Psychothérapie et émancipation sociale : une exploration éthique et sociologique

Cette thèse théorique porte sur la psychothérapie et en particulier sur deux formes - la psychanalyse et la thérapie brève de l'école de Palo Alto - qu'elle entend examiner dans le cadre de débats portant principalement sur les efforts métathéoriques pour penser la modernité, la postmodernité et les phénomènes qui les accompagnent: rationalisation, individualisation, scepticisme ou relativisme cognitif et moral. Il est proposé que la psychothérapie puisse être considérée, au-delà de ce qui a été dit sur le caractère essentiellement narcissique de cette pratique, comme une contribution à l’émancipation sociale en favorisant le développement moral des personnes. Il s’agit ici de montrer que l’on peut faire une autre lecture de cette réalité, et ce à l’aide de ressources fournies par la tradition sociologique. Ce développement moral des personnes serait favorisé par un fonctionnement autoréflexif et des compétences communicationnelles, ces dernières traduisant, dans la pensée d’Habermas, la conscience morale. Mais pour qu’il y ait fonctionnement autoréflexif, il faut pouvoir accepter une capacité à connaître, à se connaître, ce que n’admettent pas d’emblée les thérapies influencées par le postmodernisme. Or l’examen des discours tenus par les praticiens eux-mêmes sur leurs pratiques révèle une influence du postmodernisme, que ce soit sous la forme du constructivisme, du constructionnisme social ou plus généralement d’un certain scepticisme et d’un refus concomitant de l'expertise et de l'autorité, une situation paradoxale pour une pratique professionnelle. Les deux formes de thérapies retenues censées représenter les deux pôles de l'intervention thérapeutique - le pôle technique, stratégique et le pôle expressiviste, communicationnel – sont examinées à la lumière de propositions mises de l’avant par Habermas, notamment sur les rationalités stratégique et communicationnelle ainsi que la situation idéale de parole. La psychothérapie apparait ici comme une contribution inestimable à une rationalisation du monde vécu. Forte d’un approfondissement des notions de modernité et de postmodernisme, l’exploration se poursuit avec une critique détaillée d’ouvrages de Foucault portant sur les pratiques disciplinaires, la grande objection à concevoir les psychothérapies comme émancipatrices. La thèse tend à démontrer que ces analyses ne reflètent plus une situation contemporaine. Enfin, la thèse examine le débat entre Habermas et Foucault sous l'angle des rapports critique-pouvoir : si le savoir est toujours le produit de rapports de pouvoir et s’il a toujours des effets de pouvoir, comment peut-il prétendre être critique ? Il en ressort que l'œuvre d’Habermas, en plus de posséder beaucoup plus d'attributs susceptibles d'appuyer la problématique, offre une théorisation plus équilibrée, plus nuancée des gains liés à la modernité, tandis que Foucault, outre qu'il n'offre aucun espoir de progrès ou gains en rationalité, nous lègue une conception du pouvoir à la fois plus réaliste (il est imbriqué dans toute communication et toute interaction), mais plus fataliste, sans possibilité de rédemption par le savoir. La thèse se conclut par un retour sur la notion d’individualisme avec L. Dumont, Lipovetsky, Taylor, ainsi que Bellah et al. pour discuter des phénomènes sociaux liés, pour certains critiques, à l’existence des psychothérapies, notamment l’instrumentalité des relations.

Explorer l'expérience vécue de la personne/famille tout au long du parcours de chirurgie pour un cancer pancréatique

Rapport de stage présenté à la Faculté des sciences infirmières en vue de l'obtention du grade de Maître ès sciences (M.Sc.) en sciences infirmières option expertise-conseil en soins infirmiers

La déqualification des immigrantes universitaires : le rôle de l’origine ethnique

Chicha (2009) constate un « trou noir » dans la littérature en ce qui a trait au processus qui engendre une plus forte déqualification à l’endroit des immigrantes universitaires. Ce « trou noir » est considéré comme problématique. D’une part, le gouvernement québécois tente de mettre en place des politiques d’immigration qui recrutent des immigrants ayant un capital humain élevé dans l’espoir qu’ils s’insèrent facilement sur marché de l’emploi. D’autre part, la présence plus marquée de déqualification de ce bassin de main d’œuvre démontre un écart entre la volonté politique et la situation réelle en emploi de ces immigrants. Il semble donc exister un problème de discrimination systémique lorsqu’il est question de déqualification des travailleuses immigrantes. Par souci d’équité et dans l’espoir d’avoir une meilleure compréhension du processus menant à la déqualification des immigrantes les objectifs de cette thèse sont de 1- mieux saisir le concept de discrimination en emploi et 2- mettre en place des mesures mieux adaptées pour s’attaquer à cette discrimination. Pour expliquer ce « trou noir », nous considérons que l’approche systémique est pertinente à cause de sa une vision holistique. Nous avons rencontré 52 immigrantes universitaires qui ont partagé leur parcours professionnel pré et post-migratoire. Les thématiques abordées touchaient à de nombreux sujets telles que leur formation, leur expérience professionnelle, leur stratégie d’unité familiale immigrante, leurs démarches concernant tant le processus de reconnaissance de leurs diplômes étrangers que leur insertion sur le marché de l’emploi, le climat de travail, etc. Les résultats de cette recherche indiquent que la discrimination en emploi est toujours présente sur le marché de l’emploi au Québec. De plus, l’origine ethnique, tel que la couleur de la peau, affecte les attitudes, comportements et propos des acteurs du milieu du travail à l’endroit des xiii immigrantes universitaires. L’application des typologies de Van Laer et Janssens (2011) et de Bonilla-Silva (2006) contribue à l’identification des attitudes, des comportements et des propos pouvant être considérés comme étant du racisme subtil. L’un des avancements de cette thèse est l’amélioration du cadre d’analyse systémique afin de mieux comprendre les difficultés à l’emploi des immigrantes universitaires. Les différentes théories empruntées de la psychologie sociale telles que les théories de similarité attraction, de catégorisation sociale et de qualité d’échanges entre subordonné et supérieur (Roberson et Block, 2001) permettent de peaufiner ce cadre d’analyse systémique, puisqu’il permet de mieux saisir les relations, parfois complexes, qui peuvent s’établir entre les différents acteurs et résulter en de la discrimination flagrante ou subtile.

La résilience conjugale du couple parental confronté à la greffe de son enfant dans un contexte d’oncologie pédiatrique

Essai présenté en vue de l’obtention du grade de Doctorat en psychologie, option psychologie clinique (D. Psy)

Escenarios del retail en Bogotá

Durante los últimos años el principal motor de la industria es el comercio, esta actividad económica de la ciudad ha permitido un trabajo en conjunto con las empresas productoras que conlleva beneficios y rentabilidad para ambos sectores satisfaciendo las necesidades de los habitantes de la capital. La importancia de la planeación estratégica por escenarios en el comercio al por menor permite un acercamiento sistémico que relata la interacción de este con su entorno, brindando herramientas para la toma decisiones por parte de la alta gerencia de las empresas del Retail en la capital basándose en la identificación de variables claves que permiten la generación de escenarios a futuro por medio de hipótesis.

Colombia - Oposición, competencia electoral y reformas para la paz en Colombia

Los problemas que enfrenta la oposición parlamentaria en Colombia requieren un enfoque sistémico en su solución que supere la perspectiva tradicional limitada a la discusión de un estatuto. Para una propuesta de reforma política es necesario evaluar los elementos que componen el sistema político, entendiendo que esos elementos están interactuando permanentemente entre ellos, demarcando el escenario de la competencia partidista, y que sus efectos estimulan u obstaculizan el funcionamiento de la oposición. Un contexto político que facilite la oposición parlamentaria y el esquema gobierno–oposición es más apropiado para el funcionamiento de partidos minoritarios y para el tránsito de organizaciones armadas que quieran pasar a la vida civil. Ninguna organización insurgente, a menos que militarmente esté derrotada, querrá desmovilizarse para tener una efímera participación en política.-----The problems faced by parliamentary opposition in Colombia need a systemic approach to go beyond the old outlook whereby all disputes are short-sightedly restricted to one statute. In order to consider a plausible political reform, it is first necessary to properly assess the elements that make up the current political system, under the assumption that they permanently interact with each other and mark out the arena where political parties compete; the effects of such competition either encourage or hinder the opposition’s action. A political context where parliamentary opposition and the government-opposition scheme are fostered is much more appropriate for minority parties and for the transition of armed groups into civil society. No insurgent group (unless militarily defeated) will ever demobilize only to play an ephemeral political role.

Uma escola para todos : práticas, estratégias e metodologias

A escola inclusiva continua a caminhar para a realidade que se pretende. Não obstante, há que contribuir para continuar a abrir o caminho que as escolas necessitam de percorrer, no sentido de se adaptarem e criarem as condições essenciais para a realização e felicidade de todas as crianças/jovens que a essas mesmas condições têm direito. No Trabalho de Projeto apresentado, aborda-se a trajetória de um grupo/turma, tendo como perspetiva o abrir caminho para práticas inclusivas, nas nossas escolas. Esta investigação surge, assim, como uma forma ou tentativa de intervir na construção de uma escola e educação para todos, tendo como ponto de partida uma turma do 8º ano de escolaridade, numa escola básica, situada no concelho de Almada. É feita a apresentação teórica da temática em questão, após ter sido realizada uma investigação documental, procedendo-se posteriormente à recolha e análise de dados, utilizando a pesquisa documental, a entrevista, a observação naturalista e a sociometria. Segue-se a caracterização da turma, do aluno e dos contextos em que as mesmas se inserem, partimos para uma intervenção estruturada, a longo e a curto prazo, numa dinâmica de planificação/ação/reflexão, onde se aplicam práticas educativas diferenciadas e inclusivas. Foi nosso objetivo, com este trabalho de projeto, conseguir que o grupo alvo seja inclusivo, tendo como base uma abordagem sistémica e ecológica, numa aprendizagem e ensino cooperativos, onde imperem pedagogias e ambientes fomentadores de um contexto escolar aberto à diversidade e à entrada das tecnologias de apoio na sala de aula. A família assume, neste projeto, um papel ativo no contexto escolar, sendo dada a relevância que a mesma deve ter no processo educativo dos seus educandos, partindo do princípio que qualquer intervenção que se planeie só tem sucesso efetivo com a participação ativa das famílias, colaborando e articulando com a comunidade escolar e desenvolvendo, em contexto familiar, medidas e estratégias interventivas que se vão repercutir fortemente no sucesso educativo das crianças e dos jovens. Neste projeto, implementaram-se estratégias que vão da caraterização inicial da situação à reflexão final que dão continuidade ao desenvolvimento de competências na área da autonomia, sociabilização e aprendizagens académicas do grupo, onde emerge o Teresa Figueiredo – Uma escola para todos: práticas, estratégias e metodologias ULHT-Instituto de Educação 4 João1, aluno com necessidades educativas especiais decorrentes de paralisia cerebral, que se encontra ao abrigo do Decreto-Lei 3/2008, de 7 de Janeiro, acompanhado pela educação especial. Foram alvo desta intervenção vários contextos, considerados prioritários: escolar; sala de aula; conselho de turma; apoio especializado e familiar. O desenvolvimento da intervenção, nos contextos mencionados foi norteado pelos princípios defendidos pela educação inclusiva, princípios explanados no enquadramento teórico da pesquisa realizada, no desenvolvimento deste Projeto. Como resultados da intervenção conseguimos um grupo/turma mais autónomo, com melhor funcionalidade no contexto escolar, onde os alunos aprendem todos juntos, com a entrada de tecnologias de apoio na sala de aula e pedagogias que vão ao encontro das necessidades do grupo e de cada um. As aprendizagens tornaram-se mais acessíveis a todos, com os professores a planificarem atividades direcionadas para o desenvolvimento do trabalho cooperativo e da parceria pedagógica, práticas que contribuem para uma comunidade escolar motivada para a construção de uma escola, cada vez mais, para todos.

Sustainability in the built environment

This introductory chapter sets the scene for the book, providing an overview of sustainability in the built environment. With a bias towards buildings and the urban environment, it illustrates the range of issues that impinge upon global carbon reduction and the mechanisms available to help bring about change. Climate change, and its impact on built environment, is briefly introduced and sustainability in the built environment and associated factors are described. The specific topics relating to sustainable design and management of the built environment, including policy and assessment, planning, energy, water and waste, technology, supply and demand, occupants’ behaviour and management have been highlighted. This chapter emphasises the importance of a systemic approach in delivering a sustainable built environment.

Anticipating future risk in social-ecological systems using fuzzy cognitive mapping: the case of wildfire in the Chiquitania, Bolivia

Understanding complex social-ecological systems, and anticipating how they may respond to rapid change, requires an approach that incorporates environmental, social, economic, and policy factors, usually in a context of fragmented data availability. We employed fuzzy cognitive mapping (FCM) to integrate these factors in the assessment of future wildfire risk in the Chiquitania region, Bolivia. In this region, dealing with wildfires is becoming increasingly challenging due to reinforcing feedbacks between multiple drivers. We conducted semi-structured interviews and constructed different FCMs in focus groups to understand the regional dynamics of wildfire from diverse perspectives. We used FCM modelling to evaluate possible adaptation scenarios in the context of future drier climatic conditions. Scenarios also considered possible failure to respond in time to the emergent risk. This approach proved of great potential to support decision-making for risk management. It helped identify key forcing variables and generate insights into potential risks and trade-offs of different strategies. All scenarios showed increased wildfire risk in the event of more droughts. The ‘Hands-off’ scenario resulted in amplified impacts driven by intensifying trends, affecting particularly the agricultural production. The ‘Fire management’ scenario, which adopted a bottom-up approach to improve controlled burning, showed less trade-offs between wildfire risk reduction and production compared to the ‘Fire suppression’ scenario. Findings highlighted the importance of considering strategies that involve all actors who use fire, and the need to nest these strategies for a more systemic approach to manage wildfire risk. The FCM model could be used as a decision-support tool and serve as a ‘boundary object’ to facilitate collaboration and integration of different forms of knowledge and perceptions of fire in the region. This approach has also the potential to support decisions in other dynamic frontier landscapes around the world that are facing increased risk of large wildfires.

Organizing forms in change management: the role of structures, process and boundaries in a longitudinal case analysis

This paper examines change management at William Angliss Institute of Technical and Further Education (TAFE) against the three organizational dimensions of structures, processes and boundaries identified by the INNFORM Study. Its experience confirms that even when an organization adopts a systemic approach and implements change across each design dimension, optimal performance benefits depend on mutually reinforcing and complementary changes. Furthermore, improvement to processes, particularly communications and human resources practices, plays a pivotal role, as complementary change across all dimensions depends ultimately on the contribution and commitment of organization members. Case findings also highlight the need for ambidextrous forms of organizing that combine 'controllability' with 'responsiveness'. The conceptual notion of organizing dualities has been employed to provide a practical interpretation of the ostensibly competing imperatives implied by ambidexterity. This case explores the dualities that can be demonstrated for the INNFORM triumvirate of structures, processes and boundaries. The dualities interpretation emphasizes an acceptance of texture and the simultaneous presence of what are conventionally viewed as incompatible organizing forms. This was considered a useful conceptual vehicle in the analysis of a case study covering nearly ten years of serious change interventions, where one theoretical view can be misleading in understanding the subtleties and complexities of the actual changes that occurred.

New forms of organising : changing structures, processes and boundaries in a public sector institution

Globalisation, deregulation, privatisation, and advances in communications technologies have intensified competition and impacted on the structures, processes and boundaries that define organisations. Increased competition at both the local and global level calls for increased responsiveness and flexibility, and continuous improvement and innovation. As organisations endeavour to become more attentive and responsive to environmental trends, and customer needs and expectations, they are experimenting with different forms of organising. This has included flattening structures, devolving decision-making responsibility and encouraging greater collaboration and knowledge transfer across functional areas.

The William Angliss Institute of TAFE operates in the post-secondary sector which has experienced significant changes over the past decade as a result of: wide-ranging public sector reforms imposed by successive governments; budgetary cutbacks; accountability and performance improvement pressures; increased national and international competition, industrial relations changes and more demanding, sophisticated customers. This paper draws on the INNFORM Study's three organisational design dimensions of structure, process, and boundaries to examine the nature and degree of change that has taken place at the Institute. Case study findings indicate that while William Angliss has implemetted changes across the three design dimensions, the depth and breadth of these vary and this has impacted on overall performance outcomes. Its experience suggests that even when an organisation adopts a systemic approach and implements changes simultaneously across structure, process and boundaries, optimal performance benefits will not accrue unless these elemental changes are mutually reinforcing and complementary. It also suggests that improvement to processes, particularly communications and human resources practices must be an overarching consideration, as complementary change across all three design dimensions depends ultimately on the contribution and commitment organisational members are prepared to make.

Who's responsible for the care of women during and after a pregnancy affected by gestational diabetes?

Despite its increasing incidence and high conferred risk to women and their children, gestational diabetes mellitus (GDM) is managed inconsistently during and after pregnancy due to an absence of a systemic approach to managing these women. New guidelines for GDM testing and diagnosis are based on stronger evidence, but raise concerns about increased workloads and confusion in a landscape of multiple, conflicting guidelines. Postnatal care and long-term preventive measures are particularly fragmented, with no professional group taking responsibility for this crucial role. Clearer guidelines and assistance from existing frameworks, such as the National Gestational Diabetes Register, could enable general practitioners to take ownership of the management of women at risk of type 2 diabetes following GDM, applying the principles of chronic disease management long term.

Understanding a transitional teacher education in globalized and neoliberal contexts

Many early career teachers commence their transition into the teaching profession in rural and remote schools. Separated from existing interpersonal/professional networks of support, early career teachers rely on new colleagues and school leaders in more complex ways than their peers teaching closer to home. Crucially, their emerging identities, resilience and motivations are therefore influenced and reinforced
through professional interactions. This paper explores the critical turning points and narratives of two early career rural teachers. The narratives were collected through reflect.goingok.com, a digital tool created by one of the authors; that enabled the teachers to engage in regular reflections about their transition from university to the classroom. In conclusion some of the implications of the co-narration of teacher identity, and how this informs a systemic approach that supports early career teachers in rural teaching practice is discussed.

Uma metodologia multicritério construtivista de avaliação de alternativas para o planejamento de recursos hídricos de bacias hidrográficas

De acordo com a Lei Federal n° 9.433/97, que instituiu a Política e o Sistema Nacional de Gerenciamento dos Recursos Hídricos, o planejamento de recursos hídricos deve ter um enfoque sistêmico, de uso múltiplo das águas e descentralização das decisões, adotando a bacia hidrográfica como unidade de gestão. Dentro deste contexto, de descentralização de decisões e participação de grandes grupos no processo de tomada de decisão sobre a gestão dos recursos hídricos, os procedimentos clássicos de avaliação de alternativas para planejar o uso, controle e proteção das águas tornam-se limitados por sua impossibilidade de incluir outros critérios, além da minimização dos custos ou da maximização dos benefícios, e por não considerarem a subjetividade inerente ao processo de tomada de decisão, que corresponde ao sistema de valores dos atores envolvidos na tomada de decisões. Assim, este trabalho apresenta um Método Multicritério em Apoio à Decisão para o planejamento de recursos hídricos de bacias hidrográficas, que além de incorporar vários critérios na avaliação de alternativas, por adotar uma abordagem construtivista, propicia a participação de todos os atores envolvidos no processo de tomada de decisão. Para testar a aplicabilidade prática do método proposto foi escolhida a bacia hidrográfica do rio dos Sinos, localizada no estado do Rio Grande do Sul, sendo construído um Modelo Multicritério de Avaliação de Alternativas para o Plano da Bacia Hidrográfica do Rio dos Sinos. Os resultados do trabalho demonstraram a robustez da proposta que, ao possibilitar a geração e avaliação de alternativas para o Plano da Bacia Hidrográfica do Rio dos Sinos, a partir de diversos critérios, e levando em conta o sistema de valores dos decisores, se constituiu em um diferencial capaz de conferir maior legitimidade ao processo de tomada de decisões sobre o planejamento de recursos hídricos de bacias hidrográficas.

Comportamento dos processos intra-organizacionais de aprendizagem tecnológica frente a uma mudança de estrutura de propriedade: o caso da TermoMacaé - PETROBRÁS

This academic work describes the interfirm technological learning processes behavior at a thermo plant throughout the years 2001 till 2007. Its former ownership structure was composed by two foreigners companies. This structure was changed by the acquisition of the company control by a Brazilian state owned company on April 2006. The company is a Natural Gas Fired Power Plant placed at Macaé City, at Rio de Janeiro State, Brazil generating electric power right to National Integrated System (SIN). The goal of this research is verify how the technological knowledge had been acquired by the firm and how it had been spread out throughout the organization before and after the change of the ownership structure. The taxonomy applied to determining of ownership structure take in account three parameters: type, specific characteristic and the ownership structure itself. Technological Learning Interfirm Processes have been examined from a model of systemic approach that establishes four key characteristics: ¿variety, intensity, functioning and interaction¿. During 2001 until 2006, till the change of owner structure, the firm developed its own learning processes in its own operational routines. The main learning processes have been identified from empirical evidences. It has been adopted the cut line at year of 2006 for the comparison among the technological learning processes behavior, when the change of ownership structure took place. The data capture occurred within April and August 2007 covering since 2001. Verified the behavior of these learning processes before and after the ownership structure changed from private property to state owned property. The conclusion of this case study suggests that interfirm processes of technological learning identified by the research had their dynamical behavior promptly affected by a change from private to ownerstate ownership structure, exposing the company to a poor performance in its industry, due to the lack of 51% of the technological intrafirm learning processes and reduction of the acquisition of new technical knowledge and its conversion throughout the organization.