Tesi sul tema "Condition of people"
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1
Choi, Po-yee Doris. "Mental health condition and the utilization of community services among the elderly in Hong Kong". Click to view the E-thesis via HKUTO, 2003. http://sunzi.lib.hku.hk/hkuto/record/B31970965.
2
Kenny, Orla. "How do young people with ADHD perceive their condition : an interpretative phenomenological analysis". Thesis, University of East London, 2016. http://roar.uel.ac.uk/5215/.
Abstract (sommario):
Attention Deficit Hyperactivity Disorder (ADHD) is one the most prevalent of childhood diagnoses. There is limited research available from the perspective of the child or young person with ADHD. The current research explored how young people perceive ADHD. A secondary aim of the study was to explore to what extent they identify with ADHD. Five participants took part in this study. Their views were explored using semi-structured interviews guided by methods from Personal Construct Psychology. The data was analysed using Interpretative Phenomenological Analysis (IPA). Data analysis suggests that the young people’s views of ADHD are complex and, at times, contradictory. Four super-ordinate themes were identified: What is ADHD?, The role and impact of others on the experience of ADHD, Identity conflict and My relationship with ADHD. The young people’s contradictory views on ADHD are reflective of portrayals of ADHD in the media. A power imbalance was also identified where the young people perceive that they play a passive role in the management of their treatment. Finally, the young people’s accounts revealed a variety of approaches taken to make sense of their condition.
3
蔡寶儀 e Po-yee Doris Choi. "Mental health condition and the utilization of community services among the elderly in Hong Kong". Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2003. http://hub.hku.hk/bib/B31970965.
4
McFarland, S. Lorraine A. "The Role of Emotional Disclosure in Self-Management Interventions for People with a Long-term Chronic Health Condition". Thesis, Coventry University, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.486903.
5
Samra, H. Sam. "A narrative exploration of sense-making, self, and identity in young people diagnosed with an autism spectrum condition". Thesis, University of Birmingham, 2016. http://etheses.bham.ac.uk//id/eprint/6719/.
Abstract (sommario):
Autism Spectrum Conditions (ASCs) are part of the life course of some individuals and as such there are significant implications in relation to matters of identity and the need to ensure educational and professional practices are considered from an ethical perspective as related to self and identity. However, despite the wide ranging literature in the area of autism, there is very little research that examines identity in relation to young people with ASCs. Furthermore, where identity is noted as an important consideration, the concept is often inadequately theorised and explained with reference to psychological frameworks of identity. This study draws on narrative psychology and the concept of narrative identity (McAdams, 2011) to explore what insider perspectives, gained through life story accounts of lived experience, can tell us about processes related to sense-making, self and identity in young people with a diagnosis of a ASC. The findings revealed that the participants were actively engaged in sense-making of their experiences and in the production of narrative identities. A rich and complex picture of identities emerged that went beyond the label of autism. The narrative accounts demonstrated the heterogeneity amongst participants and the need for understandings at the individual level in order to promote a person-centred approach to practice, education, interventions and ethics.
6
Wilson, Valerie Lynn. "Information, education and support needs of people with type 1 diabetes to enable effective self-management of the condition". Thesis, University of Kent, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.499704.
7
Tichy, Anna Mae. "The relationship between self-esteem and physical condition as measured by the hand grip and leg press in retirement home residents". PDXScholar, 1985. https://pdxscholar.library.pdx.edu/open_access_etds/225.
Abstract (sommario):
The relationship between self-esteem and physical condition as measured by hand grip and leg press strength in 65 subjects from two retirement homes was examined in a pre-/post-test design. The originally selected subjects ranged from 60-99 years of age (10 males, 55 females). At the conclusion of the study, 54 subjects remained (5 males, 49 females). The functional description of the subjects was "frail elderly." Although most were mobile and alert, many had some physical or mental disability that prevented them from living independently. The subjects were randomly assigned to three groups: experimental (exercise) and two control groups. There was, however, cross contamination between groups and marked attrition in the experimental group. The study was then redesigned as descriptive and examined twenty hypotheses. No significant relationship was found between physical condition and self-esteem. However, significant negative relationships were found between age and physical condition and hours of rest and physical condition. Significant positive relationships were found between length of stay in the retirement home and self-esteem, hours of activity and leg press strength, and level of control in selection of retirement home and self-esteem. Most elderly subjects did not accept exercise as necessary. Rather, they believed that as the individual ages, the body's need for exercise decreases. The implications are that health education programs for the elderly should be directed toward the need for physical exercise to maintain strength. Strength is necessary for activities of daily living. The ability to maintain activities of daily living will help to improve and maintain the quality of life for the older citizen.
8
Holdich, Phil. "How do people with type 2 diabetes and practice nurses understand and manage decision-making involving risks associated with this condition?" Thesis, University of Huddersfield, 2015. http://eprints.hud.ac.uk/id/eprint/29160/.
Abstract (sommario):
This thesis explores how patients and practice nurses negotiate and manage decisionmaking involving risks associated with type 2 diabetes. The location of the study was general practice as this reflects the significant shift of diabetes management for people with type 2 diabetes over the last decade. Purpose of the study To improve understanding of what is effective when communicating about risks to people with diabetes and how people with diabetes use information on risk to make decisions about how they manage their diabetes. Overview of study design A qualitative approach, based on case studies involving a patient with diabetes and a practice nurse who was their main diabetes care provider, was undertaken in three local general practices. Grounded theory methodology was used to investigate the perspectives of healthcare professionals and patients managing risk of diabetes complications. Data collection involved audio recording or observing a consultation between a person with diabetes and their practice nurse, followed by individual interviews with each. The follow-up interviews were lightly structured around a topic list, which was adapted to pick up issues identified from the consultation. Subsequent interviews were informed by theoretical sampling consistent with the grounded theory method. Data was analysed through cycles of data collection, coding and constant comparative analysis with the development of categories and the final core category: ‘Responding according to risk perception’. Findings: What this study contributes to understanding risk communication and how risk is managed: • Patients live with uncertainty which impacts on their behaviour and how they manage risk; • Diabetes creates a social risk for patients which has to be managed in their daily lives; • Practice nurses balance the tensions of formal and informal risk management in order to meet professional and organisational requirements as well as the expectations of patients; • Effective risk communication may be enhanced by the quality of the nurse-patient relationship, the use of visual metaphors and anecdotes involving ‘similar’ others.
9
de, Sausmarez Alexander. "An investigation into the views of young people with Autism Spectrum Condition (aged 14-19) on their use of social media". Thesis, University of Exeter, 2018. http://hdl.handle.net/10871/34266.
Abstract (sommario):
Introduction: Young people with Autism Spectrum Condition (ASC) have been shown to be at higher risk of many negative factors associated with internet use. However, many anecdotal reports have suggested that social media can have a positive impact on young people with ASC, with the emergence of social media for the ASC population being compared to the emergence of sign language in the deaf community. This has been hypothesised to be due to online communication lessening “the emotional, social and time pressures experienced in offline situations” (Benford and Standen, 2009 p.2). Method: This research explored young people (aged 14-19) with ASCs’ digital identity and how they feel it relates to; relationships, psychological well-being and life outcomes. Phase one data collection was through a questionnaire formed of three standardised measures to assess; digital identity (the Autism Digital Identity Scale, adapted from the Deaf Acculturation Scale; Maxwell-McCaw & Zea, 2011), relationship formation (the Friendship Scale; Baron-Cohen & Wheelwright, 2003), and well-being (the Moods and Feelings Questionnaire; Angold & Costello, 1987). Four questions on a Likert scale were used to ascertain views about life outcomes. For phase two, participants were asked to contribute to an online forum, where a qualitative thematic analysis and a systematic qualitative analysis were undertaken to find any phenomena occurring. Two participants were chosen as case studies. Results: A relationship was found between those who identify as non-autistic online and enjoy close relationships. A relationship is found between those with an autistic digital identity and those who feel that the internet will support their life outcomes with regards to forming relationships. A negative correlation was found between non-autistic digital identity and believing the internet will improve both work and life outcomes. A variety of sub-categories arose from the qualitative analysis, including; choosing/disclosing a non-autistic digital identity, advantages to online communication, removal of eye-contact/time pressures online, making new friends, online social support and confidence in online interaction. Discussion: The findings from both phase one and phase two are discussed in relation to previous research. Potential areas of further research are discussed, while highlighting a paucity in research for training appropriate use of social media for young people with ASC.
10
King, Claire. "How do people understand the role that a diagnosis of an Autism Spectrum Condition plays in their identity? : an interpretative phenomenological analysis". Thesis, University of Surrey, 2015. http://epubs.surrey.ac.uk/808934/.
Abstract (sommario):
As autism spectrum conditions were not recognised by most as diagnosable conditions until the 1980’s (APA, 1980), there are people, already adults by this time, who would not have been diagnosed in childhood and may only receive a diagnosis in adulthood. Interpretative Phenomenological Analysis was used to explore the experiences of five people who had been given a diagnosis on the autism spectrum as adults, in particular their understanding of the role of the diagnosis on their sense of identity. Four superordinate themes were identified: (i) experiences of the diagnostic process, (ii) the search for an explanation for the experience of difference, (iii) diagnosis of an autism spectrum condition as an explanation for oneself and (iv) diagnosis of an autism spectrum condition as an explanation for other people. Diagnosis was important to the participants in this research because it provided an explanation for their experiences of differences, allowed access to support and a way to communicate difficulties to other people. Implications of these findings are discussed in relation to recent UK policies on services for people on the autism spectrum (NICE, 2014).
11
Hughes, Alison. "A case study investigation into the sensory needs of children and young people with Autistic Spectrum Condition (ASC) within an educational context". Thesis, University of Manchester, 2014. https://www.research.manchester.ac.uk/portal/en/theses/a-case-study-investigation-into-the-sensory-needs-of-children-and-young-people-with-autistic-spectrum-condition-asc-within-an-educational-context(c7dad18e-aefa-48e8-a528-2d7e601ff9cf).html.
Abstract (sommario):
A number of studies have reported that many children with Autism Spectrum Condition (ASC) experience unusual responses to sensory stimuli, however it is argued that there is a lack of conceptual understanding regarding this phenomenon and an underdeveloped evidence base regarding appropriate support for these responses within an educational context. Despite this, practitioners from a range of professions are called upon to offer consultation, advice and intervention. Therefore, the present study sought to qualitatively explore the experiences of these professionals with regards to the sensory needs of children with ASC within an educational setting. An exploratory single-embedded case study design was adopted. Two Specialist Teachers, two Educational Psychologists (specialists in ASC) and two Occupational Therapists were recruited opportunistically and individual semi-structured interviews were conducted with each participant, resulting in six interviews. Each interview was audio recorded and transcribed verbatim. Interview data were analysed using thematic analysis and the findings presented as three thematic maps according to research question. Six organising themes were identified for Research Question 1: conceptualisations, assessment, defining unusual sensory responses, pragmatism, impact at school and professionals’ roles. Three organising themes arose from the data for Research Question 2: interventions, differences between special and mainstream, and efficacy. The data from the interviews yielded two organising themes for Research Question 3: barriers and facilitators. The study extends conceptual understanding by presenting a proposed Interactive Factors Framework (IFF) for unusual sensory responses in children with ASC. A number of recommendations for supporting children with ASC and unusual sensory responses within educational settings are also proposed. Implications for professionals supporting the sensory needs of children with ASC are discussed with reference to the pragmatic issues involved in translating a developing evidence base into practice.
12
Mandal, Pronob. "Educational and employment status of the scheduled tribes population in Malda District, West Bengal". Thesis, University of North Bengal, 2019. http://ir.nbu.ac.in/handle/123456789/4028.
13
Stephens, Casey. "Using interpretative phenomenological analysis to listen to the experiences and perceptions of young people with autistic spectrum condition who are supported by teaching assistants". Thesis, University of Bristol, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.601163.
Abstract (sommario):
This study uses Interpretative Phenomenological Analysis (IPA) and semi-structured interviews to listen to the experiences and perceptions of six young people with autistic spectrum condition (ASC) who are supported in mainstream secondary schools by teaching assistants. The study aims to provide a platform for the views and experiences of young people who are the consumers of education but whose 'voices' are too often not sought or just not heard. This study recruited participants from three secondary schools in a large rural county in England. The research aims to provide an insight into the experiences of pupils with Statements of Special Educational Needs who access mainstream schools with support from teaching assistants. The research findings identify four main themes: feeling supported and reassured, having a sanctuary, developing a sense of identity and emotional responses. The analysis demonstrates that while the participants may be considered a homogenous group because of their shared diagnosis, their needs are very different. Therefore for many their school experiences were enhanced by the feeling of being supported and reassured by teaching assistants but equally for others the support was detrimental to their independence and being accepted by their peers. This study proposes that support from teaching assistants should be regarded as one way of developing inclusive practices. Schools should continue to work with other agencies to ensure that 'support' arrangements are creative and flexible. A 'one size fits' all approach to inclusion should be avoided and pupil views should be integral to devising new and creative inclusive practices.
14
Bowers, Alison Pauline. "Planning for paediatric palliative care services in Queensland: Characteristics, demographics and health needs of children and young people with life-limiting conditions". Thesis, Queensland University of Technology, 2020. https://eprints.qut.edu.au/180877/1/Alison_Bowers_Thesis.pdf.
Abstract (sommario):
This thesis provides detailed estimates of the number of children and young people aged 0 to 21 years living in Queensland who are eligible for palliative care and presents a comprehensive analysis of the clinical and demographic characteristics of this group using population-based administrative data. The thesis provides an evidence-based foundation to inform health policy and guide strategic and operational planning for paediatric palliative care. By reviewing multiple sources of data through a complex adaptive system lens, the thesis has enabled consideration of the relationships between need, demand and supply for paediatric palliative care, while emphasising the complexities of health service planning.
15
Mills, Kyly M. "'Work it out': Evaluation of a chronic condition self-management program for urban Aboriginal and Torres Strait Islander people with or at risk of cardiovascular disease". Thesis, Queensland University of Technology, 2015. https://eprints.qut.edu.au/90737/1/Kyly_Mills_Thesis.pdf.
Abstract (sommario):
This thesis evaluates a chronic condition self-management program for Aboriginal and Torres Strait Islander people in urban south-east Queensland who have or are at risk of cardiovascular disease. Outcomes showed short-term improvements for some anthropometry measures which could be a trend for improvement in other anthropometry indicators over the longer term. The program was of particular benefit for participants who had several social and emotional wellbeing conditions. The use of an Aboriginal and Torres Strait Islander conceptual framework was critical in undertaking culturally competent quantitative research in this project.
16
Craig, Rona Ann. ""I don't know what's the Asperger's and what's me" : an IPA exploration of young people and mothers' experiences of receiving and living with an autism spectrum condition diagnosis during adolescence". Thesis, University of Glasgow, 2015. http://theses.gla.ac.uk/6702/.
Abstract (sommario):
Background: Autism spectrum conditions (ASCs) are characterised by difficulties in social communication and social interaction. The experience of receiving a diagnosis of an ASC and the process of accepting this are recognised as potentially stressful events for individuals and their families. Individuals‟ experiences of assessment and receiving an ASC diagnosis during adolescence have not been explored in the literature. This is important as adolescence may be a particularly challenging time for individuals with ASCs and the diagnosis of an ASC could make the developmental tasks associated with adolescence more difficult. Furthermore, young peoples‟ experiences of the diagnostic process have yet to be explored alongside the experiences of their parents, however, parents may be able to support young people to develop a coherent narrative about stressful events. Aims: To explore the lived experiences of young people with ASCs and their parents/carers of the process of assessment, receiving and living with a diagnosis of an ASC during adolescence. To consider the similarities and differences in young people and their parents‟ experiences. Methods: Four dyads of young people (14-16 years) who had received a diagnosis of an ASC 6 months - 4 years previously, and their mothers, were recruited. Semi-structured interviews were used to explore their experiences. Interpretative phenomenological analysis (IPA) was used to identify emerging themes. Results: Four super-ordinate themes emerged that related to the research question. The first three themes depicted a chronological process comprising of: 1. The Journey to Diagnosis, 2. Accepting and Incorporating ASCs into our Understanding and 3. Living with a Label. The final theme: 4: Living with an ASC in Adolescence depicted young peoples‟ and mothers‟ experiences of day–to-day life with an ASC in adolescence. Conclusion: This study provides an insight into the experiences of young people and their parents of assessment, receiving and living with a diagnosis of an ASC during adolescence. Participants had varied experiences and a number of factors appeared to influence their reactions to and acceptance of the diagnosis. Notably, young people described difficult experiences of assessment. Young people and their mothers‟ experiences differed across some or all stages of the process. Participants also discussed what it was like to live with an ASC during adolescence. The experiences of young people and mothers were broadly similar to the existing literature, however, some aspects may be specific or particularly relevant to the stage of adolescence. The findings have implications for services that carry out assessments for ASCs and work with families living with ASCs and highlight areas where further research is required.
17
BRUZZI, CAROLINA. "Essays in Health Economics: Applied and Theoretical Approaches". Doctoral thesis, Università degli studi di Genova, 2021. http://hdl.handle.net/11567/1046307.
Abstract (sommario):
the present report illustrates the research path developed during the PhD program in Economics at the University of Genova and discuss its results.
The report consists of three independent chapters which reflect the chronological order of the activities carried out during the program.
In the first 2 chapters, two articles are discussed. They belong to the research field inaugurated by Townsend (1987), that is, the analysis of deprivation in urban contexts and the relation between socio economic conditions and health status.
The first article consists in a detailed analysis of the distribution of deprivation in the metropolitan city of Genoa and of its relationship with the health status of the resident population, represented by a generic measure of health such as premature mortality. Information on 14 variables used to assess deprivation was available at the level of the Unità Urbanistiche. These are small administrative units with territorial homogeneity and historical and cultural traditions which appear to be suitable for statistical analyses. An exploratory factorial analysis identified two groups of variables which, according to definitions in the literature, identify the two dimensions of deprivation, material deprivation and social deprivation. For each dimension, two indices were calculated on the basis of two non-compensatory methodologies, the Mazziotta Pareto Index and the Pena Distance Index. Health status was measured through a measure of premature mortality, measured through the calculation of age-standardized SMR. The calculation of the attributable risk was used to evaluate the proportion of the excess mortality observed in various areas which can be attributable to deprivation, and a geographical analysis is presented. The results of the work, in line with the available evidence, confirm the association between material deprivation and premature mortality, but fail to show a relationship with social deprivation.
The second article presents the results of an analysis of deprivation in Argentine urban areas, with the aim of assessing the presence of a relationship with the average health status of the residents Based on data extracted from the 2017 Survey on Permanent Families in Argentina (EPH), a continuous survey carried out on 32 urban areas in Argentina, five variables were identified, four relating to material and the fifth to social deprivation. The Mazziotta-Pareto Adjusted Index was calculated to provide a synthetic and quantitative measure of the level of deprivation. An analysis of hierarchical clusters was carried out to group different urban areas into deprivation classes and analyse the state of health. The primary measure of the health status used in this study was Life Expectancy at birth. The results, in line with the literature, allow to conclude that the proposed mixed deprivation index accounts for a significant proportion of the variability in Life expectancy at birth across urban areas.
In the third chapter , a study is presented that was developed in in the research field of contract theory. In particular, it refers to contracts in the presence of information asymmetry and the consequent moral hazards and it is aimed at providing policy makers with a tool for an informed use of resources while identifying the sources of inefficiency and waste.
The study is focussed on the problem of defining contracts for the provision of transport services for people with disabilities in a Principal-Agent context. The main issues derive from the hidden actions of the agent and the uncertainty which is due to the type and level of disability of the user which give rise to problems of incomplete information.
The work consists of two parts. In the first, the conceptual framework, the theoretical tools and the main assumptions are presented, including: the description of a principal-agent relation under asymmetric information; the optimization problem of the principal; the description of the causal variables, which are the effort applied by the agent in the supply of the service and the disability condition of the user, which, in general terms, is referred to as "complexity"; the statistical tool used to model the probability related to the uncertainty which characterizes the service analysed, which is the logistic function; the relation between independent variables and outcome variable; and the agent’s risk aversion.
The second part of the study includes the description of two empirical models which, through various simulations, analyse how causal variables affect the probability of the positive result that is the regular performance of the transport service, the expected principal expenditure and the expected agent utility.
The results suggest that, as expected, the more complex the disability condition of the user is, the greater expected expenditure of resources is, but the analysis of the dynamics of the contract, which has actually highlighted the opportunity for unfair behaviours of the agent, suggests that moral hazard is stronger in situations where the user is less complex. As the user’s level of disability increases, the agent is less inclined to implement opportunistic behaviours as the uncertainty of the final result increases exogenously.
18
Kısaoğlu, Suzan. "INTER-GROUP TRUST IN THE REALM OF DISPLACEMENT : An Investigation into the Long-term Effect of Pre-War Inter-Group Contact on the Condition of Post-War Inter-Group Trust of Internally Displaced People". Thesis, Uppsala universitet, Institutionen för freds- och konfliktforskning, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-445364.
Abstract (sommario):
Inter-group social trust is one of the main elements for peacebuilding and, as a common feature of civil wars, Forced Internal Displacement is creating further complexities and challenges for post-war inter-group social trust. However, research revealed that among the internally displaced people, some tend to have a higher level of post-war inter-group trust compared to the other IDP. Surprisingly, an analysis based on this topic revealed that only a small number of studies are focusing on the condition of Internally Displaced People’s post-war intergroup social trust in the long run. This study examines the inter-group social trust of internally displaced people to provide a theoretical explanation for the following question; under what conditions the internally displaced people tend to trust more/less the conflicting party in the post-war context? With an examination of the social psychology research, this thesis argues that under the condition of postwar the IDP who have experienced continuous pre-war inter-group contact the post-war intergroup social trust will be stronger than the IDP who do not have such inter-group contact experience. The reason behind this expectation is the expected effect of inter-group contact on eliminating the prejudices and promoting the ‘collective knowledge’ regarding the war and displacement, thus promoting inter-group trust. This research is collected data from two groups of internally displaced people of Cyprus; IDP displaced from heterogeneous areas and homogenous areas, using the method of qualitative single case analysis. The findings show strong support for the expected causal relationship.
19
Hamuse, Tiberia Ndanyakukwa Iilonga. "The survival of Cuanhama San communities in Angola". Thesis, Nelson Mandela Metropolitan University, 2014. http://hdl.handle.net/10948/11202.
Abstract (sommario):
This study investigated the survival strategies adopted by the San in Cunene Province in Southern Angola. The study intended first to gain understanding of the economic activities that the San in Cuanhama municipality districts of Kafima Centre and Etale La Mulovi employ to sustain their livelihoods. Secondly, the study explored how accessible the basic social services of education and health were to the San in these communities. Utilising qualitative research methods, face-to-face interviews and focus group research were conducted. From the data collected on education the study findings show that none of the children from both communities were enrolled at any school. To this end, at Kafima Centre the main hindering factors that contributed inter alia included hunger at school, stigmatization by the neighbouring community and poverty among San communities. At Etale La Mulavi San community there was lack of educational facilities near the San habitations, constituting a key hindering factor to accessing education. On health, the closer the public health centre was to the San community the more the San utilised the health services for treatment and management of common diseases like Malaria and cough as well as other diseases. On survival strategies both San communities “okunhanga” ‘go.. and look for..’ (fending for food) was the primary survival strategy the San were involved in for the sustenance of their livelihoods. The findings informed the recommendations in chapter five of this study.
20
Khemlani, Amit A. "Counting of mostly static people in indoor conditions". [Tampa, Fla.] : University of South Florida, 2004. http://purl.fcla.edu/fcla/etd/SFE0000518.
21
Caetano, Nadja Carolina de Sousa Pinheiro. "A formação do psicólogo para o atendimento a pessoas em situação de deficiência". Universidade Federal de São Carlos, 2009. https://repositorio.ufscar.br/handle/ufscar/3041.
Abstract (sommario):
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Previous issue date: 2009-08-07Disability condition was the theme of the current study which seeks a connection between Special Education and Psychology. The issue of this study came from the problem of how to evaluate, with frugality, complex courses on higher education, in order to verify how well they prepare future professionals to act with people on disability condition, based on what is recommended from the scientific knowledge body existent on this area and also inside the ethical behavior standards established to this profession. The objective of this study consisted in evaluating the impact of a psychology formation course in order to enable future professionals to provide assistance to people on disability condition. To substantiate the study, the concept of disability was initially used, so as to contextualize the acting of a psychologist with a certain public; considering the history, academic formation and acting of this professional with this specific population. Concluding the theoretical part, a synthesis of what literature brings as necessary abilities and competences to a psychologist is presented in order to provide an adequate treatment to the person on situation of disability at its multiple contexts. The methodological outline involved a correlacional study with two groups of students, one with 34 senior students (GEF) and another with 16 beginner students (GEI) from a psychology course at a Piauí higher education public institute. It also involved three instruments: ELASI (Likert Scale on Social Attitudes towards Inclusion), QPPD ( Disability Personal Perception Questionnaire ) and the QEAPPD ( Ethical Questionnaire on Psychological Treating to People on Disability Condition ). The study wishes to compare similarities and differences between the groups, concerning social attitudes towards inclusion, personal perceptions about deficiencies and expected and restricted ethical behaviour so as to identify the impact related to psychologists formation in order for them to act with people on disability condition. The results evinced that the senior students group showed more satisfactory answers than the beginners one, according to the instruments propound analysis, which were still unsatisfying, considering what is suggested by the literature and the profession s ethical code. The GEF group obtained better results than the GEI group at the QPPD , both groups obtained similar results at the ELASI and, at the QUEAPPD , the results varied according to the subjects from the ten evaluated dilemma-situations. The senior students showed better results than the beginners when the situation demanded technical knowledge, however the beginners showed better results when the situation was related to professional acting, because of their choice on not answering or not demonstrating a lack of knowledge, while the seniors chose to inform acting procedures, even though inadequate ones. The instruments used revealed themselves useful and inexpensive. It is important to emphasize that the present evaluation refers, exclusively, to the evaluation of one aspect of the investigated course, and that it is not extended to the course as a whole. The question of how to organize on a curriculum space and time enough to supply a better formation to the psychologist on acting with people on disability condition is, therefore, opened. It is suggested, for future studies, the reproduction of studies of this kind, as well as the creation and improvement of instruments which allow a cheap evaluation of the formation given from higher education courses to professionals who act with people on disability condition.
A situação de deficiência foi o tema do presente estudo que buscou a interface entre a Educação Especial e a Psicologia. A questão do estudo derivou do problema de como avaliar com economia cursos complexos de formação em nível superior para averiguar o quanto eles preparam futuros profissionais para atuar com pessoas em situação de deficiência, a luz do que é recomendado pelo corpo de conhecimento científico existente na área e dentro dos padrões éticos de conduta estabelecidos para a profissão. O objetivo do estudo consistiu em avaliar o impacto de um curso de formação em Psicologia para os futuros profissionais prestarem serviços a pessoas em situação de deficiência. Para fundamentar o estudo foi abordado inicialmente o conceito de deficiência de modo a contextualizar a atuação do psicólogo com esse público, considerando o histórico, a formação acadêmica e atuação deste profissional com esta população específica. Concluindo a parte teórica é apresentada uma síntese do que a literatura traz como habilidades e competências necessárias ao psicólogo para prestar um atendimento adequado à pessoa em situação de deficiência em seus múltiplos contextos. O delineamento metodológico envolveu um estudo correlacional com dois grupos de estudantes, um com 34 formandos (GEF), e o outro com 16 estudantes ingresssantes (GEI) do curso de psicologia de uma Instituição de ensino superior pública do estado do Piauí, e três instrumentos: ELASI (Escala Lickert de Atitudes Sociais em Relação à Inclusão), QPPD (Questionário de Percepção Pessoal sobre Deficiência) e o QEAPPD (Questionário de Ética no Atendimento Psicológico a Pessoas em Situação de Deficiência). O estudo procurou comparar semelhanças e diferenças entre os grupos nas atitudes sociais em relação à inclusão, nas percepções pessoais sobre deficiência e nos comportamentos éticos esperados e vedados ao psicólogo de modo a identificar o impacto da formação do psicólogo para atuar com pessoas em situação de deficiência. Os resultados demonstraram que o grupo de formandos apresentou respostas mais satisfatórias, do que o grupo de alunos ingressantes, segundo as análises propostas pelos instrumentos; porém ainda assim insatisfatórias considerando o proposto pela literatura e o código de ética da profissão. O grupo GEF obteve melhores resultados que o grupo GEI no QPPD; os dois grupos obtiveram resultados semelhantes na ELASI e no QEAPPD os resultados variaram em acordo com a temática das dez situações dilema avaliadas. Os formandos apresentaram melhores resultados que os inciantes quando a situação exigia conhecimentos técnicos, porém os iniciantes apresentaram melhores resultados quando a situação estava relacionada a atuação profissional, pois optaram por não responder ou manifestar desconhecimento, enquanto que os formandos optavam por informar procedimentos de atuação, mesmo que inadequados. Os instrumentos utilizados se mostraram meios econômicos e úteis. Ressalta-se que a presente avaliação se refere exclusivamente a avaliação de um aspecto do curso investigado, e que isso não se estende para o curso como um todo. Fica, portanto, em aberto a questão de como organizar no currículo espaço e tempo suficiente para prover uma melhor formação para o psicólogo atuar com pessoas em situação de deficiência. Sugere-se para futuros estudos a replicação de estudos desta natureza, bem como a criação e o aperfeiçoamento dos instrumentos que permitam avaliar com economia a formação dada pelos cursos de nível superior para profissionais que atuam frente a pessoas em situação de deficiência.
22
Schroder, Carin. "Control cognitions and activity limitations in people with disabling conditions". Thesis, University of Aberdeen, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.493480.
Abstract (sommario):
This PhD studies the relationships between impairments, activity limitations (AL), emotions and perceptions of control in people with (chronic) disabling conditions within the context of a rehabilitation setting. The International Classification of Functioning, Disability and Health (ICF) has become widely adopted within rehabilitation and can be used to describe the process of functioning and disability. Johnston proposed an integrated model of disability which integrates a psychological theory (the Theory of Planned Behaviour (TPB) within the WHO-ICF model. Using this integrated model of disability the following research questions were investigated in a cross sectional, longitudinal and N-of-1 study.
23
Bennett, Sophie D. "Mental health of children and young people with neurological conditions". Thesis, University College London (University of London), 2017. http://discovery.ucl.ac.uk/10039047/.
Abstract (sommario):
Children and young people with neurological conditions have at least a five times greater risk of developing a mental health disorder than their otherwise healthy peers. Little is known about effective methods for treating mental health disorders in the context of a paediatric chronic physical illness, despite high unmet need and serious adverse consequences. The purpose of this thesis was to develop and evaluate a method of routine identification and treatment of common mental health disorders in children and young people with chronic neurological conditions, using an online diagnostic interview and telephone-guided self-help intervention. The thesis is formed of nine chapters. Chapter One presents an overview of the background and rationale for the research. Chapter Two presents a systematic review of interventions to treat mental health disorders in the context of chronic physical illness. This found that very little research has been conducted on this topic to date. Chapter Three reports on a meta-analysis of guided self-help interventions for common mental health disorders in children and young people, demonstrating that guided self-help interventions may be as effective as face-to-face interventions. The thesis then reports on the feasibility of a process of identification of mental health disorders, integrated into paediatric neurology clinics (Chapter Four). Finally, a modular guided self-help intervention was piloted through four case studies (Chapter Five) and then a pilot randomised controlled trial of 34 participants; Chapter Six reports the study protocol. The intervention was evaluated quantitatively, through standardised measures (Chapter Seven), and qualitatively through semi-structured interviews with participants (Chapter Eight). Overall, results demonstrate that the process of identification followed by a guided self-help intervention may be effective in working towards participants’ specific goals for therapy and that it is acceptable to most participants. The clinical implications are discussed and suggestions for further research proposed in Chapter Nine.
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Wagner, Donald Mark. "Essays on the mobility of goods and people". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape2/PQDD_0018/NQ56638.pdf.
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Postle, Karen Margaret. "Care managers' responses to working under conditions of postmodernity". Thesis, University of Southampton, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.310558.
26
Doherty, Deborah A. "Maasai pastoral potential : a study of ranching and Narok District, Kenya". Thesis, McGill University, 1987. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=39222.
Abstract (sommario):
The socio-economic conditions which affect development in general, and group ranching in particular, among the Maasai of Narok District, Kenya are analyzed. Systems of relationships between Maasai social units are examined to demonstrate how different individuals and groups within Maasai society, each with a diversity of vested interests, react to the opportunities and disadvantages offered them by imposed development programs and altered ecological conditions.A single group ranch, Rotian OlMakongo, is the focus of intensive study. Maasai on this ranch, which is located in a semi-high potential wheat-growing area of Narok District, have largely been resistant to planned change.
The reaction of group ranch members to development are analyzed showing how lineage and clan affiliation, age set relations, stock friendships and other systems of relations affect individual and group decision-making.
On the one hand the analysis demonstrates how the structure of the group ranch itself is not conducive to the consensual decision-making which ranch planning officials anticipated would occur regarding such important issues as stock limitation. On the other hand traditional Maasai social units are seen at different times both to promote and inhibit new organizational forms to deal with a changing set of economic, ecological and political conditions.
A general trend toward impoverishment, disenfranchisement and supplementary economic pursuits is outlined. However, traditional pastoralism is not seen as being totally subsumed by a more dominant, essentially capitalistic mode of production. Rather, traditional pastoralism is seen to define the transformation of internal forms through a structure which incorporates the modern sector. The tension between the traditional and modern sectors is not their disassociation, but rather, their integration into the dynamic process of change within the structure.
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Kidd, Stephen William. "Love and hate among the people without things : the social and economic relations of the Enxet people of Paraguay". Thesis, University of St Andrews, 2000. http://hdl.handle.net/10023/7281.
Abstract (sommario):
This thesis examines the social and economic relations of the Enxet indigenous people of the Paraguayan Chaco region who place a high value on egalitarianism, generosity and personal autonomy. However, during the twentieth century their land has been colonized by cattle ranchers and they have been obliged to enter the market economy. While anthropologists have proposed a range of theories to explain indigenous social and economic relations, the main concern of this thesis is to examine how the Enxet themselves explain their social behaviour. The Enxet make salient use of "emotion words" when discussing their social and economic practices. For instance, a fundamental dichotomy in Enxet thought is between "love" and "hate" and much of their discourse centres on these two concepts. The Enxet seek to create "good/beautiful" people who know how to act appropriately. In certain contexts they should practise "love" while in other contexts "hate" is acceptable. Enxet social organization should not be understood as a structure but as a process, as something that is being continually created. I will consider different aspects of this process through an examination of kinship, co-residence, marital relations, "brideservice" and inter-community contact, and I will describe how economic transactions are key elements in the generation of "loving" social relations. However, self-centred practices create many challenges to a harmonious community life and I will consider how the Enxet strive to overcome them. Of particular interest will be demand sharing which responds, in part, to a strongly-held egalitarian ethic but can also provoke disharmony and discomfort in community life. I will also discuss commodity relations within Enxet communities and challenge the common assumption that money is necessarily destructive of indigenous social relations. I will conclude that the overriding goal of the Enxet is the attainment of tranquillity in both their personal and social lives. For the Enxet, economic relations are not about gaining material wealth but about living well with other people. They recognize that personal affective comfort is dependent on engendering tranquillity in other people. Therefore, the "emotion words" they use to explain their social behaviour should not be regarded as merely referring to "feelings" but as encompassing an aesthetics of social behaviour.
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Aftassi, Damien. "Réflexions sur le droit à l'identité de genre". Electronic Thesis or Diss., Paris 8, 2021. http://www.theses.fr/2021PA080034.
Abstract (sommario):
Mutations anthropologiques ou ruptures catégorielles, les travers de l'identité mènent incontestablement aux revendications autodéterministes. Saisi par une logique dualiste, de la rupture du biologique au vécu social, du ressenti au perçu, le droit à l'identité de genre offre un champ de réflexions renouvelant le traitement juridique de la personne. L'approche empirique, liée aux syndromes transsexués et intersexués, établis par les seuls diagnostics médicaux, ne saurait restreindre la reconnaissance de genre.Lorsqu'elle s'inscrit dans la temporalité, et sans bouleverser les situations du passé, l'identité de genre doit être pleinement considérée. L'enjeu premier est d'atténuer les effets de la sexuation. L'exercice des droits peut être assuré, soit indifféremment du genre, soit par intégration des particularités de genre, au-delà de toute perception déformante des tiers. Ainsi, les mécanismes traditionnels du droit des personnes et de la famille méritent d'être réajustés, en accord avec de tels paradigmes. La construction du sujet, en vertu de son genre, s’avère aussi pertinente pour le détacher de tout référent lié à l'inné. Le droit à disposer de son corps peut constituer le socle d’une modélisation personnalisée. Transcendant la représentation juridique figée de la personne, le genre pourrait-il constituer une donnée singulière de l’autonomie de la volonté dépassant les propriétés naturelles de l'homme ?Anthropological changes or simple sectional claims, shortcomings of identity are being undeniably suffer to the attract of the self-determination. Grasped by a dualistic legal logic, breaking with the biological social life, from the feelings to the perceived, the right to gender identity offers a field of reflection renewing the legal treatment of the person.The empirical approach related to transsexual and intersexual syndromes established exclusively by medical diagnoses should not serve as a restrictive reason for gender recognition. When it is part of the temporality, and without upsetting the situations of the past, gender identity must be fully considered. The primary challenge is to mitigate the effects of sexuation.The exercice of rights can be ensured while either by the gender or by integrating of specific characteristics beyond any perception distorted by third parties.Thus, the traditional mechanisms of personal and family law deserve to be readjusted, in accordance with such paradigms.The topic also leads to questions regarding the development of the subject in accordance with its gender, to separate form any innate references. By safeguarding the abilities of the subject, the right to control its own body could be used as a criterium for its modelling. Transcending the fixed legal representation of the person, could gender constitute a singular fact of the autonomy of the will beyond the natural properties of man ?
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Hagquist, Curt. "The living conditions of young people in Sweden : on the crisis of the 1990s, social conditions and health /". Göteborg : Göteborg University, Dept. of Social Work, 1997. http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&doc_number=007747329&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA.
30
Burford, Denise. "Valuing young people with autistic spectrum conditions: social inclusion in mainstream schools". Thesis, University of Essex, 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.601458.
Abstract (sommario):
Young people with autistic spectrum conditions (ASCs) attending mainstream schools are likely to experience lower levels of social inclusion than their typically developing peers. The study aimed to explore what helps the social inclusion of students with mild to moderate ASCs attending mainstream secondary schools. Using pragmatism as a guiding epistemological approach, the study was aimed at knowledge that has a purpose; that can lead to action. The purpose of the study was to help develop effective practice. The study was qualitative and used grounded theory as a research method which aims to capture the complexity of social phenomena. Research participants were young people with mild to moderate ASCs in years 8 or 9 of mainstream secondary schools, their parents, and school staff. Nine interviews were conducted drawing participants from school communities in one local authority. A grounded theory was developed which proposes that young people are active participants in their own social inclusion who choose strategies directed towards their social inclusion goals. A core concept in the theory was that valuing the young person and th eir contribution to the school community helps to empower them in their own social inclusion. Feeling va lued for their contribution can help young people manage their social identity and interaction. The grounded theory presented implies that school staff can contribute to the social inclusion of young people with ASC by valuing them, finding I ways for them to contribute, and ensuring that they feel valued. Attuned school staff who get to know individual young people with ASC help to involve them and promote their social self-effica cy. Motivational theories of psychology are proposed as providing helpful frameworks for EPs to consider the social and psychological needs of young people with ASC in mainstream secondary schools
31
Lunt, Catherine A. "Impact of day care services on older people with long term conditions". Thesis, University of Liverpool, 2018. http://livrepository.liverpool.ac.uk/3025902/.
Abstract (sommario):
Background: Day care services support older people with multiple long term conditions (LTC) within the community to age in place. This salient topic is given little attention by researchers. Day care services models are complex and outcomes for service users unknown. In the UK, in response to wider policy reforms local authority models have been outsourced to a range of organisations, including Charitable and Voluntary services. This thesis aims to understand the models of day care provided in the community and the subsequent outcomes for users and their families. Methods: This is an exploratory study comparing outcomes for users across five different service types: firstly comparing day care provided by Paid staff services, Voluntary services and Blended services (provided by staff and volunteers) and secondly comparing services provided in urban and rural areas, with a particular focus on health inequalities. Mixed Methodology was used. Observations using focussed ethnography and semi structured qualitative interviews with staff and volunteers provided a greater understanding of the type of provision. Quantitative measures were used at 3 time points over 12 weeks of attendance with clients new to day care to assess outcomes using tools for health status and loneliness. Findings: Data was collected from nine day care centres across seven services. 94 clients and 16 carers attending day care were recruited. 36 semi structured interviews were undertaken with clients, carers, staff and volunteers at the services. At baseline there were no differences across services types in the numbers of long term conditions reported by service types but there were significant differences between rural and urban services (rural mean LTC 5.2, urban mean LTC 4.2, p0.04). A larger proportion of clients attending Blended and volunteer led services reported a reduction in loneliness. When adjusted for other baseline variables in logistic regression model, likelihood of reduction in loneliness was increased in Blended (OR=2.28) and Voluntary (OR=2.16) services compared to Paid staff service. People using Blended and Voluntary services reported better or same health outcomes across most EQ5D3L domains than Paid services. Observations and interview data suggests that the differences in outcomes at Blended and Voluntary services may be due to the delivery of activities promoting self-worth and facilitating links to the wider community. Conclusion: This thesis concludes that day care provides vital support for frail older people living at home and their volunteers can deliver effective support with favourable outcomes. It is suggested that activities that promote self-worth and provide links to the community may facilitate positive health outcomes and reduce loneliness. Preparation of such activities can be implemented with minimum resources, providing cost effective interventions for providers to deliver.
32
Griffiths, Helen Caroline. "Defining and explaining positive psychological outcomes in people with physical health conditions". Thesis, University of Oxford, 2010. http://ora.ox.ac.uk/objects/uuid:d538f2ec-d40f-4701-bcbb-f908a409380d.
Abstract (sommario):
Experiencing a physical health condition can have wide ranging physical and psychological outcomes for an individual, impacting on many aspects of daily living. The psychological outcomes can vary widely, from extreme psychological distress to psychological growth, and are complex and dynamic. Traditionally, research has focused on those experiencing psychological distress, despite evidence showing that many individuals are able to achieve positive psychological outcomes. The literature is unclear in defining different positive psychological outcomes, and indeed distinguishing different outcomes and processes from one another. Attention needs to be paid to the definition applied to individuals who are reporting positive psychological outcomes following physical health difficulties and further understanding the process through which individuals achieve these outcomes. This empirical study aimed to address some of the gaps in the literature, by exploring how six individuals reporting positive psychological outcomes following spinal cord injury described and explained these outcomes. Interpretative phenomenological analysis was used to investigate the experience of these individuals. Three superordinate themes were extracted: "Living a normal life, just doing things differently", "Overcoming challenges: Determination to succeed" and "Using the resources available to me". The research supported the idea that positive psychological outcomes arise through a complex interplay between personality, cognitive and environmental factors. Theoretically, this research has implications for defining positive psychological outcomes following spinal cord injury, in addition to contributing towards future theoretical frameworks that aim to provide a basis for understanding the process through which positive psychological outcomes following spinal cord injury are achieved. Clinically, this research provides a narrative that can be used with people following spinal cord injury and also provides evidence for the use of cognitive screening measures such as appraisal style, to identify individuals who may be showing less adaptive cognitions.
33
Stevens, Mildrett Elizabeth. "Resilience of young people exposed to parental alcohol abuse". Thesis, University of the Western Cape, 2010. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_2618_1308728030.
Abstract (sommario):
This study explores the possible resilient factors which prevent young people who have been exposed to parental alcohol abuse from abusing alcohol themselves. Additionally, this study explores the coping mechanisms of young people living with a (n) alcohol abusing parent(s). This study uses a qualitative methodological design. The initial plan was purposive sampling. However it became evident that this type of sampling is not possible as no suitable candidates were found. One participant volunteered to participate in the study and suggested a few other suitable candidates. The candidates were contacted and invited to become part of the study. Individual interviews were conducted with the participants, using an interview guide and a voice recorder. The researcher ended up using snowball sampling as the candidates suggested other possible candidates. The findings suggest that the participants experienced an array of emotional, developmental and socio-economical difficulties. Feelings of shame, fear, anxiety and a deep sense of unhappiness about the situation was shared by all the participants. The family, friends and some teachers were instrumental in helping to find coping mechanisms during this challenging time of growing up with an alcohol abusing parent. Religion, academics, and positive role-modelling were contributing factors to their resilience in not using alcohol themselves even though they were exposed to alcohol-abusing parents.
34
Couldrey, Charlotte. "Violence within the lives of homeless people". Thesis, University of Southampton, 2010. https://eprints.soton.ac.uk/174287/.
Abstract (sommario):
Narrative Literature Review Experience of victimisation and violence is prevalent within homeless people’s lives, and frequently begins in childhood through the experience of childhood abuse and trauma. The impact of childhood abuse and trauma has been associated directly and indirectly as a pathway into homelessness. Furthermore the psychological impact of childhood abuse and trauma has been linked to victimisation and perpetration of violence within homeless people. Victimisation and perpetration of violence has been predominately researched on homeless adolescents and women, with homeless men significantly under researched. Victimisation and violence is associated with a number of similar factors including childhood abuse, re-victimisation, deviant peers, substance misuse and mental illness. Furthermore, research suggests homeless people frequently have a dual role as both victim and perpetrator. This review discusses these factors, the limitations of the current research, areas for further research and the clinical implications. Empirical Paper The current study was conducted to further explore the mechanisms surrounding childhood abuse and trauma and its association with aggression in homeless people. Emotion dysregulation has a growing body of research suggesting it has the unifying function to a number of maladaptive behaviours. Research suggests childhood aversive experiences are associated with developing emotion dysregulation difficulties and aggression. This study found that emotion dysregulation significantly mediated the relationship between childhood abuse and trauma, and aggression, within a sample of homeless people. The implications of the findings are discussed with reference to the need for psychological interventions for homeless people and highlights the importance of incorporating emotion regulation strategies within interventions for aggression.
35
Jagers, J. Lee. "Interpersonal and Intrapersonal Attributes of Never-Married Singles". Thesis, North Texas State University, 1987. https://digital.library.unt.edu/ark:/67531/metadc331810/.
Abstract (sommario):
The purpose of this exploratory study was to compare various attributes of never-married single men and women to married men and women.
The Taylor-Johnson Temperament Analysis, the Fundamental Interpersonal Relations Orientation-Behavior (FIRO-B) Scale, and the Personal Skills Map were completed by 138 never-married singles and 139 married volunteers, both male and female. Volunteers were predominantly Caucasian, Protestant, active in their churches, and college educated. Ages ranged from 30 to 39 years. Married volunteers were married only once for five years or more.
A step-wise discriminant analysis was run on each of the three instruments to determine which variables were significant across groupings. Summary conclusions were made showing that never-married men and women were more socially energetic but less expressive and responsive than were married men and women. Single men, as compared to married men, were also more passive and saw themselves in a less favorable light. Single women, when compared to married women, were also more dominant. Single women, when compared to single men, were more relaxed and more assertive, but more critical and punitive.
An implication for counselors is that never-married single people may need help with relating at a deeper level of vulnerability and personableness. Single men may need help in interpersonal assertiveness as well as in personal openness and transparency. Single women may need help in resolving some of their hostilities.
Further research is needed to explore the possible factors contributing to the guardedness of singles, the passivity of men, and the hostility of women. More work needs to be done in the area of causality.
36
Johansson, Caroline. "Strategy and Action Plan to ensure buildings and people in extraordinary snow conditions". Thesis, Linköpings universitet, Institutionen för teknik och naturvetenskap, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-93558.
Abstract (sommario):
During the winter of 2009-2010 it was snowing extraordinary much in Sweden. The Huge load of snow resulted in many collapsing roofs around the country. Snow and ice slips from roofs were also frequent this winter. The purpose of this report is to outline the dangers that large amounts of snow and ice on the roofs means and which accidents that may occur in extraordinary snow conditions. The report will also provide a statement of roofs which, more than others, are in danger of collapsing because of large snow loads. Information for the report is gathered through interviews of people who worked with snow shovelling on roofs during the winter of 2009-2010, and through consultation with a design engineer. Large amounts of snow and ice on roofs can lead to snow slips and icicles falling from roofs and roofs which collapses. Such things can lead to devastating consequences on people nearby. But those things can be avoided if the snow and ice on roofs is being shovelled away in good time. Roofs which have been shown to be at risk of collapsing at large loads of snow and ice are especially flat roofs of large spans and flat roofs with slim constructions.Under vintern 2009–2010 snöade det extraordinärt mycket i Sverige. Den stora belastningen från snön resulterade i att många tak runt om i landet rasade ihop. Snöoch isras från tak var även vanligt förekommande denna vinter. Syftet med den här rapporten är att redogöra för de faror som stora mängder snö och is på tak innebär samt vilka olyckor som kan inträffa vid extraordinära snöförhållanden. Rapporten ska även ge en redogörelse för vilka takkonstruktioner som, mer än andra, riskerar att rasa in vid stora snölaster. Information till rapporten har bland annat inhämtats genom intervjuer av personer som arbetade med snöskottning av tak under vintern 2009–2010 samt genom samråd med en konstruktör. Förekommande händelser som stora mängder snö och is kan leda till är bland annat snöras från tak, istappar som faller från rännor på tak samt tak som rasar in. Sådana händelser kan leda till förödande konsekvenser om människor befinner sig i närheten. Händelserna kan dock undvikas om snön och isen på taken röjs i god tid. De takkonstruktioner som har visat sig ligga i riskzonen för takras vid stora snölaster är i synnerhet platta tak med stora spännvidder samt platta och låglutande tak med slanka konstruktioner.
37
Fox, Fiona E. "An exploration of online peer support for young people with chronic skin conditions". Thesis, University of the West of England, Bristol, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.486379.
Abstract (sommario):
Initially this doctorate addressed the dearth of research with young people with chronic skin conditions, by generating data about their experiences. Through online focus groups and interviews, the first two studies produced rich qualitative data aboLlt the psychosocial experiences and needs of this population. In particular the relationship between feeling different and the visibility of skin conditions was identified. This was affected by the responses of others and associated stress, impacting upon a se~se of control and self confidence. {', Collecting data through online focus group's demonstrated the potentially powerful experience of engaging in online peer support. The rapid development of rapport in the online environment had implications for relieving isolation and increasing confidence. This finding informed the next phase of research which focused on issues pertinent to online peer support, investigating its availability and processes. A comparison of two online chat groups found that young'people provide support more frequently than they seek it. Styles of interaction in online groups and disclosure processes explained this finding. The extent to which informational and emotional support was exchanged was context dependent. ' The fine:tl study surVeyed differ~nces between young people who do or don't use general and skin-specific online groups. Findings indicate that there are both quantitative and qualitative differences between users and non-users. These are discussed in the context of the main effects and buffering models of social support. The final theoretical framework suggests that young people with skin conditions use general online groups to develop and maintain networks of social support: Those who seek peer support online mobilize a more specialist form of social support to meet their condition-specific needs. This thesis contributes to . knowledge through the development of innovative methodologies with an under researched population and a theoretical framework which informs recommendations for the use of online peer support groups for young people with chronic skin conditions. An exploration of online peer support for toung people with chronic skin conditions.
38
Richardson, Heather Anne. "Palliative day care : a community for people with progressive and life-threatening conditions". Thesis, University of Southampton, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.432461.
39
Cheng, Joanna. "The mechanisms of psychological therapy with people with long-term physical health conditions". Thesis, Lancaster University, 2017. http://eprints.lancs.ac.uk/87391/.
Abstract (sommario):
This thesis comprises a literature review, a research paper and a critical appraisal of the research process. Qualitative literature was systematically reviewed using a meta-ethnography, with the aim of understanding how people with long-term physical health conditions (LTCs) experience psychological therapies. Thirteen articles were identified. Six themes emerged from the synthesis: i) ‘therapists’ expertise and empathic approach led to positive relationships’; ii) ‘therapy was a safe and neutral space’; iii) ‘therapy prompted change in LTC management’; iv) ‘psychological awareness reduced isolation and increased control’; v) how physical ill health interacts with being able to participate in therapy’; and vi) ‘time-limited therapy did not always match service users’ illness trajectory’. The findings were discussed in relation to the values of psychological therapy for people with LTCs and the current way services are delivered to people experiencing co-morbid mental health difficulties. The research paper comprised a qualitative study using a Discursive Action Model approach, which aimed to develop an understanding of how practitioners and service users construct resources and preferred futures within solution-focused therapy sessions. Eight participant dyads were recruited, formed by pairs of practitioners and service users. Data were collected via audio recordings. Four discourses were highlighted: i) ‘practitioners' use of assumptions drew out resources’; ii) ‘explicit commentaries construct change’; iii) ‘de-contextualising for goal construction’; and iv) ‘removing the blame, effort and failure’. The results highlighted the discursive mechanisms which enabled construction of resources and goals. The trans-theoretical applicability of the discourses, clinical implications and recommendations for future research were discussed. The critical appraisal discusses the importance of discourse in clinical psychology practice. The drivers behind conducting this thesis, strengths and weaknesses of the study, and lastly reflections on future practice in clinical psychology were offered.
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Van, Deventer Gerhardus Johannes. "Socio-economic development of the Coloured community since the Theron Commission". Thesis, Stellenbosch : Stellenbosch University, 2000. http://hdl.handle.net/10019.1/51910.
Abstract (sommario):
Thesis (MComm)--Stellenbosch University, 2000.ENGLISH ABSTRACT: Poverty is a widespread phenomenon within the coloured community of South Africa. In 1976 the Theron Commission reported on coloured poverty and recommended widespread reform to the apartheid system to incorporate coloureds into social and economic life on an equal footing with whites. The commission was of the opinion that the poorest 40% of coloureds lived in a state of chronic community poverty. This conclusion was based on the culture of poverty approach, which states that negative external factors and an internal process of self-perpetuation can sometimes combine to cause a povertysyndrome. The original culture of poverty approach was widely misinterpreted and criticised and consequently lost much of its support. However, if properly understood, the approach can still be used effectively. Since the Theron commission made a healthy reinterpretation of this approach it also provides a good theoretical framework to analyse coloured poverty. The socio-economic position of coloureds has improved markedly since the era of the Theron commission. Total fertility rates and infant mortality rates declined, while life expectancy increased. The educational status of coloureds increased considerably. There is, however, still a large disparity between rural and urban coloureds. The per capita income of coloureds almost doubled in this period. This rise in income can be attributed to an improvement in occupational status (which was in turn influenced by an improvement in educational status) as well as a decrease in wage discrimination. In spite of the overall improvement in the socio-economic position of coloureds, poverty rates did not decrease significantly since the era of the Theron Commission. Although poverty is still more widespread in rural areas, there has been a relative improvement in the socioeconomic position of rural coloureds and agricultural labourers. This has partly been caused by the urbanisation of the rural poor. Coloured poverty is, however, still at much lower levels than black poverty. Since the era of the Theron Commission the culture of poverty has been positively influenced by several factors: racial discrimination in public education and other social spending decreased, levels of education improved and contributed to the rise in per capita income, social work has become better focussed and is provided on a more equal basis and the socio-political emancipation of coloureds were achieved with the rise of a democratic society. However, it seems that the good economic growth rates during the 1960's and early 1970's provided the biggest thrust to the upward socio-economic mobility of coloureds and played a more important role than the Theron report or any other socio-political changes. It can be concluded that the culture of poverty as it existed at the time of the Theron report has weakened considerably and that the approach should therefore not be used as the basic model to describe the socio-economic position of poor coloureds any more. Current anti-poverty measures should be focussed on job creation, community building and education.
AFRIKAANSE OPSOMMING: Armoede is 'n wydverspreide probleem in die kleurlinggemeenskap van Suid- Afrika. In 1976 het die Theron Kommissie ondersoek ingestel na kleurling armoede en hulle het drastiese veranderinge aan die apartheidstelsel voorgestel om die sosio-ekonomiese vooruitgang van kleurlinge te verseker. Die kommissie het aangevoer dat die armste 40% van die kleurlingbevolking in 'n toestand van chroniese gemeenskapsarmoede verkeer. Hierdie gevolgtrekking is gebaseer op die kultuur van armoede teorie, wat veronderstel dat In armoedesiklus kan ontstaan wanneer daar 'n wisselwerking is tussen negatiewe omgewingsfaktore en In interne proses van selfvoortplanting deur middel van die gesin. Die oorspronklike kultuur van armoede benadering was onderhewig aan verskeie misinterpretasies en kritiek en het derhalwe baie aanhang verloor. Tog kan die kultuur van armoede teorie steeds met vrug aangewend word indien dit korrek toegepas word. Aangesien die Theron Kommissie die oorspronklike teorie op In gesonde manier geherinterpreteer het, verskaf dit 'n goeie teoretiese raamwerk waarbinne kleurlingarmoede ondersoek kan word. Die sosio-ekonomiese posisie van kleurlinge het In merkwaardige verbetering getoon sedert die era van die Theron Kommissie. Fertiliteitskoerse en suigelingsterftekoerse het afgeneem, terwyl lewensverwagting toegeneem het. Die onderwyspeil van kleurlinge het ook drasties verbeter, alhoewel daar steeds In groot gaping is tussen landelike en stedelike kleurlinge. Die per capita inkomste van kleurlinge het amper verdubbel in die periode. Die verhoging kan toegeskryf word aan In verhoogde beroepstatus (wat weer deur verbeterde onderwyspeile beïnvloed is) sowel as laer vlakke van loondiskriminasie. Ten spyte van die algehele verbetering in die sosio-ekonomiese posisie van kleurlinge, het armoedevlakke sedert die Theron era nie noemenswaardig verminder nie. Alhoewel armoede steeds wydverspreid is in landelike gebiede, het daar In relatiewe verbetering in die sosio-ekonomiese posisie van landelike kleurlinge en die plaaswerkersgemeenskap plaasgevind. Dit is deels veroorsaak deur verstedeliking van arm landelike inwoners. Kleurling armoede is egter steeds op 'n baie laer vlak as swart armoede. Sedert die era van die Theron Kommissie is die toestand van chroniese gemeenskapsarmoede deur verskeie positiewe faktore beïnvloed: rassediskriminasie ten opsigte van onderwys en ander sosiale besteding het verminder, vlakke van onderwys het verbeter en het bygedra tot 'n verhoging in per capita inkome, sosiale werk is beter gefokus en word op 'n meer gelyke skaal verskaf en met die demokratiseringsproses is die sosio-politiese emansipasie van kleurlinge verkry. Tog lyk dit of die goeie ekonomiese groei van die sestigerjare en vroeë sewentqerjare 'n groter invloed op die opwaartse sosioekonomiese mobiliteit van kleurlinge gehad het as die Theron verslag en ander sosio-politieke veranderinge. Die gevolgtrekking kan gemaak word dat die kultuur van armoede soos dit gemanifesteer het in die tyd van die Theron verslag in so 'n mate verswak het dat die benadering nie meer gebruik moet word as die basiese model om die sosioekonomiese toestand van arm kleurlinge te beskryf nie. Dit beteken egter nie dat daar nie nog steeds akute armoedeprobleme in sekere dele van die kleurlinggemeenskap bestaan nie. Huidige armoede-verligtingsbeleid moet fokus op werkskepping, gemeenskapsbou en onderwys.
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Muruviwa, Addmore Tapfuma. "Livelihood strategies of the aged people in Mubaira Community, Zimbabwe". Thesis, University of Fort Hare, 2011. http://hdl.handle.net/10353/334.
Abstract (sommario):
In today‘s changing demographic, economic, political and environmental context the livelihood strategies developed by the rapidly growing older population deserve particular attention. Lack of support by the state coupled with economic crises and decreasing family availability has meant that older people are increasingly expected to find their own means of support into old age, develop their own strategies and rely on their own resources. Heterogeneity in old age means that while some older people are amongst the most vulnerable and socially down and out, others have accumulated resources that enable them to implement diverse and enterprising livelihood strategies to maintain their wellbeing in old age. This study uses an explorative approach in its quest to understand the various livelihood strategies of the elderly. In-depth interviews and life histories have been utilized as data collection instruments. In addition to this inductive and qualitative research approach, the dissertation uses the sustainable livelihoods framework to examine the different kinds of livelihood strategies employed by the elderly in Mubaira to stave off poverty in old age in the absence of social security systems. A comparative analysis with other regional countries reveals that old age pensions have been able to reduce poverty at old age significantly. By engaging in different livelihood activities, in the absence of old age pensions, the elderly in Mubaira community in Zimbabwe have been able to make a living. Agriculture is the dominant activity the aged people engage in as they try to avert food insecurity. Besides agriculture, aged people diversify their livelihoods through self employments that add income value to their households. The impact of cash and non-cash remittances has seen aged people being able to buy basic goods and a few essentials. Although the state has been dysfunctional, civil society has stepped in to address the livelihood challenges faced by the aged population and in v particular to provide an alternative solution to the needs of the elderly people within the sustainable livelihoods framework which remains one of the most important models for the analysis of rural livelihoods. Through the livelihoods approach‘s vulnerability approach the study also analyses the various impacts affecting the attainment of sustainable livelihood outcomes. Through the utilization of the livelihoods framework in addition to the qualitative research methodology as indicated above, the study found that livelihood activities of the aged require a stock of capital assets which include natural, human, physical, social and financial capital. The life histories of the aged in Mubaira revealed that through the years the aged did accumulate various assets that assist them even now. As the life course perspective suggests events in earlier life do have a bearing on later life, access to a range of capital assets helped old aged people in Mubaira to fully engage in livelihood strategies that ensured their survival and escape from poverty.
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Capreol, Martha Jean. "Social support and social strain among husbands and wives in stepfamilies : a multilevel analysis". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp02/NQ48614.pdf.
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Harding, Sandra B. "Planning for social equality in the urban environment : a case study of planning for elderly women in Brisbane". Thesis, Queensland University of Technology, 1992.
44
Deeley, Susan Josephine. "Sexuality and people with learning disabilities : a conflict of ideologies". Thesis, University of Glasgow, 1997. http://theses.gla.ac.uk/3413/.
Abstract (sommario):
This study addresses the issues of sexuality and learning disability. It is concerned with the views of professionals working with adults with learning disabilities and their parental carers. The views of professionals and parents regarding relationships, marriage and parenthood are explored. These form the basis of the emerging grounded theory, which incorporates the discrepancies between their ideologies of care. Although the subject of sexuality highlights these inherent differences, it is essentially the issue of sterilisation which magnifies them. It exacerbates the tension and potential conflict between professionals and parents. Furthermore, the focus on sterilisation has ramifications concerning the conflict between public and private concerns. There is controversy regarding the validity of consent to sterilisation by people with learning disabilities. This is because there is a final legal arbiter, which in Scotland is provided by the tutor-dative system. Ideologies of care have changed principally through normalisation. Although this is now the accepted orthodox philosophy, there remain some professionals who adhere to the superseded ideology of institutionalisation. As a result, they are more similar to those of parents than they are to their professional colleagues. The wider implications of these disparate ideologies of care are examined with respect to social work-family relations. Although these differences are at present irreconcilable, suggestions of how to alleviate tension and potential conflict between these two groups are made. Finally, the implications of normalisation with regard to sexuality are also addressed.
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Spooner, Joshua. "People's experiences of living with severe health conditions". Thesis, University of Warwick, 2018. http://wrap.warwick.ac.uk/114471/.
Abstract (sommario):
Treating people living with severe health conditions has, and always will be, a fundamental part of the National Health Service. Given the complex nature of conditions such as Huntington's Disease and Cancer, research exploring the impact severe health conditions can have on those affected is of paramount importance. Chapter one is a systematic review utilising a meta-ethnographic approach to explore qualitative research portraying people's experiences of genetic testing for Huntington's Disease (HD). Electronic databases cataloguing relevant research were searched which, combined with manual searches, resulted in eleven studies suitable for inclusion. Three meta-themes were identified, highlighting the complex and individual nature of undergoing genetic testing, together with the potential emotional and behavioural consequences. The implications of such findings, together with clinical recommendations are considered. There is a dearth of research exploring what it is like to live with cancer as a young person in the United Kingdom. Chapter two is a qualitative research study that explored the lived experiences of young people (13-24 years) who had recently been diagnosed with cancer. Utilising an interpretative phenomenological approach, emergent findings related to the adversarial nature of being diagnosed with cancer, with young people speaking to the unjust nature of battling this disease at such a youthful age, questioning their identity and having to navigate a new, and at times, uncertain world. The clinical and service implications of these findings are discussed, alongside areas of future research. Chapter three represents the author's reflective account of conducting this research. From exploring initial motivations, to evaluating the role of "insider" and "outsider" perspectives, the author explores the reciprocal nature of conducting qualitative research, particularly in relation to the mutuality felt between himself and his participants.
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Brassington, Linsay. "Better living with illness : transdiagnostic approaches to psychological interventions for people with chronic illness". Thesis, University of Edinburgh, 2015. http://hdl.handle.net/1842/20955.
Abstract (sommario):
Objective: Chronic physical health problems are on the rise. Psychological interventions can play a role in helping people cope with the challenges that long term physical conditions brings. This thesis systematically reviewed the literature for group psychological interventions. Following this, an Acceptance and Commitment Therapy group intervention for people living with a range of long term physical conditions was designed and evaluated. Methods: Key databases were searched for relevant randomized-controlled studies. Papers that met inclusion criteria were quality assessed, and a meta-analysis was conducted. Participants with chronic physical health conditions were invited to an Acceptance and Commitment Therapy group (n=53). Measures were completed at assessment, pre, post and 3-month follow-up. These assessed anxiety and depression symptoms, health perceptions, values-based living and psychological flexibility. Assessment to pre-intervention served as a within-participant control. Results: 22 relevant studies were retrieved, with 18 rated as acceptable or high quality and 14 included in a meta-analysis. The majority of studies reported interventions as efficacious at reducing mental health problems, though effect sizes were weaker when compared to active controls such as education. In the Acceptance and Commitment therapy group, depression and anxiety symptoms reduced significantly from pre to post, compared to control period. Conclusions: Group psychological interventions may be beneficial for people with physical health problems. In particular, group-based ACT interventions may be effective with this population and can be delivered transdiagnostically for a range of physical conditions.
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Anderson, Deborah. "Making sense of intimacy and sexual health for people with exstrophy-epispadias complex conditions". Thesis, Lancaster University, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.586929.
Abstract (sommario):
This doctoral thesis explores how people with exstrophy-epispadias complex (EEC) conditions (including bladder exstrophy) experience intimate relationships. It includes a literature review, a research paper, a critical review, and an ethics section. The literature review takes a critical look at the current conceptualisation of sexuality for people with EEC through critique of the current EEC literature. As such, it argues that this current conceptualisation lacks sufficient consideration for psychological and social factors. Relevant findings from within related health psychology research are used to demonstrate the need for these factors to be considered. Furthermore, it is suggested that a new conceptualisation of sexual health should be adopted in order to incorporate these factors into both research and clinical practice. Finally, the implications of this potential change are discussed with consideration for how potential barriers may be overcome. The research paper leads on from this argument by adopting a qualitative approach to exploring an important psychological element of sexual health. Previous findings have suggested that people with bladder exstrophy and other EEC conditions have difficulties establishing and maintaining intimate relationships with friends or romantic partners. An interpretative phenomenological analysis was conducted with data from six participants with bladder exstrophy. Findings were described within three themes; 'exploring intimacy from a position of safety', 'the relationship between intimacy with the self and intimacy with others', and 'the magical value of intimacy: sharing the full story of bladder exstrophy'. Findings are discussed in relation to previous research and theory regarding concealment, body shame, and the development of identity, and clinical implications are presented. Finally, the critical review reflects on some of the key issues of relevance to carrying out this research. These include methodological issues related to analytical approach, homogeneity and data collection, and further reflection on the process of analysis.
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Pentecost, Claire. "Factors affecting uptake of, and adherence to, exercise services for people with chronic conditions". Thesis, London South Bank University, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.618689.
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Montgomery, Kerry. "The role of mindfulness in social anxiety in people living with visible skin conditions". Thesis, University of Sheffield, 2017. http://etheses.whiterose.ac.uk/18163/.
Abstract (sommario):
The research reported in this thesis examined social anxiety in people with visible skin conditions to identify potential targets for intervention. Mindfulness refers to the tendency to pay attention to the present and cultivates a non-judgmental attitude towards experiences. Disengaging from negative patterns of thinking by paying attention to the present, could target rumination which maintains social anxiety. The findings of Study 1, an interpretative phenomenological analysis (N=10) indicated that social anxiety in people living with visible skin conditions arises as a result of an interaction between negative self-appraisals, fear of negative evaluation and previous reactions of others. Targeting this evaluative process using mindfulness techniques could be beneficial in reducing social anxiety; therefore, Study 2 examined the relationship between mindfulness and psychosocial distress in people with visible skin conditions (N=120). Mindfulness explained 41% of the variance in social anxiety, after controlling for subjective severity. These findings suggest that increasing mindfulness, particularly awareness, and non-judgment of inner experience could reduce social anxiety. To examine the potential of mindfulness interventions to reduce social anxiety, a systematic review was conducted. Findings highlighted that mindfulness is effective in reducing social anxiety. Potential mechanisms for the effects of mindfulness include reduced reactivity to negative self-referential information and increased attentional control. Study 3 tested the effectiveness of Mindfulness Based Cognitive Therapy (MBCT) for social anxiety in people with visible skin conditions. A multiple baseline single case series was used to examine individual change profiles over time. Reliable and/or clinically significant reductions in social anxiety and at least one other area of psychosocial distress were reported by treatment completers (N = 7). The findings suggest that MBCT is a promising intervention for social anxiety in dermatology patients, and further research is warranted. Feasibility studies may provide important information regarding recruitment and attrition when considering randomised control trials.
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Hunt, Katherine J. "Physiological and functional status of older people discharged from hospital with ill-defined conditions". Thesis, University of Southampton, 2009. https://eprints.soton.ac.uk/71892/.
Abstract (sommario):
This study was carried out in response to the policy attention directed at older people discharged from hospital with ill-defined conditions, or signs and symptoms related disease. In England there has been an increase in incidence of this type of hospital admission and policy suggests that patients with these codes have fewer medical/physiological and more ‘social’ conditions that could be better managed in community settings. Currently however, this population has not been characterised. Description of the functional and physiological status of these patients is essential for the planning of future health and social care services. Patients with ill-defined conditions were described via a cross-sectional study of 80 patients aged over 70 years admitted to hospital with collapse/falls. Number of chronic diseases and prescribed medications were obtained from the medical records. Routine blood tests were taken and serum cytokine concentrations (IL-1β, IL-6, TNF-α, IFN-γ) were measured. Deprivation score, functional status, depression and the prevalence of frailty were ascertained. 35 patients received ill-defined condition codes, 45 received other codes. Patients with ‘illdefined conditions’ had normal routine blood results but very high serum concentrations of pro-inflammatory cytokines which did not correlate with number of chronic diseases indicating considerable medical problems. As the policy had suggested, they also had prevalent functional impairment (65.7%), high rates of frailty (77.1%) and pre-frailty (14.3%), and depression (42.9%). Patients with ill-defined conditions had poor outcomes evident in the high readmission (60%) and mortality (20%) rates. Patients were hospitalised for a statistically significantly shorter period than patients with other codes (p<.05) and functional limitations and depression were associated with a longer length of stay. Increasing deprivation and TNF-α concentration were associated with an increase in the odds of an illdefined condition diagnosis at discharge. The association between functional limitations, frailty, chronic disease and depression add considerable complexity to the health of older people with ill-defined conditions. However, the prevalence of multiple morbidity, high serum concentrations of inflammatory markers and poor outcomes indicate that they also have considerable medical problems that may be largely unmet. These medical problems may result from chronic disease symptom crises and manifest as geriatric conditions for which there are no appropriate International Classification of Diseases (ICD-10) codes. The results of this study indicate a need for reevaluation of the ICD-10 system to incorporate the health problems faced by older people and further research into the effect of a more comprehensive community-based chronic disease management that aims to enable frail older people to maintain health and independence at home and prevent readmission in patients with ill-defined conditions.