Person centered psychotherapy: an encounter with oneself or a confrontation with the other?

O artigo discute a possibilidade do acolhimento da Alteridade no processo terapêutico da Abordagem Centrada na Pessoa. Tem-se como referência a ética de Emmanuel Lévinas, para quem a subjetividade seria constituída a partir da relação com o absolutamente outro. Questiona-se o processo de mudança terapêutica que visa uma maior integração da experiência pelo self. Em direção distinta, a partir de uma releitura de um caso clínico rogeriano, aponta-se a exterioridade da experiência como estranhamento que permite uma recriação de si. O relato analisado mostra a interioridade ser solapada pelo organismo que se coloca como um outro-de-si, crivo para as experiências. Conclui-se que a psicoterapia centrada na pessoa, além de um encontro consigo mesmo, parece apontar como um de seus efeitos o embate com o radicalmente diferente. Tal discussão alude a um reposicionamento político da Abordagem Centrada na Pessoa em sua lida com a diferença.

Efeito do Estrôncio (Sr) no tratamento de modificação do eutético da liga Al-1%Si

This study aimed to analyze the cooling curves, micro and macrograph alloy Al-1 %Si without the addition of strontium modifier and with the addition of the same. One of the ways of improving mechanical properties of alloy Al -Si is through the modification process. For the experiments two billets of the alloy Al-1%Si cast iron mold in a billet with addition of 0.02% strontium by weight, and the other billet without the addition of modifier were fused. In the solidification process of billet temperature was monitored and recorded every second for later plotting in Origin 8 program and analyzes the cooling curves obtained. The billets were cut and passed by grinding and polishing to perform the macrograph and micrographs. The results concerning the macrograph indicated that billet without the addition of Strontium particle size obtained was more refined than the billet where the strontium modifier was added. Regarding the micrograph, photos stemmed from the optical microscope didn´t show the expected modification effect by the addition of Strontium. This suggests that the low amount of silicon (1 %) present in the alloy used in this study interfered in the change process, because according to the literature review, Strontium 0.022 % by weight is sufficient to fully modify an alloy with 7% Silicon. The results from the cooling curve showed that both the eutectic temperature and the solidification time remained unchanged with the addition of strontium

Uma discussão sobre a base metafórica das figuras de linguagem

The aim of this work is the analysis of some figures of speech, which is based on the existence of a nature of metaphorical process. The research starts from the hypothesis that these figures form themselves by this process. The study is based on the reading of the chapter “Figuras de linguagem”, which is in the work Lições de gramática de usos do português (NEVES, in the press), in which are given lessons about figures of speech, using literary texts and suggesting a metaphorical base for the general sustenance of the analyses. From these lessons, that had already directed groupings and analyses in Seves (2009), a reanalysis was done according to a theoretical orientation which basis is cognitivist, what contribute to this idea about the origin of the figurative processes. The bases of the theoretical orientation, in this sense, are: the conceptual metaphor theory (LAKOFF; JOHNSON, 1980), which considers metaphor as a cognitive (mental) process; and the current of the systematic metaphor (CAMERON, 2005 apud SARDINHA, 2007) that defends the attention to the recurring use of metaphor in real language, before doing assertions about the mind’s functioning. The analyses indicated these conclusions: a) the theory of the conceptual metaphor can be considered efficient for the foundation of the analyses, what implies a minimization of the metonymic component in the exam of these figures; b) and in the basis of the majority of the founded figures it is evident the nature of a metaphorical process

Fazer ciência, fazer história: a sociologia da mudança social de Florestan Fernandes e de Costa Pinto

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

VIRTOPSY - the Swiss virtual autopsy approach

The aim of the VIRTOPSY project () is utilizing radiological scanning to push low-tech documentation and autopsy procedures in a world of high-tech medicine in order to improve scientific value, to increase significance and quality in the forensic field. The term VIRTOPSY was created from the terms virtual and autopsy: Virtual is derived from the Latin word 'virtus', which means 'useful, efficient and good'. Autopsy is a combination of the old Greek terms 'autos' (=self) and 'opsomei' (=I will see). Thus autopsy means 'to see with ones own eyes'. Because our goal was to eliminate the subjectivity of "autos", we merged the two terms virtual and autopsy - deleting "autos" - to create VIRTOPSY. Today the project VIRTOPSY combining the research topics under one scientific umbrella, is characterized by a trans-disciplinary research approach that combines Forensic Medicine, Pathology, Radiology, Image Processing, Physics, and Biomechanics to an international scientific network. The paper will give an overview of the Virtopsy change process in forensic medicine.

Towards a more effective model for distance education

What is the most effective model for academic distance education, given that drop-out numbers in traditional distance education institutions are too high and the demands from the various stakeholders are changing? In this paper this question is answered from the perspective of the Open University of the Netherlands (OUNL). The OUNL has planned to redesign its educational model from the traditional guided self-study model towards a model of active online learning. In essence this means that education will be less content driven; more focus is put on activating students to engage with real world problems supported by tutors and peers using distance media. The drivers for change, the change process and the resulting redesign of the educational model are presented in this paper.

Idiographic Self-Monitoring Instruments to Empower Client Participation and Evaluate Outcome in Intensive Family Preservation Services

Intensive Family Preservation Services seek to reflect the values of focusing on client strengths and viewing clients as colleagues. To promote those values, Intensive Family Preservation Programs should include a systematic form of client self monitoring in their packages of outcome measures. This paper presents a model of idiographic self-monitoring used in time series, single system research design developed for Family Partners, a family preservation program of the School for Contemporary Education in Annandale, Virginia. The evaluation model provides a means of empowering client families to utilize their strengths and promote their status as colleague in determining their own goals, participating in the change process, and measuring their own progress.

Validation of an instrument for assessing the medicolegal death investigation system: A public health approach

Background. This study validated the content of an instrument designed to assess the performance of the medicolegal death investigation system. The instrument was modified from Version 2.0 of the Local Public Health System Performance Assessment Instrument (CDC) and is based on the 10 Essential Public Health Services. ^ Aims. The aims were to employ a cognitive testing process to interview a randomized sample of medicolegal death investigation office leaders, qualitatively describe the results, and revise the instrument accordingly. ^ Methods. A cognitive testing process was used to validate the survey instrument's content in terms of the how well participants could respond to and interpret the questions. Twelve randomly selected medicolegal death investigation chiefs (or equivalent) that represented the seven types of medicolegal death investigation systems and six different state mandates were interviewed by telephone. The respondents also were representative of the educational diversity within medicolegal death investigation leadership. Based on respondent comments, themes were identified that permitted improvement of the instrument toward collecting valid and reliable information when ultimately used in a field survey format. ^ Results. Responses were coded and classified, which permitted the identification of themes related to Comprehension/Interpretation, Retrieval, Estimate/Judgment, and Response. The majority of respondent comments related to Comprehension/Interpretation of the questions. Respondents identified 67 questions and 6 section explanations that merited rephrasing, adding, or deleting examples or words. In addition, five questions were added based on respondent comments. ^ Conclusion. The content of the instrument was validated by cognitive testing method design. The respondents agreed that the instrument would be a useful and relevant tool for assessing system performance. ^

Las capacidades de los actores para dirigir la nueva gobernanza en el desarrollo rural en México

El objetivo de la presente investigación es analizar el proceso de implantación de la nueva gobernanza dirigido por diferentes actores, en contextos rurales de Chiapas, México, que permita generar aportes conceptuales y propuestas de acción pública para su gestión. En la presente investigación se desarrollaron tres estudios de caso con un enfoque comparativo. Cada caso tuvo un actor diferente que dinamizó el proceso, en el primero fue el privado empresarial, en el segundo la sociedad civil y en el tercero el gobierno local. Lo registrado en la presente investigación señala que la nueva gobernanza no se acota a lo definido por organismos externos al territorio y tampoco se arriba a través de una sola ruta, se estructura fundamentalmente por lo que los mismos actores locales trabajen mediante un proceso de aprendizaje social en su definición y proceso de cambio según sus elementos socio-culturales. La nueva gobernanza dirigida por la sociedad civil es quien tuvo los mejores resultados respecto a los casos guiados por la iniciativa privada y el gobierno local. Sin embargo, es este último actor quien tiene las mayores posibilidades de detonar los procesos de nueva gobernanza en la mayoría de los contextos territoriales para dar paso a la sociedad civil o la iniciativa privada que posibiliten la sostenibilidad de los procesos en el largo plazo. The purpose of the current research is to analyze the new governance implantation process directed by different actors, in the rural contexts of Chiapas, México which will permit to generate conceptual contributions and public action proposals for its management. In the current research three case studies were developed each one based on comparative focus. Each case had a different actor which put into effect such process. In the first case it was private business, in the second the civilian society and in the third the local government. The information that was registered in the current research points out that the new governance do not encloses to elements defined by those organisms which are external to the territory and neither arrives through a single pathway; it is fundamentally structured and for this reason the same local actors work through a social learning process in its definition and change process in accordance to the socio-cultural elements. The new governance which is directed by the civilian society is the one that had the best results regarding the cases that were guided by the private sector and the local government. Nevertheless, this last actor is the one who had the best chances to trigger the new governance processes in most of the territorial contexts yielding the civilian society or private business to enable the long term processes sustainability.

Arquitecturas desplazadas. Rafael Bergamín y las arquitecturas del exilio español en Venezuela

El siglo XX ha sido el siglo de los desplazamientos. Una ingente cantidad de personas fueron forzadas por motivos políticos, o se vieron obligadas por motivos económicos, a abandonar sus territorios de origen, generando un distanciamiento que en la mayoría de los casos resultaría irrecuperable. Las penurias vividas en Europa, las oportunidades que se abrían en países americanos, o la presión ejercida por los regímenes totalitarios, llevaron a un buen número de profesionales, artistas e intelectuales europeos a territorio americano. El presente trabajo se propone indagar sobre una de esas migraciones que se establecieron en Latinoamérica en la primera mitad del siglo XX: la de los arquitectos españoles que se vieron forzados al exilio. Para ello se busca poner en evidencia no sólo sus aportaciones sino también la influencia que ejerció en su obra la cultura de los países de adopción. Venezuela recibió gran parte del contingente de arquitectos españoles desplazados como consecuencia de la Guerra Civil. Tras México fue el país que mayor número acogió. La llegada de dichos exiliados coincidió con el momento en que la sociedad venezolana, de base agrícola y comercial, pasaría a evidenciar el impacto de la revolución petrolera. Así pues, dicha llegada supuso no sólo la dramática pérdida del mundo previo, implícita en todo exilio, sino el arribo a una sociedad en profundo proceso de cambio. En ambos casos se trataba de “mundos que se desvanecen”. Se propone la asunción de la obra de dichos profesionales como una arquitectura desplazada. Un desplazamiento que se produce en dos sentidos: por un lado, se trata de un desplazamiento físico, por otro, la palabra desplazada habla también de la condición secundaria que adquiere la arquitectura ante el drama vital y de supervivencia que afectó a los exiliados. Así pues, a un desplazamiento físico, verificable, se une un desplazamiento en cuanto al nivel de importancia y de atención asignado a la arquitectura. El trabajo comprende una introducción, cuatro capítulos, y un epílogo, a modo de conclusión. A lo largo de dichos capítulos se conjugan el enfoque individual en la obra de uno de estos arquitectos desterrados, Rafael Bergamín, y la visión “coral” de diversas trayectorias vitales que enfrentaron un destino común. Se elige la figura de Bergamín como eje de desarrollo debido a la presencia significativa que tuvo su obra tanto en España como en Venezuela, y por la caracterización de la misma como obra construida en colaboración. La introducción, “Exilios arquitectónicos”, muestra el sustrato estructural, la fundamentación y la metodología empleada, incluyendo “problematizaciones” sobre el exilio arquitectónico. El primer capítulo, “Memoria de partida”, da cuenta de la formación y actuación, durante la preguerra, de los arquitectos españoles que saldrían al exilio. Se introduce un esquema de base generacional y se revela un panorama para nada unívoco. El segundo capítulo, “Guerra y salida al exilio”, aborda la actuación de dichos arquitectos durante la contienda bélica así como la posterior dispersión general del exilio. El tercer capítulo, “Construir desde lo que se desvanece. Arquitectos del exilio español en Venezuela”, propone diversos presupuestos conceptuales en torno al tema del desplazamiento en la arquitectura, revisando la adscripción disciplinar y profesional de los arquitectos españoles exiliados en Venezuela. El cuarto capítulo, “El regreso”, versa sobre el recorrido final de estos arquitectos. Como marco general, se revisa su itinerario de regreso o, en muchos casos, la imposibilidad de retorno. Por último, se dispone la fuente de los diversos documentos de archivos y repositorios, así como el aparato bibliográfico y referencial, empleados en la investigación. Tres anexos se adjuntan al corpus del trabajo. El primero presenta documentos inéditos, hallados durante el pertinente proceso de investigación; el segundo, dibujos de Bergamín, básicamente de las primeras décadas del siglo XX: caricaturas, anuncios y trabajos de la Escuela; el tercero, un esbozo biográfico de los arquitectos del exilio español. ABSTRACT The 20th Century has been the century of displacements. An enormous number of people were forced to leave their homelands for political or economic reasons, which generated a gap that in most of the cases would be unrecoverable. The hardships that people had to endure in Europe, the opportunities that emerged in American countries, or the pressure exerted by totalitarian regimes drove a good number of European professionals, artists and intellectuals to American territory. This research study is intended to investigate one of those migrations that settled in Latin America during the first half of the 20th century: the one of the Spanish architects that were forced into exile. To achieve this, an attempt was made to expose not only their contributions but also the influence that the culture of the countries which welcomed them exerted in their work. Venezuela received a large portion of Spanish architects who were displaced as a consequence of the Civil War. After Mexico, it was the country that sheltered the greatest number of persons. The arrival of these exiled Spanish architects coincided with the moment in which the Venezuelan society – based on agriculture and commerce – would witness the impact of the revolution of the oil industry. Thus, their arrival supposed not only experiencing the dramatic loss of their previous world – implicit in the notion of the exile – but also settling in a society going through a profound change process. In both cases it was about “two worlds that were vanishing.” The assumption of these architects’ work is regarded as a displaced architecture. A displacement that takes place in two ways: on one hand, there was a physical displacement, and on the other hand, the word displaced also talks about the second place that architecture is given when confronted with the urgent drama of survival that affected the exiled community. Hence, a physical, verifiable displacement is combined with a displacement that has to do with the importance and the attention given to architecture. This research study encompasses an introduction, four chapters, and an epilogue as a conclusion. Throughout the chapters, the individual approach to the work of one of these exiled architects, Rafael Bergamín, runs in parallel to an overall view of various other architects’ career paths that faced a common destiny. The work of the architect Bergamín was chosen as the center of this research study due to the significant presence that his work had in Spain as well as in Venezuela, and because its main characteristic was that it was built in collaboration with other architects. The introduction, “Architectural exiles”, shows the structural contextualization, the explanatory thesis statement and the methodology used, including “problematizations” about the architectural exile. The first chapter, “Memory of departure”, contains the academic background and performance during the pre-war time of the Spanish architects that would go into exile. An outline based on different generations and revealing an unambiguous perspective is introduced. The second chapter, “War and departure into exile”, tackles the performance of the Spanish architects during the war, as well as the following general diaspora into exile. The third chapter, “Building from what vanishes. Architects of the Spanish exile in Venezuela”, proposes various conceptual assumptions concerning the topic of displacement in architecture according to the doctrine and professional affiliations of the Spanish architects exiled in Venezuela. The fourth chapter, “The return”, deals with the end of these architects’ careers. As a general framework, their itineraries to return, or in many cases, the impossibility of returning, are reviewed. Finally, the sources to the various documents of files and repositories, as well as the bibliographical references consulted for the research, are provided. Three annexes have been attached to this research study. The first annex contains unpublished documents found during the research process; the second includes Bergamín’s drawings, basically from the first decades of the 20th century, such as, caricatures, advertisements and assignments done when he was a university student; and the third annex presents a biographical outline of the architects of the Spanish exile.

Agile it project management professional

La gestión de las tecnologías de la información tiene cada vez más importancia dentro de un mundo totalmente digitalizado y donde la capacidad de respuesta al cambio puede marcar el devenir de una compañía, y resulta cada vez más evidente que los modelos de gestión tradicionales utilizados en la mayoría de las compañías no son capaces de dar respuesta por si solos a estas nuevas necesidades. Aun teniendo identificado este área de mejora, son muchas las empresas reacias a abordar estos cambios, principalmente por el cambio rupturista que significa a nivel interno. De cara a facilitar esta transformación, se propone en este documento un modelo de transición controlada donde las grandes compañías puedan incorporar nuevas alternativas y herramientas ágiles de forma paulatina y asegurando que el proceso de cambio es seguro y efectivo. Mediante una modificación del ciclo de vida de proyecto dentro de la compañía, se incorporan en las áreas, equipos o dominios de la empresa que se identifiquen los nuevos modelos de gestión ágil, permitiendo así una transición gradual y controlada, y pudiendo además analizar los detalles sobre todo en etapas tempranas de la transformación. Una vez seleccionada el área o dominio objeto de la transformación, se realiza un análisis a nivel de Portfolio de proyectos, identificando aquellos que cumplen una serie de condiciones que les permiten ser gestionados utilizando modelos de gestión ágil. Para ello, se plantea una matriz de decisión con las principales variables a tener en cuenta a la hora de tomar una decisión. Una vez seleccionado y consensuado con los interesados el modelo de gestión utilizando la matriz de decisión, se plantean una serie de herramientas y métricas asociadas para que la gestión ágil del proyecto dé una visibilidad completa y detallada del estado en cada momento, asegurando un correcto proceso de gestión de proyectos para proveer visibilidad regular del progreso, riesgos, planes de contingencia y problemas, con las alertas y escalaciones adecuadas. Además de proponerse una serie de herramientas y métricas para la gestión ágil del proyecto, se plantean las modificaciones necesarias sobre las tipologías habituales de contrato y se propone un nuevo modelo de contrato: el Contrato Agile. La principal diferencia entre este nuevo modelo de contrato y los habituales es que, al igual que las metodologías ágiles, es ejecutado en segmentos o iteraciones. En definitiva, el objetivo de este documento es proveer un mecanismo que facilite la inclusión de nuevos modelos ágiles de gestión en grandes organizaciones, llevando a cabo una transición controlada, con herramientas y métricas adaptadas para tener visibilidad completa sobre los proyectos en todo momento.---ABSTRACT---The information technology management is every time more important in a totally digitized world, where the capacity to response the change could mark the future of a company, and results every time more evident that the traditional management models used in the most of the companies are not able to respond by themselves to these new necessities. Even having identified this improvement area, many companies are reluctant to address these changes, mainly due to the disruptive change that it means internally in the companies. In order to facilitate this transformation, this document proposed a controlled transition model to help the big companies to incorporate new alternatives and agile tools gradually and ensuring that the change process is safe and effective. Through a modification the project life cycle inside the company, the new agile management models are incorporated in the selected areas, teams or domains, permitting a gradual and controlled transition, and enabling further analyze the details above all in the early phases of the transformation. Once is selected the area or domain object of the transformation, a portfolio level analysis is performed, identifying those projects that meet a some conditions that allow them to be managed using agile management models. For that, a decision matrix is proposed with the principal variables to have into account at the time of decision making. Once the management model is selected using the decision matrix and it is agreed with the different stakeholders, a group of tools and metrics associated with the agile management projects are proposed to provide a regular visibility of the project progress, risks, contingency plans and problems, with proper alerts and escalations. Besides the group of tools and metrics proposed for agile project management, the necessary modifications over the traditional contract models and a new contract model are proposed: the Agile Contract. The main difference between this new contract model and the traditional ones is that, as the agile methodologies, it is executed in segments or iterations. To sum up, the objective of this document is to provide a mechanism that facilitates the inclusion of new agile management models in big companies, with a controlled transition and proposing adapted tools and metrics to have a full visibility over the project in all the phases of the project life cycle.

Modelado y Evaluación de Entornos Virtuales Interactivos para Rehabilitación Cognitiva en Daño Cerebral

El Daño Cerebral (DC) se refiere a cualquier lesión producida en el cerebro y que afecta a su funcionalidad. Se ha convertido en una de las principales causas de discapacidad neurológica de las sociedades desarrolladas. Hasta la más sencilla de las actividades y acciones que realizamos en nuestro día a día involucran a los procesos cognitivos. Por ello, la alteración de las funciones cognitivas como consecuencia del DC, limita no sólo la calidad de vida del paciente sino también la de las persona de su entorno. La rehabilitación cognitiva trata de aumentar la autonomía y calidad de vida del paciente minimizando o compensando los desórdenes funciones causados por el episodio de DC. La plasticidad cerebral es una propiedad intrínseca al sistema nervioso humano por la que en función a la experiencia se crean nuevos patrones de conectividad. El propósito de la neurorrehabilitación es precisamente modular esta propiedad intrínseca a partir de ejercicios específicos, los cuales podrían derivar en la recuperación parcial o total de las funciones afectadas. La incorporación de la tecnología a las terapias de rehabilitación ha permitido desarrollar nuevas metodologías de trabajo. Esto ha ayudado a hacer frente a las dificultades de la rehabilitación que los procesos tradicionales no logran abarcar. A pesar del gran avance realizado en los Ãoltimos años, todavía existen debilidades en el proceso de rehabilitación; por ejemplo, la trasferencia a la vida real de las habilidades logradas durante la terapia de rehabilitación, así como su generalización a otras actividades cotidianas. Los entornos virtuales pueden reproducir situaciones cotidianas. Permiten simular, de forma controlada, los requisitos conductuales que encontramos en la vida real. En un contexto terapéutico, puede ser utilizado por el neuropsicólogo para corregir en el paciente comportamientos patológicos no deseados, realizar intervenciones terapéuticas sobre Actividades de Vida Diaria que estimulen conductas adaptativas. A pesar de que las tecnologías actuales tienen potencial suficiente para aportar nuevos beneficios al proceso de rehabilitación, existe cierta reticencia a su incorporación a la clínica diaria. A día de hoy, no se ha podido demostrar que su uso aporte una mejorar significativa con respecto a otro tipo de intervención; en otras palabras, no existe evidencia científica de la eficacia del uso de entornos virtuales interactivos en rehabilitación. En este contexto, la presente Tesis Doctoral trata de abordar los aspectos que mantienen a los entornos virtuales interactivos al margen de la rutina clínica diaria. Se estudian las diferentes etapas del proceso de rehabilitación cognitiva relacionado con la integración y uso de estos entornos: diseño de las actividades, su implementación en el entorno virtual, y finalmente la ejecución por el paciente y análisis de los respectivos datos. Por tanto, los bloques en los que queda dividido el trabajo de investigación expuesto en esta memoria son: 1. Diseño de las AVD. La definición y configuración de los elementos que componen la AVD permite al terapeuta diseñar estrategias de intervención terapéutica para actuar sobre el comportamiento del paciente durante la ejecución de la actividad. En esta parte de la tesis se pretende formalizar el diseño de las AVD de tal forma que el terapeuta pueda explotar el potencial tecnológico de los entornos virtuales interactivos abstrayéndose de la complejidad implícita a la tecnología. Para hacer viable este planteamiento se propone una metodología que permita modelar la definición de las AVD, representar el conocimiento implícito en ellas, y asistir al neuropsicólogo durante el proceso de diseño de la intervención clínica. 2. Entorno virtual interactivo. El gran avance tecnológico producido durante los Ãoltimos años permite reproducir AVD interactivas en un contexto de uso clínico. El objetivo perseguido en esta parte de la Tesis es el de extraer las características potenciales de esta solución tecnológica y aplicarla a las necesidades y requisitos de la rehabilitación cognitiva. Se propone el uso de la tecnología de Vídeo Interactivo para el desarrollo de estos entornos virtuales. Para la evaluación de la misma se realiza un estudio experimental dividido en dos fases con la participación de sujetos sanos y pacientes, donde se valora su idoneidad para ser utilizado en terapias de rehabilitación cognitiva. 3. Monitorización de las AVD. El uso de estos entornos virtuales interactivos expone al paciente ante una gran cantidad de estímulos e interacciones. Este hecho requiere de instrumentos de monitorización avanzado que aporten al terapeuta información objetiva sobre el comportamiento del paciente, lo que le podría permitir por ejemplo evaluar la eficacia del tratamiento. En este apartado se propone el uso de métricas basadas en la atención visual y la interacción con el entorno para conocer datos sobre el comportamiento del paciente durante la AVD. Se desarrolla un sistema de monitorización integrado con el entorno virtual que ofrece los instrumentos necesarios para la evaluación de estas métricas para su uso clínico. La metodología propuesta ha permitido diseñar una AVD basada en la definición de intervenciones terapéuticas. Posteriormente esta AVD has sido implementada mediante la tecnología de vídeo interactivo, creando así el prototipo de un entorno virtual para ser utilizado por pacientes con déficit cognitivo. Los resultados del estudio experimental mediante el cual ha sido evaluado demuestran la robustez y usabilidad del sistema, así como su capacidad para intervenir sobre el comportamiento del paciente. El sistema monitorización que ha sido integrado con el entorno virtual aporta datos objetivos sobre el comportamiento del paciente durante la ejecución de la actividad. Los resultados obtenidos permiten contrastar las hipótesis de investigación planteadas en la Tesis Doctoral, aportando soluciones que pueden ayudar a la integración de los entornos virtuales interactivos en la rutina clínica. Esto abre una nueva vía de investigación y desarrollo que podría suponer un gran progreso y mejora en los procesos de neurorrehabilitación cognitiva en daño cerebral. ABSTRACT Brain injury (BI) refers to medical conditions that occur in the brain, altering its function. It becomes one of the main neurological disabilities in the developed society. Cognitive processes determine individual performance in Activities of Daily Living (ADL), thus, the cognitive disorders after BI result in a loss of autonomy and independence, affecting the patient’s quality of life. Cognitive rehabilitation seeks to increase patients’ autonomy and quality of life minimizing or compensating functional disorders showed by BI patients. Brain plasticity is an intrinsic property of the human nervous system whereby its structure is changed depending on experience. Neurorehabilitation pursuits a precise modulation of this intrinsic property, based on specific exercises to induce functional changes, which could result in partial or total recovery of the affected functions. The new methodologies that can be approached by applying technologies to the rehabilitation process, permit to deal with the difficulties which are out of the scope of the traditional rehabilitation. Despite this huge breakthrough, there are still weaknesses in the rehabilitation process, such as the transferring to the real life those skills reached along the therapy, and its generalization to others daily activities. Virtual environments reproduce daily situations. Behavioural requirements which are similar to those we perceive in real life, are simulated in a controlled way. In these virtual environments the therapist is allowed to interact with patients without even being present, inhibiting unsuitable behaviour patterns, stimulating correct answers throughout the simulation and enhancing stimuli with supplementary information when necessary. Despite the benefits which could be brought to the cognitive rehabilitation by applying the potential of the current technologies, there are barriers for widespread use of interactive virtual environments in clinical routine. At present, the evidence that these technologies bring a significant improvement to the cognitive therapies is limited. In other words, there is no evidence about the efficacy of using virtual environments in rehabilitation. In this context, this work aims to address those issues which keep the virtual environments out of the clinical routine. The stages of the cognitive rehabilitation process, which are related with the use and integration of these environments, are analysed: activities design, its implementation in the virtual environment, and the patient’s performance and the data analysis. Hence, the thesis is comprised of the main chapters that are listed below: 1. ADL Design.Definition and configuration of the elements which comprise the ADL allow the therapist to design intervention strategies to influence over the patient behaviour along the activity performance. This chapter aims to formalise the AVD design in order to help neuropsychologists to make use of the interactive virtual environments’ potential but isolating them from the complexity of the technology. With this purpose a new methodology is proposed as an instrument to model the ADL definition, to manage its implied knowledge and to assist the clinician along the design process of the therapeutic intervention. 2. Interactive virtual environment. Continuous advancements make the technology feasible for re-creating rehabilitation therapies based on ADL. The goal of this stage is to analyse the main features of virtual environments in order to apply them according to the cognitive rehabilitation’s requirements. The interactive video is proposed as the technology to develop virtual environments. Experimental study is carried out to assess the suitability of the interactive video to be used by cognitive rehabilitation. 3. ADL monitoring system. This kind of virtual environments bring patients in front lots of stimuli and interactions. Thus, advanced monitoring instruments are needed to provide therapist with objective information about patient’s behaviour. This thesis chapter propose the use of metrics rely on visual patients’ visual attention and their interactions with the environment. A monitoring system has been developed and integrated with the interactive video-based virtual environment, providing neuropsychologist with the instruments to evaluate the clinical force of this metrics. Therapeutic interventions-based ADL has been designed by using the proposed methodology. Interactive video technology has been used to develop the ADL, resulting in a virtual environment prototype to be use by patients who suffer a cognitive deficits. An experimental study has been performed to evaluate the virtual environment, whose overcomes show the usability and solidity of the system, and also its capacity to have influence over patient’s behaviour. The monitoring system, which has been embedded in the virtual environment, provides objective information about patients’ behaviour along their activity performance. Research hypothesis of the Thesis are proven by the obtained results. They could help to incorporate the interactive virtual environments in the clinical routine. This may be a significant step forward to enhance the cognitive neurorehabilitation processes in brain injury.

JUVENTUDE E A ERA DA INTERNET: integração e interação

O objetivo deste trabalho é refletir sobre o processo cognitivo comportamental dos jovens, imersos em tecnologias contemporâneas como a Internet. A luz dos debates trazidos pelos pensadores das áreas de Comunicação e Psicologia Social, realizou-se uma avaliação comparativa de diferentes fontes. Através da revisão bibliográfica, passou-se a uma investigação em caráter exploratório sobre as abordagens integradas de alguns trabalhos, acerca da relação dos jovens com a Internet, o processo comunicativo, o desenvolvimento cognitivo humano e mudanças comportamentais nessa relação. Verificou-se que na maioria desses trabalhos, a Internet exerceu um papel de mecanismo facilitador para a interação entre os jovens, na identificação com seus pares, o que propiciou um diferencial no processo cognitivo, e, por fim, em sua singularização. Porém, não podemos deixar de apresentar os resultados dos demais trabalhos, pois, nos levou a ter um olhar mais cuidadoso nos background individual e social da população em questão.(AU)

JUVENTUDE E A ERA DA INTERNET: integração e interação

O objetivo deste trabalho é refletir sobre o processo cognitivo comportamental dos jovens, imersos em tecnologias contemporâneas como a Internet. A luz dos debates trazidos pelos pensadores das áreas de Comunicação e Psicologia Social, realizou-se uma avaliação comparativa de diferentes fontes. Através da revisão bibliográfica, passou-se a uma investigação em caráter exploratório sobre as abordagens integradas de alguns trabalhos, acerca da relação dos jovens com a Internet, o processo comunicativo, o desenvolvimento cognitivo humano e mudanças comportamentais nessa relação. Verificou-se que na maioria desses trabalhos, a Internet exerceu um papel de mecanismo facilitador para a interação entre os jovens, na identificação com seus pares, o que propiciou um diferencial no processo cognitivo, e, por fim, em sua singularização. Porém, não podemos deixar de apresentar os resultados dos demais trabalhos, pois, nos levou a ter um olhar mais cuidadoso nos background individual e social da população em questão.(AU)

Realizing Sustained School Improvement

Author: Jeanice Kerr Swift Title: REALIZING SUSTAINED SCHOOL IMPROVEMENT Advisor: Dr. Kent Seidel and Dr. Linda Brookhart Degree Date: June, 2011 Developing effective methods for improving America's schools is dependent upon coordinated work of practitioners and researchers. School improvement proves a complicated, confusing and most often troubled process; one characterized by the unprecedented challenges of dramatic societal shift, increasing levels of student need, and ongoing involvement from political and governmental influences. The drive to discover better ways to consistently improve schools is fueled by urgency for dramatic results. This research examines both the macro and the micro levels of the school improvement process and illuminates the need for an intentional new way of thinking and leading. At the macro level, the study examined the need for implementing a systems approach to improve America's schools. The study explored a single school's improvement journey. This work aligned individual and group perceptions of staff members alongside student achievement outcome data framed against the findings in the literature. The study rendered themes from within the reflected experiences of participant educators; the work pointed to the need for an improved social technology, the importance of teams, and shared leadership in the orchestrating of successful school improvement processes, particularly the essential roles of collective listening, learning, and leading to realize transformed outcomes for schools.