Étude exploratoire du recours à des interventions médicales de type "lourd' pour soulager la souffrance existentielle en fin de vie

Au cours du siècle dernier, des améliorations au niveau des conditions de vie ainsi que des avancées importantes dans les sciences biomédicales ont permis de repousser les frontières de la vie. Jusqu’au début du XXe Siècle, la mort était un processus relativement bref, survenant à la suite de maladies infectieuses et avait lieu à la maison. À présent, elle survient plutôt après une longue bataille contre des maladies incurables et des afflictions diverses liées à la vieillesse et a le plus souvent lieu à l’hôpital. Pour comprendre la souffrance du malade d’aujourd’hui et l’aborder, il faut comprendre ce qu’engendre comme ressenti ce nouveau contexte de fin de vie autant pour le patient que pour le clinicien qui en prend soin. Cette thèse se veut ainsi une étude exploratoire et critique des enjeux psychologiques relatifs à cette mort contemporaine avec un intérêt premier pour l’optimisation du soulagement de la souffrance existentielle du patient dans ce contexte. D’abord, je m’intéresserai à la souffrance du patient. À travers un examen critique des écrits, une définition précise et opérationnelle, comportant des critères distinctifs, de ce qu’est la souffrance existentielle en fin de vie sera proposée. Je poserai ainsi l’hypothèse que la souffrance peut être définie comme une forme de construction de l’esprit s’articulant autour de trois concepts : intégrité, altérité et temporalité. D’abord, intégrité au sens où initialement l’individu malade se sent menacé dans sa personne (relation à soi). Ensuite, altérité au sens où la perception de ses conditions extérieures a un impact sur la détresse ressentie (relation à l’Autre). Et finalement, temporalité au sens où l’individu souffrant de façon existentielle semble bien souvent piégé dans un espace-temps particulier (relation au temps). Ensuite, je m’intéresserai à la souffrance du soignant. Dans le contexte d’une condition terminale, il arrive que des interventions lourdes (p. ex. : sédation palliative profonde, interventions invasives) soient discutées et même proposées par un soignant. Je ferai ressortir diverses sources de souffrance propres au soignant et générées par son contact avec le patient (exemples de sources de souffrance : idéal malmené, valeurs personnelles, sentiment d’impuissance, réactions de transfert et de contre-transfert, identification au patient, angoisse de mort). Ensuite, je mettrai en lumière comment ces dites sources de souffrance peuvent constituer des barrières à l’approche de la souffrance du patient, notamment par l’influence possible sur l’approche thérapeutique choisie. On constatera ainsi que la souffrance d’un soignant contribue par moment à mettre en place des mesures visant davantage à l’apaiser lui-même au détriment de son patient. En dernier lieu, j'élaborerai sur la façon dont la rencontre entre un soignant et un patient peut devenir un espace privilégié afin d'aborder la souffrance. J'émettrai certaines suggestions afin d'améliorer les soins de fin de vie par un accompagnement parvenant à mettre la technologie médicale au service de la compassion tout en maintenant la singularité de l'expérience du patient. Pour le soignant, ceci nécessitera une amélioration de sa formation, une prise de conscience de ses propres souffrances et une compréhension de ses limites à soulager l'Autre.

Récits du vieillir « actif » et de la citoyenneté au quotidien : l’expérience des femmes aînées au Québec

Taken as a policy framework, active aging ranks high on most supranational bodies’ agenda. The new political economy of aging portrays “active” citizenship amongst seniors as a key challenge for the years to come. Our research focuses on, first, elderly women’s everyday ‘active’ practices, their meaning and purpose, in the context of Quebec’s active aging policy framework; and second, their day-to-day practical citizenship experiences. Informed by discourse analysis and a narrative approach, the life stories of women 60 to 70 years of age allowed for the identification of a plethora of distinctive old age activity figures. More specifically, four activity figures were identified by which respondents materialize their routine active practices, namely: (1) paid work; (2) voluntary and civic engagement; (3) physical activity; and (4) caregiving. Set against Quebec’s active aging policy framework, these patterns and set of practices that underpin them are clearly in tune with government’s dominant perspectives. Respondents’ narratives also show that active aging connotes a range of ‘ordinary’ activities of daily living, accomplished within people’s private worlds and places of proximity. Despite nuances, tensions and opposition found in dominant public discourse, as well as in active aging practices, a form of counter-discourse does not emerge from respondents’ narratives. To be active is normally the antithesis of immobility and dependence. Thus, to see oneself as active in old age draws on normative, positive assumptions about old age quite difficult to refute; nevertheless, discourses also raise identity and relational issues. In this respect, social inclusion issues cut across all active aging practices described by respondents. Moreover, a range of individual aims and quests underpin activity pattern. Such quests express respondents’ subjective interactions with their social environment; including their actions’ meaning and sense of social inclusiveness in old age. A first quest relates to personal identity and social integration to the world; a second one concerns giving; a third centers on the search for authenticity; whereas the fourth one is connected to a desire for freedom. It is through the objectivising of active practices and related existential pursuits that elderly woman recognize themselves as active citizens, rooted in the community, and variously contributing to society. Accordingly, ‘active’ citizenship experiences are articulated in a dialogic manner between the dimensions of ‘doing’, ‘active’ social practices, and ‘being’ in relation to others, within a context of interdependence. A proposed typology allows for the modeling of four ‘active’ citizenship figures. Overall, despite the role played by power relations and social inequality in structuring aging experiences, in everyday life ‘old age citizenship’ appears as a relational process, embedded in a set of social relations and practices involving individuals, families and communities, whereby elderly women are able to express a sense of agency within their social world.

Objetivos de Vida e Satisfação na Vida Conjugal em Pais/Progenitores de Crianças com Autismo

Introdução: A presença do diagnóstico de autismo numa criança é algo marcante no seio familiar. Implica inúmeros desafios para os seus pais/progenitores, podendo influenciar os objetivos delineados para as suas vidas e a satisfação na relação conjugal. Os nossos objetivos foram: caraterizar progenitores de crianças com autismo quanto aos objetivos de vida e satisfação na vida conjugal e explorar as associações existentes entre estas duas variáveis (e com variáveis sociodemográficas e relativas ao apoio recebido). Não deixamos de explorar os níveis de depressão, ansiedade, e stress, vivenciados por estes pais. Metodologia: 66 progenitores (sexo feminino, n = 52, 78,8%; idade média, M = 40,2, DP = 6,45) de crianças com autismo preencheram um questionário sociodemográfico, o Teste dos objetivos de vida/PIL-R, a Escala de Avaliação da Satisfação em Áreas da Vida Conjugal/EASAVIC e a Depression, Anxiety and Stress Scale-21/DASS-21. Resultados: Os progenitores revelaram valores médios de objetivos de vida (PIL-R). Foi na dimensão vivencial (PIL-R) e nas dimensões Comunicação e Intimidade Emocional (satisfação em áreas da vida conjugal/EASAVIC) que os progenitores apresentaram valores médios mais elevados. No caso da DASS-21, foi na escala Stress que os progenitores apresentaram valores mais elevados. Porém, em todas as dimensões da DASS-21, os níveis encontrados foram normais. Não se verificaram diferenças estatisticamente significativas por sexo em todas as dimensões do PIL-R, da EASAVIC e DASS-21. Ambas as dimensões do PIL-R, dimensional e existencial, bem como a sua pontuação total mostraram estar associadas com todas as dimensões da EASAVIC (satisfação em áreas da vida conjugal). As três dimensões da DASS-21 (Depressão, Ansiedade e Stress) revelaram estar associada (negativamente) com praticamente todas as dimensões da EASAVIC e do PIL-R. Os progenitores que pertenciam a associações de apoio apenas se diferenciaram dos progenitores que pertenciam a um grupo (de apoio e partilha) numa rede social na dimensão Ansiedade, com estes últimos a apresentarem um nível mais elevado. Discussão: Neste estudo (ainda que numa amostra de tamanho reduzido), inovador pelo tema explorado, os níveis dos objetivos de vida e de satisfação em áreas da vida conjugal (bem como de sintomas de psicopatologia) pareceram “não sofrer” o impacto associado ao facto dos progenitores terem um filho com autismo. Os objetivos de vida mantidos por estes pais influenciam a sua satisfação com a vida conjugal e vice-versa, indicando a importância das equipas que trabalham com estes pais não esquecerem a promoção destas variáveis. / Introduction: The presence of the diagnosis of autism in a child is something remarkable in the family. Involves many challenges for parents/progenitors, which can influence the goals they define in their lives and their satisfaction with the marital relationship. Our objectives were to characterize parents of children with autism on the objectives of life and satisfaction with marital life and explore the associations between these two variables (and with sociodemographic and support variables). We will not forget to explore the levels of depression, anxiety, and stress, experienced by these parents. Methodology: 66 parents (females, n = 52, 78.8%, mean age, M = 40.2, SD = 6.45) of children with autism completed a sociodemographic questionnaire, the Test of Life Goals/PIL-R, the Areas of Marital Satisfaction Rating Scale/EASAVIC and the Depression, Anxiety and Stress Scale-21/DASS-21. Results: Parents showed a mean value of life goals (PIL-R). Was in the experiential dimension (PIL-R) and the Communication and Emotional Intimacy dimensions (satisfaction in areas of marital life/EASAVIC) that the parents presented higher mean values. Regarding DASS-21, Stress was the scale in which the parents had higher values. However, in all the DASS-21, levels were “normal”. There were no statistically significant differences by gender in all the PIL-R, EASAVIC and DASS-21 scales. Both dimensions of the PIL-R, dimensional and existential, as well as the total score were found to be associated with all the dimensions of EASAVIC (satisfaction in areas of marital life). The three dimensions of the DASS-21 (Depression, Anxiety and Stress) revealed to be associated (negatively) with virtually all dimensions of the EASAVIC and the PIL-R. Parents who belonged to associations only differed from the parents from a social network group (of support and sharing) in the anxiety dimension, with the later presenting an higher level. Discussion: In this study (even if in a small sample size), innovative by the theme explored, levels of life goals and satisfaction in areas of marital life (as well as symptoms of psychopathology) seemed not to suffer from the impact of the parents having a child with autism. The life goals held by these parents influence their satisfaction with marital life and vice versa, indicating the importance of teams working with these parents of not forgetting the promotion of these variables.

Vivências de Esposas de Ex-combatentes Diagnosticados com Stress Pós-traumático: uma abordagem fenomenológica

A Guerra Colonial assombrou a sociedade Portuguesa, durante mais de 10 anos. Durante esse tempo, milhares de jovens soldados foram obrigados fazer parte dessa Luta. Grande parte deles desenvolvera a Perturbação de Stress Pós-Traumático, com a qual ainda hoje vivem. A presente Investigação pretendeu descrever e compreender as Vivências das Esposas de Ex-Combatentes diagnosticados com a Perturbação de Stress Pós-Traumático, utilizando uma abordagem Qualitativa de Orientação Fenomenológica. Através deste Método, pretendeu-se conhecer a globalidade do Fenómeno, de uma forma compreensiva. Foram entrevistadas quatro Esposas que vivem de perto com este problema, as quais revelaram informações importantes para a Investigação. Desta maneira, foram recolhidos dados acerca da Infância e Adolescência, Casamento, Doença do Marido e Perspectivas de Futuro, destas Mulheres. Entre outras conclusões, destacamos a emergência de significações existenciais para estas Mulheres e o facto de esta doença ter influência a nível social, pessoal, familiar e económico. Além disso, as inúmeras estratégias de coping relatadas, demonstraram ser uma mais-valia na forma como estas esposas lidam com a doença dos Maridos. Desta maneira compreendeu-se o fenómeno de uma forma holística, o que forneceu dados importantes para entender o que estas Mulheres vivenciam diariamente, tal como uma melhor compreensão do estado Psicológico destas Esposas e dos Maridos. / The Colonial War haunted the Portuguese society, for over 10 years. During that time, thousands of young soldiers were forced to be part of that fight. Most of them developed Post-Traumatic Stress Disorder, which they still live with. This research aims to describe and understand the Experiences of War Veterans’ Wives, whose husbands were diagnosed with the Post-Traumatic Stress Disorder, using the qualitative method and phenomenological orientation. Through this method, we meant to understand the whole phenomenon in a comprehensive manner. We interviewed four Wives who live closely with this problem, which revealed important information for the investigation. Therefore, we collected data on Childhood and Adolescence, Marriage, Husband’s Disease and Future Prospects, of those Women’s. Among other findings, we highlight the emergence of existential meaning for these Women’s and the fact that this disease influences their lives on social, personal, familial and financial issues. Moreover, the many coping strategies reported, have proven an asset in the way this Wives deal with their husbands illness. Thus it was understood the phenomenon in a holistic way, which provided important information to understand what these Women’s live daily as a better understanding of the psychological state of Husbands and Wives.

Livsfrågor och religionskunskap : En belysning av ett centralt begrepp i svensk religionsdidaktik

This thesis focuses on “livsfrågor” (questions of life) a typical Swedish concept introduced in the RE syllabus in the curriculum for compulsory schools in 1969. The study poses three questions: what can qualify as a “livsfråga”, why are they regarded important, and how do they fit into teaching? The main purpose is to study differences of the concept in two materials. Primarily interviews with Teacher educators all over Sweden and, secondly in the R.E. syllabus for compulsory and secondary schools from 1962 until today. Finally, the two materials used, will be brought together, and foci are recognized with the help of a tool for thought.  The study is using the concept dialogicity from Bachtin. Syllabus are viewed as compromises in accordance with a German tradition. In the syllabus, “livsfrågor” is one within many different words used with none what so ever stringency. It is not necessarily the most important term, as “livsåskådningsfrågor” (questions within philosophies of life)  is often dominating in objectivities. Also “existential questions” etc is used. The relation between the words are never made clear.  The syllabus are in one sense monologial as different meanings of the word are not made explicit, and other utterances are not invoked. In the interviews the dialogicity is more obvious. Philosophy is mentioned, eg.. Martin Buber, Viktor Frankl, theology (Paul Thillich), but also literature (Lars Gyllensten) and existentialism in a general sence. Other words are not as frequent – but “livsåskådningsfrågor” are of course mentioned, eg. Faith vs. knowledge. In the last chapter “livsfrågor” is problematized with the help of Andrew Wright and his three metanarrativies within the modern R.E. And the assumption, especially in the syllabus, of “livsfrågor”, as common between cultures and over time is problematized with the help of . feministic theory of knowledge.

Stressful Life Events and their Trajectories among Midlife Women: Observations from the Seattle Midlife Women's Health Study

Thesis (Ph.D.)--University of Washington, 2016-08

Conditions for Teaching and Learning in Religious Education (RE) : Perspectives of Teachers and Pupils at the Beginning of the 6th Grade in Sweden

In this article empirical findings from interviews with teachers of three classes of 12-year-old pupils are presented, together with questionnaire-responses from these 54 pupils. The interviews focus on teaching aims for Religious Education (RE), a subject that in Sweden, besides dealing with religion, also explores other kinds of beliefs, ethics and life questions. In the questionnaire the pupils are asked to solve four RE tasks with content that is central from a Swedish curriculum perspective. The research involves pupils at the beginning of the sixth grade and the purpose of this article is to look at the teachers’ aims and the pupils’ responses, and consider what these may indicate about conditions for teaching and learning RE in these classes. The findings show that the perspectives of the pupils at the beginning of the sixth grade seem to be rather far from the expectations of the RE syllabus. The pupils’ statements are rather vague with regard to religion as a phenomenon and there are few examples of pupils interpreting religious symbols in a way that is useful in further analysis. While existential and ethical plots, messages and point of views are comparatively easy to describe, it is harder to express multiple perspectives, reasons, comparisons and questions. A problem for the teachers in developing the perspectives of their pupils is that they find it hard to say what kind of general difficulties pupils have in RE, a fact that makes it hard to direct the teaching. Another challenge is that the teachers’ RE-aims are rather overarching and primarily related to fostering fundamental values. What improves the conditions for teaching and learning is the teachers’ concern for the pupils and their relationships with the teacher and with each other, a factor which is of vital importance for learning and which can also be used as a specific teaching method in subject matter education.

R. D. Laingin antipsykiatrinen kritiikki teoksessa Divided Self

Analysoin tutkimuksessani radikaalin antipsykiatrian hulluuskäsityksiä ja psykiatrian kritiikkiä osana 1960-luvun vastakulttuuria ja kulttuurista murrosta. Alkuperäislähteeni on R. D. Laingin Divided Self: An Existential Study in Sanity and Madness (1960), jossa Laing käsitteli ajatuksiaan skitsofreenikoiden kokemusmaailmasta ja psykiatrisen katseen kohdentumisesta ymmärtämiseen ja empatiaan potilassuhteessa. Hän lähestyi aihettaan eksistentialistis-fenomenologisesta näkökulmasta ja sai leiman hulluuden romantisoijana ehdottaessaan myöhemmin 1960-luvulla, että kaikki psykoottiset matkat saattoivat johtaa yksilön ”uudelleensyntymään”. 1960-luvulla erityisesti psykiatreista ja sosiologeista koostuva joukko toi esiin kriittisiä näkemyksiä mielisairaalapotilaiden oikeuksista ja hoidosta samalla kyseenalaisten sairauksien medikaalisen mielen. He kommentoivat samalla sekä psykiatrian vallan käyttöä, että länsimaisen sivilisaation tilaa. Sodan jälkeisen maailman murros eli teknologian kasvu, kaupungistuminen ja arvojen materiaalistuminen vähensivät mahdollisuutta ihmisten sosiaalisten tarpeiden tyydyttämiseen. Nämä aiheuttivat henkilökohtaisella tasolla arvojen yhteentörmäyksiä, mistä 1960-luvun vastakulttuurit, kuten antipsykiatria, saivat kasvualustaa. Laingin teos avaa yhden näkökulman 1960-luvun ajatteluun ja kulttuuriin, jossa elettiin uudenlaisten elämäntapojen etsimisen aikaa. Laingin esittämät argumentit saivat laboratorion Kingsley Hallin terapeuttisesta yhteisöstä, joka perustettiin The Philadelphia Associationin tuella Lontoon East Endiin vuonna 1965. Tarkastelen yhteisöä paikkautopiana ja vaihtoehtona mielisairaalahoidolle. Laingin teoksen ja Kingsley Hallin kokeilun kautta asetan antipsykiatrian osaksi 1960-luvun vastakulttuuristen liikkeiden kirjoa.

Avaliação da qualidade de vida e da autopercepção corporal em mulheres com câncer de mama submetidas à reconstrução mamária

O câncer de mama compõe-se de 22% dos casos novos verificados a cada ano, configurando o segundo tipo de doença mais frequente entre as mulheres. O tratamento para esse tipo de enfermidade, bem como os sintomas apresentados, provocam alterações psicológicas nas mulheres, afetando a dimensão da auto-imagem do dado existencial do ser. Logo, a escolha pela reconstrução mamária tem mostrado uma adaptação da imagem que cada mulher produz de si, e isso concorre para restabelecer o equilíbrio psicológico que é afetado, diante do diagnóstico e da perda da mama. A fisioterapia é essencial tanto na preparação, quanto após a intervenção cirúrgica das pacientes, tendo como premissa a recuperação das suas funções e também, no restabelecimento da sua autoimagem corporal, podendo minimizar os efeitos adversos da reconstrução mamária. Nesse ínterim, em uma forma transversal prospectiva, este estudo teve como objetivo, avaliar a qualidade de vida e da autopercepção corporal em pacientes com câncer de mama submetidas à reconstrução mamária, relacionando a qualidade de vida com a realização ou não da fisioterapia, após o processo da intervenção cirúrgica. Como resultados, observou-se a existência de correlações entre a IC - Imagem Corporal e os domínios da qualidade de vida, com uma correlação moderada significativa apenas no domínio psicológico e que correspondeu à melhor imagem corporal da paciente. Quanto à imagem corporal, todas as pacientes demonstraram um índice satisfatório na escala corporal. Quando comparado à execução ou não da fisioterapia apresentaram igual comportamento para quem fez e para aquelas que não realizaram fisioterapia. Na verificação de quem fez ou não fisioterapia, a satisfação foi superior no grupo que fez, e a insatisfação foi menor nesse grupo do que naquele que não realizou fisioterapia.

Introdução à libras: língua, história e cultura

Reading the book Introduction to Libras: Language, History and Culture enables enter the world of the deaf, increasing thus the own existential universe by contact with the richness of Brazilian Sign Language (Libras) and the history and culture of deaf people. This work is proposed by the subject of knowledge, raise awareness of the need to build a society in which vigore the principle of social justice for all; promote the revision of prejudice suffered by the deaf that impose discriminatory compactuando with the lack of social equity; and awaken the desire for a full communication with deaf people through Pounds learning, valuing differences.

Poetyckie dialogi Czesława Miłosza i Tadeusza Różewicza

Wydział Filologii Polskiej i Klasycznej

INSPIRAÇÃO NORDESTINA: UMA LEITURA TEOLÓGICA NA POÉTICA DE PATATIVA DO ASSARÉ NA POENTE DO DIÁLOGO ENTRE TEOLOGIA E LITERATURA

Este trabalho se propõe estudar a obra do poeta cearense Antonio Gonçalves da Silva, conhecido como Patativa do Assaré. O estudo de tal obra encontra-se alicerçado na crítica literária, sobretudo no conceito de textos histórica e socialmente ancorados elaborado por Antonio Cândido, e na discussão do diálogo entre teologia e literatura, a partir da idéia de reescritura de um texto literário a partir de textos sagrados, de Eli Brandão. Dessa forma objetiva-se localizar, no contexto brasileiro, a partir do diálogo entre teologia e literatura, a plausibilidade de nossa pesquisa, ou seja: ao longo da produção literária de Patativa do Assaré, encontramos questões existenciais provocadoras de diversas aflições percebidas no cotidiano do povo sertanejo, as quais nos remetem a questionamentos e temas de cunho teológico, notados através da obra de um poeta, reveladora não somente da dura realidade do nordestino, mas também da fé e esperança deste em um Deus, visto ao longo da poética de Patativa do Assaré não como fonte de castigo, mas percebido como um Deus sensível aos sofrimentos, mazelas e marginalização dos nordestinos desamparados. Assim, acreditamos na proposta de estudar a poética patativana sob a perspectiva de “um olhar teológico”, a partir do qual se percebe “temas teológicos nordestinos”, elaborados a partir do contato do poeta com o catolicismo do sertão, mas que, na percepção e compreensão de mundo de Patativa assumem novos significados e novas interpretações.

Formal and philological inquiries into the nature of interrogatives, indefinites, disjunction, and focus in Sinhala and other languages

In this thesis I examine a variety of linguistic elements which involve ``alternative'' semantic values---a class arguably including focus, interrogatives, indefinites, and disjunctions---and the connections between these elements. This study focusses on the analysis of such elements in Sinhala, with comparison to Malayalam, Tlingit, and Japanese. The central part of the study concerns the proper syntactic and semantic analysis of Q[uestion]-particles (including Sinhala "da", Malayalam "-oo", Japanese "ka"), which, in many languages, appear not only in interrogatives, but also in the formation of indefinites, disjunctions, and relative clauses. This set of contexts is syntactically-heterogeneous, and so syntax does not offer an explanation for the appearance of Q-particles in this particular set of environments. I propose that these contexts can be united in terms of semantics, as all involving some element which denotes a set of ``alternatives''. Both wh-words and disjunctions can be analysed as creating Hamblin-type sets of ``alternatives''. Q-particles can be treated as uniformly denoting variables over choice functions which apply to the aforementioned Hamblin-type sets, thus ``restoring'' the derivation to normal Montagovian semantics. The treatment of Q-particles as uniformly denoting variables over choice functions provides an explanation for why these particles appear in just this set of contexts: they all include an element with Hamblin-type semantics. However, we also find variation in the use of Q-particles; including, in some languages, the appearance of multiple morphologically-distinct Q-particles in different syntactic contexts. Such variation can be handled largely by positing that Q-particles may vary in their formal syntactic feature specifications, determining which syntactic contexts they are licensed in. The unified analysis of Q-particles as denoting variables over choice functions also raises various questions about the proper analysis of interrogatives, indefinites, and disjunctions, including issues concerning the nature of the semantics of wh-words and the syntactic structure of disjunction. As well, I observe that indefinites involving Q-particles have a crosslinguistic tendency to be epistemic indefinites, i.e. indefinites which explicitly signal ignorance of details regarding who or what satisfies the existential claim. I provide an account of such indefinites which draws on the analysis of Q-particles as variables over choice functions. These pragmatic ``signals of ignorance'' (which I argue to be presuppositions) also have a further role to play in determining the distribution of Q-particles in disjunctions. The final section of this study investigates the historical development of focus constructions and Q-particles in Sinhala. This diachronic study allows us not only to observe the origin and development of such elements, but also serves to delimit the range of possible synchronic analyses, thus providing us with further insights into the formal syntactic and semantic properties of Q-particles. This study highlights both the importance of considering various components of the grammar (e.g. syntax, semantics, pragmatics, morphology) and the use of philology in developing plausible formal analyses of complex linguistic phenomena such as the crosslinguistic distribution of Q-particles.

The development of the accounting professional in a postcolonial context: evidence from Sierra Leone

Despite increasing interest in the development of the accountancy profession and constitutive professional bodies in ex-colonies, little is known about the development of professional accountants as individuals. Similarly, although the continuing influence of the legacies of colonialism and imperialism on the accounting professionalisation trajectory in ex-colonies has been recognised, little attempt has been made to theorise such continuing colonial intervention as a postcolonial condition of accommodation and resistance, with implications for the development of professional accountants. This thesis fills this vacuum by employing four aspects of the critical lens of postcolonial theory – local-global nexus, psycho-existential complex, postcolonial hybridity and diaspora - to gain an insight into the development of accounting professionals in ex-colonies with specific reference to Sierra Leone. Specifically, it examines the current model of accounting professionalisation adopted in Sierra Leone and implications for the development of professional accountants in the country; investigates the historical and ideological legacies of colonialism that shaped and continue to influence the professionalisation trajectory in Sierra Leone; explores the perceptions of Sierra Leonean chartered and aspiring accountants of their professional identity in terms of their professional development within Sierra Leone; and explores the lived experiences of Sierra Leonean chartered and aspiring accountants in the diaspora and the diaspora effect on accountancy in Sierra Leone. The empirical evidence presented here emanated from two sources: a web-based survey and semi-structured interviews with Sierra Leonean chartered and aspiring accountants both within and outside the country at the time of the study. The model for developing professional accountants in Sierra Leone comprises a partnership between the local professional body, ICASL, and the British-based global body, the ACCA. A postcolonial analysis of the empirical evidence reveals that an unintended consequence of this model is that the local is co-opted within the global while the global becomes increasingly localised. The analysis also shows that the presence of a perceived global body ‘inferiorises’ the local body to the point of undesirability among local chartered and aspiring accountants. Thus the partnership has to date done little by way of developing ICASL’s capacity to ensure the development of a localised profession and professionals. Instead, it produces, within the Sierra Leone accountancy space, professional hybrids that at once pose as global as well as local accountants. This has significant implications for the local profession because many of the hybrid professional accountants who could potentially drive the local profession forward end up in the diaspora, which leaves the local profession in a weaker state. Also, given the established link between a robust accountancy profession and sustainable economic development, such professional diasporisation could negatively impact on the country’s economic development. In sum, Sierra Leone has failed to establish an accounting professionalisation model that develops professional accountants (through contextualised professional education and training) that meets the specific accounting needs of its growing economy.

Autoritarismes étatiques et régulation religieuse du politique en République démocratique du Congo : analyse discursive de la parole épiscopale catholique sur les élections (1990-2015)

Centrée essentiellement autour de la parole épiscopale congolaise, la présente recherche porte sur les articulations de la religion et du politique dans une perspective limitée au catholicisme en RDC. En prenant pour base empirique la ville de Kinshasa, elle thématise les effets des dynamiques religieuses sur les fermentations sociales et les changements politiques dans un contexte d’autoritarisme. Celui-ci est, dans ce travail, problématisé comme le fait conjoint de l’institution étatique et de l’organisation religieuse catholique. Le choix de cette approche relationnelle basée sur les interactions entre religion et politique, permet d’inscrire ce travail dans le champ d’études des sciences des religions. L’approche retenue s’appuie également sur les avancées de la sociologie politique et éclaire la régulation religieuse du politique, rarement étudiée par les sciences humaines. Cette recherche s’inscrit donc à l’intersection entre l’histoire, la sociologie, les sciences politiques, l’anthropologie, l’analyse du discours, la philosophie et la théologie. Sa thèse centrale est organisée autour d’une question principale : comment la religion participe-t-elle à la régulation du politique dans le contexte d’autoritarisme caractéristique de la RDC ? La réponse à cette question croise l’approche fonctionnelle de la religion et l’analyse des déclarations institutionnelles de l’épiscopat congolais. Elle esquisse les relations entre, d’une part, contextes et événements sociopolitiques et d’autre part, discours et pratiques religieuses. Elle construit la scène religieuse à partir de la trajectoire sociopolitique, économique et culturelle de la RDC entre 1990 et 2015, sous les Présidents J.-D. Mobutu, L.-D. Kabila et J. Kabila. Elle étudie l'offre normative de sens de leurs éminences J.-A. Malula, F. Etsou et L. Monsengwo. L’analyse de la rhétorique de l’épiscopat sur les élections vérifie la plausibilité sociale et l’efficience politique de la parole épiscopale congolaise. Elle se ressource dans la pragmatique de la communication telle que mise en œuvre dans l’analyse argumentative du discours de R. Amossy et dans celle du discours politique de P. Charaudeau. En mettant la focale sur l’objet linguistique « vérité des urnes », la recherche pose au niveau normatif, juridique et éthique, le problème de l’institutionnalisation d’un État de droit en RDC. Les élaborations sur ce dernier niveau s’articulent autour de l’inscription de l’éthique dans l’agir politique. L’examen des modes conventionnels d’action des chrétiens (élections de 2006 et 2011) et non conventionnels (marche des chrétiens de 1992 et 2012) conduit à éclairer les modes de reproduction ou de contestation de l’autoritarisme étatique par l’organisation religieuse. Il permet de promouvoir une démocratie des valeurs et d’action adossée à la parrhêsia. L’introduction de l’aléthique dans la vie publique donne à voir la parole épiscopale congolaise comme un discours ethopoïétique. C’est sur ce point précis que les élaborations de M. Foucault sur la parrhêsia aident à thématiser la capacité de la religion à informer et à influencer la démocratisation de la RDC. De là, la requête formulée pour un nouveau système d’action institutionnelle de l’organisation religieuse, susceptible de promouvoir le courage de la vérité en situation autoritaire. Cette innovation permet de tenir ensemble les valeurs démocratiques et les valeurs de l’Évangile, en les corrélant à la cohérence axiologique, à la probité morale et à l’intégrité existentielle des protagonistes de la démocratisation de la RDC.