the cause and management of inpatient aggression in a mental institution in Botswana. Nurses in this study hold predominantly negative perceptions of aggression and generally favour traditional management strategies. However, older, more experienced nurses tended to favour interpersonal techniques. Recommendations for nursing practice, education and research to address this issue centre around further and targeted education and training in mental health and specifically, in the comprehensive management of aggression which includes communication skills, use of de-escalation, use of medication and cautious physical restraint.Thesis (M.N.)-University of KwaZulu-Natal, Durban, 2009.
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"The lived experience of aggression and violence by nurses in a Gauteng psychiatric institution." Thesis, 2010. http://hdl.handle.net/10210/3245.
Full textAbstract:
M.Cur.Violence and aggression in psychiatric hospitals are a worldwide known phenomenon. South Africa is no exception to the rule. Previous researches conducted in psychiatric institutions have mainly focused on the patients, leaving everyone to guess how this violence affects nurses who are in contact with the patients on a daily basis and who are key role-players in the care, treatment, and rehabilitation of the patients under their responsibility. The research aimed to explore and describe the lived experience of aggression and violence by the registered nurses in a Gauteng psychiatric institution, the essence of this violence, and how nurses cope with this violence, in order to formulate guidelines and recommendations that could assist them to manage violence. A qualitative, explorative, descriptive, and contextual study design was utilised. Data was collected by means of semi-structured interviews, and naïve sketches. Tesch’s method was used for data analysis, here and an independent coder was utilised. The uniqueness of this study was to bring to the surface the other side of violence as it is perceived and lived by the nurses. The findings show that the nurses face violence on a daily basis. Among the contributing factors there are: the type of patients admitted in the hospital; the staff shortage; the lack of support among the members of the multidisciplinary team (MDT); and the lack of structured and comprehensive orientation. The consequences of this violence to the nurses are emotional, psychological, and physical and take the form of: fear, anger, frustration, despair, hopelessness and helplessness, substance abuses, absenteeism, retaliation, a development of an “I don’t care attitude”, injuries, and damage to personal properties such as clothes, and spectacles.
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Jacobs, Wanda Otilia. "Strategies to facilitate the promotion of the health of student nurses who have experienced aggression and are studying at a tertiary institution in Johannesburg." Thesis, 2014. http://hdl.handle.net/10210/9938.
Full textAbstract:
D.Cur. (Community Nursing Science)Aggression becomes such a part of people’s daily lives that it is viewed as normal. As in the society nursing students at a higher education institution (HEI) also experience aggression in their lives. This exposure to aggression is of concern as it can be a possible obstacle in the personal and professional development and interpersonal relationships of the nursing students. The essence of this concern is that nurse educators need to gain knowledge of, insight into and awareness of the aggression experienced by nursing students to empower these students to manage aggression in their lives. The purpose of this study was to develop and describe a model as a frame of reference to facilitate the health of nursing students at an HEI in Johannesburg, South Africa, who experience aggression in their lives. The objectives of this study were as follows: To explore and describe the experience of nursing students at an HEI in Johannesburg of aggression in their lives. To generate a model from the results that will facilitate the promotion of health of the nursing students at an HEI in Johannesburg who have experienced aggression. To formulate strategies for the implementation of the model.The research design was theory-generative, qualitative, exploratory, descriptive and contextual in nature. Nursing students were purposefully sampled as they added to the richness of the data collected for the purpose of this research. Data was collected firstly through respondents drawing a picture and writing a self-reporting story, and secondly, through phenomenological interviews. Data analysis in this research was done by means of Tesch’s method of identifying themes and categories as described by Creswell. Ethical considerations were adhere to throughout the research and consent was obtained from the nursing students participating in the research. Lincoln and Guba’s method of trustworthiness was used. Two themes with categories were identified that reflected the nursing students’ experience of aggression in their lives. The first theme is that the nursing students experienced aggression as an integral part of their life and viewed it as a normal part of their life. The second theme is that nursing students experienced aggression as detrimental to themselves as a whole person and their interpersonal relationships. A model as a frame of reference to facilitate the health of the nursing students who have experienced aggression to self-manage aggression constructively,was developed. The findings of this research are relevant to the world of nursing practice, nursing education and research.
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Hsu, Shu-Chin, and 徐淑金. "A Mental Health Promotion Program: The Effectiveness of Laughing Qigong Program (LQP) for Elderly Residents in Long-Term Care Institution at Beitou." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/3mbdj6.
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碩士國立臺北護理健康大學
護理研究所
102
ABSTRACT Background： Lots of positive psychological oriented researches related with 「Laughter」and「Emotional Disturbance」recently. Nevertheless, insufficiently experimental interventions were focused on elderly residents in long-term care institutions. Objective： Through Laughing Qigong Program (LQP) intervention, researchers intended to evaluate effectiveness of participants' responses in terms of psychological disturbance、depression moods and emotional status. Additionally, fluctuation changed of Cortisol concentration, a physiological indicator of body pressure, was measured. Methodology： The method of Quasi-Experimental Design was adapted, Laughing Qigong Program (LQP) applied as intervention. Participants were elderly residents living in five long-term care institutions at Baitou District. It was random to select three out of five institutions being “Experiment Group” and other two being “Control Group”. The random sampling was decided by throwing a coin, head was Experiment Group and tail was Control Group. Daily activities and regular cares of two groups were kept the same, except the LQP intervention administrated at different time period. There were 60 valid samples totally. Intervention was administrated in form of closed group, once a week for one hour and twelve weeks consecutively. Furthermore, Experiment Group and Control Group were screened by scores of Mini-Mental State Examination (MMSE) to differentiate normal status based on educational level of participants. The purpose was to understand the effectiveness of LQP to those who having normal cognitive functions. Measurement： Measurement of psychological instruments included Brief Symptom Rating Scale-5 (BSRS-5), Alzheimer Disease-8 (AD-8), Geriatric Depression Scale (GDS), Cornell Scale for Depression in Dementia (CSDD), The Face Scale (FS) and a physiological indicator of pressure hormone, Cortisol. Analysis： Analysis applied Descriptive Statistics to express participants’ personal information and baseline of all dependent variables. Chi Square Test was used for testing differences of demographics. Inferential Statistics used non-parametric Independent-Samples Mann-Whitney U Test and Dependent-Samples Wilcoxon Signed Ranks Test. Results： 1.Effectiveness of before and after LQP intervention in Experiment Group, performance of BSRS-5 (P＜.01)、AD-8 (P=0.02) 、GDS (P＜.01)、 CSDD (P＜.01) and FS (P＜.01), are statistical significance. The physiological indicator of pressure hormone, Cortisol is statistical significance, too (P＜.01).。 2.Effectiveness of before and after LQP intervention in Control Group, performance of BSRS-5 (P＜.01 )、AD-8 (P＜.01) 、GDS (P＜.01)、 CSDD (P＜.01) and FS (P＜.01), are significant statistically. However, the physiological indicator of pressure hormone, Cortisol is NO statistical significance (P=0.18)。 3.Experiment Group was tested again four weeks after LQP intervention, the purpose was to trace “Prolonged Effect”. Main findings are BSRS-5 (P＜.01)、AD-8 (P=0.01) 、GDS (P＜.01)、 CSDD (P＜.01) and FS (P=0.03) able to maintain statistical significance in psychological measurements. The indicator of pressure hormone, Cortisol remains significant statistically (P=0.02). The results have explained “Prolonged Effects” being existent. Keywords: Facilitate Method of Mental Health; Laughing Qigong Program (LQP); Long-Term Care Institution for the Elderly Residents; Cortisol
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Chen, Ya-Ling, and 陳雅玲. "Situation of Primary Expression:The Puzzles of Peculiar Perceptual Experiences Revealed in Drawings by an “Aboriginal/Chinese” Offspring Admitted in a Mental Institution." Thesis, 2008. http://ndltd.ncl.edu.tw/handle/pxf994.
Full textAbstract:
碩士國立東華大學
民族藝術研究所
96
Abstract The ideological thought of post-modern Art neither just concerns manipulations of techniques nor discusses the value of hung art works in ivory tower of academy. Instead, it approaches the feelings and enters the experiences and thinking of restored natures which are more multifaceted and interdisciplinary. Just like the big bang in the universe inhaling inwards but radiating outwards every direction, Feminine Art, Aboriginal Art, and roaming camp of artistic creation restore the issues and move towards the world. The present thesis looks into the situation of primary expression of a psychotic patient with aboriginal descent through studying her “descriptions” (including verbal expression and painting creation) of peculiar perceptual experiences (so called hallucinations). Art is a way of expression of human instincts and is an psychic activity occurring during the interaction of human beings and their environments. The client revealed kinds of images messes which evoke the fears and unease of the diseased subject. Rather than discussing the forms of painting arts, the thesis expounds the relationship between the “words” pours out from the innermost and the existence of human beings from the anthropological point of view and intends to provide proof of human existence. Not just following the pure return to experience of mute (l’experience muette), the present study intends to extract nutrients from paradoxes of Art and explore their nature so as to recognize the talents of transcendental consciousness. Chapter one explains the reasons for choosing anthropological restoring and suspending attitude. Chapter two describes the field and introduces the real situation of study client. Chapter three and four perform phenomenological descriptions upon selected series of client’s work. Chapter five tries to restore the descriptions as temporary crystal of the present study. Key words: psychotic patient,phenomenology,post-modern Art, naturerestoring