A comparative study of the performance of English and Xhosa speaking children on the Wechsler Intelligence Scale for Children-Revised (WISC-R)
- Authors: Runciman, Carey Lynn
- Date: 1996 , 2013-10-03
- Subjects: Wechsler Intelligence Scale for Children -- Cross-cultural studies , Children -- Intelligence testing , Psychological tests -- Cross-cultural studies , Educational tests and measurements -- South Africa
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3150 , http://hdl.handle.net/10962/d1007467 , Wechsler Intelligence Scale for Children -- Cross-cultural studies , Children -- Intelligence testing , Psychological tests -- Cross-cultural studies , Educational tests and measurements -- South Africa
- Description: The purpose of this study was to compare the WISC-R subtest score scatter patterns and obtain preliminary normative data on the WISC-R Adjunctive tests (Digit Span Forward; Digit Span Backward; Digit Supraspan; Coding Immediate Recall and Coding Delayed Recall) on a non-clinical population of South African English (n= 15) and Xhosa (n= 12) speaking, standard six children, studying in English medium schools. Tests were administered to 27 subjects, both male (n=19) and female (n=8), with a mean age of 14.1 years (range = 13.3-15.3). The results show that White English speaking children outperform Black Xhosa speaking children on Verbal, Performance and Full Scale IQs and all subtests, but that these differences tended to disappear when Full Scale IQ and school grade average were controlled for. No subtest score scatter was present for either group although more specific test items appeared to be more difficult for Xhosa speaking subjects and may have contributed to generally lowered scores. Results suggest that caution must be employed in assigning Xhosa speaking South African children to absolute IQ categories. However, the WISC-R has validity for diagnostic use on both White English speaking and Black Xhosa speaking South African children as there was no evidence of a significant Verbal IQ/Performance IQ discrepancy, or significant low subtest scatter for either group. Normative tables are presented for the use of WISC-R Adjunctive tests. , KMBT_363 , Adobe Acrobat 9.54 Paper Capture Plug-in
- Full Text:
- Date Issued: 1996
- Authors: Runciman, Carey Lynn
- Date: 1996 , 2013-10-03
- Subjects: Wechsler Intelligence Scale for Children -- Cross-cultural studies , Children -- Intelligence testing , Psychological tests -- Cross-cultural studies , Educational tests and measurements -- South Africa
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3150 , http://hdl.handle.net/10962/d1007467 , Wechsler Intelligence Scale for Children -- Cross-cultural studies , Children -- Intelligence testing , Psychological tests -- Cross-cultural studies , Educational tests and measurements -- South Africa
- Description: The purpose of this study was to compare the WISC-R subtest score scatter patterns and obtain preliminary normative data on the WISC-R Adjunctive tests (Digit Span Forward; Digit Span Backward; Digit Supraspan; Coding Immediate Recall and Coding Delayed Recall) on a non-clinical population of South African English (n= 15) and Xhosa (n= 12) speaking, standard six children, studying in English medium schools. Tests were administered to 27 subjects, both male (n=19) and female (n=8), with a mean age of 14.1 years (range = 13.3-15.3). The results show that White English speaking children outperform Black Xhosa speaking children on Verbal, Performance and Full Scale IQs and all subtests, but that these differences tended to disappear when Full Scale IQ and school grade average were controlled for. No subtest score scatter was present for either group although more specific test items appeared to be more difficult for Xhosa speaking subjects and may have contributed to generally lowered scores. Results suggest that caution must be employed in assigning Xhosa speaking South African children to absolute IQ categories. However, the WISC-R has validity for diagnostic use on both White English speaking and Black Xhosa speaking South African children as there was no evidence of a significant Verbal IQ/Performance IQ discrepancy, or significant low subtest scatter for either group. Normative tables are presented for the use of WISC-R Adjunctive tests. , KMBT_363 , Adobe Acrobat 9.54 Paper Capture Plug-in
- Full Text:
- Date Issued: 1996
A cross-cultural study of eating disordered behaviour in female university residence students
- Authors: Geach, Michele Fiona
- Date: 1996
- Subjects: Eating disorders -- South Africa -- Cross-cultural studies Women college students -- South Africa
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3197 , http://hdl.handle.net/10962/d1009452
- Description: The compilation of information on the incidence of eating disorders in South African university residence women has been identified as an urgent matter by the National Eating Disorders Coordinating Committee (NEDCC). This study was undertaken to determine the degree of eating disordered behaviour across cultures in female university residence students from the University of Natal, Durban and Pietermaritzburg campuses, and the University of Durban Westville. The Eating Disorder Inventory (EDI) was completed by 39 black, 41 white, 6 Indian and 4 Coloured students. It was hypothesised that white women would show higher rates of disordered eating; that black women in more advanced years of study ie. those who are more acculturated, would show more disordered eating behaviour than first year black students; that black females would demonstrate higher Body Mass Index (BMI) scores than white students; and that a positive relationship would be found between Socio-economic status (SES) and disordered eating. The results of this study indicated that there was no significant difference in disordered eating among black and white female students. Degree of disordered eating did not increase with year of study. Although black students demonstrated significantly higher BMI scores than white students, there was no difference in body dissatisfaction scores. Furthermore there was no relationship found between SES and degree of disordered eating behaviour. An attempt is made to explain these results by exploring the role of acculturation to Western appearance standards.
- Full Text:
- Date Issued: 1996
- Authors: Geach, Michele Fiona
- Date: 1996
- Subjects: Eating disorders -- South Africa -- Cross-cultural studies Women college students -- South Africa
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3197 , http://hdl.handle.net/10962/d1009452
- Description: The compilation of information on the incidence of eating disorders in South African university residence women has been identified as an urgent matter by the National Eating Disorders Coordinating Committee (NEDCC). This study was undertaken to determine the degree of eating disordered behaviour across cultures in female university residence students from the University of Natal, Durban and Pietermaritzburg campuses, and the University of Durban Westville. The Eating Disorder Inventory (EDI) was completed by 39 black, 41 white, 6 Indian and 4 Coloured students. It was hypothesised that white women would show higher rates of disordered eating; that black women in more advanced years of study ie. those who are more acculturated, would show more disordered eating behaviour than first year black students; that black females would demonstrate higher Body Mass Index (BMI) scores than white students; and that a positive relationship would be found between Socio-economic status (SES) and disordered eating. The results of this study indicated that there was no significant difference in disordered eating among black and white female students. Degree of disordered eating did not increase with year of study. Although black students demonstrated significantly higher BMI scores than white students, there was no difference in body dissatisfaction scores. Furthermore there was no relationship found between SES and degree of disordered eating behaviour. An attempt is made to explain these results by exploring the role of acculturation to Western appearance standards.
- Full Text:
- Date Issued: 1996
An analysis of the experience of the acute phase of traumatic spinal cord injury in a South African spinal unit
- Authors: Gaitelband, Philip Joseph
- Date: 1996
- Subjects: Spinal cord -- Wounds and injuries -- Psychological aspects , Spinal cord -- Wounds and injuries -- Patients -- Rehabilitation
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:2978 , http://hdl.handle.net/10962/d1002487 , Spinal cord -- Wounds and injuries -- Psychological aspects , Spinal cord -- Wounds and injuries -- Patients -- Rehabilitation
- Description: This study aims to explore, and to a certain extent to clarify, what it means psychologically to experience Traumatic spinal cord injury (TSCI) in a South African spinal unit. The target time chosen for analysis is the acute medical period. The study presents a review of the literature on psychological adjustment to TSCI and then proceeds to introduce and extensively articulate the hermeneutic approach and methodology. Subsequently, an interpretive research strategy is presented for the purpose of studying the acute phase of TSCI. The data for the study was obtained by means of three dialogical interviews which were tape recorded, transcribed and analyzed with~n a cyclical framework consisting of three interdependent levels. The interpretive procedure is modeled upon the 'reading guide' developed by Brown, Tappan, Gilligan, Miller and Argyris (1989). The analysis follows a course from the individual psychological descriptions of the experience to the generation of a general, nomothetic narrative account of the acute phase. The findings are then discussed in relation to the existing literature and evaluated on the basis of the goals of the study. The study highlights the value of some of the 'stage' ways of thinking about SCI adjustment, while simultaneously stressing the need for placing adjustment within a more personalized, and individually meaningful context. Significant differences between the psycho-physical experiences of patients in the categories of complete and -incomplete SCI were found, which suggests that a sharper distinction be made in the literature between these two groups, in order to account for the marked variations in their experiences.-- The study also contains a number of shortcomings, such as a lack of understanding about certain historical and contextual factors which may have mediated the experiences of the trauma for the individuals concerned. These shortcomings and some suggestions fro their resolution are then discussed. The study concludes with an evaluation of the research strategy and methodology and also offers some suggestions for future research.
- Full Text:
- Date Issued: 1996
- Authors: Gaitelband, Philip Joseph
- Date: 1996
- Subjects: Spinal cord -- Wounds and injuries -- Psychological aspects , Spinal cord -- Wounds and injuries -- Patients -- Rehabilitation
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:2978 , http://hdl.handle.net/10962/d1002487 , Spinal cord -- Wounds and injuries -- Psychological aspects , Spinal cord -- Wounds and injuries -- Patients -- Rehabilitation
- Description: This study aims to explore, and to a certain extent to clarify, what it means psychologically to experience Traumatic spinal cord injury (TSCI) in a South African spinal unit. The target time chosen for analysis is the acute medical period. The study presents a review of the literature on psychological adjustment to TSCI and then proceeds to introduce and extensively articulate the hermeneutic approach and methodology. Subsequently, an interpretive research strategy is presented for the purpose of studying the acute phase of TSCI. The data for the study was obtained by means of three dialogical interviews which were tape recorded, transcribed and analyzed with~n a cyclical framework consisting of three interdependent levels. The interpretive procedure is modeled upon the 'reading guide' developed by Brown, Tappan, Gilligan, Miller and Argyris (1989). The analysis follows a course from the individual psychological descriptions of the experience to the generation of a general, nomothetic narrative account of the acute phase. The findings are then discussed in relation to the existing literature and evaluated on the basis of the goals of the study. The study highlights the value of some of the 'stage' ways of thinking about SCI adjustment, while simultaneously stressing the need for placing adjustment within a more personalized, and individually meaningful context. Significant differences between the psycho-physical experiences of patients in the categories of complete and -incomplete SCI were found, which suggests that a sharper distinction be made in the literature between these two groups, in order to account for the marked variations in their experiences.-- The study also contains a number of shortcomings, such as a lack of understanding about certain historical and contextual factors which may have mediated the experiences of the trauma for the individuals concerned. These shortcomings and some suggestions fro their resolution are then discussed. The study concludes with an evaluation of the research strategy and methodology and also offers some suggestions for future research.
- Full Text:
- Date Issued: 1996
An investigation into the relationship between adolescent parasuicide, depressive illness and associated risk factors
- Authors: Read, Gary Frank Hoyland
- Date: 1996
- Subjects: Youth -- Suicidal behavior , Depression in adolescence
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3116 , http://hdl.handle.net/10962/d1004615 , Youth -- Suicidal behavior , Depression in adolescence
- Description: This study aimed at investigating the relationship between adolescent parasuicide, depressive illness and associated risk factors. Reports worldwide indicate that suicidal behaviour in this age group has risen 150% over the past 20 years, whilst the rate for suicide in adults and the elderly has remained the same (Deykin et al, 1985; Neiger & Hopkins, 1988; Sudak, Ford & Rushforth, 1984a). In South Africa statistics confirm similar trends with regard to attempted and completed suicide. Statistics reveal that a high local incidence of adolescent suicide attempters are seen at psychiatric units. One pilot study recorded 187 adolescent suicide attempters during a three month period. This study was based on the hypothesis that the incidence of depressive illness in adolescent suicide attempters is higher than is generally accepted and that this condition often goes unrecognised and is misdiagnosed because it manifests differently with acting out behaviour and "masked" symptomatology. A random sample of suicide attempters between the ages of 13 - 25 who presented at C23 (psychiatric emergencies) Groote Schuur Hospital following a suicide attempt were assessed. 100 subjects were seen over a period of three months. The research procedure comprised a comprehensive assessment incorporating a semi-structured interview, self-report and objective rating scales for depression as well as instruments designed to assess the general health of each subject and their level of suicide intent. The depressive inventories used have been validated for use in this age group and were designed to elicit the associated features of adolescent depression. If warranted, a clinical diagnoses was given based on DSM 1V criteria. This diagnosis was substantiated by information from the research instruments which formed part of the assessment process. A high incidence of clinical disorders was diagnosed in the sample (86%). Depressive illness was found to be a significant risk factor for suicidal behaviour with 68% of the subjects suffering from an affective disorder and 21% reporting depressive symptoms. This study shows that the correlation between parasuicide and depressive illness is high enough to suggest that all suicidal behaviour in this age group should be taken seriously as parasuicide in itself is often a reliable indicator of an underlying depressive condition. Additional risk factors for adolescent parasuicide identified in this study correlated well with the findings of similar research studies. Psychiatric co-morbidity, especially substance use (42%) and cluster B personality factors (54%), were high and served to increase an individual's vulnerability to suicide risk. Psychosocial factors such as sexual abuse (28%) and physical abuse (37%) were also identified as high risk factors for adolescent suicidal behaviour. Individuals at risk for depression and suicidal behaviour typically came from broken homes which were disrupted and unsupportive. Family members were frequently abusing alcohol and 67% of the subjects reported the presence of psychiatric illness in the family. The preferred method of suicide attempt was an overdose (90%). These attempts were generally unplanned and impulsive with no disclosure prior to the event. Intent was usually high at the time of the act. It is only through identifying the risk factors specific to the developmental concerns of this age group and acknowledging the role of depressive illness in adolescent suicidal behaviour that effective preventative measures can be devised.
- Full Text:
- Date Issued: 1996
- Authors: Read, Gary Frank Hoyland
- Date: 1996
- Subjects: Youth -- Suicidal behavior , Depression in adolescence
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3116 , http://hdl.handle.net/10962/d1004615 , Youth -- Suicidal behavior , Depression in adolescence
- Description: This study aimed at investigating the relationship between adolescent parasuicide, depressive illness and associated risk factors. Reports worldwide indicate that suicidal behaviour in this age group has risen 150% over the past 20 years, whilst the rate for suicide in adults and the elderly has remained the same (Deykin et al, 1985; Neiger & Hopkins, 1988; Sudak, Ford & Rushforth, 1984a). In South Africa statistics confirm similar trends with regard to attempted and completed suicide. Statistics reveal that a high local incidence of adolescent suicide attempters are seen at psychiatric units. One pilot study recorded 187 adolescent suicide attempters during a three month period. This study was based on the hypothesis that the incidence of depressive illness in adolescent suicide attempters is higher than is generally accepted and that this condition often goes unrecognised and is misdiagnosed because it manifests differently with acting out behaviour and "masked" symptomatology. A random sample of suicide attempters between the ages of 13 - 25 who presented at C23 (psychiatric emergencies) Groote Schuur Hospital following a suicide attempt were assessed. 100 subjects were seen over a period of three months. The research procedure comprised a comprehensive assessment incorporating a semi-structured interview, self-report and objective rating scales for depression as well as instruments designed to assess the general health of each subject and their level of suicide intent. The depressive inventories used have been validated for use in this age group and were designed to elicit the associated features of adolescent depression. If warranted, a clinical diagnoses was given based on DSM 1V criteria. This diagnosis was substantiated by information from the research instruments which formed part of the assessment process. A high incidence of clinical disorders was diagnosed in the sample (86%). Depressive illness was found to be a significant risk factor for suicidal behaviour with 68% of the subjects suffering from an affective disorder and 21% reporting depressive symptoms. This study shows that the correlation between parasuicide and depressive illness is high enough to suggest that all suicidal behaviour in this age group should be taken seriously as parasuicide in itself is often a reliable indicator of an underlying depressive condition. Additional risk factors for adolescent parasuicide identified in this study correlated well with the findings of similar research studies. Psychiatric co-morbidity, especially substance use (42%) and cluster B personality factors (54%), were high and served to increase an individual's vulnerability to suicide risk. Psychosocial factors such as sexual abuse (28%) and physical abuse (37%) were also identified as high risk factors for adolescent suicidal behaviour. Individuals at risk for depression and suicidal behaviour typically came from broken homes which were disrupted and unsupportive. Family members were frequently abusing alcohol and 67% of the subjects reported the presence of psychiatric illness in the family. The preferred method of suicide attempt was an overdose (90%). These attempts were generally unplanned and impulsive with no disclosure prior to the event. Intent was usually high at the time of the act. It is only through identifying the risk factors specific to the developmental concerns of this age group and acknowledging the role of depressive illness in adolescent suicidal behaviour that effective preventative measures can be devised.
- Full Text:
- Date Issued: 1996
Cognition and multiple sclerosis: a neuropsychological and MRI study
- Authors: Thornton, Helena Barbara
- Date: 1996
- Subjects: Multiple sclerosis -- Magnetic resonance imaging , Cognitive neuroscience
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3144 , http://hdl.handle.net/10962/d1007290 , Multiple sclerosis -- Magnetic resonance imaging , Cognitive neuroscience
- Description: Ten people with multiple sclerosis (MS) who felt they had cognitive difficulties because of their MS were investigated. This study had multiple aims. Firstly, to explore the subjective experience of cognitive deficits. Secondly, to assess whether or not there was objective evidence of cognitive difficulties on neuropsychological testing, and whether this was commensurate with a pattern of subcortical dementia. Thirdly, to determine whether their magnetic resonance imaging (MRI) scans replicated the patterns of atrophy frequently reported in MS patients with cognitive difficulties. And finally, to investigate the psychological well-being of the subjects. In depth neuropsychiatric interviews, psychiatric and psychological inventories, a comprehensive neuropsychological battery, and MRI investigations were done. The mean Full Scale Intelligence Quotient (FSIQ) fell within the superior range, at the 89th percentile. On tests of general intelligence, mental state examinations, there was little or no indication of cognitive deterioration. However, on sophisticated neuropsychological testing, there was convincing evidence of cognitive problems. Magnetic resonance imaging lesions were atypical of the reported research on cognitively compromised MS patients.
- Full Text:
- Date Issued: 1996
- Authors: Thornton, Helena Barbara
- Date: 1996
- Subjects: Multiple sclerosis -- Magnetic resonance imaging , Cognitive neuroscience
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3144 , http://hdl.handle.net/10962/d1007290 , Multiple sclerosis -- Magnetic resonance imaging , Cognitive neuroscience
- Description: Ten people with multiple sclerosis (MS) who felt they had cognitive difficulties because of their MS were investigated. This study had multiple aims. Firstly, to explore the subjective experience of cognitive deficits. Secondly, to assess whether or not there was objective evidence of cognitive difficulties on neuropsychological testing, and whether this was commensurate with a pattern of subcortical dementia. Thirdly, to determine whether their magnetic resonance imaging (MRI) scans replicated the patterns of atrophy frequently reported in MS patients with cognitive difficulties. And finally, to investigate the psychological well-being of the subjects. In depth neuropsychiatric interviews, psychiatric and psychological inventories, a comprehensive neuropsychological battery, and MRI investigations were done. The mean Full Scale Intelligence Quotient (FSIQ) fell within the superior range, at the 89th percentile. On tests of general intelligence, mental state examinations, there was little or no indication of cognitive deterioration. However, on sophisticated neuropsychological testing, there was convincing evidence of cognitive problems. Magnetic resonance imaging lesions were atypical of the reported research on cognitively compromised MS patients.
- Full Text:
- Date Issued: 1996
Death and gnosis: archetypal dream imagery in terminal illness
- Authors: Welman, Mark
- Date: 1996
- Subjects: Jung, C G (Carl Gustav), 1875-1961 Thanatology Death -- Psychological aspects Dreams Dreams Case studies Death in dreams
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: vital:3084 , http://hdl.handle.net/10962/d1002593
- Description: The central aim of this study was to explore the meaning of death as both a literal and an imaginative reality, and to elucidate the fundamental tensions between these meanings of death in modern existence. Recognition was given to the need for a poetic rather than a scientific approach to thanatology, and an epistemological foundation for a poetics of death was sought in the tradition of gnosis. Theoretically, the study was grounded in the analytical psychology of C.G. Jung. It was argued that despite Jung's erratic allegiance to a Cartesian ontology and epistemology, his approach to death was nevertheless fundamentally poetic. The poetic parameters of death and dying were explored in the context of Jung's understanding of the dialectical tension between the ego and the self, and it was concluded that while death represents an opening to the imaginative possibilities of existence, these potentialities can come to the fore only when there is a corresponding willingness to die. In these terms, it was concluded that the tension between life and death forms a pivotal dynamic of human existence. These considerations led to the Question of whether the poetic parameters of death and dying are applicable to the encounter with death as a concrete actuality. It was hypothesised that the approach of death would be met at two levels of reality, that of the ego and that of the self. The expectation was that while death would be seen as a literal ending from the perspective of the former, it may represent the fulfilment of Being from the viewpoint of the self. It was also assumed that the tension between these images of death would be mediated by way of archetypal symbols, which represent the bearers of gnosis in modern culture. To address these issues at an empirical level, a hermeneutically grounded thematic analysis of 108 dreams reported by dying persons was undertaken. Twenty initial themes emerged from the data. Each of these themes was in turn elucidated by way of Jung's method of amplification. This exercise yielded five concise themes, these being (a) death, (b) transformation, (c) the self (d) the Feminine, and (e) the Masculine. It was concluded that dreams manifesting during the dying process reveal a fundamental tension between literal and metaphoric possibilities of death. Dream symbols were also found to mediate between this tension, and to orchestrate the individuation process. It was concluded that in the context of dying, dreams may reflect and facilitate the emergence of a meaningful gnosis of death. The clinical implications of these findings were onsidered, and indications for further research were provided.
- Full Text:
- Date Issued: 1996
- Authors: Welman, Mark
- Date: 1996
- Subjects: Jung, C G (Carl Gustav), 1875-1961 Thanatology Death -- Psychological aspects Dreams Dreams Case studies Death in dreams
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: vital:3084 , http://hdl.handle.net/10962/d1002593
- Description: The central aim of this study was to explore the meaning of death as both a literal and an imaginative reality, and to elucidate the fundamental tensions between these meanings of death in modern existence. Recognition was given to the need for a poetic rather than a scientific approach to thanatology, and an epistemological foundation for a poetics of death was sought in the tradition of gnosis. Theoretically, the study was grounded in the analytical psychology of C.G. Jung. It was argued that despite Jung's erratic allegiance to a Cartesian ontology and epistemology, his approach to death was nevertheless fundamentally poetic. The poetic parameters of death and dying were explored in the context of Jung's understanding of the dialectical tension between the ego and the self, and it was concluded that while death represents an opening to the imaginative possibilities of existence, these potentialities can come to the fore only when there is a corresponding willingness to die. In these terms, it was concluded that the tension between life and death forms a pivotal dynamic of human existence. These considerations led to the Question of whether the poetic parameters of death and dying are applicable to the encounter with death as a concrete actuality. It was hypothesised that the approach of death would be met at two levels of reality, that of the ego and that of the self. The expectation was that while death would be seen as a literal ending from the perspective of the former, it may represent the fulfilment of Being from the viewpoint of the self. It was also assumed that the tension between these images of death would be mediated by way of archetypal symbols, which represent the bearers of gnosis in modern culture. To address these issues at an empirical level, a hermeneutically grounded thematic analysis of 108 dreams reported by dying persons was undertaken. Twenty initial themes emerged from the data. Each of these themes was in turn elucidated by way of Jung's method of amplification. This exercise yielded five concise themes, these being (a) death, (b) transformation, (c) the self (d) the Feminine, and (e) the Masculine. It was concluded that dreams manifesting during the dying process reveal a fundamental tension between literal and metaphoric possibilities of death. Dream symbols were also found to mediate between this tension, and to orchestrate the individuation process. It was concluded that in the context of dying, dreams may reflect and facilitate the emergence of a meaningful gnosis of death. The clinical implications of these findings were onsidered, and indications for further research were provided.
- Full Text:
- Date Issued: 1996
Psychiatric problems in the primary health care context: a study in the Border-Kei area
- Authors: Cook, Jacqueline
- Date: 1996
- Subjects: Primary health care -- South Africa , Mental health services -- South Africa , Black people -- Mental health -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:2954 , http://hdl.handle.net/10962/d1002463 , Primary health care -- South Africa , Mental health services -- South Africa , Black people -- Mental health -- South Africa
- Description: A clinic survey was undertaken to investigate the nature of psychiatric problems experienced by the primary health care (PHC) patient population in the Bisho-King William's Town area of the Eastern Cape Region. The study took as its point of departure research findings which attest to the high rate of psychiatric distress amongst this population group in different parts of the world and ohservations regarding the form of presentation in terms of physical complaints. Hypotheses posited relationships between psychiatric problems experienced by patients attending PHC clinics in the study area and four types of variables, namely; somatic complaints, socio-demographic characteristics, patterns of health service utilisation and patient satisfaction with health services. Using a quasi-experimental descriptive approach, a two-stage screening procedure sorted the patient sample into three groups on the basis of the degree of psychiatric symptomatology experienced. The triangulation of the results of between-groups analyses with case materials recorded during psychiatric interviewing provided for an ethnographic account of the cultural experience of distress in the study area. The screening process used standard instruments, the Self-Reporting Questionnaire (SRQ) in the first stage and the Present State Examination (PSE) in the second stage. A pilot study was conducted prior to the fieldwork for the main study. Using the SRQ, thirteen psychiatric paticnts and 31 general PHC patients were sampled for the pilot study and 148 PHC patients were sampled for the main study. Using the PSE, 11 and 57 PSE interviews were conducted in the pilot and main studies respectively. Between-groups analyses used chi-square and F-statistics to investigate possible associations with identified patient correlates (P<0.5). These were socio-demographic, utilisation and satisfaction variables, measured by a separate face-valid self-response instrument compiled for the purposes of this study. Psychiatric symptomatology was found to be statistically significantly related to age, marital status and educational level. Further, patients experiencing more psychiatric symptomatology reported significantly more illnesses requiring treatment, longer consultation periods and a greater number of sick bed days. No statistically significant relationships were found between psychiatric symptomatology and number of children, number of failures at school, amount of treatment utilised, number of consultations, or patient satisfaction with services. Descriptive analyses of symptom and syndrome profiles found certain somatic complaints to be particularly prevalent amongst the patient sample. These include headaches and various tension pains, decreased energy levels and digestive problems. Qualitative analysis of interview data found that many somatic and psychiatric problems experienced constitute culturally defined and meaningful experiences, especially 'umbilini' (or nerves), 'ufufunyana' (a possession state), and accusations of witchcraft. Interpretation of complaints from the local traditional healing perspective, revealed a more complex mode of communication between patients and the health delivery system than may be accounted for in terms of a simple biomedical model. The interpretive analysis in the study showed that some forms of presentation incorporating somatic symptoms, such as 'nerves' may he viewed as help seeking behaviour of the socially unempowered. Implications of the results are discussed in relation to the need for improved identification and management of psychiatric distress at PHC level facilitated by a better developed referral network and closer interaction between biomedical and anthropological perspectives.
- Full Text:
- Date Issued: 1996
- Authors: Cook, Jacqueline
- Date: 1996
- Subjects: Primary health care -- South Africa , Mental health services -- South Africa , Black people -- Mental health -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:2954 , http://hdl.handle.net/10962/d1002463 , Primary health care -- South Africa , Mental health services -- South Africa , Black people -- Mental health -- South Africa
- Description: A clinic survey was undertaken to investigate the nature of psychiatric problems experienced by the primary health care (PHC) patient population in the Bisho-King William's Town area of the Eastern Cape Region. The study took as its point of departure research findings which attest to the high rate of psychiatric distress amongst this population group in different parts of the world and ohservations regarding the form of presentation in terms of physical complaints. Hypotheses posited relationships between psychiatric problems experienced by patients attending PHC clinics in the study area and four types of variables, namely; somatic complaints, socio-demographic characteristics, patterns of health service utilisation and patient satisfaction with health services. Using a quasi-experimental descriptive approach, a two-stage screening procedure sorted the patient sample into three groups on the basis of the degree of psychiatric symptomatology experienced. The triangulation of the results of between-groups analyses with case materials recorded during psychiatric interviewing provided for an ethnographic account of the cultural experience of distress in the study area. The screening process used standard instruments, the Self-Reporting Questionnaire (SRQ) in the first stage and the Present State Examination (PSE) in the second stage. A pilot study was conducted prior to the fieldwork for the main study. Using the SRQ, thirteen psychiatric paticnts and 31 general PHC patients were sampled for the pilot study and 148 PHC patients were sampled for the main study. Using the PSE, 11 and 57 PSE interviews were conducted in the pilot and main studies respectively. Between-groups analyses used chi-square and F-statistics to investigate possible associations with identified patient correlates (P<0.5). These were socio-demographic, utilisation and satisfaction variables, measured by a separate face-valid self-response instrument compiled for the purposes of this study. Psychiatric symptomatology was found to be statistically significantly related to age, marital status and educational level. Further, patients experiencing more psychiatric symptomatology reported significantly more illnesses requiring treatment, longer consultation periods and a greater number of sick bed days. No statistically significant relationships were found between psychiatric symptomatology and number of children, number of failures at school, amount of treatment utilised, number of consultations, or patient satisfaction with services. Descriptive analyses of symptom and syndrome profiles found certain somatic complaints to be particularly prevalent amongst the patient sample. These include headaches and various tension pains, decreased energy levels and digestive problems. Qualitative analysis of interview data found that many somatic and psychiatric problems experienced constitute culturally defined and meaningful experiences, especially 'umbilini' (or nerves), 'ufufunyana' (a possession state), and accusations of witchcraft. Interpretation of complaints from the local traditional healing perspective, revealed a more complex mode of communication between patients and the health delivery system than may be accounted for in terms of a simple biomedical model. The interpretive analysis in the study showed that some forms of presentation incorporating somatic symptoms, such as 'nerves' may he viewed as help seeking behaviour of the socially unempowered. Implications of the results are discussed in relation to the need for improved identification and management of psychiatric distress at PHC level facilitated by a better developed referral network and closer interaction between biomedical and anthropological perspectives.
- Full Text:
- Date Issued: 1996
The Bender Gestalt Test: an investigation into problems concerning administration and scoring and its application to low-educated adults
- Authors: Dyall, Kate
- Date: 1996
- Subjects: Bender-Gestalt Test , Psychological tests , Brain-damaged children -- Psychological testing
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:2968 , http://hdl.handle.net/10962/d1002477 , Bender-Gestalt Test , Psychological tests , Brain-damaged children -- Psychological testing
- Description: The study investigates .the use of the Bender Gestalt Test (BGT) amongst low-educated adults. Three versions of the BGT are used in this study; the original 'copy' version as well as the 'immediate' and 'delayed'recall versions. This is done so as to expand the ability of the BGT to identify neurological impairment and to differentiate between this and functional impairment. A literature review explores the problems of standardization in the administration, scoring and application of all three versions of the test Suggestions are made to correct the problems identified and a novel system of scoring the recall versions are proposed, which allows for the comparison of results of the three versions of the test and which is based on Lacks's (1984) and Weiss's (1970) systems. Administration procedures were also developed to suit the context of the study. The copy, immediate and delayed versions of the BGT were administered to a group of 184 low-educated adults. Statistical analyses revealed significant education effects for the sample tested with regards to both test scores and performance time. The finding of an education effect for performance time is discussed at length, as some literature regards excessive time as a neurological indicator. An anomaly for the group with no education was found to exist, with the scores of these subjects not Significantly different from those with 4-6 years of education. Possible reasons for this were explored. In addition, the findings of this research revealed a plateau effect with those having less than 6 years of education scoring substantially lower than those with 7 years and more. The scores of adults with 7 and more years of education level out with no significant differences between educational levels. This appears to suggest that education effects rather than the developmental maturity level proposed by Koppitz, are involved. In addition, the scores of low-educated adults on the expanded Bender Gestalt Test were significantly lower than those of children with similar educational levels, in other studies. These findings and possible explanations are discussed. The study concludes by suggesting new research areas and emphasizing the urgent need for separate normative data on the expanded BGT for low-educated adults, and the establishment of appropriate 'cut-off' points.
- Full Text:
- Date Issued: 1996
- Authors: Dyall, Kate
- Date: 1996
- Subjects: Bender-Gestalt Test , Psychological tests , Brain-damaged children -- Psychological testing
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:2968 , http://hdl.handle.net/10962/d1002477 , Bender-Gestalt Test , Psychological tests , Brain-damaged children -- Psychological testing
- Description: The study investigates .the use of the Bender Gestalt Test (BGT) amongst low-educated adults. Three versions of the BGT are used in this study; the original 'copy' version as well as the 'immediate' and 'delayed'recall versions. This is done so as to expand the ability of the BGT to identify neurological impairment and to differentiate between this and functional impairment. A literature review explores the problems of standardization in the administration, scoring and application of all three versions of the test Suggestions are made to correct the problems identified and a novel system of scoring the recall versions are proposed, which allows for the comparison of results of the three versions of the test and which is based on Lacks's (1984) and Weiss's (1970) systems. Administration procedures were also developed to suit the context of the study. The copy, immediate and delayed versions of the BGT were administered to a group of 184 low-educated adults. Statistical analyses revealed significant education effects for the sample tested with regards to both test scores and performance time. The finding of an education effect for performance time is discussed at length, as some literature regards excessive time as a neurological indicator. An anomaly for the group with no education was found to exist, with the scores of these subjects not Significantly different from those with 4-6 years of education. Possible reasons for this were explored. In addition, the findings of this research revealed a plateau effect with those having less than 6 years of education scoring substantially lower than those with 7 years and more. The scores of adults with 7 and more years of education level out with no significant differences between educational levels. This appears to suggest that education effects rather than the developmental maturity level proposed by Koppitz, are involved. In addition, the scores of low-educated adults on the expanded Bender Gestalt Test were significantly lower than those of children with similar educational levels, in other studies. These findings and possible explanations are discussed. The study concludes by suggesting new research areas and emphasizing the urgent need for separate normative data on the expanded BGT for low-educated adults, and the establishment of appropriate 'cut-off' points.
- Full Text:
- Date Issued: 1996
The interface between Western mental health care and indigenous healing in South Africa: Xhosa psychiatric nurses' views on traditional healers
- Authors: Kahn, Marc Simon
- Date: 1996
- Subjects: Mental health services -- Research -- South Africa , Traditional medicine -- South Africa , Black people -- Mental health -- South Africa , Mental health -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:2999 , http://hdl.handle.net/10962/d1002508 , Mental health services -- Research -- South Africa , Traditional medicine -- South Africa , Black people -- Mental health -- South Africa , Mental health -- South Africa
- Description: Xhosa psychiatric nurses stand unique at the interface between Western mental health care and indigenous healing in South Africa. They stem from a cultural history that is embedded within traditional health care discourses and yet are trained and work within a Western psychiatric model. In embodying the intersection between these two paradigms, they are faced with the challenge of making sense of such an amalgamation. These nurses' views are thus valuable in reflecting this intersection and illustrating many of the central concerns that surround it. This study explicates the views of these nurses toward traditional healers and their potential role in mental health care in South Africa. In addition, it illuminates some of the cultural dynamics at work amongst these subjects as they struggle to make sense of their unique cultural position. Using a questionnaire-based methodology, the views of Xhosa psychiatric nurses in a psychiatric hospital in the Eastern Cape, toward traditional healers and their role in mental-health care, were examined. The findings reveal that the vast majority of these nurses believe in traditional cosmology, involve themselves in traditional ritual practices and regularly visit traditional healers as patients. In suggesting ways in which indigenous healing and Western mental health care can work together, 75% of the nurses were in favour of a general referral system between the hospital and traditional healers, most (77%) agreed that certain patients would be better off being treated by both the hospital and traditional healers than they would if they were only being treated by the hospital alone, and 85% of the subjects agreed that patients who are already seeing traditional healers should check if psychiatric medication might help them. These findings indicate that these nurses operate across two healing systems which are at this point not conceptually compatible. This results in deep cultural tension for the nurses. In being entangled in the dialectical tension created in this context, the nurses manage the incongruencies in three general ways: a) Most, in one form or another, incorporate beliefs from both systems into an integrative model, b) some assimilate their cultural belief system into the Western mental health paradigm, throwing off their beliefs in traditional healing, and c) others remain ambivalent in the dialectic between traditional and Western health care discourses. Although this may suggest that these nurses reside within a cultural milieu that is somewhat unhealthy, at another level, in managing and containing the incompatibility between the two systems, these nurses ensure a space for on-going and healthy critique of the underlying assumptions involved in this health care malaise.
- Full Text:
- Date Issued: 1996
- Authors: Kahn, Marc Simon
- Date: 1996
- Subjects: Mental health services -- Research -- South Africa , Traditional medicine -- South Africa , Black people -- Mental health -- South Africa , Mental health -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:2999 , http://hdl.handle.net/10962/d1002508 , Mental health services -- Research -- South Africa , Traditional medicine -- South Africa , Black people -- Mental health -- South Africa , Mental health -- South Africa
- Description: Xhosa psychiatric nurses stand unique at the interface between Western mental health care and indigenous healing in South Africa. They stem from a cultural history that is embedded within traditional health care discourses and yet are trained and work within a Western psychiatric model. In embodying the intersection between these two paradigms, they are faced with the challenge of making sense of such an amalgamation. These nurses' views are thus valuable in reflecting this intersection and illustrating many of the central concerns that surround it. This study explicates the views of these nurses toward traditional healers and their potential role in mental health care in South Africa. In addition, it illuminates some of the cultural dynamics at work amongst these subjects as they struggle to make sense of their unique cultural position. Using a questionnaire-based methodology, the views of Xhosa psychiatric nurses in a psychiatric hospital in the Eastern Cape, toward traditional healers and their role in mental-health care, were examined. The findings reveal that the vast majority of these nurses believe in traditional cosmology, involve themselves in traditional ritual practices and regularly visit traditional healers as patients. In suggesting ways in which indigenous healing and Western mental health care can work together, 75% of the nurses were in favour of a general referral system between the hospital and traditional healers, most (77%) agreed that certain patients would be better off being treated by both the hospital and traditional healers than they would if they were only being treated by the hospital alone, and 85% of the subjects agreed that patients who are already seeing traditional healers should check if psychiatric medication might help them. These findings indicate that these nurses operate across two healing systems which are at this point not conceptually compatible. This results in deep cultural tension for the nurses. In being entangled in the dialectical tension created in this context, the nurses manage the incongruencies in three general ways: a) Most, in one form or another, incorporate beliefs from both systems into an integrative model, b) some assimilate their cultural belief system into the Western mental health paradigm, throwing off their beliefs in traditional healing, and c) others remain ambivalent in the dialectic between traditional and Western health care discourses. Although this may suggest that these nurses reside within a cultural milieu that is somewhat unhealthy, at another level, in managing and containing the incompatibility between the two systems, these nurses ensure a space for on-going and healthy critique of the underlying assumptions involved in this health care malaise.
- Full Text:
- Date Issued: 1996
The social identity and inter-group attitudes of white English- and Afrikaans-speaking adolescents
- Authors: Smith, Timothy Byron
- Date: 1996
- Subjects: Afrikaners -- Ethnic identity , Whites -- South Africa -- Attitudes , Teenagers -- South Africa -- Attitudes , Youth -- South Africa -- Attitudes , Identity (Psychology) in adolescence , Prejudices -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3059 , http://hdl.handle.net/10962/d1002568 , Afrikaners -- Ethnic identity , Whites -- South Africa -- Attitudes , Teenagers -- South Africa -- Attitudes , Youth -- South Africa -- Attitudes , Identity (Psychology) in adolescence , Prejudices -- South Africa
- Description: Issues of group identity and prejudice have played a large role in the history of South Africa. To examine differences between White English- and Afrikaans-speaking adolescents within the context of the "new" South Africa, data was collected from 553 high school students using a questionnaire which assessed aspects of these groups' perceptions of themselves (their identities), attitudes toward other racial groups (their prejudices), and beliefs about their rapidly changing socio-political environment. A discriminant function analysis conducted with these variables correctly identified group membership at a rate much higher than chance (p < .00001). Post hoc univariate analyses indicated that compared with Afrikaans-speakers, English-speakers demonstrated significantly less identification with their own culture, less racial prejudice but also less willingness to make retribution to those who were oppressed by Apartheid, and less concern/confusion over the recent changes which have taken place in the country. Descriptive and correlational analyses also provided additional, valuable information regarding the variables assessed in the study. Overall, the results seemed to indicate that the adolescent subjects of this study find themselves in a state of transition.
- Full Text:
- Date Issued: 1996
- Authors: Smith, Timothy Byron
- Date: 1996
- Subjects: Afrikaners -- Ethnic identity , Whites -- South Africa -- Attitudes , Teenagers -- South Africa -- Attitudes , Youth -- South Africa -- Attitudes , Identity (Psychology) in adolescence , Prejudices -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3059 , http://hdl.handle.net/10962/d1002568 , Afrikaners -- Ethnic identity , Whites -- South Africa -- Attitudes , Teenagers -- South Africa -- Attitudes , Youth -- South Africa -- Attitudes , Identity (Psychology) in adolescence , Prejudices -- South Africa
- Description: Issues of group identity and prejudice have played a large role in the history of South Africa. To examine differences between White English- and Afrikaans-speaking adolescents within the context of the "new" South Africa, data was collected from 553 high school students using a questionnaire which assessed aspects of these groups' perceptions of themselves (their identities), attitudes toward other racial groups (their prejudices), and beliefs about their rapidly changing socio-political environment. A discriminant function analysis conducted with these variables correctly identified group membership at a rate much higher than chance (p < .00001). Post hoc univariate analyses indicated that compared with Afrikaans-speakers, English-speakers demonstrated significantly less identification with their own culture, less racial prejudice but also less willingness to make retribution to those who were oppressed by Apartheid, and less concern/confusion over the recent changes which have taken place in the country. Descriptive and correlational analyses also provided additional, valuable information regarding the variables assessed in the study. Overall, the results seemed to indicate that the adolescent subjects of this study find themselves in a state of transition.
- Full Text:
- Date Issued: 1996
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