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Cuttill, Casey. "High school siblings of children with disabilities : five case studies /." View online, 2008. http://repository.eiu.edu/theses/docs/32211131414962.pdf.
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Waters-White, Shirley Ahera. "Women of power, sisters of faith: a case study of the women bishops of the African Methodist Episcopal Church." DigitalCommons@Robert W. Woodruff Library, Atlanta University Center, 2007. http://digitalcommons.auctr.edu/dissertations/645.
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This study provides an account and analysis of the role of women in the African Methodist Episcopal Church and discusses their attempts to achieve equal status with men in service to and leadership in the church. The study also examines and analyzes the personal style, skills and abilities of each of the women bishops and assesses the factors that led to her election. A case study approach was used to explain the causal links that have led to the historic election of three women bishops; to describe the context in which this event has occurred; to explore the issues and outcomes of women's efforts to gain leadership in the church; and to evaluate the likelihood that these elections signify far-reaching changes in the policy of the African Methodist Episcopal Church. The researcher found that the progress of women within the African Methodist Episcopal Church has been slow but consistent throughout the history of the church, and that changes in society as well as within the church itself have culminated in the election of women as bishops. Although future elections of women can be expected based on events to date, the researcher did not achieve a definitive assertion from the women bishops that they intend to actively engage in the promotion of the advancement of women in the African Methodist Episcopal Church.
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Stein-Mccormick, Carmen Teresa. "Sisters in Arms: A case study of the experiences of women warriors in the United States Military." Scholar Commons, 2011. http://scholarcommons.usf.edu/etd/3365.
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Presently there are few studies that describe the current experiences of women warriors relative to issues such as sexual hostility, sexual harassment, and other uncommon experiences during their military careers. Very little is known about how being a woman in a male-dominated military may affect women warriors' choices between making the military a career or returning to civilian life. With better understanding of women warriors' military experiences, mental health professionals, educators, and other human services professionals may have a better understanding of the issues that may affect women in the military. To date there are limited studies that have examined the effects of military experiences on the psychological and emotional well-being of women warriors. Whether its effects are positive, negative, contextual, or permanent is not yet known. This study supports the earlier research regarding the needs and unknown needs of women programs and the training of counselors and helping professionals. With the United States Military being one of the largest special populations, and women warriors making up 15% of that population, it is imperative that appropriate training becomes available for counselors, educators, and other helping professionals.
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Hattori, Keiko. "Good Death Among Elderly Japanese Americans in Hawaii." Diss., University of Hawaii at Manoa, 2007. http://hdl.handle.net/10125/22054.
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The purpose of this focused ethnographic study was to describe the patterns of a good death held by elderly Japanese Americans living in Hawaii. Eighteen "healthy active" elderly Japanese Americans were interviewed individually. In addition, supplementary data, such as interviews with experts and field observations were collected for triangulation of the data. Four themes were derived from 1224 keywords, 56 categories, and 13 patterns. These were: being a burden to the family, process of life and death, individual views on death, and Japanese culture in Hawaii. Being a burden to the family was the largest concern in the participants' idea of dying a good death. Having secure financial resources were key for adequate preparation. The elderly Japanese Americans believed that suffering at the end-of-life should be avoided in order to achieve a good death. Their concept of suffering included: unmanageable pain, being ill for a long time, and being bedridden. Several participants preferred a sudden type of death because they would not have to suffer and not be burdens their family. Contentment in life was also an important aspect of a good death. There was a common belief that the way a person lived was connected with the way he/she died. A number of the participants preferred to die in their own home. Hospitals and retirement homes were other alternatives for the place of death. Individual views on death contributed to establish the concept of good death among elderly Japanese American participants. They shared similar attitudes toward death which were a part of life and inevitable. These attitudes were influenced by religious beliefs and past experiences with death. Different generations of elderly Japanese Americans had different views. The Shin-Issei (first generation who immigrated after World War II) and the Nisei (second generation) held more Japanese views compared to the Sansei (third generation) who were more acculturated. Although the Japanese American parents and children might have different views on life and death, the importance of close family relations and family support was passed on to younger generations.
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De, Marco Elga <1996>. "Digitalising a controversial theme: The death of Robin Hood Two case studies: “A Gest of Robyn Hode” and “Robin Hood's Death”." Master's Degree Thesis, Università Ca' Foscari Venezia, 2021. http://hdl.handle.net/10579/19231.
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This work has as primary aim that of showing, through a comparison of two old texts, how a same theme can be developed and matured in a different way. In order to achieve this purpose, I will execute a process of digitalisation on two ballads dating back to the Middle English period. Both revolve around the character of Robin Hood and affect the same topic, namely his death, but having a rather diverse extent of this same theme which, consequently, can influence its interpretation. The two case studies will be “Robin Hood’s Death”, the version edited by John W. Hales and Frederick J. Furnivall in the I volume “Bishop Percy’s folio Manuscript- Ballads and Romances-“ (1867) and “A Gest of Robyn Hode”, the version edited by Stephen Knight and Thomas Ohlgren in the volume “Robin Hood and other outlaw tales” (2000). I will proceed with the encodings of these texts employing an XML TEI language, encodings that will represent the base to create the related digitalisations. The choice of digitalising is made to highlight features/traits, peculiarities and potential differences which can emerge in a digitalised text compared to the same text in paper belonging to a different era, therefore not todays. As a matter of fact, sometimes a digital version of a text permits to discover and reveal some aspects that could be overlooked on paper.
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Jervis, Sarah Jenny. "Exploring the experiences of the sibling of a child with an intellectual disability." Thesis, Stellenbosch : Stellenbosch University, 2008. http://hdl.handle.net/10019.1/21630.
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Thesis (MEdPsych)--Stellenbosch University, 2008.ENGLISH ABSTRACT: This study is aimed at gaining insight into the experiences of siblings of an individual with an intellectual and physical disability. Attaining greater insight into their lived reality, their feelings and concerns could make it possible to provide appropriate support. The review of selected literature provides information on many aspects of the these siblings' experience. Although many studies are quantitative in their approach, the literature review provides relevant and useful findings and inferences which were used to support and substantiate findings. During this qualitative study, which is situated within an interpretive phenomenological paradigm, four participants between the ages of eight and sixteen years were interviewed using semi-structured interviews. This format of interview allowed participants to use their own words to express their personal experiences. The results showed that siblings have both positive and negative experiences when another sibling has an intellectual disability. Other common difficulties include embarrassment, guilt, and the experience of differential treatment. Positive experiences and competencies include love and acceptance, personal growth, maturity, pride in siblings accomplishments, and appreciation for one's sibling. Several experiences were congruent with those mentioned in the literature. The insights into the experiences this study provides has implications for the development and provision of sibling support programmes and interventions. At present, state group support programmes for siblings are not provided within the Western Cape area. The interventions and assistance that do exist seem to be provided by the private sector only. Support can prove very costly, which means that it is not accessible to many who require it. Sibling workshop groups could provide a valuable support alternative to a currently "unsupported" group, the siblings.
AFRIKAANSE OPSOMMING: Hierdie studie poog om insig te verkry in die ondervindings van die broers en susters van 'n kind met intellektuele en fisiese gestremdhede. Beter insig in die realiteit van hul leefwyse, hulle gevoelens en bekommernisse kan beter ondersteuning aan hulle moontlik te maak. Die ondersoek van geselekteerde literatuur voorsien inligting rakende vele aspekte van die ondervindings van hierdie kinders. Alhoewel baie van die studies kwantitatief in hul benadering is, het die bestaande literatuur tog relevante en bruikbare bydraes en gevolgtrekkings verskaf wat gebruik kon word om bevindings te bevestig en te staaf. Hierdie kwantitatiewe studie het plaasgevind in 'n verklarende fenomenologiese paradigma en vier semi-gestruktureerde onderhoude is gevoer met deelnemers tussen die ouderomme van 8 jaar en 16 jaar. Hierdie formaat van onderhoudvoering dra by dat deelnemers hulle gevoelens in hul eie woorde uitdruk. Die bevindings het gewys dat broers/susters beide positiewe en negatiewe ondervindings van kinders met 'n intellektuele gestremdheid het. Ander algemene probleme sluit in skaamte, skuldgevoelens en die gevoel van gedifferensieerde behandeling. Positiewe ondervindings en vaardighede van broers en susters sluit liefde en aanvaarding, persoonlike groei, volwassenheid, trots op die broers/suster se bekwaamheid en die waardering van so 'n broer/suster in. Verskeie van die ondervindings het ooreengestem met bevindings wat in die literatuur gevind is. Die insigte in hierdie ondervindings wat deur hierdie studie voorsien word het implikasies vir programme en intervensies wat ondersteuning aan hierdie kinders bied. Tans is daar nie sodanige staatsgefinansierde ondersteuningsprogramme in die Wes-Kaap area nie. Die intervensies en ondersteuning wat wel beskikbaar is word slegs in die privaatsektor aangebied. Ondersteuning kan baie duur wees, wat beteken dat dit vir baie kinders wat dit nodig het, ontoeganklik is. Ondersteuningsgroepwerkswinkels kan 'n waardevolle alternatief bied vir die "nieondersteunde" groep, die kinders.
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Exley, Catherine Elizabeth. "Living with cancer : living with dying : the individual's experience." Thesis, Coventry University, 1998. http://curve.coventry.ac.uk/open/items/94145345-36cc-92ad-7d6f-f8aae99dc41d/1.
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This thesis explores the experience of living with cancer and a terminal prognosis from the dying individual's perspective. It is based on qualitative sociological research. My study group comprised nineteen hospice patients, eighteen women and one man, aged 27 to 67, all of whom had been diagnosed with cancer. Thirty focused interviews were conducted; each respondent was interviewed at least once with a sub-group being interviewed a second or third time dependent upon symptoms, willingness to participate again and the need to explore issues further. My thesis is a sociological account of respndents' views and experiences. Its focus is the management and negotiation of dying and death at an individual level. A central tenet of my thesis is how self-identity is constructed and negotiated in different social encounters, in both the public and the private sphere. With reference to the public sphere I consider respondents' experiences of communicating with health professionals, and the difficulties they encountered. Within this discussion I look at how respondents constructed understandings of their illness within the context of their own biographies. I also discuss individuals' experiences of treatment, and the choices they made about this. In addition, I examine respondents' hopes and fears for their own deaths, and I suggest the notion of a 'good enough' death may be useful in interpreting their views. Repsondents perceived they had a spoiled identity as a result of their cancer and dying status. As a result, they spent a great deal of time and effort engaging in emotional work, in order to reassert their more valued roles. Much has been written about the emotional work of paid and unpaid carers. Here I suggest attention must also be given to the work of dying individuals themselves. However, I do not conceive of this emotional work as selfless, rather I suggest such work has benefits for individuals themselves. Emotional work enabled them to reaffirm or renegotiate more valued self-identities while alive, but in addition, I suggest that it also meant that respondents were able to contribute towards their own 'disembodied' after-death identities.
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Sharag-Eldin, Adiyana. "The Role of Geography Space and Place in Social Media Communication:Two Case Studies of Policy Perspectives." Kent State University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=kent1571484284023254.
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Boshoff, Annemi. "Kinders se ervaring van 'n sibbe met kanker: 'n kwalitatiewe studie." Thesis, Stellenbosch : University of Stellenbosch, 2009. http://hdl.handle.net/10019.1/1721.
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Thesis (MEdPsych (Educational Psychology)--University of Stellenbosch, 2009.This study focused on South African siblings' experiences of a brother or sister with cancer. Social constructionism was used as an epistemological framework. Three in-depth interviews with siblings (ages 12 – 16 years) of pediatric cancer patients, were done. The case study approach was chosen as the most suitable method to gain the information. The thematic content analysis was the method of analysis. Participants' experiences with regard to their siblings' cancer were reconstructed according to themes. Recurring themes were elucidated and linked with the literature. The study allowed participants to express their conscious and unconscious experiences by means of verbal and non-verbal (art activities) communication. Results support the concern by previous studies about siblings' vulnerability since the diagnosis of a brother's/sister's cancer. The uniqueness of each sib's experience and the implementation of individualy-centered intervention strategies is emphasized. Educational Psychologists as well as members of the multidisciplinary team (teachers, medical and nursing staff, parents, family and peers) interested in supporting siblings of pediatric cancer patients can benefit from this study.
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Welman, Mark. "Death and gnosis: archetypal dream imagery in terminal illness." Thesis, Rhodes University, 1996. http://hdl.handle.net/10962/d1002593.
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The central aim of this study was to explore the meaning of death as both a literal and an imaginative reality, and to elucidate the fundamental tensions between these meanings of death in modern existence. Recognition was given to the need for a poetic rather than a scientific approach to thanatology, and an epistemological foundation for a poetics of death was sought in the tradition of gnosis. Theoretically, the study was grounded in the analytical psychology of C.G. Jung. It was argued that despite Jung's erratic allegiance to a Cartesian ontology and epistemology, his approach to death was nevertheless fundamentally poetic. The poetic parameters of death and dying were explored in the context of Jung's understanding of the dialectical tension between the ego and the self, and it was concluded that while death represents an opening to the imaginative possibilities of existence, these potentialities can come to the fore only when there is a corresponding willingness to die. In these terms, it was concluded that the tension between life and death forms a pivotal dynamic of human existence. These considerations led to the Question of whether the poetic parameters of death and dying are applicable to the encounter with death as a concrete actuality. It was hypothesised that the approach of death would be met at two levels of reality, that of the ego and that of the self. The expectation was that while death would be seen as a literal ending from the perspective of the former, it may represent the fulfilment of Being from the viewpoint of the self. It was also assumed that the tension between these images of death would be mediated by way of archetypal symbols, which represent the bearers of gnosis in modern culture. To address these issues at an empirical level, a hermeneutically grounded thematic analysis of 108 dreams reported by dying persons was undertaken. Twenty initial themes emerged from the data. Each of these themes was in turn elucidated by way of Jung's method of amplification. This exercise yielded five concise themes, these being (a) death, (b) transformation, (c) the self (d) the Feminine, and (e) the Masculine. It was concluded that dreams manifesting during the dying process reveal a fundamental tension between literal and metaphoric possibilities of death. Dream symbols were also found to mediate between this tension, and to orchestrate the individuation process. It was concluded that in the context of dying, dreams may reflect and facilitate the emergence of a meaningful gnosis of death. The clinical implications of these findings were onsidered, and indications for further research were provided.
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McCurdy, Marian Lea. "Women Murder Women: Case Studies in Theatre and Film." Thesis, University of Canterbury. Theatre and Film Studies, 2007. http://hdl.handle.net/10092/1938.
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This thesis looks at two cases of women who murdered women - the Papin sisters (Le Mans, 1933) and Parker-Hulme (Christchurch, 1954) - and considers their diverse representations in theatre and film, paying particular attention to Jean Genet’s play The Maids (1947), Peter Jackson’s film Heavenly Creatures (1994) and Peter Falkenberg’s film Remake (2007), in which I played a part. What happens when two women (sisters, girl friends) commit violent acts together - not against a man, or a child, but against another woman, a mother or (as in the case of the Papin sisters) against women symbolically standing in place of the mother? How are these two cases - the Papin sisters and Parker-Hulme - presented in historical documents, reinterpreted in political, psychoanalytic and feminist theories, and represented in theatre and film? How might these works of theatre and film, in particular, be seen to explain - or exploit - these cases for an audience? How is the relationship between prurience - the peeping at women doing something bad - and the use of these cases to produce social commentary and/or art, better understood by looking at these objects of fascination ourselves? My thesis explores how these cases continue to interest and inspire artists and intellectuals, as well as the general public - both because they can be seen to violate fundamental social taboos against mother-murder and incest, and because of the challenge they pose for representation in theatre or film.
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Ruane, Richard T. "Performing "Camp, Vamp & Femme Fatale": Revisiting, Reinventing & Retelling the Lives of Post-Death, Retro-Gothic Women." Thesis, University of North Texas, 1999. https://digital.library.unt.edu/ark:/67531/metadc2239/.
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This thesis examines the production process for "Camp, Vamp and Femme Fatale," performed at the University of North Texas in April of 1997. The first chapter applies Henry Jenkins's theory of textual poaching to the authors' and cast's reappropriation of cultural narratives about female vampires. The chapter goes on to survey the narrative, cinematic and critical work on women as vampires. As many of the texts were developed as part of the fantasy role-playing game Vampire: The Masquerade, this chapter also surveys how fantasy role-playing develops unpublished texts that can make fruitful ground for performance studies. The second chapter examines the rehearsal and production process in comparison to the work of Glenda Dickerson and other feminist directors.
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Keane, Elizabeth C. "Amazing grace : the nature and significance of reported after-death communication experiences." Thesis, View thesis, 2005. http://handle.uws.edu.au:8081/1959.7/36018.
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The purpose of this qualitative study is to describe the nature and significance of the after-death communication experience (ADC). The research asks what is it like to have an experience of communication with a deceased loved one, what is the essential nature of the experience, and what are the effects and meanings of the experience within the lives of the participants? This study explores the lived experiences of eighteen participants, sixteen women and two men, who report a variety of ADCs over the years following their bereavement. The ADCs are explored within the context of the participants’ lives so as to show how these extraordinary experiences can be understood as happening to real people within their own history rather than as isolated events. The first part of the thesis gives biographical descriptions of the participants’ lives following their ADCs. The second part of the thesis analyses the essential nature and qualities of the ADC experience and gives a robust description of the nature of the phenomenon. Phenomenological analysis of the data occurs in overlapping steps consisting of the individual descriptions, reduction techniques and emergence of seven themes describing the essence of the experiences for these participants.
The themes show the experiences are unexpected and startling and intrude into ordinary experience. Familiar characteristics authenticate the presence of the deceased. Information, care, love and ongoing relationship are conveyed. The participants grapple with the experiences over time. They find they are deeply imprinted and powerful, and produce immediate and long-term effects. Heightened awareness that transcends ordinary experience gives the bereaved a ‘knowing’ of the ongoing life of their loved one. Expanded consciousness and reflection lead to seeing reality as larger and more complex and includes an unseen world where their loved one is continuing to live in another form. The themes are illustrated using the participants’ descriptions of their ADCs. Last of all a description of the phenomenon is compiled using an intuitive reflective process.
Powerful and transforming after-effects demonstrate that the ADCs contribute to managing grief in the major losses of the participants’ lives, to the allaying of fears of death, to belief in an after-life and to belief in the interconnectedness and continuity of relationships across the boundary of death. There are major changes in sense of self, life and living, purpose and meaning, spiritual and religious understanding, and psychic sensitivity.
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Kwan, Chui-lan Rachel, and 關翠蘭. "A study of the death of franchise policy for ferry services in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1999. http://hub.hku.hk/bib/B31965854.
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Malenkovich, Ilona Yurivna. "Grief Lives Online: An Empirical Study of Kübler-Ross' Categories of Bereavement on MySpace Profiles." PDXScholar, 2013. https://pdxscholar.library.pdx.edu/open_access_etds/1441.
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With the widespread use of the Internet, grief has been extended in its representation. Specifically, social networking sites, like MySpace, have turned grief presentation from private expressions into public displays of mourning. This study utilizes the theoretical foundations of the grief presentation process of Kübler-Ross' (1969) five categories of bereavement (denial, anger, bargaining, depression and acceptance) to determine whether the grief presentation process is present in an online setting. In this study, the researcher conducted an empirical investigation of 4,931 comments, resulting in 22,263 bereavement themes outlined by Kübler-Ross, which were condensed into 2,288 time-point comparisons posted to 140 MySpace profiles of users who have passed-on. Results revealed noteworthy practices surrounding grief presentation on the MySpace profiles of the deceased. Specifically, bereaved commenters post a significantly greater number of bereavement narratives in the first three months post-mortem as opposed to months four through six. Additionally, race and sex of the deceased, as well as sex of the bereaved, did not prove to be mitigating factors in online grief presentation. Moreover, across observed races and sexes, the bereavement category of acceptance was found most often, followed by depression, denial, anger, and bargaining. Findings suggest that post-mortem commenting behavior blends current memorializing practices while also extending the space for communication and grief presentation. Additional implications for understanding grief communication on MySpace and future directions for research conclude this study.
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Chapman, Ysanne B. "The lived experience of nursing dying or dead people." Thesis, View thesis, 1994. http://handle.uws.edu.au:8081/1959.7/26159.
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This phenomenological study describes the experiences of twelve registered nurses who have nursed a dying or dead patient. These registered nurses come from a variety of backgrounds, not only personally, but also educationally and socially. The study primarily focuses on these registered nurses' most significant experience with death in a professional capacity. Twelve registered nurses were invited to share their stories by means of taped interviews and/or written narrative which attempted to discover the underlying meaning of their experiences. However, in relating their stories, many of the registered nurses wished to describe other death experiences which were of significance for them. The study is grounded in Heideggerian phenomenology and analysis of the transcripts revealed the emerging essences of connectedness, aloneness, questioning and accepting. The study further reveals that these essences align themselves to the four fundamental existentials of spatiality, corporeality, temporality and relationality as described by Merleau-Ponty (1962). Additionally, these essences are related back to the principles of Parse's (1987) theory of Human-Becoming and provide some insights for nursing practice when caring for the dying or the dead patient. Some discussion on how these insights may be related to contemporary nursing practice in Australia is highlighted. Each participant's transcript is followed by a poem which intends to capture the essence of their relationship with the situation(s) they have shared with the author.
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Richards, Tara N. "Explaining the "Female Victim Effect" in Capital Sentencing Decisions: A Case for Sex-Specific Models of Capital Sentencing Research." Scholar Commons, 2011. http://scholarcommons.usf.edu/etd/3741.
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The potential influence of extralegal characteristics on the outcome of post-Furman capital cases (1972) has been a focus of criminal justice researchers and legal scholars. Much of this literature has assessed the impact of victim and defendant race on the likelihood of receiving the death penalty while a relatively underdeveloped body of research focuses on how victim sex may affect capital sentencing decisions. The present study uses focal concerns theory and the chivalry hypothesis to test the potential mediating effect of theoretical variables on the relationship between victim sex and juror capital sentence decision-making. In addition, it uses victim sex specific logistic regression models to examine if different theoretical and/or control variables are important predictors of receiving the death penalty for male victim cases versus female victim cases. Findings demonstrate that victim rape mediates the relationship between victim sex and juror death penalty decision-making. In addition, findings reveal that sex specific models better explain juror decision making than the full model including victims of both sexes and that different extralegal and legal characteristics predict juror decision to choose the death penalty in cases with male victims versus female victims. Theoretical and legal implications as well as directions for future research are discussed.
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Acheson, Kerry. "The phenomenolgoical experience of posttraumatic growth in the context of a traumatic bereavement." Thesis, Rhodes University, 2009. http://hdl.handle.net/10962/d1004456.
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The present study involves an exploration of the phenomenological expenence of posttraumatic growth in the context of a traumatic bereavement. An idiographic case study of a student who had witnessed her mother's death twelve years previously was conducted. Semi-structured interviews elicited data which was analysed using interpretative phenomenological analysis (IP A). Posttraumatic growth was found to have developed with regards to self-perception, relationships, and also in a broader spiritual and existential domain. The findings of this study shed light on the extant posttraumatic growth literature. In particular, findings were discussed in relation to the posttraumatic growth model as proposed by Calhoun and Tedeschi (2006). As posttraumatic growth is a relatively young concept, further research is needed in order to understand the meaning of reported growth more fully. While posttraumatic growth has been investigated in the context of bereavement, future research should distinguish more clearly between growth following traumatic and non-traumatic bereavement. Posttraumatic growth has received minimal empirical attention in South Africa, and therefore exploration of this area is suggested in the future.KMBT_363
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Eklöf, Rickard, and Robin Jacobsen. "En Praktisk Analys av Dödsmekaniker i Spel." Thesis, Blekinge Tekniska Högskola, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:bth-11530.
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Genom denna avhandling undergår vi som speldesigners en dokumenterad process där vi utvecklar ett spel från koncept till funktionell prototyp. Målet är att kunna bygga vidare på våra egna samt andras metoder för utvecklingen av mekaniker som kompletterar övrigt gameplay. Undersökningsområdet för denna process utgörs av hur vi kan framställa en dödsmekanik som passar i kontext till vårt valda spelkoncept och dess förutsättningar. Detta inriktningsområde grundas i vår vilja att skapa dödsmekaniker som upplevs inge betydelsefulla konsekvenser både på spelarkaraktären och spelupplevelsen i sin helhet vilket stämmer överens med konceptets designmål. Genom ett speltest där en testgrupp genomför ett antal kvalitativa prototyptester av dödsmekaniker kan vi sedan jämföra resultaten och etablera slutsatser kring hur väl varje prototyp lyckas uppfylla konceptets designmål och inge tydliga konsekvenser för spelaren som förstärker resterande gameplay.Through this thesis we as game designers undergo a documented process in which we develop a game from concept to functional prototype. The end goal is to allow us to further our own as well as others’ methodology for the development of mechanics that complement existing gameplay. The field of inquiry for this process consists of how we can establish a death mechanic that fits in context to our chosen game concept and its parameters. This focal point originates from a desire on our part to create death mechanics that strive to instill meaningful consequences affecting the player as well as the game experience itself which correspond with the design goals of the concept. By performing a playtest where a number of qualitative prototypes of death mechanics are carried out by a test group we can compare the results and establish conclusions concerning how well each prototype manages to fulfill the concept’s design goals and convey clear consequences for the player, reinforcing surrounding gameplay.
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Rautenbach, Marina Ninette. "Riglyne vir maatskaplike werkers by etnies-sensitiewe rouberaad met Xhosa-sprekende persone." Thesis, Stellenbosch : Stellenbosch University, 2002. http://hdl.handle.net/10019.1/53036.
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Thesis (MSocialWork)--Stellenbosch University, 2002.ENGLISH ABSTRACT: The purpose of the study was to establish guidelines for ethnic-sensitive bereavement counselling with Xhosa speaking people. These guidelines are specifically aimed at Social Workers who do bereavement counselling with Xhosa speaking people. In order to formulate the guidelines, both literature review and empirical studies were undertaken. The literature review consists of two chapters. In the first chapter the ethnicsensitive perspective and bereavement counselling models are discussed and attention is given to the integration of the ethnic-sensitive perspective with bereavement counselling models. The second chapter deals with death and bereavement in the Xhosa culture, the role of the Social Worker as bereavement counsellor and the knowledge, values and skills required to do bereavement counselling. Through the literature review it was established that specific knowledge of a Xhosa speaking person's bereavement process is essential for any Social Worker who wishes to do ethnic-sensitive bereavement counselling with a Xhosa speaking person. Skills and values must be tailored to the needs of the Xhosa speaking person in bereavement. During the literature review it also became clear that successful ethnic-sensitive bereavement counselling can only be done if the Social Worker is totally knowledgeable about hislher own experiences and attitudes in respect of the bereavement process as well as in respect of another culture, for example the Xhosa culture. The empirical study was done to establish the needs of Xhosa speaking people in respect of bereavement counselling. The respondents consisted of Xhosa speaking individuals who were in the bereavement process. The measurement instrument consisted of a questionnaire with quantitative and qualitative questions and these were completed by ten respondents. The sample of ten respondents were selected from amongst respondents who were available and willing to participate in the research. The findings of the empirical study pointed to the unique needs of Xhosa speaking people which must be considered during bereavement counselling with them. It was also confirmed that a Social Worker required specific knowledge of Xhosa speaking people's bereavement process in order to deliver ethnic-sensitive bereavement counselling. The finding establishes clear guidelines for Social Workers doing ethnic-sensitive bereavement counselling with Xhosa speaking people.
AFRIKAANSE OPSOMMING: Die doel van die studie was om riglyne vir etnies-sensitiewe rouberaad met Xhosa-sprekende persone daar te stel. Die riglyne is spesifiek gerig op maatskaplike werkers wat rouberaad met Xhosa-sprekende persone doen. Ten einde die riglyne te formuleer is 'n literatuurstudie en 'n empiriese studie gedoen. Die literatuurstudie bestaan uit twee hoofstukke. In die eerste hoofstuk is die etnies-sensitiewe perspektief en rouberaad modelle bespreek, daar is ook aandag gegee aan die integrering van die etnies-sensitiewe perspektief met die rouberaad modelle. Die tweede hoofstuk handel oor dood en rou in die Xhosa-kultuur; die rol van die maatskaplike werker as rouberader en die kennis, waardes en vaardighede wat benodig word om rouberaad te doen. Met die literatuurstudie is vasgestel dat 'n maatskaplike werker wat etnies-sensitiewe rouberaad met 'n Xhosa-sprekende persoon wil doen, spesifieke kennis van die Xhosa-sprekende persoon se rouproses moet hê. Vaardighede en waardes moet ook aangepas word by die behoeftes van die Xhosa-sprekende persoon in rou. In die literatuurstudie het dit ook duidelik na vore gekom dat suksesvolle etnies-sensitiewe rouberaad slegs gedoen kan word indien die maatskaplike werker deeglike kennis dra van sy/haar eie ervaringe en houdings ten opsigte van die rouproses en ten opsigte van 'n ander kultuur, byvoorbeeld die Xhosa-kultuur. 'n Empiriese studie is gedoen om Xhosa-sprekende persone se behoeftes ten opsigte van rouberaad te bepaal. Die respondente het bestaan uit Xhosa-sprekende persone wat in 'n rouproses was. 'n Vraelys met kwalitatiewe en kwantitatiewe vrae is as meetinstrument gebruik, en is deur tien respondente voltooi. Die steekproef van tien respondente is verkry deur doelbewuste seleksie, van respondente wat bereidwillig en beskikbaar vir die navorsing was. Die bevindinge van die empiriese studie het aangedui dat Xhosa-sprekend persone unieke behoeftes het wat in ag geneem moet word tydens rouberaad. Daar is bevestig dat dit vir 'n maatskaplike werker nodig is om spesifieke kennis van die Xhosa-sprekende persoon se rouproses te hê, ten einde etnies-sensitiewe rouberaad te lewer. Die bevindinge lig duidelike riglyne vir maatskaplike werkers by etnies-sensitiewe rouberaad met Xhosa-sprekende persone uit.
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Shahbaz, Amy Renee. "Spiritual experience: The relationship with the grief process." CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2118.
Full textAbstract:
There were four major purposes of this study: (1) to evaluate the level of grief experience by bereaved individuals who attend either a grief support group or grief psycho-educational group in the Inland Empire, (2) to evaluate the level of spirtuality experienced by bereaved individuals who attend either a grief support or grief psycho-educational group in the Inland Empire, (3) to correlate the level of grief reactions with the level of spiritual experience within bereaved individuals, and (4) to describe demongraphic and grief/spiritual-related factors that may influence a bereaved individual's spiritual experience and grief process.
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Goudie, Allison J. I. "The sovereignty of the royal portrait in revolutionary and Napoleonic Europe : five case studies surrounding Maria Carolina, Queen of Naples." Thesis, University of Oxford, 2014. http://ora.ox.ac.uk/objects/uuid:aeecdc4b-d840-4e25-be64-ba1407e18cd2.
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This study demonstrates how royal portraiture functioned during the Revolutionary and Napoleonic wars as a vehicle for visualizing and processing the contemporary political upheavals. It does so by considering a notion of the 'sovereignty of the portrait', that is, the semiotic integrity (or precisely the lack thereof) and the material territory of royal portraiture at this historical juncture. Working from an assumption that the precariousness of sovereignty which delineated the Revolutionary and Napoleonic wars goes hand in hand with the precariousness of representation during the same period, it reframes prevailing readings of royal portraiture in the aftermath of the French Revolution by approaching the genre less as one defined by the oneway propagation of a message, and more as a highly unstable intermedial network of representation. This theoretical undertaking is refracted through the figure of Maria Carolina, Queen of Naples (1752-1814), close sister and foil to Queen Marie- Antoinette of France, and who, as de facto ruler of the Kingdom of Naples, physically survived revolution but was twice dethroned and thrice exiled. A diverse ecology of royal portraiture revolving around Maria Carolina is presented across five case studies. Close attention to the materiality of a hyperrealistic wax bust of Maria Carolina reveals how portraiture absorbed the trauma of the French Revolution; Maria Carolina’s correspondence in invisible ink is used as a tool to read a highly distinctive visual language of 'hidden' silhouettes of sovereigns and to explore the in/visibility of exile; a novel reading of Antonio Canova's work for the Neapolitan Bourbons through the lens of contemporary caricature problematizes the binary between ancien régime and parvenue monarchy; and a unique miniature of Maria Carolina offers itself as a material metaphor for post-revolutionary sovereignty. Finally, Maria Carolina’s death mask testifies to how Maria Carolina herself became a relic of the ancien régime.
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Benitez, Christine Paras. "Maternal parentification of siblings in families with or without a child with a developmental disability." CSUSB ScholarWorks, 2004. https://scholarworks.lib.csusb.edu/etd-project/2676.
Full textAbstract:
The lives of family members of a child with a developmental disability are typically influenced by acute as well as chronic stressful events. These families are compared to families of typically developing children. In order for a family with a child with a developmental disability to function as effectively as possible, it may be necessary to renegotiate and reassign traditional family roles of parent, spouse, brother and sister.
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Gavrilko, Oleg. "Estudo post mortem através da técnica do pink teeth em vítimas de mortes violentas em Curitiba e Região Metropolitana." Universidade Tecnológica Federal do Paraná, 2013. http://repositorio.utfpr.edu.br/jspui/handle/1/488.
Full textAbstract:
Os dentes rosados são um fenômeno que pode ocorrer em vida ou post-mortem. Ele resulta na pigmentação do dente pela hemoglobina que se difunde através dos túbulos destinatários. Vários pesquisadores vêm analisando esse fenômeno a fim de elucidar seu mecanismo e tentar relacioná-lo com a causa da morte e do tempo decorrido da morte, com o objetivo de auxiliar e agilizar o trabalho de investigação criminal na descoberta da real situação da morte. Nesse trabalho o autor procurou correlacionar o aparecimento de dentes rosados com a hora aproximada e a causa da morte, mensurando a coloração. Foi realizado um trabalho de campo no Instituto Médico Legal da cidade de Curitiba onde foram analisados 15 cadáveres, com diferentes causas da morte. Para estabelecer a coloração foi utilizada a escala de cores RGB Hex Triplet Color Chart e realizada a comparação visual dos dentes. Ficou constatado que os dentes da bateria labial, ou seja, de canino a canino, foram os dentes mais afetados e a região cervical dos dentes – colo do dente ou na região da junção cemento-esmalte, ou anda pescoço do dente, é a que apresenta uma coloração mais exuberante. É proposto o desenvolvimento de um colorímetro eletrônico como trabalho futuro, com o objetivo de automatizar a aquisição de cor nos dentes rosados.Pink teeth are a phenomenon that can occur in life or post-mortem. It is resulted by pigmentation tooth by hemoglobin, which diffuses through the dentinal tubules. Several researches have analyzed this phenomenon, in order to elucidate its mechanism and try to relate to the cause of death and the time elapses from death, to assist and make faster the word of criminal investigation in discovering the real situation of death. In this work the author tried to correlate the appearance of the pink teeth with time and cause of death, measuring the color. Were conducted a field study at the Institute of Forensic Medicine of Curitiba, where were analyzed 15 specimens with different causes of death. For the staining was used to measure the color gamut of RGB Hex Triplet Color Char and held visual comparison of the teeth. It was verified that the teeth of the battery lip, i.e. from canine to canine were the most affected teeth and the neck of the teeth – or the tooth neck region of the cementum-enamel junction, or neck of the tooth, it shows one more exuberant color. Is proposed the development of a electronic colorimeter as future work, with the subject to automate the capture the color in the pink teeth.
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Puente, Baliarda Diana. "Diferències entre dones i homes en el càncer de bufeta urinària: etiologia, clínica i pronòstic." Doctoral thesis, Universitat Pompeu Fabra, 2005. http://hdl.handle.net/10803/7106.
Full textAbstract:
La present tesi avalua les diferències entre homes i dones quant a les característiques sociodemogràfiques i clínicopatològiques, procés diagnòstic, tractament i pronòstic en una sèrie de casos diagnosticats de novo de càncer de bufeta en 18 hospitals de 5 regions espanyoles (estudi EPICURO). També s'estudia l'associació entre tabac i risc de càncer de bufeta segons el sexe en un estudi agregat d'estudis cas-control europeus i nord-americans de càncer de bufeta.Es trobaren diferències entre sexes quant a la incidència de la malaltia, en algunes característiques anatomopatològiques dels tumors i quant a tractament. No es varen observar diferències entre sexes davant d'un mateix nivell d'exposició al tabac. També s'observaren diferències entre homes i dones quant al risc de recidivar i de progressar dels tumors vesicals superficials, però no en el risc de morir dels pacients amb tumors invasius.
The thesis evaluates differences related to sociodemographic and clinic-pathological characteristics, diagnostic tests, treatment and prognosis of bladder cancer patients newly diagnosed in 18 hospitals from 5 Spanish areas according to sex. The work also assess the association between tobacco and bladder cancer risk according to sex in a pooled analysis of case-control studies of bladder cancer from Europe and North America.
Differences between sex concerning disease incidence, pathological characteristics and treatment were observed. The relative risk of bladder cancer associated with tobacco was similar in both sex. Differences between men and women were observed regarding risk of recurrence and progression of their superficial tumors but not regarding risk of death because of an invasive tumor.
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Gallotti, Renata Mahfuz Daud. ""Eventos adversos e óbitos hospitalares em serviço de emergências clínicas de um hospital universitário terciário: um olhar para a qualidade da atenção"." Universidade de São Paulo, 2003. http://www.teses.usp.br/teses/disponiveis/5/5159/tde-15082005-171758/.
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Eventos adversos (EAs), definidos como complicações não intencionais decorrentes do cuidado prestado, são reconhecidos como um dos maiores problemas na área da saúde. Embora a maior parte dos eventos acarrete incapacitações leves, uma proporção considerável está relacionada à morte de pacientes. O atendimento de urgência é considerado importante fator de risco para o desencadeamento destas complicações. No Brasil, estudos relacionados a este tema não foram publicados até o momento. O presente estudo objetivou identificar a ocorrência de EAs em pacientes admitidos por acidente vascular cerebral (AVC) ao Pronto-Socorro de Clínica Médica (PSM) do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP) e determinar as categorias de EAs associadas a óbito. Este estudo caso-controle pareado envolveu 468 pacientes admitidos por AVC ao PSM-HCFMUSP no período de março de 1996 a setembro de 1999. O grupo-caso compreendeu 234 óbitos hospitalares consecutivos e o grupo-controle 234 pacientes que receberam alta, pareados pelo diagnóstico provisório e pela época de internação. Eventos adversos, detectados por revisão de prontuários, foram classificados segundo sua gravidade, causas imediatas, sistemas acometidos e categorias profissionais envolvidas no cuidado aos pacientes. A associação com óbito foi analisada por regressão logística multivariada condicional, incluindo variáveis relacionadas a aspectos demográficos, gravidade do quadro inicial e características da assistência. Nos 468 pacientes foram identificados 1.218 EAs: 932 EAs (76,5%) em 170 casos e 286 EAs (23,5%) em 125 controles. Eventos adversos major corresponderam a 54,1% do total de eventos, com 659 episódios: 538 eventos em 143 casos e 121 em 65 controles. Os procedimentos diagnósticos e terapêuticos e os cuidados de enfermagem foram responsáveis em conjunto por 55,2% do total de eventos. Em relação ao tipo de sistema afetado, 46,0% dos EAs identificados ocasionaram manifestações gerais. Eventos adversos relacionados à enfermagem e EAs médicos representaram as categorias profissionais de EAs mais freqüentes (38,4% e 31,0% do total de eventos). Uma associação significante com óbito foi encontrada em relação a EAs major, EAs médicos e infecções hospitalares, com valores de OR ajustado estimados em 3,72 (IC 95% = 1,63-8,48), 3,69 (IC 95% = 1,60-8,50) e 3,20 (IC 95% = 1,20-8,51), respectivamente. Em resumo, eventos adversos, na sua maioria graves, foram freqüentes em casos e controles, determinando predominantemente manifestações gerais. Os procedimentos diagnósticos e terapêuticos e os cuidados de enfermagem corresponderam às principais causas imediatas de EAs. Em relação à categoria profissional envolvida, os EAs relacionados à enfermagem e os eventos médicos predominaram. Eventos adversos major, EAs médicos e as infecções hospitalares associaram-se de maneira significante com óbito em pacientes com AVC admitidos ao Pronto-Socorro de Clínica Médica do Hospital das Clínicas da Faculdade de Medicina da Universidade de São PauloAdverse events (AEs), defined as unintended injuries caused by medical care, are recognized as a major health problem. Although most of them lead to minimal impairments, a considerable proportion is related to patients death. Urgent care is considered an important AE risk factor. No related Brazilian studies were published so far. The present study aimed to identify the occurrence of AEs in patients admitted for stroke to the medical emergency department of the Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP) and to determine the AEs categories associated to death. This paired case-control study enrolled 468 patients admitted for stroke to the HCFMUSP medical emergency department from March 1996 to September 1999. The cases comprised 234 consecutive deaths and the controls 234 discharged patients, matched for primary diagnosis and admission period. AEs, detected by retrospective chart review, were classified with regard to their severity, immediate causes, affected systems and professional involved in patient care. The association with death was analyzed by multivariate conditional regression including variables related to demographic aspects, clinical severity on admission and care characteristics. A total of 1,218 AEs were identified in 468 patients: 932 AEs (76.5%) in 170 cases and 286 AEs (23.5%) in 125 controls. Major AEs corresponded to 54.1% of all AEs, with 659 episodes: 538 events in 143 cases and 121 in 65 controls. Diagnostic and therapeutic procedures and nursing activities accounted together for 55.2% of all events. Concerning the affected system, 46.0% of the identified AEs lead to general manifestations. Nursing and medical AEs represented the most frequent professional categories involved (38.4% and 31.0% of all events). A significant association with death was found regarding major AEs, medical AEs and nosocomial infections, with adjusted OR estimates of 3.72 (95% IC = 1.63-8.48), 3.69 (95% IC = 1.60-8.50) and 3.20 (95% IC = 1.20-8.51), respectively. In summary, adverse events, most of them severe, were frequent in cases and controls, leading mainly to general manifestations. Diagnostic and therapeutic procedures and nursing activities corresponded to the main AEs immediate causes. Regarding the professional involved, AEs related to nurses and physicians predominated. Major AEs, medical AEs and nosocomial infectious were significantly associated to death in stroke patients admitted to the medical emergency department of the Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
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"The relationship between online and offline communities: the case of the Queer sisters." 2001. http://library.cuhk.edu.hk/record=b6073379.
Full textAbstract:
Joyce Nip Yee-man."November 2001."
Thesis (Ph.D.)--Chinese University of Hong Kong, 2001.
Includes bibliographical references (p. 135-163).
Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web.
Electronic reproduction. Ann Arbor, MI : ProQuest Information and Learning Company, [200-] System requirements: Adobe Acrobat Reader. Available via World Wide Web.
Mode of access: World Wide Web.
Abstracts in English and Chinese.
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Greer, F. Alice A. "Six case studies of professed sisters who left the same religious congregation between 1977-2003 /." 2006. http://link.library.utoronto.ca/eir/EIRdetail.cfm?Resources__ID=442508&T=F.
Full text
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Stylianou, Nitsa. "Death in the balance : a constructivist interpretation of the impact of awaiting capital punishment on death row prisoners." Diss., 1994. http://hdl.handle.net/10500/16145.
Full textAbstract:
The epistemological framework, 'constructivism', posits the notion that we can only know our own construction of others and the world and not the objective truth about others and the world. Constructivism has been used in this study to describe the psychological experiences of death row inmates. The research design focused on the experiences of three prisoners currently serving their sentences at Pretoria's Maximum Prison. The use of narrative and its concomitant interpretation was used as a method of co-research as it was viewed to be coterminous with the idea of co-construction, where the experience between this co researcher and the prisoners could be linked up in a systemic, temporal and thematically consistent way. Despite the content of the material being subjective and nongeneralisable, it has been attuned to bring forth distinctions that are liable to be heuristic-- this generated an enticing novelty that stimulated this co-researcher. Readers are wished a similar outcome.Psychology
M.A. (Clinical Psychology)
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"Cross-Sector Collaboration in Education: Comparative Case Studies of Organizational Death and Persistence." Thesis, 2020. https://doi.org/10.7916/d8-npxd-ym34.
Full textAbstract:
My dissertation is concerned with the organizational survival of cross-sector collaboration in education, a strategy that has long been present in education reform but has received renewed interest in recent years due to broader social and policy trends. In particular, my study is concerned with the environmental, organizational and individual conditions that contribute to the inability of cross-sector collaborations to sustain the “backbone”—or intermediary organizations—responsible for facilitating the collaborative work. In addition to exploring the characteristics that contribute to their organizational death, my study leverages stakeholder interviews and document analysis to build an understanding of the most important considerations for the survival prospects of future cross-sector collaborations. The framing of the study incorporates institutional, organizational and sensemaking theories to guide three tiers—the macro, meso and micro levels—of organizational analysis.
Using a qualitative, comparative case study design, I match three unsustainable or “dead” cross-sector collaborations with three surviving pairs that share a similar mission, vision and goals, but vary across a number of key conditions that interview data from the dead collaborations suggest are critical to survival. I conduct 53 new interviews with stakeholders from dead collaborations and draw on 69 interviews that either I or a collaborator conducted with stakeholders from the surviving collaborations as part of a previous study. My total sample includes 122 interviews with stakeholders across the six collaborations. I then build a case narrative for each of the collaborations, using interview data and key documents, followed by a cross-case analysis of how the collaboration pairs differed in the characteristics, conditions, events and strategies they employed during coalition building, implementation and sustainability planning phases. I conclude with an analysis of the patterns across the three dead collaborations that undermined their organizational sustainability and an examination of the promising practices learned from the surviving collaborations.
The findings from my study have implications for policymakers, practitioners, philanthropic organizations and future researchers that are discussed in detail in the final chapter. I find four major patterns across the dead collaborations that contributed to their closure, including: institutional contradictions in funder-backbone relationships; perverse incentives for collaboration due to insufficient coalition building and continuous partner engagement; a backbone structure that is either too dependent on or too detached from the school district; and an inability to control alternate narratives about the work being produced by cross-sector partners, funders and community members. I generate theoretical propositions related to these findings for suggested use by future researchers.
Additionally, I find six promising practices across the surviving collaborations that have bolstered their sustainability prospects to date: diversifying their funding portfolios to avoid reliance on short-term grants; leveraging an effective leader to communicate a clear value proposition to funders; investing in iterative, partner engagement and collaborative governance structures from coalition building through implementation; creating a common narrative about the collaboration’s identity, but tailoring communications with different stakeholders; buffering the backbone from environmental volatility by separating the roles of facilitation and programmatic service provision; and leveraging network membership to share experiences and avoid replicating mistakes.
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Magaga, Tinyiko Lucy. "Losing a loved one through death : a selected group of African teenagers' experiences, coping strategies and support needs in coming to terms with the death of a loved one." Diss., 2012. http://hdl.handle.net/10500/13227.
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The aim of this research was to uncover and understand the experiences, and the coping strategies employed by African teenagers in coming to terms with the death of a loved one, the support needs in relation to this, and the need to provide guidelines on how they would like to be supported by social workers. A qualitative research approach was employed, following an explorative, descriptive and contextual research design. The study was conducted in Cullinan near Pretoria in Gauteng Province. Data were collected, using structured interviews with a purposively selected sample of African teenagers who met the criteria for inclusion in the study.
The data were analysed, according to the framework provided by Tesch to ensure the trustworthiness of the qualitative data was to be employed for the data verification. The findings included seven identified themes, the sub-themes and categories of which were supported by the extracts from the interview transcripts, and the literature reviewed for this research. The research report, together with the conclusions and recommendations, based on the conclusion, were drawn from the research- thereby, showing how the goals of the study were achieved.Social Work
M. Soc. Sc. (Mental Health)
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Keane, Elizabeth C., University of Western Sydney, and of Arts Education and Social Sciences College. "Amazing grace : the nature and significance of reported after-death communication experiences." 2005. http://handle.uws.edu.au:8081/1959.7/36018.
Full textAbstract:
The purpose of this qualitative study is to describe the nature and significance of the after-death communication experience (ADC). The research asks what is it like to have an experience of communication with a deceased loved one, what is the essential nature of the experience, and what are the effects and meanings of the experience within the lives of the participants? This study explores the lived experiences of eighteen participants, sixteen women and two men, who report a variety of ADCs over the years following their bereavement. The ADCs are explored within the context of the participants’ lives so as to show how these extraordinary experiences can be understood as happening to real people within their own history rather than as isolated events. The first part of the thesis gives biographical descriptions of the participants’ lives following their ADCs. The second part of the thesis analyses the essential nature and qualities of the ADC experience and gives a robust description of the nature of the phenomenon. Phenomenological analysis of the data occurs in overlapping steps consisting of the individual descriptions, reduction techniques and emergence of seven themes describing the essence of the experiences for these participants. The themes show the experiences are unexpected and startling and intrude into ordinary experience. Familiar characteristics authenticate the presence of the deceased. Information, care, love and ongoing relationship are conveyed. The participants grapple with the experiences over time. They find they are deeply imprinted and powerful, and produce immediate and long-term effects. Heightened awareness that transcends ordinary experience gives the bereaved a ‘knowing’ of the ongoing life of their loved one. Expanded consciousness and reflection lead to seeing reality as larger and more complex and includes an unseen world where their loved one is continuing to live in another form. The themes are illustrated using the participants’ descriptions of their ADCs. Last of all a description of the phenomenon is compiled using an intuitive reflective process. Powerful and transforming after-effects demonstrate that the ADCs contribute to managing grief in the major losses of the participants’ lives, to the allaying of fears of death, to belief in an after-life and to belief in the interconnectedness and continuity of relationships across the boundary of death. There are major changes in sense of self, life and living, purpose and meaning, spiritual and religious understanding, and psychic sensitivity.Doctor of Philosophy (PhD)
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Molefe, Lebogang Lilian. "First year student nurses' experiences of encounters with death and dying of a patient during clinical practice." Diss., 2014. http://hdl.handle.net/10500/18669.
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The purpose of this study was to explore first year student nurses’ experiences of encounters with death and dying of a patient during clinical practice so as to make recommendations on increase support for first year student nurses. Qualitative research which was explorative, descriptive and contextual was conducted. Data collection was done using in-depth unstructured interview. Nine participants were interviewed and data was analysed. The findings revealed that lack of knowledge, emotional trauma, low self-esteem and nutritional disorder are the results of dealing with death and dying of patients for first year student nurses. Negative attitudes of clinical professionals, shortage of staff and congested block programme were identified as some aspects worsening the situation. Incidental learning that occurs with negative experience encountered was also identified. The findings show the need for review of curriculum for first year student nurses and the need for change of attitudes of clinical professionalsHealth Studies
M.A. (Health Studies)
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Chapman, Ysanne Beatrice, University of Western Sydney, of Health Humanities and Social Ecology Faculty, and School of Social Ecology. "The lived experience of nursing dying or dead people." 1994. http://handle.uws.edu.au:8081/1959.7/26159.
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This phenomenological study describes the experiences of twelve registered nurses who have nursed a dying or dead patient. These registered nurses come from a variety of backgrounds, not only personally, but also educationally and socially. The study primarily focuses on these registered nurses' most significant experience with death in a professional capacity. Twelve registered nurses were invited to share their stories by means of taped interviews and/or written narrative which attempted to discover the underlying meaning of their experiences. However, in relating their stories, many of the registered nurses wished to describe other death experiences which were of significance for them. The study is grounded in Heideggerian phenomenology and analysis of the transcripts revealed the emerging essences of connectedness, aloneness, questioning and accepting. The study further reveals that these essences align themselves to the four fundamental existentials of spatiality, corporeality, temporality and relationality as described by Merleau-Ponty (1962). Additionally, these essences are related back to the principles of Parse's (1987) theory of Human-Becoming and provide some insights for nursing practice when caring for the dying or the dead patient. Some discussion on how these insights may be related to contemporary nursing practice in Australia is highlighted. Each participant's transcript is followed by a poem which intends to capture the essence of their relationship with the situation(s) they have shared with the author.Master of Science (Hons) (Social Ecology)
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"A comparative study of the mother archetype "Death in Chicago" and "A passage to India"." Chinese University of Hong Kong, 1990. http://library.cuhk.edu.hk/record=b5895357.
Full textAbstract:
by Carrie Yuk-ching Kwan.Thesis (M.Phil.)--Chinese University of Hong Kong, 1990.
Bibliography: leaves 137-149.
Acknowledgement
Chapter
Chapter I. --- Introduction --- p.1
Chapter II. --- The Mother Archetype --- p.9
Chapter III. --- "An Archetypal Analysis of ""Death in Chicago""" --- p.28
Chapter IV. --- "An Archetypal Analysis of A Passage to India ´ؤ with a Brief Comparison with ""Death in Chicago""" --- p.73
Chapter V. --- Conclusion --- p.117
Notes --- p.126
Bibliography --- p.137
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Bukman, Marie-Jeanne. "The development of a new identity through the process of bereavement counselling : a qualitative study." Thesis, 2017. http://hdl.handle.net/10500/22649.
Full textAbstract:
The purpose of this qualitative study is to explore how narrative therapy may facilitate not only a lessening of distressing symptoms for bereaved persons, but may also facilitate growth in identity. Five case studies are presented. The participants were chosen to illuminate different grief experiences. The case studies include a description of grieving people from different backgrounds, each with a unique relationship with the person or people who died, all of whom had different causes of death such as suicide, murder and natural causes. These differences provide an opportunity to explore the application of the therapy model with a range of grief experiences.
A full and rich description of the experiences of the participants yield insight into the shared themes such as the impact of social expectations of how a grieving person should conduct him or herself, difficult physical and emotional experiences, the many losses flowing from the death, as well as an in-depth discussion of the identity growth that takes place as the bereaved person takes on different roles and tasks.
Postmodern epistemology and social constructivism informed the praxis and interpretation of narrative therapy as bereavement model. Narrative therapy is shown as especially effective for grief therapy with therapeutic tenets such as deconstructing and creating richer narratives and alternative stories that enables the bereaved to explore diverse aspects of their character. The emphasis on what remains rather than what is lost, and the concept of remembering the loved one who died in the community of those who stay behind, transmute the loss-story to one of remembering and incorporating, which tends to bring significant emotional relief.
This study contributes towards the field of growth through bereavement for which there seems to be a paucity in research. Furthermore, it provides additional evidence for post-traumatic growth in general, especially with the assistance of narrative therapy.Psychology
Ph. D. (Psychology)
37
Ramaboea, Moyahabo Joyce. "The factors contributing to high neonatal morbidity and mortality in Limpopo Province." Diss., 2014. http://hdl.handle.net/10500/18830.
Full textAbstract:
A quantitative descriptive, retrospective and cross-sectional study was conducted. The purpose of the study was to identify and describe factors that contributed to high sickness and death rate of babies admitted in the Neonatal Unit at a tertiary institution in Limpopo Province. Data were collected from the patient’s records by administering an auditing tool. The tool included initial assessment on antenatal care, intra-partum and neonatal care. Analysis of data was performed by IBM Statistical Package for Social Sciences (SPSS) Statistics 22 computer software version. Frequency tables and pie graphs were used to present the data. The findings revealed that 42% of the mothers whose babies were admitted in the Neonatal Unit were in their childbearing period, 71% of the mothers started antenatal care at the second trimester and 75% babies were admitted within the first six hours of life. Respiratory distress, 77% and prematurity, 43% were the common conditions for admission in the Neonatal Unit. Spontaneous preterm and immaturity were the common causes of death. Recommendations are that education and training on record keeping to be done on continuous basis, to conduct quality improvement programmes and implement maternal and neonatal guidelines in the clinical area throughout.Health Studies
M.A. (Health Studies)
38
Pratt, Nicole. "Medication prescribing in the elderly and the effect on health related outcomes: an investigation of bias in observational studies using computerised claims databases." Thesis, 2010. http://hdl.handle.net/2440/63634.
Full textAbstract:
Background: This thesis explores the effects of medication prescribing on patient outcomes in an ageing population, specifically, the population of Australian veterans. The primary source of data is the computerised administrative claims database maintained by the Commonwealth Department of Veterans' Affairs. This database is a valuable resource yet knowledge about how these data can be analysed and interpreted to study the effects of medicine use in the Australian setting is limited. An important source of bias in observational studies relating medication prescribing to health outcomes arises from confounding by the reason for prescription, or confounding by indication. The extent to which traditional pharmacoepidemiological studies utilising administrative claims databases can deal with confounding is limited as these data sources often lack information on many potentially important confounders, such as clinical information, life style factors and disease severity.
Aim: The aim of this thesis was to investigate the use of two methods, developed to overcome possible bias in observational studies due to unmeasured confounding; instrumental variable analysis and the self-controlled case-series design. To illustrate how these techniques may be used to overcome confounding, I investigate how they apply to the assessment of the adverse effects of antipsychotic prescribing in the elderly.
Methods: The instrumental variable analysis was used to compare the risk of death, hip fracture and pneumonia between the antipsychotic classes. The instrumental variable analysis aims to control for unmeasured confounding by attempting to mimic the process of random assignment in a randomised controlled trial. The self-controlled case-series design was used to investigate the risk of hospitalisation for stroke, hip fracture and pneumonia associated with antipsychotic initiation. The self-controlled case-series design uses a patient as their own control, thereby implicitly controlling for constant patient specific confounders, even those that are unmeasured.
Results: Using a cohort of 20,205 elderly patients aged over 65 years of age, I have shown that the profiles of patients receiving antipsychotic medicines vary between the class of antipsychotic initiated and those variables that differ are likely to be associated with the reported adverse events of these medicines. This indicates the potential for confounding in observational studies of antipsychotics and suggests that appropriate study designs are required to minimise the effect of confounding in order to get a clear understanding of the potential adverse events of these medicines.
The instrumental variable analysis suggested that typical antipsychotics were associated with an extra 24 (95% confidence interval (CI) 18-30) deaths per 100 patients per year compared to atypical antipsychotics, and an extra 10 (95% CI 7-14) deaths per 100 patients per year among nursing home residents. In this analysis I proposed a new instrument, facility prescribing preference, as an alternative to the doctor prescribing preference instrument; the latter which has been used extensively in the pharmacoepidemiological literature. I was able to show that facility preference may be a valid instrument for further work in this area as it was highly correlated with actual treatment (Odds Ratio 19.2; 95% CI 17.1-21.6), provided a good balance of measured patient characteristics and was consistently strong over time.
While the instrumental variable analysis can provide information regarding the comparative risk of antipsychotics between the classes it cannot inform about the individual risk of these medicines compared to no treatment. To answer this question I used the self-controlled case-series design to estimate the excess risk of hospitalisation for stroke, hip fracture and pneumonia after initiation of an antipsychotic. Atypical antipsychotics were not associated with an increased risk of stroke, which is consistent with randomised controlled trial evidence. No such evidence is available for typical antipsychotics in the elderly, however, the case-series analysis suggests that there is a small but significantly increased risk of hospitalisation for stroke in the first week after initiation (Incidence Rate Ratio (IRR); 2.1, 95% CI 1.1-4.2). For pneumonia the risk was raised in all periods after antipsychotic initiation. This risk was highest in the first week after initiation and remained significantly raised by 50% with more than 12 weeks of treatment (Typical antipsychotics IRR; 1.5, 95% CI 1.2-1.9, Atypical antipsychotics IRR; 1.5, 95% CI 1.3-1.7). The risk of hip fracture was significantly increased for both classes but this risk was sustained only with long-term typical antispychotic use (IRR; 1.3, 95% CI 1.1-1.6).
The self-controlled case-series design has been used extensively in the investigation of vaccine safety. I have found, however, that the application of this design to the study of the effects of medicine prescribing in the elderly may require the addition of an unexposed group to control for the increasing incidence of hospitalisation with age in this population. I also explored the use of risk periods prior to initiating therapy with antipsychotics. Patients were more likely to have had a hospitalisation for stroke in the week prior to initiating typical antipsychotics (IRR; 6.9, 95% CI 4.7-10.0) while atypical antipsychotic initiators had no excess risk in the same period (IRR; 1.2, 95% CI 0.5-2.6). These results suggest that the use of pre-exposure risk periods may be required in medicine outcome studies when the outcome of interest is a hospitalisation event that leads to an increased likelihood of initiating treatment.
Conclusion: This thesis has illustrated that identifying and reducing confounding will enhance the validity of observational studies investigating the safety of medicines using computerised claims databases. By employing methods that help to overcome the problem of confounding I was able to demonstrate that antipsychotic use in the elderly is associated with significant harm and the increasing use of these medicines in Australia poses a major public health concern. Randomised controlled trial evidence suggests that for every 100 patients treated with atypical antipsychotics over 12 weeks, only 8 to 33 would show any benefit, however, there would be 1 additional death and 2 additional cerebrovascular events. Using the self-controlled case-series design I estimated that there would be 8 additional pneumonias, and 2.5 additional hip fractures for every 100 patients treated with atypical antipsychotics over 12 weeks. In addition, typical antispychotics were found to be associated with at least equivalent, if not more, harm. The knowledge obtained in this thesis will help to inform how Australian computerised claims databases may be interrogated to examine the safety of medicines that are under investigated in randomised controlled trials. This information will allow prescribers and policy makers to make more informed decisions about the risks of medicines.Thesis (Ph.D.) -- University of Adelaide, School of Population Health and Clinical Practice, 2010
39
Van, Horn Dennis. "Processes and patterns of dialog between deaf and hearing siblings during play." Thesis, 1999. http://hdl.handle.net/2429/10126.
Full textAbstract:
The purpose of this study was to examine the processes and patterns of communicative
interaction which preschool and elementary school-aged deaf and hearing siblings utilized to
initiate, maintain and terminate dialogs during play. Specifically, the focus was to determine if the
processes and patterns of communication differed when a deaf sibling interacted with an older
hearing sibling who has been exposed primarily to a simultaneous visual-auditory (SimVA) pattern
of communication, as compared to when a deaf sibling interacted with a younger hearing sibling
who has been exposed to both a SimVA and a sequential visual (Seq V) pattern of communication.
Video-taped playbouts were observed between each of two sibling dyads at play within a single
family: (a) an older dyad composed of a seven-year-old hearing child and her five-year-old deaf
sister, and (b) a younger dyad with the second-born deaf sister and her three-year-old hearing
brother. The video-tapes were coded to determine: the kinds of play siblings engaged in;
the use and expression of behavioral and communicative elements of attention-getting, exchange of
information, and termination processes of dialogs; who initiated and terminated dialogs; the
occurrence of turn-taking during message delivery; and the expression of patterns of
communication used by siblings during dialogs.
Only three of five possible kinds of play were actually noted, of which social play was the
most frequently observed kind of play taking place between siblings within both dyads. In the
older hearing and deaf sibling dyad, it was found that the older hearing sister predominately used
visual processes and patterns of communicative interaction when conversing with her deaf sister,
whereas the deaf sibling relied extensively on visual-auditory processes and patterns of
communication when conversing with her hearing sister. In the younger dyad, visual-auditory
patterns of communication predominated both hearing and deaf siblings' expression of processes
and patterns of communication with each other. New terminology reflecting siblings' behavioral
and communicative patterns of communication are introduced.
This study represents the first known research examining the processes and patterns of deaf
and hearing siblings' behavioral and communicative interactions of dialog. The findings are
discussed in relation to potential applications to early intervention programs for hearing families
with deaf and hearing siblings and to future research directions. Overall, the findings from this
study appear to indicate that deaf and hearing siblings communicate in ways largely influenced by
developmental maturation and the communicative environments to which each child has been
exposed during language acquisition processes. The findings are also consistent with Vygotsky's
theory of a sociocultural origin of language development.Education, Faculty of
Educational and Counselling Psychology, and Special Education (ECPS), Department of
Graduate
40
Van, Horn Denny Allen Francis Mondrágon Jack. "Processes and patterns of dialog between deaf and hearing siblings during play." Thesis, 1999. http://hdl.handle.net/2429/10126.
Full textAbstract:
The purpose of this study was to examine the processes and patterns of communicative
interaction which preschool and elementary school-aged deaf and hearing siblings utilized to
initiate, maintain and terminate dialogs during play. Specifically, the focus was to determine if the
processes and patterns of communication differed when a deaf sibling interacted with an older
hearing sibling who has been exposed primarily to a simultaneous visual-auditory (SimVA) pattern
of communication, as compared to when a deaf sibling interacted with a younger hearing sibling
who has been exposed to both a SimVA and a sequential visual (Seq V) pattern of communication.
Video-taped playbouts were observed between each of two sibling dyads at play within a single
family: (a) an older dyad composed of a seven-year-old hearing child and her five-year-old deaf
sister, and (b) a younger dyad with the second-born deaf sister and her three-year-old hearing
brother. The video-tapes were coded to determine: the kinds of play siblings engaged in;
the use and expression of behavioral and communicative elements of attention-getting, exchange of
information, and termination processes of dialogs; who initiated and terminated dialogs; the
occurrence of turn-taking during message delivery; and the expression of patterns of
communication used by siblings during dialogs.
Only three of five possible kinds of play were actually noted, of which social play was the
most frequently observed kind of play taking place between siblings within both dyads. In the
older hearing and deaf sibling dyad, it was found that the older hearing sister predominately used
visual processes and patterns of communicative interaction when conversing with her deaf sister,
whereas the deaf sibling relied extensively on visual-auditory processes and patterns of
communication when conversing with her hearing sister. In the younger dyad, visual-auditory
patterns of communication predominated both hearing and deaf siblings' expression of processes
and patterns of communication with each other. New terminology reflecting siblings' behavioral
and communicative patterns of communication are introduced.
This study represents the first known research examining the processes and patterns of deaf
and hearing siblings' behavioral and communicative interactions of dialog. The findings are
discussed in relation to potential applications to early intervention programs for hearing families
with deaf and hearing siblings and to future research directions. Overall, the findings from this
study appear to indicate that deaf and hearing siblings communicate in ways largely influenced by
developmental maturation and the communicative environments to which each child has been
exposed during language acquisition processes. The findings are also consistent with Vygotsky's
theory of a sociocultural origin of language development.
41
Botes, Anna Elizabeth. "Verhalende weergawe van volwasse enkel-tweelinge na die verlies van hul mede-tweeling." Thesis, 2017. http://hdl.handle.net/10500/22694.
Full textAbstract:
Text in AfrikaansDie doel van hierdie studie was om te bepaal hoe volwasse enkel-tweelinge hul lewens ervaar na die verlies van hul mede-tweeling. ‘n Kwalitatiewe empiriese ondersoek is gedoen met die doel om die behoeftes van enkel- tweelinge tydens die hantering van tweelingverlies en die rouproses te bepaal. Literatuur toon aan dat die oneffektiewe hanteringsvaardighede wat gebruik word tydens tweelingverlies kan lei tot emosionele, kognitiewe, identiteits-, verhoudings- en gedragskwessies. Die literatuur dui verder aan dat daar agt temas is wat bepaal of hierdie kwessies tydens die lewe van die enkel-tweeling gaan voorkom. Die agt temas is naamlik die effek van ouerlike gesindheid, negatiewe aspekte om ‘n tweeling te wees, skuldgevoelens, polarisasie, die tweelingband, versagtende omstandighede en die effek van die verlies op die verhouding met ander. ‘n Meervoudige gevallestudie met ‘n narratiewe analitiese proses is in die studie gevolg. Agt deelnemers het ‘n self-opgestelde vraelys voltooi. Daarna is semi-gestruktureerde onderhoude gevoer om die temas wat verband hou met die vraelys verder te ondersoek. ‘n Opvolg in-diepte onderhoud is ‘n maand later met elke deelnemer gevoer waartydens hulle hul ervaring as enkel-tweeling bespreek het. Die eerste verwagte uitkoms was om die behoeftes van die enkel-tweeling wat tweelingverlies hanteer, te verstaan. Die tweede verwagte uitkoms was om by te dra tot kennis oor tweelingverlies en rou by die enkel-tweeling. Die bevindinge toon aan dat vier onverwagse temas vanuit die studie na vore gekom het, naamlik geheimhouding rakende die bestaan van ‘n mede- tweeling, voel soos ‘n aangenome kind, die kwessie van geloof as prominente faktor in die genesingsproses en die tweeling identiteit wat behou wil word. Riglyne is aan opvoedkundige sielkundiges gegee om hul toe te rus om die enkel-tweeling se verlies en rou te verstaan. ‘n Bydrae ten opsigte van kennis oor tweelingverlies en rou by enkel-tweelinge is gemaak.
The purpose of this study was to determine how adult twinless twins experience life following the loss of their co-twin. A qualitative empirical investigation was conducted in order to establish the needs of twinless twins in dealing with twin loss and the bereavement process. Literature indicates that ineffective coping mechanisms used in the loss of a twin, could result in emotional, cognitive, identity, relationship and behavioural issues. The literature further indicates that there are eight themes which determine whether these problems will culminate during the life of the twinless twin. These eight themes are: the effect of parental attitude, negative aspects of being part of a twin, feelings of guilt, polarisation, the twin connection, mitigating circumstances and the effect of loss on the relationship with others. The study followed a multiple case study research design with a narrative analytical approach. Eight participants completed a self-structured questionnaire. Thereafter semi-structured interviews were conducted to further explore themes related to the questionnaire. A follow-up in-depth interview was conducted with each participant one month later during which they described their experiences of being a twinless twin. The first anticipated outcome was an understanding of the needs of a twinless twin in dealing with loss of his or her twin. The second expected outcome was to add to the body of knowledge about twin loss and bereavement in twinless twins. The findings show that four unexpected themes emerged from the study, namely: secrecy regarding the existence of a co-twin; feeling like an adopted child; the issue of faith as a prominent factor in the healing process, and maintaining a twin identity. Guidelines are given to equip educational psychologists to understand twin loss and bereavement in twinless twins. The study contributed towards knowledge of twin loss and bereavement in twinless twins.
Psychology of Education
D. Ed. (Sielkundige Opvoedkunde)
42
Ramjatan, Netisha. "Effects of sibling parenting on orphaned and vulnerable children in the role of parents." Diss., 2015. http://hdl.handle.net/10500/19955.
Full textAbstract:
Children heading their households are not a new phenomenon in South Africa. Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS) has been the number one cause behind the emergence of many child-headed households in sub-Saharan Africa. This qualitative research inquiry was guided by an interpretivist epistemology. Bronfenbrenner's ecological theory was used as the theoretical framework that guided this study. A case study design was used with un-structured interviews being the primary method of data collection. Participatory task-based methods in the form of metaphors and story writing, informal observations, questionnaires and field notes augmented the data generation process. Purposive sampling procedures were used and two participants were chosen for this study. Thematic analysis of data generated the themes and sub-themes which provided insight into the lives of children in the role of parents. Findings of this study reveal that orphaned and vulnerable children in the role of parents have the task of taking care of their siblings by providing food, washing their clothes, sending them to school and helping with their homework. They also have the added task of making decisions in the home and providing parental guidance to their younger siblings in the absence of their parents. Children in this study also experienced poverty and faced stigma and discrimination from relatives, peers, neighbors and members in the communityEducational Studies
M.Ed. (Guidance and Counselling)
43
Vlok, Milandre. "An investigation of preschoolers' naive biological theory of the human body in understanding the cause of death from a psycology of education perspective." Diss., 2010. http://hdl.handle.net/10500/3675.
Full textAbstract:
This research study investigated preschoolers' naive theory of the human body in understanding the cause of death. The empirical investigation showed that urban and suburban preschoolers (ages 5 and 6) have an understanding of a naive theory of the human body and that some do make reference to a 'vitalistic causality' in explaining organ function. Furthermore, most of the participants gave an external explanation for the cause of death (e.g. gunshots, poison, sticks), but those participants who gave an internal (biological) explanation for the cause of death were well-informed about the biological teleology of body organs. These findings conclude that education, socio-economic factors and culture influence the acquisition of a naive theory of biology. The need for guidance to educators, in explaining the concept of death to preschoolers, was further emphasised.Educational Studies
M.Ed. (Psychology of Education)