The Unable Individual : The Actantial Analyses of Three Chinese Films and Discussion on Their Representations of the Individual’s Position in Contemporary Chinese Society

The thesis studies three contemporary Chinese films, Incense (Xianghuo 2003), Beijing Bicycle (Shiqi sui de danche, 2001), and South of the Clouds (Yun de nanfang, 2004). The aim of the thesis is to find out how these films represent the individual, his relationships with others, and his possibilities in society. The films all portray a male individual setting out to pursue a goal, facing one obstacle after the other in the process, and in the end failing to achieve his goal. The other characters in the films are also primarily either unable or unwilling to help the lead character. In the thesis these features of the films are analysed by applying A.J. Greimas’s structuralist semiotic theory about the actantial structure of discourses. The questions about the individual’s position are answered by defining which instances in the films actually represent the actantial positions of the sender, receiver, subject, object, helper and opponent. The results of the actantial analyses of the three films are further discussed in the light of theories regarding individualization. The focus is on the theories of Ulrich Beck, Elisabeth Beck-Gernsheim and Zygmunt Bauman, who see a development towards individualization in societies following the disintegration of traditional social structures. For the most part, these theories do seem to be applicable to the films’ representations of the individual’s position, especially regarding the increased responsibility of the individual. For example, the position of the family is represented as either insignificant or negative in all of the films, which fits with the description of the individualized society, contradicting the idea of traditional Chinese society. On the other hand, the identities and goals of the characters in the films are not represented as fragmented in the way the theories would suggest.

Uskonto, luonto ja talous Yhdysvaltain uudestisyntyneiden ilmastonmuutoskeskustelussa

Tutkielmani tarkastelee Yhdysvaltain uudestisyntyneitä protestantteja ja heidän suhtautumistaan ilmastonmuutokseen. Heidän käymässään keskustelussa uskonto määrittää yksilön suhtautumisen talouteen sekä luontoon. Tarkoituksenani on selvittää ja tehdä ymmärrettäväksi näiden asioiden keskinäisiä suhteita ja yhtyeenkietoutuneisuutta. Uudestisyntyneen uskon eräs keskeinen tekijä on uskonnollisen narratiivisen tradition omaksuminen, jolle uskova vapaaehtoisesti alistaa menneisyytensä, nykyisyytensä ja tulevaisuutensa. Narratiivisen tradition keskeisyyden vuoksi kehittelen tutkielmani teoreettiseksi viitekehykseksi narratiivisen rationaalisuuden näkökulmaa, joka pohjautuu Max Weberin, Jerome Brunerin, uskontososiologian uuden paradigman sekä narratiivisen tutkimuksen käsitteistöön. Narratiivisessa rationaalisuudessa uskonto näyttäytyy Robert Bellahin sanoin todellisuutena sui generis, joka muodostaa uskovan elämän fokuksen. Ninian Smartin määritelmän mukaisesti fokuksen käsite mahdollistaa uskonnon tutkimisen siten, että vain uskomisella on totuusarvoa, ei uskomisen kohteella. Tutkimusaineistoni koostin internetistä uudestisyntyneiden ylläpitämistä blogeista. Blogien käyttäminen aineistolähteinä mahdollistaa analyysin kohdentamisen uudestisyntyneiden keskenään käymään keskusteluun eikä tutkijalla ole riskiä joutua käännytyspuheen kohteeksi. Lisäksi blogit ovat aineistoa, joka on syntynyt ilman tutkijan tai tutkimusintressin vaikutusta. Tutkimusaineistoni muodostavat 15 blogilta haetut ilmastonmuutokseen liittyvät kirjoitukset. Aineistoni jäsennyksen suoritan sisällönanalyyttisin perustein käyttäen apunani akateemisia ja teologisia keskusteluja. Keskeisimpiä näistä ovat Max Weberin Protestanttinen etiikka, Colin Campbellin Romanttinen etiikka, Robert Bellahin kansalaisuskonto sekä kristillisen tilanhoitajuuden käsite. Pääasiallinen analyysimetodini on narratiivinen analyysi, jolla haen aineistostani niitä kansanomaisen ajattelun malleja, joiden valossa uudestisyntyneiden käymä ilmastonmuutoskeskustelu on sisäisesti johdonmukaista ja ulkopuolisille ymmärrettävää. Uudestisyntyneiden ilmastonmuutoskeskustelua jäsentää amerikkalaisen unelman ja sekulaarin humanismin kansanomaisen ajattelun mallit. Yhdessä nämä mallit muodostavat kokonaisuuden, joka tekee keskustelusta sisäisesti johdonmukaista ja ymmärrettävää ja jonka uudestisyntyneet ovat omaksuneet. Molemmilla malleilla on kristilliset juuret, vaikka amerikkalainen unelma on niistä jo etääntynyt. Amerikkalaisen unelman voi lisäksi nähdä Weberin Protestanttisen etiikan sekä Campbellin Romanttisen etiikan yhdysvaltalaisena synteesinä.

Mid-urethral slings for treatment of stress urinary incontinence : long- and mid-term follow-up

Urinary incontinence is a common problem, affecting one third of the women at least at some time during their lives. The prevalence of urinary incontinence increases with advancing age, and the everyday impact of incontinence on women and on health services is enormous. Urinary incontinence is usually divided into three different subtypes, of which stress urinary incontinence (SUI) is the most common. Surgical treatment is often needed to cure SUI, and modern mid-urethral sling procedures give the possibility to cure this condition with a low risk of adverse events, a problem often associated with the so-called traditional incontinence operations. Life expectancy among women in Western countries has grown beyond 80 years of age. Long-term efficacy of treatment options for urinary incontinence therefore becomes an important issue in a world with limited eco-nomic resources. The purpose of the present study was to prospectively evaluate the long-term efficacy and safety of the first minimally invasive mid-urethral tape procedure, the Tension-free Vaginal Tape (TVT) procedure. The long-term (5-year) follow-up results of the TVT procedure as a repeat operation af-ter an unsuccessful mid-urethral tape operation were studied and the reasons for failure of the first operation were analyzed. Another purpose was to compare the original TVT procedure with a newer modification, the Tension-free Vaginal Tape Obturator (TVT-O) procedure within a multi-centre, randomized context in order to find out possible differences between these procedures re-garding efficacy and complications and the effects on symptoms of urgency. The first study of the present thesis is a prospective, Nordic, three-centre follow-up study of 90 women suffering from SUI, who were treated by means of the TVT procedure. The mean follow-up time was more than eleven years, and the study is the first to be published in connection with more than ten years of follow-up. The second study is a retrospective analysis of 26 women who were treated with a repeat TVT procedure after an unsuccessful primary mid-urethral tape procedure. The third and fourth studies concern 273 women in seven centres in Finland who were ran-domly assigned to the TVT and TVT-O procedures, the 3-year follow-up results of which are pre-sented in this thesis. After eleven years of follow-up, 90% of the women had a negative cough stress test result and a negative 24-h pad test result. The subjective cure rate measured as the women s global impression of cure was 77%, the rate of improvement 20%, and only 3% thought that the treatment had failed. No late-onset adverse effects were found. The repeat TVT procedure was successful in 75% of the cases when women who were cured and women who were significantly improved were included. The reasons for failure of the first operation could be separated into four different groups: tape material-related, operation technique-related, concomitant illness-related and a group with no identifiable reason. There were no intra-operative complications during the repeat operation. In the randomized trial comparing the TVT with the TVT-O procedure a cough stress test results were negative in 94.6% and 89.5% of the women in the two groups, respectively, after a 3-year follow-up period. There were no statistical differences in the cure rate or the rate of complications be-tween the two procedures. Symptoms of urgency were analyzed more closely and the main finding was that the prevalence of urgency symptoms decreased significantly after both mid-urethral sling procedures. The TVT operation was found to be an effective and safe procedure even after eleven years of follow-up. Long-term follow-up after a repeat TVT procedure revealed that the TVT procedure can well be considered after an unsuccessful mid-urethra tape procedure, because 75% of the patients showed significantly improvement of their incontinence. The TVT and TVT-O procedures showed no statistically significant differences in efficacy and rate of complications after three years of follow-up. In most cases these procedures alleviate preoperative symptoms of urgency and the risk of developing de novo urgency is low.