O Psicólogo e sua inserção na Saúde Pública: estudo da situação dos profissionais maranhenses no Programa CAPS

Estudo sobre o psicólogo e sua inserção na saúde pública, a partir do programa Centro de Atenção Psicossocial CAPS, no estado do Maranhão, tendo como pressupostos as políticas de saúde mental, a atuação e a experiência profissional nesse programa. Trata-se de uma pesquisa empírica cujos dados foram obtidos a partir de instrumento constituído por entrevista semi-estruturada. Utilizou-se o Termo de Consentimento para garantia dos participantes de forma ética e segura. Os dados coletados foram analisados de acordo com o método da Análise do Discurso. O estudo teve como fundamento epistemológico as teorias do campo das Políticas Públicas, da Psicologia da Saúde e da Psicanálise. Os resultados confirmaram a hipótese levantada, sendo possível concluir que a experiência do profissional de psicologia no Maranhão está em construção no cotidiano dos CAPSs com pouca articulação teórico-prática e visibilidade dos gestores no que diz respeito às políticas públicas. Embora o programa CAPS esteja em expansão, dificuldades e desafios indicam ainda certa precariedade em sua organização, estruturação e funcionamento das ações e serviços oferecidos.

Educação e escolarização quilombola: construções políticopedagógicas em Brejo dos Crioulos MG

Atualmente tem se apresentado, pelo movimento quilombola, a demanda de formulação de políticas educacionais para o povo quilombola, acompanhando as reivindicações para legitimação do direito ao território ocupado secularmente, assim como outros direitos demandados por este povo tradicional. O processo de educação e escolarização na educação básica de um território quilombola como o de Brejo dos Crioulos em Minas Gerais, sob a perspectiva da educação diferenciada, ou seja, orientada culturalmente, pode estar fortemente relacionado com a dimensão política da atuação dos quilombolas na luta pelo reconhecimento e legitimidade do território, do modo de vida, da sua identidade, da sua cultura e história. Contemplou-se nesta investigação o mapeamento e a análise dos processos educativos de Brejo dos Crioulos apontando suas propostas curriculares, seus avanços, assim como os limites relacionados à formulação e implementação de políticas direcionadas para o desenvolvimento educacional local. A investigação no território quilombola específico, nos moldes da pesquisa qualitativa enquanto lógica de investigação, abordou as ações do movimento quilombola estadual e local, a identidade coletiva e a territorialidade em relação ao ciclo de políticas disponível, como, por exemplo, a Lei n 10.639/03, atualizada por meio da Lei n 11.645/08 e diretrizes curriculares que alteram a Lei n 9.394/96, com o objetivo de incluir, no currículo oficial da rede de ensino, a obrigatoriedade do ensino da História e cultura afro-brasileira e indígena, e as Diretrizes Curriculares para Educação Quilombola, aprovadas em 05 de junho de 2012, Parecer MEC/CNE/CEB 16/2012, homologadas na Resolução MEC/CNE/CEB n 8, publicada em 20 de novembro de 2012. Além das práticas políticas quilombolas, foram analisadas as práticas de gestão educacional do poder público municipal de São João da Ponte e Varzelândia, municípios do norte mineiro que integram o território pesquisado. Com a inserção em campo, nos moldes explicitados, foi privilegiado o uso da observação direta para mapear e descrever em profundidade o cotidiano no território pesquisado. Com a inserção em campo, nos moldes explicitados, foi privilegiado o uso da observação direta para mapear e descrever em profundidade o cotidiano no território pesquisado, as representações políticas e educacionais, as mudanças e transformações atuais. A entrevista em forma de conversa é, também, uma das técnicas utilizadas para documentar as experiências e representações dos sujeitos quilombolas, professores, gestores e coordenadores envolvidos com a educação e escolarização no território de Brejo dos Crioulos, além de registros em áudio, vídeo e caderno de campo. O tratamento e a análise dos dados coletados obedecem a critérios metodológicos qualitativos de triangulação para apresentação dos resultados da pesquisa.

Memória social de enfermeiros acerca do cuidado de Enfermagem no contexto do HIV/aids: enfrentamentos, afetos e construções representacionais

Este estudo tem como objeto o cuidado de Enfermagem e suas memórias e representações sociais para enfermeiros hospitalares inseridos nas unidades de referências para pessoas que viviam com o HIV/aids no Rio de Janeiro, no decorrer de 1980 a 1991. Os objetivos específicos foram: identificar a memória social do cuidado de enfermagem implementado pelos enfermeiros aos acometidos pelo HIV/aids no Município do Rio de Janeiro; descrever as práticas de cuidado pelos enfermeiros no contexto do recorte temporal adotado no estudo; descrever o processo de enfrentamento da epidemia da aids pelos enfermeiros, tanto no contexto do cuidado de enfermagem no espaço hospitalar, quanto nas relações sociais estabelecidas; analisar as memórias e representações sociais de enfermeiros acerca do cuidado de Enfermagem prestado às pessoas com HIV/aids em situação de hospitalização na primeira década da epidemia. Trata-se de uma pesquisa descritiva, de campo, com abordagem qualitativa, baseada nos pressupostos teóricos da memória social propostos por Sá em sua interface com a teoria de representações sociais no campo da Psicologia Social. Realizada com 30 enfermeiros que atuaram em hospitais considerados de referência para o tratamento de clientes que viviam com HIV/aids. Os dados foram coletados por uma entrevista semiestruturada e a visualização de 12 fac-símiles escolhidos de forma aleatória na imprensa. A população de estudo é predominantemente do sexo feminino e com idade entre 51 a 60 anos. Os principais resultados apontam que a memória social do cuidado de enfermagem se constitui a partir de diferentes objetos representacionais (cuidado de enfermagem, aids e biossegurança), instâncias da memória social (pessoal, pública, prática, coletiva, comuns, histórica oral e histórica documental) e diversos elementos que constituem esta memória (ambiente de cuidado e relações sociais, familiares e laborais, dentre outras). Emergiram sete categorias de análise: O processo do cuidado de Enfermagem: do enfrentamento, da capacitação e do desenvolvimento; Sentimentos dos enfermeiros e dos clientes descritos pelos participantes no processo de cuidar; O processo de cuidado direto ao cliente no início da epidemia; Memórias da autoproteção profissional e da proteção ao cliente no contexto do HIV/aids; Os contextos do cuidado: ambiente, materiais e recursos humanos; Memórias dos enfermeiros sobre os clientes acometidos pelo HIV e Relacionamento interpessoal. Destaca-se que a memória do cuidado de enfermagem se mostra ligada à construção representacional da aids (não familiar/familiar), do cuidado de enfermagem (sem controle/sob controle) e à constituição de um grupo social com forte identidade, o dos enfermeiros da aids. Concluímos que o estudo mostrou o trabalho pioneiro dos enfermeiros com o HIV/aids no ambiente hospitalar. Esses profissionais tiveram que cuidar desses clientes em meio à possibilidade de contaminação, ao mesmo tempo em que desenvolviam um autocuidado, em alguns momentos exagerados devido ao desconhecimento sobre a síndrome, como forma de preservação da sua saúde, bem como de sua família. A memória social como conceito guarda-chuva mostrou-se pertinente para a análise dos dados, permitindo recuperar, ao menos em parte, a dinâmica do cuidado de enfermagem nos primeiros anos da síndrome.

Atribuindo significados as enfermeiras obstétricas: uma construção social sob a ótica das usuárias na perspectiva do interacionismo simbólico

O presente estudo teve como objetivos: identificar o significado de Enfermeira Obstétrica para as usuárias; analisar os significados atribuídos à Enfermeira Obstétrica pelas usuárias; e, desenvolver um modelo teórico explicativo da construção do significado de Enfermeira Obstétrica sob a ótica das usuárias. Trata-se de uma pesquisa descritiva com abordagem qualitativa interpretada pelo Interacionismo Simbólico, como referencial teórico e, tendo a Grounded Theory, como referencial metodológico. Foram participantes da pesquisa, 20 (vinte) usuárias atendidas por Enfermeiras Obstétricas em diversos cenários de cuidado, tais como: domicílio, Unidades Básicas de Saúde, Maternidades, Casas de Parto/Centros de Parto Normal de diversos municípios do Estado do Rio de Janeiro - durante o pré-natal, trabalho de parto e parto. A coleta dos dados ocorreu entre setembro de 2012 e julho de 2014, após este projeto ter sido aprovado pelo Comitê de Ética em Pesquisa da Universidade do Estado do Rio de Janeiro/UERJ/SR2 em julho de 2012. Utilizou-se a entrevista semi-estruturada gravada, iniciada com uma questão comum: Fale-me como foi sua gestação, seu acompanhamento pré-natal e seu parto. Os resultados revelam que as usuárias chegam até as enfermeiras obstétricas porque procuram por alguém que atenda seu desejo de vivenciar uma gestação e um parto natural sem intervenções desnecessárias e com a presença de familiares, principalmente os companheiros. Fica evidente, neste estudo, que as usuárias desconhecem, até o estabelecimento da interação social, a profissional enfermeira obstétrica e chegam até elas por: indicação de amigos e/ou familiares; por indicação de outros profissionais de saúde (enfermeiras, fisioterapeutas ou médicos); ou por intermédio de grupos de mulheres nas redes sociais. Vale ressaltar que, as mulheres que optaram por serem atendidas por enfermeiras obstétricas durante o pré-natal, trabalham de parto e parto, buscaram informações sobre gestação, fisiologia do trabalho de parto, atuação e formação as enfermeiras obstétricas, direitos sexuais e reprodutivos, legislação sobre direitos dos usuários dos serviços de saúde, dentre outros, nas redes sociais; compartilharam vivências em grupos na internet e acabaram referenciando as enfermeiras obstétricas a outras mulheres. A análise comparativa dos dados identificou três categorias: Desejando vivenciar o parto natural; Procurando alguém que atenda o desejo de vivenciar o parto natural; e Encontrando e vivenciando os cuidados da Enfermeira Obstétrica. As usuárias agem em relação às Enfermeiras Obstétricas com base no significado que estas têm para ela, ou seja, apresentam como símbolos significantes para o objeto social Enfermeiras Obstétricas: aquela que presta um cuidado concreto, um cuidado abstrato, um cuidado afetivo e um cuidado com conhecimento científico. Os significados retratam que o vínculo estabelecido entre as envolvidas extrapola a competência técnica e ratificam que, a necessidade de vínculo pessoal é imprescindível para que o cuidado humanizado aconteça.

工作幸福感的结构、测量及作用机制

With the emergence and development of positive psychology, happiness has been the focus of academia and business. However, there is no uniform measure of happiness, because of many different theories of happiness, which are not compatible with others. It bounds the further development of happiness theory. It is also the same with the research of work well-being, which refers to the emotional experience and quality of psychological functioning of employee in the workplace. Subjective well-being (SWB) and psychological well-being (PWB) are two major theories of happiness. Prior research has demonstrated the integration of these two theories theoretically, but still needs more empirical support. Besides, in line with the development of positive psychology, a body of knowledge about positive leadership is advocated. Transformational leadership is treated as one kind of positive leadership, since it emphasizes the leader’s motivational and elevating effect on followers. But the extent to which the transformational leadership can enhance work well-being, and what the mechanism is, these are the questions need to be explored. Based on the integration of SWB and PWB, this research tried to investigate the structure, measurement and mechanism of work well-being, and combining with the theory of transformational leadership, this study also tried to investigate the relationship between transformational leadership and work well-being. The structure and measurement of work well-being, the relationships between work well-being and job characteristics (including job resources and job demands), the relationships among transformational leadership, job resources, work well-being and corresponding outcomes, the relationships among transformational leadership, job demands, work well-being and corresponding outcomes, and the relationships among transformational leadership, group job characteristics, group work well-being and corresponding group outcomes were explored by using content analysis, Subject Matter Experts (SMEs) discussion, and structural questionnaire surveys. More than 7000 subjects were surveyed, and Explore Factor Analysis (EFA), Confirm Factor Analysis (CFA), Structural Equation Modeling (SEM), Hierarchical Linear Modeling (HLM) and other statistics methods were used. The following is the major conclusions. Firstly, work well-being is a two high-order factors structure, which includes affective well-being (AWB) and cognitive well-being (CWB). AWB is similar to SWB, and CWB is similar to PWB. Besides, the construct of AWB includes sub-dimensions of positive emotional experience and negative emotional experience. And the construct of CWB consists of work autonomy, personal growth, work competent, and work significance. Secondly, the relationships between job characteristics and AWB and CWB are different. On one hand job demands are directly related to AWB, and are indirectly related to CWB through the full mediation of AWB, on the other job resources are directly related to CWB, and are indirectly related to AWB through the full mediation of CWB, which means AWB and CWB reciprocally influences each other in the model of job demands-resources. These results were concluded as the process model of work well-being. Thirdly, AWB and CWB are positively related to many workplace outcomes, including job satisfaction, group satisfaction, organizational commitment, turnover intention, job performance, organizational citizenship behavior (OCB), and general psychological health and general physiological health. Fourthly, transformational leadership is indirectly related to CWB through the full mediation of job resources, and is related to AWB through the partial mediation of job demands. Meanwhile, transformational leadership is related to many workplace outcomes through the mediation of job characteristics and work well-being. These results implied that transformational leadership is indeed one kind of positive leadership. Fifthly, in the group level, transformational leadership is indirectly related to group CWB through the full mediation of group job resources, and is related to group AWB through the full mediation of group job demands. Group AWB has positive influence on group CWB, but not vice versa. Group job characteristics and group work well-being fully mediate the relationships between transformational leadership and intragroup cooperation and group performance.

Learning object segmentation from video data

This memo describes the initial results of a project to create a self-supervised algorithm for learning object segmentation from video data. Developmental psychology and computational experience have demonstrated that the motion segmentation of objects is a simpler, more primitive process than the detection of object boundaries by static image cues. Therefore, motion information provides a plausible supervision signal for learning the static boundary detection task and for evaluating performance on a test set. A video camera and previously developed background subtraction algorithms can automatically produce a large database of motion-segmented images for minimal cost. The purpose of this work is to use the information in such a database to learn how to detect the object boundaries in novel images using static information, such as color, texture, and shape. This work was funded in part by the Office of Naval Research contract #N00014-00-1-0298, in part by the Singapore-MIT Alliance agreement of 11/6/98, and in part by a National Science Foundation Graduate Student Fellowship.

Learning from triads: training undergraduates in counselling skills

Background: Research has shown that counselling skills training in undergraduate programmes is effective. However, there is potential that premature intimacy and disclosures during triad work may impact on relationships which must be maintained out-with the counselling component of the course. Little research has examined individual pedagogical practices within training. Aim: The aim of this research was to explore the experience of the practical skills training component of a counselling course for a cohort of undergraduate students, and the impact of this learning experience. The objective being an evaluation of the use of this approach for this group and of the impact of personal sharing within cohorts of undergraduates. Method: Semi-structured interviews focusing on the experience of skills training and self-disclosure during training were carried out on 12 undergraduates taking counselling skills modules as part of their BSc Psychology and Counselling degree. Thematic analysis was carried out on the interview transcripts. Results: As a result of engagement in skills training and acting as ‘clients’ for one another, individuals perceived the formation of a positive group identity with implicit ‘rules’, but also an impact of training on relationships within the group which relied on the ability to maintain boundaries and personal identities with peers, and this influenced the learning experience. The ability to manage their engagement on the programme was dependent on ongoing support and guidance from tutors. Discussion: While this pedagogical approach appears appropriate for facilitating learning and potentially provides a rich learning journey for undergraduate students, tutors must act proactively to ensure a safe learning environment.

Análise Biográfica, do Estilo de Vinculação e da Personalidade, em Indivíduos com História de Abuso de Substâncias e Condutas Delinquentes

Tese de Doutoramento apresentada à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Doutor em Ciências Sociais.

The Barretstown experience

The thesis was prompted by a simple clinical observation. Seriously ill children returning from Barretstown Holiday Camp appeared changed. Barretstown ‘magic’ confuses the issue but indicates real and clinically evident transformations. The project sought to understand the experience and place it in a recognisable framework. The data was collected by interviews, observations as camp Paediatrician, memberships of the Child Advisory Committee and the Association’s criteria assessment team, participation in volunteer training and visits to international camps. The research presents evidence that the concepts of rite of passage, graceful mimesis and salutogenesis clarify operative social processes. The passage stages of separation, transition and reaggregation can be identified. Passage rites reorder personal and social upsets to fresh arrangements that facilitate change. Interviews confirm the reordering impact of achievements in play activities. These are challenging experiences closely guided by their Masters of Ceremonies – the Caras. The Cara/camper relationship is crucial and compatible with Girard’s theory of external mimesis. Visits to four camps confirm an inspirational process in contrast to a reported camp with a predetermined formative influence. Charismatic Caras/Councillors inspire playful mimesis and salutogenic transformations. Health is more than correction of pathogenic deficits and restoration of homeostasis. Salutogenic health promotes heterostasis – a desire for optimal experiences underpinned by a sense of coherence and adequate resources. Some evidence is presented that children have an improved sense of coherence after camp, which enables them to cope better with the demands of ill health. The camps enable sick children to up regulate risk taking towards more heterostatic experiences rather than down regulate their expectations. The heterostatic impulse can explain the disability paradox of good quality of life in the presence of severe disability. The salutogenic power of Barretstown can trump the pathogenic effects of childhood cancer and other serious illnesses.

The psychology of immersion and development of a quantitative measure of immersive response in games

This study sets out to investigate the psychology of immersion and the immersive response of individuals in relation to video and computer games. Initially, an exhaustive review of literature is presented, including research into games, player demographics, personality and identity. Play in traditional psychology is also reviewed, as well as previous research into immersion and attempts to define and measure this construct. An online qualitative study was carried out (N=38), and data was analysed using content analysis. A definition of immersion emerged, as well as a classification of two separate types of immersion, namely, vicarious immersion and visceral immersion. A survey study (N=217) verified the discrete nature of these categories and rejected the null hypothesis that there was no difference between individuals' interpretations of vicarious and visceral immersion. The primary aim of this research was to create a quantitative instrument which measures the immersive response as experienced by the player in a single game session. The IMX Questionnaire was developed using data from the initial qualitative study and quantitative survey. Exploratory Factor Analysis was carried out on data from 300 participants for the IMX Version 1, and Confirmatory Factor Analysis was conducted on data from 380 participants on the IMX Version 2. IMX Version 3 was developed from the results of these analyses. This questionnaire was found to have high internal consistency reliability and validity.

Work experience in transition year: a mixed methods study of subject and career choices

Transition Year (TY) has been a feature of the Irish Education landscape for 39 years. Work experience (WE) has become a key component of TY. WE is defined as a module of between five and fifteen days duration where students engage in a work placement in the broader community. It places a major emphasis on building relationships between schools and their external communities and concomitantly between students and their potential future employers. Yet, the idea that participation in a TY work experience programme could facilitate an increased awareness of potential careers has drawn little attention from the research community. This research examines the influence WE has on the subsequent subjects choices made by students along with the effects of that experience on the students’ identities and emerging vocational identities. Socio-cultural Learning Theory and Occupational Choice Theory frame the overall study. A mixed methods approach to data collection was adopted through the administration of 323 quantitative questionnaires and 32 individual semi-structured interviews in three secondary schools. The analysis of the data was conducted using a grounded theory approach. The findings from the research show that WE makes a significant contribution to the students’ sense of agency in their own lives. It facilitates the otherwise complex process of subject choice, motivates students to work harder in their senior cycle, introduces them to the concepts of active, experience-based and self-directed learning, while boosting their self-confidence and nurturing the emergence of their personal and vocational identities. This research is a gateway to further study in this field. It also has wide reaching implications for students, teachers, school authorities, parents and policy makers regarding teaching and learning in our schools and the value of learning beyond the walls of the classroom.

Mobile cloud contextual awareness with the cloud personal assistant

This paper presents our efforts to bridge the gap between mobile context awareness, and mobile cloud services, using the Cloud Personal Assistant (CPA). The CPA is a part of the Context Aware Mobile Cloud Services (CAMCS) middleware, which we continue to develop. Specifically, we discuss the development and evaluation of the Context Processor component of this middleware. This component collects context data from the mobile devices of users, which is then provided to the CPA of each user, for use with mobile cloud services. We discuss the architecture and implementation of the Context Processor, followed by the evaluation. We introduce context profiles for the CPA, which influence its operation by using different context types. As part of the evaluation, we present two experimental context-aware mobile cloud services to illustrate how the CPA works with user context, and related context profiles, to complete tasks for the user.

Experiences of the foster care process in the Republic of Ireland: retrospective accounts from biological children of foster carers

This thesis examines the experiences of the biological children of foster carers. In particular it explores their experiences in relation to inclusion, consultation and decision-making. The study also examines the support and training needs of birth children in foster families. Using a qualitative methodology in-depth, semi-structured interviews were conducted with fifteen birth children of foster carers aged between 18 and 30 years. The research findings show that for the majority of birth children, fostering was overall a positive experience which helped them develop into individuals who were caring and nonjudgemental. However, from the data collected in this study, it is clear that fostering also brings a range of challenges for birth children in foster families, such as managing feelings of loss, grief, jealousy and guilt when foster children leave. Birth children are reluctant to discuss these issues with their parents and often did not approach fostering social workers as they did not have a meaningful relationship in order to discuss their concerns. The findings also demonstrate that birth children undertake a lot of emotional work in supporting their parents, birth siblings and foster siblings. Despite the important role played by birth children in the fostering process, this contribution often goes unrecognised and unacknowledged by fostering professionals and agencies with birth children not included or consulted about foster care decisions that affect them. It is argued here that birth children are viewed by foster care professionals and agencies from a deficit based perspective. However, this study contends that it is not just foster parents who are involved in the foster care process, but the entire foster family. The findings of this study show that birth children are competent social actors capable of making valuable contributions to foster care decisions that affect their lives and that of their family.

AASK - Aircraft accident statistics and knowledge: A database of human experience in evacuation, derived from aviation accident reports

Computer based mathematical models describing the aircraft evacuation process have a vital role to play in aviation safety. However such models have a heavy dependency on real evacuation data in order to (a) identify the key processes and factors associated with evacuation, (b) quantify variables and parameters associated with the identified factors/processes and finally (c) validate the models. The Fire Safety Engineering Group of the University of Greenwich is undertaking a large data extraction exercise from three major data sources in order to address these issues. This paper describes the extraction and application of data from one of these sources - aviation accident reports. To aid in the storage and analysis of the raw data, a computer database known as AASK (aircraft accident statistics and knowledge) is under development. AASK is being developed to store human observational and anecdotal data contained in accident reports and interview transcripts. AASK comprises four component sub-databases. These consist of the ACCIDENT (crash details), FLIGHT ATTENDANT (observations and actions of the flight attendants), FATALS (details concerning passenger fatalities) and PAX (observations and accounts from individual passengers) databases. AASK currently contains information from 25 survivable aviation accidents covering the period 4 April 1977 to 6 August 1995, involving some 2415 passengers, 2210 survivors, 205 fatalities and accounts from 669 people. In addition to aiding the development of aircraft evacuation models, AASK is also being used to challenge some of the myths which proliferate in the aviation safety industry such as, passenger exit selection during evacuation, nature and frequency of seat jumping, speed of passenger response and group dynamics. AASK can also be used to aid in the development of a more comprehensive approach to conducting post accident interviews, and will eventually be used to store the data directly.

An aircraft accident database of human experience in evacuation derived from aviation accident reports

Computer based mathematical models describing the aircraft evacuation process have a vital role to play in aviation safety. However, such models have a heavy dependency on real evacuation data. The Fire Safety Engineering Group of the University of Greenwich is undertaking a large data extraction exercise in order to address this issue. This paper describes the extraction and application of data from aviation accident reports. To aid in the storage and analysis of the raw data, a computer database known as AASK (Aircraft Accident Statistics and Knowledge) is under development. AASK is being developed to store human observational and anecdotal data contained in accident reports and interview transcripts. AASK currently contains information from 25 survivable aviation accidents covering the period 04/04/77 to 06/08/95, involving some 2415 passengers, 2210 survivors, 205 fatalities and accounts from 669 people. Copyright © 1999 John Wiley & Sons, Ltd.