A study of the manifestations of the death instinct as evidenced in the case of a pathological organization
- Authors: De Villiers, Jeanine
- Date: 1991-04
- Subjects: Uncatalogued
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10962/191691 , vital:45148
- Description: The case study method was used to investigate the manifestations of the death instinct as evidenced in a pathological organization. Work of Kleinian analysts in this area was employed as a basis for interrogating the material that emerged in a five month psychotherapy with a borderline disordered patient. It was demonstrated how the pathological organization was employed as a means of evading paranoid- schizoid fears and depressive position anxieties. Two ways in which defences were assembled into the pathological organization could be traced, both leading to resistance in the therapy. The one set of defences would entail a complete withdrawal from contact, where the patient would hold herself aloof from experience through a solitary invulnerability. The other set of defences involved an active attack on the vulnerable, libidinal self. Identified with the bad, anti-libidinal self, the patient would attempt to annihilate the libidinal self in various ways. Fragmentation of her thoughts and memories, self-destructive behaviour and phantasized and actual attacks on the objects in her world which called forth her neediness were all evidenced. In conclusion, the issue of whether a more active interpretation of the manifestations of the death instinct or a less interpretative, more holding therapeutic stance should be adopted in the therapy with patients exhibiting a pathological organization was raised. , Thesis (MA) -- Faculty of Humanities, Psychology, 1991
- Full Text:
- Date Issued: 1991-04
- Authors: De Villiers, Jeanine
- Date: 1991-04
- Subjects: Uncatalogued
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10962/191691 , vital:45148
- Description: The case study method was used to investigate the manifestations of the death instinct as evidenced in a pathological organization. Work of Kleinian analysts in this area was employed as a basis for interrogating the material that emerged in a five month psychotherapy with a borderline disordered patient. It was demonstrated how the pathological organization was employed as a means of evading paranoid- schizoid fears and depressive position anxieties. Two ways in which defences were assembled into the pathological organization could be traced, both leading to resistance in the therapy. The one set of defences would entail a complete withdrawal from contact, where the patient would hold herself aloof from experience through a solitary invulnerability. The other set of defences involved an active attack on the vulnerable, libidinal self. Identified with the bad, anti-libidinal self, the patient would attempt to annihilate the libidinal self in various ways. Fragmentation of her thoughts and memories, self-destructive behaviour and phantasized and actual attacks on the objects in her world which called forth her neediness were all evidenced. In conclusion, the issue of whether a more active interpretation of the manifestations of the death instinct or a less interpretative, more holding therapeutic stance should be adopted in the therapy with patients exhibiting a pathological organization was raised. , Thesis (MA) -- Faculty of Humanities, Psychology, 1991
- Full Text:
- Date Issued: 1991-04
An examination of psychological issues in the pregnancy and birth process with reference to personal responsibility and control
- Authors: Selwyn-Cross, Halina
- Date: 1991
- Subjects: Childbirth -- Psychological aspects Pregnancy -- Psychological aspects
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: vital:2898 , http://hdl.handle.net/10962/d1002062
- Description: This study examines the psychological issues of personal responsibility and control in the childbirth process. It examines the implications of the woman's preparation process and the choices she makes during pregnancy and childbirth. It also explores the way in which the birthing environment and the woman's interpersonal relationships affect her experience of personal control within the context of the childbirth period. Use was made of the case study research design. This qualitative design involved indepth exploration, of cases in which the women had recently given birth to their first child in the local hospital of a small town. The data analysis involved the use of a "reading guide", established by the researcher to allow for the examination of the data specifically in terms of the themes in question. Within the study the importance and value of the woman's accurate and sufficient preparation for the birth was seen to facilitate a realistic sense of predictability, which led to an increased awareness and ability of the woman to remain in control. This, along with the active participation of the husband and supportive network in the hospital, allowed for a sharing of the responsibility within the labour situation. This taking and appropriately yielding of control and responsibility had positive effects on the woman's experience of the event and for initial mother-infant bonding
- Full Text:
- Date Issued: 1991
- Authors: Selwyn-Cross, Halina
- Date: 1991
- Subjects: Childbirth -- Psychological aspects Pregnancy -- Psychological aspects
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: vital:2898 , http://hdl.handle.net/10962/d1002062
- Description: This study examines the psychological issues of personal responsibility and control in the childbirth process. It examines the implications of the woman's preparation process and the choices she makes during pregnancy and childbirth. It also explores the way in which the birthing environment and the woman's interpersonal relationships affect her experience of personal control within the context of the childbirth period. Use was made of the case study research design. This qualitative design involved indepth exploration, of cases in which the women had recently given birth to their first child in the local hospital of a small town. The data analysis involved the use of a "reading guide", established by the researcher to allow for the examination of the data specifically in terms of the themes in question. Within the study the importance and value of the woman's accurate and sufficient preparation for the birth was seen to facilitate a realistic sense of predictability, which led to an increased awareness and ability of the woman to remain in control. This, along with the active participation of the husband and supportive network in the hospital, allowed for a sharing of the responsibility within the labour situation. This taking and appropriately yielding of control and responsibility had positive effects on the woman's experience of the event and for initial mother-infant bonding
- Full Text:
- Date Issued: 1991
An existential phenomenological study of the kind of therapeutic self-insight that carries a greater sense of freedom
- Authors: Todres, Leslie Allen
- Date: 1991
- Subjects: Psychotherapy Self-perception Self-actualization (Psychology)
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: vital:3073 , http://hdl.handle.net/10962/d1002582
- Description: The central aim of this study was to contribute to the clarification of the nature of self-insight in psychotherapy by means of a qualitative research design. A pilot study provided direction by suggesting a psychologically relevant focus that was experientially specific; that is, the kind of therapeutic self-insight that carries a greater sense of freedom. A phenomenological research method was used to describe and interpret in depth the experiences of eight clients who had been in psychotherapy. Their experiences were explicated to yield a psychologically relevant general description of the phenomenon. The results indicated ten central constituents of the experience. Such themes included, amongst others, the role of language in providing perspective, the increased understanding of personal agency, the achievement of a more complex self-image, and the ability to express existing desires and motives within a more flexible or creative behavioural context. The general description also indicated how phenomena such as memory, feeling, motive, metaphor, dreams and present behaviour interact in the co-constitution of this kind of therapeutic self-insight. After dialoguing the results of the study with relevant literature, the thesis concluded with reflections on the intrinsic value of therapeutic self-insight, as revealed in this study, in relation to the spirit of technology.
- Full Text:
- Date Issued: 1991
- Authors: Todres, Leslie Allen
- Date: 1991
- Subjects: Psychotherapy Self-perception Self-actualization (Psychology)
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: vital:3073 , http://hdl.handle.net/10962/d1002582
- Description: The central aim of this study was to contribute to the clarification of the nature of self-insight in psychotherapy by means of a qualitative research design. A pilot study provided direction by suggesting a psychologically relevant focus that was experientially specific; that is, the kind of therapeutic self-insight that carries a greater sense of freedom. A phenomenological research method was used to describe and interpret in depth the experiences of eight clients who had been in psychotherapy. Their experiences were explicated to yield a psychologically relevant general description of the phenomenon. The results indicated ten central constituents of the experience. Such themes included, amongst others, the role of language in providing perspective, the increased understanding of personal agency, the achievement of a more complex self-image, and the ability to express existing desires and motives within a more flexible or creative behavioural context. The general description also indicated how phenomena such as memory, feeling, motive, metaphor, dreams and present behaviour interact in the co-constitution of this kind of therapeutic self-insight. After dialoguing the results of the study with relevant literature, the thesis concluded with reflections on the intrinsic value of therapeutic self-insight, as revealed in this study, in relation to the spirit of technology.
- Full Text:
- Date Issued: 1991
An exploration of high self control scores among South African university students
- Authors: Riordan, Janet Susan
- Date: 1991
- Subjects: College students -- South AFrica -- Psychology , Self-control , Self-control -- Research
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: vital:2902 , http://hdl.handle.net/10962/d1002066
- Description: The Rosenbaum Self Control Schedule is a self-report instrument developed to assess individual tendencies to apply self-control methods to the solution of behavioral problems. Tested on Hebrews and English-speaking Americans, it was found to transfer easily from one situation to the other. When administered in a battery of self-report questionnaires to South African university students it was found that while means of the total sample were similar to those reported overseas, the means of black and white students within the sample were significantly different from each other, with black students having higher self-control scores than the white students in the study and higher than those reported in previous studies. The study was repeated in this research project using a larger group of black students. The finding of significantly higher self-control scores was replicated. This finding was not due to response set, either acquiescence or social desirability, although black subjects were found to be more subject to social desirability response set. Distributions of the samples showed a group of low scoring white subjects for which there was no equal in the black sample. The findings suggest that black university students in South Africa have high levels of learned resoursefulness. This may be due to a selection process reflecting the relative difficulty with which black students reach university level - difficulties relating to student unrest, educational and financial limitations and economic and social drawbacks so that only those students with moderate to exceptional levels of problem solving stategy skills do succeed. Such individuals should be good candidates for cognitive therapies. Item and factor analyses showed the SCS to be psychometrically adequate for the white group but were much less conclusive for the black sample. In this group, a lower Cronbach's alpha was obtained and the factor analysis was less clear.
- Full Text:
- Date Issued: 1991
- Authors: Riordan, Janet Susan
- Date: 1991
- Subjects: College students -- South AFrica -- Psychology , Self-control , Self-control -- Research
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: vital:2902 , http://hdl.handle.net/10962/d1002066
- Description: The Rosenbaum Self Control Schedule is a self-report instrument developed to assess individual tendencies to apply self-control methods to the solution of behavioral problems. Tested on Hebrews and English-speaking Americans, it was found to transfer easily from one situation to the other. When administered in a battery of self-report questionnaires to South African university students it was found that while means of the total sample were similar to those reported overseas, the means of black and white students within the sample were significantly different from each other, with black students having higher self-control scores than the white students in the study and higher than those reported in previous studies. The study was repeated in this research project using a larger group of black students. The finding of significantly higher self-control scores was replicated. This finding was not due to response set, either acquiescence or social desirability, although black subjects were found to be more subject to social desirability response set. Distributions of the samples showed a group of low scoring white subjects for which there was no equal in the black sample. The findings suggest that black university students in South Africa have high levels of learned resoursefulness. This may be due to a selection process reflecting the relative difficulty with which black students reach university level - difficulties relating to student unrest, educational and financial limitations and economic and social drawbacks so that only those students with moderate to exceptional levels of problem solving stategy skills do succeed. Such individuals should be good candidates for cognitive therapies. Item and factor analyses showed the SCS to be psychometrically adequate for the white group but were much less conclusive for the black sample. In this group, a lower Cronbach's alpha was obtained and the factor analysis was less clear.
- Full Text:
- Date Issued: 1991
An investigation of the interrelationship between group commitment, religiosity, marital adjustment and attitude to divorce in the Jewish ethnic group
- Authors: Miller, Bernice
- Date: 1991
- Subjects: Jews -- Psychology , Judaism , Jews -- Attitudes , Ethnicity , Marriage (Jewish law) , Divorce (Jewish law)
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3019 , http://hdl.handle.net/10962/d1002528 , Jews -- Psychology , Judaism , Jews -- Attitudes , Ethnicity , Marriage (Jewish law) , Divorce (Jewish law)
- Description: The purpose of this research was to investigate the interrelationships between marital adjustment, group commitment, religiosity and attitude to divorce in the Jewish group. It amounted to a within group empirical study of the Jewish community of Cape Town. Research, to date, has focused on marital stability where researchers have found that Jews have lower divorce rates than the general population. The present study attempted to assess the psycho-social outcomes of group commitment in the form of marital adjustment, thus bridging the gap between marital quality and marital stability in the Jewish group. On a wider level, the purpose of this research was to assess whether a social structural framework, utilizing the concept of social integration, is a perspective that can be used in explaining variations in marital adjustment. The following were the findings of the research : Religiosity was correlated to group commitment but not to marital adjustment; group commitment was correlated to marital adjustment; a negative attitude to divorce was not correlated to marital adjustment, group commitment or religiosity.
- Full Text:
- Date Issued: 1991
- Authors: Miller, Bernice
- Date: 1991
- Subjects: Jews -- Psychology , Judaism , Jews -- Attitudes , Ethnicity , Marriage (Jewish law) , Divorce (Jewish law)
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3019 , http://hdl.handle.net/10962/d1002528 , Jews -- Psychology , Judaism , Jews -- Attitudes , Ethnicity , Marriage (Jewish law) , Divorce (Jewish law)
- Description: The purpose of this research was to investigate the interrelationships between marital adjustment, group commitment, religiosity and attitude to divorce in the Jewish group. It amounted to a within group empirical study of the Jewish community of Cape Town. Research, to date, has focused on marital stability where researchers have found that Jews have lower divorce rates than the general population. The present study attempted to assess the psycho-social outcomes of group commitment in the form of marital adjustment, thus bridging the gap between marital quality and marital stability in the Jewish group. On a wider level, the purpose of this research was to assess whether a social structural framework, utilizing the concept of social integration, is a perspective that can be used in explaining variations in marital adjustment. The following were the findings of the research : Religiosity was correlated to group commitment but not to marital adjustment; group commitment was correlated to marital adjustment; a negative attitude to divorce was not correlated to marital adjustment, group commitment or religiosity.
- Full Text:
- Date Issued: 1991
An investigation of the significance of learned helplessness on membership participation in co-operative movements
- Authors: Norman, Paul Deon
- Date: 1991
- Subjects: Learned helplessness , Psychology , Black people -- South Africa , Attributional Style Questionnaire , Partician Index , Co-operatives , Helplessness (Psychology) , Black people -- Psychology
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: vital:2895 , http://hdl.handle.net/10962/d1002059
- Description: In this study the psychological phenomenon of learned helplessness is investigated to determine its significance as a characteristic of members of progressive co-operatives within the South African context. Most of the members of these co-operatives are black South Africans. It is argued that because of the country's racial policy, many of the members have become accustomed to a passive response to events in their lives and this gives rise to their failure to utilise the freedom and opportunities of the co-operative structure. The researcher hypothesises that this passive response could be explained in terms of a high level of learned helplessness among co-operative members. Two hypotheses are investigated in this study: Hypothesis 1: Passive co-operative members will have higher levels of learned helplessness than active members. Hypothesis 2:The level of learned helplessness decreases as the length of co-operative members involvement increases. Data collection for this study was carried out by combining a personal interview and a standardised questionnaire (the Attributional Style Questionnaire). To distinguish between the passive and active members, a Participation Index was constructed. The ASQ was translated into Xhosa, adapted for the sample and two translators were employed to conduct the interviews in Xhosa. The sample consisted of 50 black South Africans, many with limited education and was drawn from six co-operatives in the Eastern Cape. No significant differences were found between the active and passive groups in terms of their levels of learned helplessness. Furthermore, the length of involvement in the co-operative had no effect on the level of learned helplessness. No support was found therefore for Hypothesis l and 2. A significant difference, however, was found between active and passive members and the number of months of involvement. This suggests that the length of involvement has an effect on how active members will be in the co-operative. The results of this study indicate that generally the sample does not suffer from learned helplessness. It is argued that Hypothesis 2 is not supported due to confounding variables. The study raises many doubts as to the reliability of the ASQ and the Participation Index used in the study.
- Full Text:
- Date Issued: 1991
- Authors: Norman, Paul Deon
- Date: 1991
- Subjects: Learned helplessness , Psychology , Black people -- South Africa , Attributional Style Questionnaire , Partician Index , Co-operatives , Helplessness (Psychology) , Black people -- Psychology
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: vital:2895 , http://hdl.handle.net/10962/d1002059
- Description: In this study the psychological phenomenon of learned helplessness is investigated to determine its significance as a characteristic of members of progressive co-operatives within the South African context. Most of the members of these co-operatives are black South Africans. It is argued that because of the country's racial policy, many of the members have become accustomed to a passive response to events in their lives and this gives rise to their failure to utilise the freedom and opportunities of the co-operative structure. The researcher hypothesises that this passive response could be explained in terms of a high level of learned helplessness among co-operative members. Two hypotheses are investigated in this study: Hypothesis 1: Passive co-operative members will have higher levels of learned helplessness than active members. Hypothesis 2:The level of learned helplessness decreases as the length of co-operative members involvement increases. Data collection for this study was carried out by combining a personal interview and a standardised questionnaire (the Attributional Style Questionnaire). To distinguish between the passive and active members, a Participation Index was constructed. The ASQ was translated into Xhosa, adapted for the sample and two translators were employed to conduct the interviews in Xhosa. The sample consisted of 50 black South Africans, many with limited education and was drawn from six co-operatives in the Eastern Cape. No significant differences were found between the active and passive groups in terms of their levels of learned helplessness. Furthermore, the length of involvement in the co-operative had no effect on the level of learned helplessness. No support was found therefore for Hypothesis l and 2. A significant difference, however, was found between active and passive members and the number of months of involvement. This suggests that the length of involvement has an effect on how active members will be in the co-operative. The results of this study indicate that generally the sample does not suffer from learned helplessness. It is argued that Hypothesis 2 is not supported due to confounding variables. The study raises many doubts as to the reliability of the ASQ and the Participation Index used in the study.
- Full Text:
- Date Issued: 1991
Bantu education: the black teacher's lived experience of conflict
- Ramabulana, Ronald Thifulufhelwi
- Authors: Ramabulana, Ronald Thifulufhelwi
- Date: 1991
- Subjects: Conflict (Psychology) , Teachers, Black -- Psychology Case studies , Teachers, Black -- South Africa , Education -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3039 , http://hdl.handle.net/10962/d1002548 , Conflict (Psychology) , Teachers, Black -- Psychology Case studies , Teachers, Black -- South Africa , Education -- South Africa
- Description: This work is a descriptive phenomenological study of the experience of conflict that is lived by black teachers in the Bantu Education context. Subjects are teachers from the East Rand and Eastern Cape who have high school teaching experience that ranges from 1 to 15 years. The conflict researched was defined as those situations in which the teacher faced demands or expectations from different interest groups which were incompatible or negated each other. The Subjects of this research were six teachers who were interviewed for case material. The phenomenological case study design was used. Data collection consisted of in-depth interviews while analysis followed the phenomenological method developed at Duquesne University. This was an exploratory study which identified two major forms of conflict. The first exists between the teacher's expectation of teaching and the education authorities' expectation of how and what the teacher should teach in lessons. The second form of conflict identified is that in which the teacher's allegiance to one social group or ideology is violated by the teacher's participation in a system of education that negates his/her view about the South African sociopolitical situation. In the latter case the teacher is forced to comply with commitments or demands placed on him/her which negate each other. Van den Berg's theory of plural existence was used to inform data analysis and so was the theory of cognitive change and inconsistency.
- Full Text:
- Date Issued: 1991
- Authors: Ramabulana, Ronald Thifulufhelwi
- Date: 1991
- Subjects: Conflict (Psychology) , Teachers, Black -- Psychology Case studies , Teachers, Black -- South Africa , Education -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3039 , http://hdl.handle.net/10962/d1002548 , Conflict (Psychology) , Teachers, Black -- Psychology Case studies , Teachers, Black -- South Africa , Education -- South Africa
- Description: This work is a descriptive phenomenological study of the experience of conflict that is lived by black teachers in the Bantu Education context. Subjects are teachers from the East Rand and Eastern Cape who have high school teaching experience that ranges from 1 to 15 years. The conflict researched was defined as those situations in which the teacher faced demands or expectations from different interest groups which were incompatible or negated each other. The Subjects of this research were six teachers who were interviewed for case material. The phenomenological case study design was used. Data collection consisted of in-depth interviews while analysis followed the phenomenological method developed at Duquesne University. This was an exploratory study which identified two major forms of conflict. The first exists between the teacher's expectation of teaching and the education authorities' expectation of how and what the teacher should teach in lessons. The second form of conflict identified is that in which the teacher's allegiance to one social group or ideology is violated by the teacher's participation in a system of education that negates his/her view about the South African sociopolitical situation. In the latter case the teacher is forced to comply with commitments or demands placed on him/her which negate each other. Van den Berg's theory of plural existence was used to inform data analysis and so was the theory of cognitive change and inconsistency.
- Full Text:
- Date Issued: 1991
Cognitive-behavioural treatment of essential hypertension in an urban Xhosa woman: a case study
- Authors: Losinsky, Rory
- Date: 1991
- Subjects: Xhosa (African people) -- Psychology , Women, Xhosa -- Psychology , Hypertension -- Psychosomatic aspects
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: vital:3010 , http://hdl.handle.net/10962/d1002519 , Xhosa (African people) -- Psychology , Women, Xhosa -- Psychology , Hypertension -- Psychosomatic aspects
- Description: Essential hypertension has a complex and multiple biological, psychological and social aetiology and remains one of the most serious physical disorders affecting the Black population of South Africa today. Pharmacological treatment has been the predominant approach to blood pressure reduction, but considering that the greater part of essential hypertension has its origin in biobehavioural and cognitive functioning a non-pharmacological treatment approach to essential hypertension is receiving extensive interest both in research and therapeutic practice. This study attempted to implement a specific cognitive-behavioural treatment "package' which was tailored to the emergent aetiology in an urban Xhosa woman suffering from Mild hypertension who was on antihypertensive medication and to evaluate the treatment using a single case-study methodology. A combination of relaxation training and cognitive-behavioural modification was provided over a fifteen week period and evaluated both quantitatively and qualitatively. It was found that a combination of over-weight, occupational stress and anger could have contributed and/or caused the patient's hypertension. The results also show a significant reduction in blood pressure during the treatment phase as well as a reduction in weight, experienced anxiety and angry emotion, and by the end of the study the patient's blood pressure had been reduced to normal levels. Finally the feasibility of using such a treatment approach is discussed in relation to the South African context and the case study method is evaluated as a research tool in light of the findings.
- Full Text:
- Date Issued: 1991
- Authors: Losinsky, Rory
- Date: 1991
- Subjects: Xhosa (African people) -- Psychology , Women, Xhosa -- Psychology , Hypertension -- Psychosomatic aspects
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: vital:3010 , http://hdl.handle.net/10962/d1002519 , Xhosa (African people) -- Psychology , Women, Xhosa -- Psychology , Hypertension -- Psychosomatic aspects
- Description: Essential hypertension has a complex and multiple biological, psychological and social aetiology and remains one of the most serious physical disorders affecting the Black population of South Africa today. Pharmacological treatment has been the predominant approach to blood pressure reduction, but considering that the greater part of essential hypertension has its origin in biobehavioural and cognitive functioning a non-pharmacological treatment approach to essential hypertension is receiving extensive interest both in research and therapeutic practice. This study attempted to implement a specific cognitive-behavioural treatment "package' which was tailored to the emergent aetiology in an urban Xhosa woman suffering from Mild hypertension who was on antihypertensive medication and to evaluate the treatment using a single case-study methodology. A combination of relaxation training and cognitive-behavioural modification was provided over a fifteen week period and evaluated both quantitatively and qualitatively. It was found that a combination of over-weight, occupational stress and anger could have contributed and/or caused the patient's hypertension. The results also show a significant reduction in blood pressure during the treatment phase as well as a reduction in weight, experienced anxiety and angry emotion, and by the end of the study the patient's blood pressure had been reduced to normal levels. Finally the feasibility of using such a treatment approach is discussed in relation to the South African context and the case study method is evaluated as a research tool in light of the findings.
- Full Text:
- Date Issued: 1991
Difficulties in psychotherapy with a residual schizophrenic
- Authors: Schock, Sandra Lynn
- Date: 1991
- Subjects: Schizophrenics , Schizophrenia -- Treatment , Psychotherapy
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3149 , http://hdl.handle.net/10962/d1007457 , Schizophrenics , Schizophrenia -- Treatment , Psychotherapy
- Description: This work addresses some of the difficulties encountered while working in psychotherapy with a residual schizophrenic. While there is an abundance of literature on psychotherapy for schizophrenia, both supporting and also refuting its merit, what the literature fails to reveal is that there appears to be a class of schizophrenic who, while apsychotic and able to communicate in the everyday sense of the word, is in a psychic space which speaks of a break with the basic relational elements of the human order. The quality of the patient's psychic life is such that almost nothing of what the literature describes as useful and appropriate in working with schizophrenics seems to help in the psychotherapeutic work with this type of patient. This study describes these issues with relevance to a particular residual schizophrenic. The Illustrative-didactic case-study method was used to discuss the four-and- a-half month psychotherapy with this patient. The patient's early developmental history, premorbid personality functioning, family and interpersonal relationships, mental state, diagnosis and a rationale for psychotherapy were presented and considered in detail. The structure of the psychotherapeutic process was reviewed in depth. The hermeneutic guidelines to understanding the case were drawn from Object-Relations Psychoanalytic theory, particularly Balint, Khan, Karon & VandenBos, Bollas, Romanyshyn, Perry, Symington, Fordham and others. Various psychic and personality features, as unveiled through the psychotherapeutic process, were elaborated and the implications of these for the therapeutic endeavour were considered as follows: Firstly, the psychic space of the patient, which precluded mirroring, symbolization find object-relationship - and which made psychotherapy untenable, was discussed. Secondly, therapeutic ambivalence and other counter-transference issues were reviewed. Thirdly, the shadow sides of both therapeutic optimism and of psychotherapeutic change were considered. Fourthly, the issues of therapeutic failure and of other treatment possibilities for a residual schizophrenic patient were examined. It was concluded that there needs to be an important countertransference shift with regard to the psychotherapeutic goals for those patients whose condition may be chronic, and for whom it appears that psychotherapy is not going to be of any therapeutic benefit - find where an 'empathic accompaniment' might be as much as it is possible to hope for or achieve.
- Full Text:
- Date Issued: 1991
- Authors: Schock, Sandra Lynn
- Date: 1991
- Subjects: Schizophrenics , Schizophrenia -- Treatment , Psychotherapy
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3149 , http://hdl.handle.net/10962/d1007457 , Schizophrenics , Schizophrenia -- Treatment , Psychotherapy
- Description: This work addresses some of the difficulties encountered while working in psychotherapy with a residual schizophrenic. While there is an abundance of literature on psychotherapy for schizophrenia, both supporting and also refuting its merit, what the literature fails to reveal is that there appears to be a class of schizophrenic who, while apsychotic and able to communicate in the everyday sense of the word, is in a psychic space which speaks of a break with the basic relational elements of the human order. The quality of the patient's psychic life is such that almost nothing of what the literature describes as useful and appropriate in working with schizophrenics seems to help in the psychotherapeutic work with this type of patient. This study describes these issues with relevance to a particular residual schizophrenic. The Illustrative-didactic case-study method was used to discuss the four-and- a-half month psychotherapy with this patient. The patient's early developmental history, premorbid personality functioning, family and interpersonal relationships, mental state, diagnosis and a rationale for psychotherapy were presented and considered in detail. The structure of the psychotherapeutic process was reviewed in depth. The hermeneutic guidelines to understanding the case were drawn from Object-Relations Psychoanalytic theory, particularly Balint, Khan, Karon & VandenBos, Bollas, Romanyshyn, Perry, Symington, Fordham and others. Various psychic and personality features, as unveiled through the psychotherapeutic process, were elaborated and the implications of these for the therapeutic endeavour were considered as follows: Firstly, the psychic space of the patient, which precluded mirroring, symbolization find object-relationship - and which made psychotherapy untenable, was discussed. Secondly, therapeutic ambivalence and other counter-transference issues were reviewed. Thirdly, the shadow sides of both therapeutic optimism and of psychotherapeutic change were considered. Fourthly, the issues of therapeutic failure and of other treatment possibilities for a residual schizophrenic patient were examined. It was concluded that there needs to be an important countertransference shift with regard to the psychotherapeutic goals for those patients whose condition may be chronic, and for whom it appears that psychotherapy is not going to be of any therapeutic benefit - find where an 'empathic accompaniment' might be as much as it is possible to hope for or achieve.
- Full Text:
- Date Issued: 1991
Discovering the meaning of stress: a qualitative approach
- Authors: Crowley, Michelle Laureen
- Date: 1991
- Subjects: Stress (Psychology)
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:2957 , http://hdl.handle.net/10962/d1002466 , Stress (Psychology)
- Description: The aim of the study was to understand the meaning of stress, and towards this end eleven individuals who claimed to have experienced the phenomenon during the six months prior to data collection were asked to describe their experience. These transcribed protocols were explicated in terms of a phenomenological praxis, and the emotional content of descriptions subjected to taxonomic analysis. In addition, a literature review for the purposes of tracing the development of contemporary stress models and related constructs was conducted. The latter critiqued current conceptualisations of stress, and attempted to highlight some important contributions. Explication in terms of phenomenological praxis identified seven central features associated with lived stress, namely, lived stress as : the perception of personal cost; a sense of entrapment; persistent coping efforts; learned helplessness; embodiment; and, poor social relations. In addition, the unfolding nature of the experience suggested stress as a continuous process of adjustment to worldly demands, and furthermore, highliJhted several variations of structure. The latter themes were used to develop a more inclusive model of lived stress as a dynamic and unfolding process. Dialogue with existing literature was able to confirm the self-world split proposed by the transactional approach to stress as legitimate, and furthermore, confirmed the primacy of cognition for the stress phenomenon. In addition, the link between stress and personality factors, psychopathological conditions and related fields of enquiry (such as anxiety and burnout) as well as more positive modes of being (such as creativity) were discussed. Furthermore, lived stress was shown to involve a threat to the individual's continued existence, both with respect to his/her the desired self and its unfolding and his/her physicality, while the presence of mutual hostility between self and world was also noted. The study concludes with reflection concerning the methodologies employed, and suggests that while qualitative and interpretive methods are both cumbersome and time consuming if rigorously applied, they do enrich the understanding of complex experiential phenomena. Finally, several suggestions are made for further research and refinement in the stress field, the most pertinent of which appears to be that of establishing the relationship between lived stress and the development of more debilitating psychopathological conditions.
- Full Text:
- Date Issued: 1991
- Authors: Crowley, Michelle Laureen
- Date: 1991
- Subjects: Stress (Psychology)
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:2957 , http://hdl.handle.net/10962/d1002466 , Stress (Psychology)
- Description: The aim of the study was to understand the meaning of stress, and towards this end eleven individuals who claimed to have experienced the phenomenon during the six months prior to data collection were asked to describe their experience. These transcribed protocols were explicated in terms of a phenomenological praxis, and the emotional content of descriptions subjected to taxonomic analysis. In addition, a literature review for the purposes of tracing the development of contemporary stress models and related constructs was conducted. The latter critiqued current conceptualisations of stress, and attempted to highlight some important contributions. Explication in terms of phenomenological praxis identified seven central features associated with lived stress, namely, lived stress as : the perception of personal cost; a sense of entrapment; persistent coping efforts; learned helplessness; embodiment; and, poor social relations. In addition, the unfolding nature of the experience suggested stress as a continuous process of adjustment to worldly demands, and furthermore, highliJhted several variations of structure. The latter themes were used to develop a more inclusive model of lived stress as a dynamic and unfolding process. Dialogue with existing literature was able to confirm the self-world split proposed by the transactional approach to stress as legitimate, and furthermore, confirmed the primacy of cognition for the stress phenomenon. In addition, the link between stress and personality factors, psychopathological conditions and related fields of enquiry (such as anxiety and burnout) as well as more positive modes of being (such as creativity) were discussed. Furthermore, lived stress was shown to involve a threat to the individual's continued existence, both with respect to his/her the desired self and its unfolding and his/her physicality, while the presence of mutual hostility between self and world was also noted. The study concludes with reflection concerning the methodologies employed, and suggests that while qualitative and interpretive methods are both cumbersome and time consuming if rigorously applied, they do enrich the understanding of complex experiential phenomena. Finally, several suggestions are made for further research and refinement in the stress field, the most pertinent of which appears to be that of establishing the relationship between lived stress and the development of more debilitating psychopathological conditions.
- Full Text:
- Date Issued: 1991
Rites of passage: Substance dependence and the negotiation of development tasks - a case study
- Authors: Roux, Catharina
- Date: 1991
- Subjects: Uncatalogued
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10962/193242 , vital:45313
- Description: This thesis is an attempt to provide an understanding of drug addiction in its relation to the tasks and arrests which take place during the developmental process. Current theories of drug addiction are situated within the parameters of developmental theory; Object Relations Theory, Lacanian Structuralism and Freud’s concept of the Oedipus Complex are drawn on. The dual regressive and progressive function of drugs as it relates to developmental tasks and arrests is illustrated, the argument being that a very specific relationship exists between the compulsive use of drugs and the developmental tasks which need to be avoided as well as those which need to be negotiated. The case study research method is made use of in the attempt to illustrate the links between drug addiction and specific developmental tasks. I present an in-depth analysis of the developmental history of Rafiq Jaffer, an inpatient at the drug unit at Lentegeur Psychiatric Hospital, drawing on the material which was collected during nine months of individual therapy. As Borderline Personality Disorder is the primary diagnosis in the case of Rafiq Jaffer, the emphasis is by necessity put on borderline pathology. The primary aim of the thesis is, however, to highlight the need to understand the compulsive use of drugs within the context of the developmental process, thereby developing a conceptualisation against which further cases may be tested. , Thesis (MA) -- Faculty of Humanities, Psychology, 1991
- Full Text:
- Date Issued: 1991
- Authors: Roux, Catharina
- Date: 1991
- Subjects: Uncatalogued
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10962/193242 , vital:45313
- Description: This thesis is an attempt to provide an understanding of drug addiction in its relation to the tasks and arrests which take place during the developmental process. Current theories of drug addiction are situated within the parameters of developmental theory; Object Relations Theory, Lacanian Structuralism and Freud’s concept of the Oedipus Complex are drawn on. The dual regressive and progressive function of drugs as it relates to developmental tasks and arrests is illustrated, the argument being that a very specific relationship exists between the compulsive use of drugs and the developmental tasks which need to be avoided as well as those which need to be negotiated. The case study research method is made use of in the attempt to illustrate the links between drug addiction and specific developmental tasks. I present an in-depth analysis of the developmental history of Rafiq Jaffer, an inpatient at the drug unit at Lentegeur Psychiatric Hospital, drawing on the material which was collected during nine months of individual therapy. As Borderline Personality Disorder is the primary diagnosis in the case of Rafiq Jaffer, the emphasis is by necessity put on borderline pathology. The primary aim of the thesis is, however, to highlight the need to understand the compulsive use of drugs within the context of the developmental process, thereby developing a conceptualisation against which further cases may be tested. , Thesis (MA) -- Faculty of Humanities, Psychology, 1991
- Full Text:
- Date Issued: 1991
The hermeneutic value of the Daseinsanalytic approach to dream interpretation in psychotherapy: a case study
- Authors: Oberholzer, Sofia Adriana
- Date: 1991
- Subjects: Boss, Medard, 1903-1990 , Dreams -- Psychological aspects -- Case studies , Dream interpretation -- Case studies , Psychotherapy -- Case studies
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3222 , http://hdl.handle.net/10962/d1012988
- Description: The purpose of this study was to investigate the hermeneutic value of the Daseinsanalytic approach to dream interpretation in the process of psychotherapy. After delineating the Daseinsanalytic view on dream interpretation, with emphasis on the conceptualization of Medard Boss, the study explores the usefulness and validity of the case study as a method of investigating the content and process of psychotherapy. A psychodynamic formulation of the presenting problem is based on the conceptualization of the nature and etiology of neurosis as delineated by Andras Angyal, with particular reference to the pattern of noncommitment. The dreams included in the case material are then examined to determine to what degree they facilitated insight into the subjective experience and phenomenological existence of the dreamer, and what effect the dream interpretation based on the Daseinsanalytic approach had on the process of therapy. It is established that a phenomenological understanding of the client's dreams corresponds with his subjective experience of his emotional and existential condition, and that positive changes in the content of the dreams during the course of therapy correspond with overt, observable changes in his behaviour, ideation and mood. Based on these findings, the case study leads to the conclusion that the Daseinsanalytic approach to dream interpretation has hermeneutic value in the process of psychotherapy.
- Full Text:
- Date Issued: 1991
- Authors: Oberholzer, Sofia Adriana
- Date: 1991
- Subjects: Boss, Medard, 1903-1990 , Dreams -- Psychological aspects -- Case studies , Dream interpretation -- Case studies , Psychotherapy -- Case studies
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3222 , http://hdl.handle.net/10962/d1012988
- Description: The purpose of this study was to investigate the hermeneutic value of the Daseinsanalytic approach to dream interpretation in the process of psychotherapy. After delineating the Daseinsanalytic view on dream interpretation, with emphasis on the conceptualization of Medard Boss, the study explores the usefulness and validity of the case study as a method of investigating the content and process of psychotherapy. A psychodynamic formulation of the presenting problem is based on the conceptualization of the nature and etiology of neurosis as delineated by Andras Angyal, with particular reference to the pattern of noncommitment. The dreams included in the case material are then examined to determine to what degree they facilitated insight into the subjective experience and phenomenological existence of the dreamer, and what effect the dream interpretation based on the Daseinsanalytic approach had on the process of therapy. It is established that a phenomenological understanding of the client's dreams corresponds with his subjective experience of his emotional and existential condition, and that positive changes in the content of the dreams during the course of therapy correspond with overt, observable changes in his behaviour, ideation and mood. Based on these findings, the case study leads to the conclusion that the Daseinsanalytic approach to dream interpretation has hermeneutic value in the process of psychotherapy.
- Full Text:
- Date Issued: 1991
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