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Drugge, Gunnel, 1938-
(author)
Som en vit ros och så där... : 52 patienters upplevelser av sin cancersjukdom och vården omkring den
1988
Doctoral thesis (other academic/artistic) abstract
The study describes 52 patients' experiences and feelings towards theirillness and the care received in connection with it. The main purpose ofthe study is to gather knowledge on cancer patients' need of psychosocialcare and from this insight draw up a proposition for a clinically usefulmethod for psychosocial care. I have met and spoken with the patients,each suffering from a different form of cancer, on one occasion. They areall patients o'f the Department of General Surgery, Östersund Hospital.The taped conversations constitute the most important source for thisthesis, which has its crucial point in the empirical part. My theoreticalframe of reference has a psychodynamic and existential perspective.To distinguish and give as clear a picture as possible on "what it'slike to get a cancer and live with it", different phases have been drawnup showing the process of a cancer. Living with a cancer means adjustingto constant uncertainty and a fear of recurrence. That which is typicalfor the process of a cancer is that a crisis here is so different fromthe "classical" pattern of reaction and comes and goes in waves.The different phases show unsatisfactory psychosocial care and the mostobvious déficiences are to be found in connection with the first consultationwith a doctor, when receiving the diagnosis and also at the routinecheck-ups.That which, like the symbolic main thread, runs through the whole dissertationis the lack of dialogue and criticism of the inferior continuityamong the doctors.In the last chapter I have made a suggestion for the future psychosocialcare of cancer patients.
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Larsson, Håkan, 1949-, et al.
(author)
Organisationens mänskliga insida : om det sociala arbetets utvecklingsmöjligheter
1988
Doctoral thesis (other academic/artistic) abstract
The aim of this study is to develop such theoretical perspectives as will increase our understanding of social work organizations, and help us improve them. Consequently, the research approach is longterm and primarily theoretical in character: What demand must be made of an organization where people deal with people?One important assumption is that the relationships between the actors in an enterprise constitute the organization. These relations are maintained i.a. by speech-acts, and language therefore becomes one of the forms in which the organization manifests itself; the organization is to be found within the language and reveals important aspects of its own nature via the language it employs. - What, then, does the specific language of the organization reveal?In the empirical parts of the study communication between social workers and their supervisors in a welfare agency is closely examined. This flow of communication, we assume, contains important aspects of the possibilities for the enterprise to carry out its tasks in a succesful way. A question of particular interest is that of "hierarchization principles" - concerning, for instance the conditions and principles that regulate the position of the individual in the social system, how experience and knowledge are accumulated, disseminated and legitimized within the organization, how the system of responsibility is construed.According to the results, the organization studied did not manage to sufficiently transfer knowledge, experience and competence within the system. Furthermore, a set of norms established by the actors and maintained by them created a barrier between the organization and its users/clients. This set of norms, however, was invisible to the actors themselves.The final chapter of the study discusses the possibility of regarding the organization as a symbol space - as an arena for legitimized acting. In such a perspective, the organization would appear as a linguistic system; an approach which could reveal hidden aspects and introduce new and different possibilities for interpretation.
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