Attitudes and perceptions towards TB in Grahamstown East in a time of HIV/AIDS
- Authors: Ndoro, Tinashe T. R
- Date: 2009
- Subjects: Tuberculosis -- South Africa -- Grahamstown , AIDS (Disease) -- Social aspects -- South Africa -- Grahamstown , HIV (Viruses) -- Social aspects -- South Africa -- Grahamstown , Tuberculosis -- Social aspects -- South Africa -- Grahamstown , Tuberculosis -- Prevention -- South Africa -- Grahamstown , AIDS (Disease) -- South Africa -- Grahamstown -- Public opinion , Tuberculosis -- South Africa -- Grahamstown -- Public opinion , Health surveys -- South Africa -- Grahamstown
- Language: English
- Type: Thesis , Masters , MCom
- Identifier: vital:3030 , http://hdl.handle.net/10962/d1002539 , Tuberculosis -- South Africa -- Grahamstown , AIDS (Disease) -- Social aspects -- South Africa -- Grahamstown , HIV (Viruses) -- Social aspects -- South Africa -- Grahamstown , Tuberculosis -- Social aspects -- South Africa -- Grahamstown , Tuberculosis -- Prevention -- South Africa -- Grahamstown , AIDS (Disease) -- South Africa -- Grahamstown -- Public opinion , Tuberculosis -- South Africa -- Grahamstown -- Public opinion , Health surveys -- South Africa -- Grahamstown
- Description: Tuberculosis (TB) has become a serious South African health problem because it is the most common opportunistic disease that leads to death in people with HIV/AIDS. Due to the airborne nature of the disease it can easily be spread to anyone including healthy people. A lack of compliance to treatment by TB patients explains why prevalence rates of the disease are high and why there is an emergence of drug resistant strains such as XDR-TB and MDR-TB. Information on existing knowledge, attitudes and perceptions regarding TB can provide a crucial foundation for the development of educational programmes and interventions aimed at reducing the further spread of the disease. This study aimed at understanding the knowledge, attitudes and perceptions towards TB and relating these to the current prevalence of HIV/AIDS. A face-to-face interview survey was conducted among adult Grahamstown East residents (n=1020). The Health Belief Model (Rosenstock et al., 1994) and Bandura’s (1986) Social Cognitive Theory formed the theoretical framework of the data collection and analysis. The data generated from the field work was first descriptively analysed providing frequency tables. Thereafter cross tabulations were calculated for relevant items using independent variables, namely gender, level of education, and experience of dealing with TB. The results of the study show that, in general, knowledge concerning TB was sufficient to provide a foundation for the adoption of healthier behaviours in the female respondents. Few of the respondents reported feeling personally susceptible although the majority of the respondents acknowledged the severity of the disease. The cues to action lacked the influence to persuade people to adopt positive health related behaviours. The perceived benefits of adopting preventative behaviour were not very influential in the adoption of healthier behavioural changes in the respondents. Disease stigma regarding the dual association of TB and HIV/AIDS was the main barrier for the adoption of healthier behavioural attitudes. Perceived self-efficacy in preventative behaviours was generally low in the less educated respondents. Recommendations regarding areas for future research and change interventions are provided.
- Full Text:
- Date Issued: 2009
- Authors: Ndoro, Tinashe T. R
- Date: 2009
- Subjects: Tuberculosis -- South Africa -- Grahamstown , AIDS (Disease) -- Social aspects -- South Africa -- Grahamstown , HIV (Viruses) -- Social aspects -- South Africa -- Grahamstown , Tuberculosis -- Social aspects -- South Africa -- Grahamstown , Tuberculosis -- Prevention -- South Africa -- Grahamstown , AIDS (Disease) -- South Africa -- Grahamstown -- Public opinion , Tuberculosis -- South Africa -- Grahamstown -- Public opinion , Health surveys -- South Africa -- Grahamstown
- Language: English
- Type: Thesis , Masters , MCom
- Identifier: vital:3030 , http://hdl.handle.net/10962/d1002539 , Tuberculosis -- South Africa -- Grahamstown , AIDS (Disease) -- Social aspects -- South Africa -- Grahamstown , HIV (Viruses) -- Social aspects -- South Africa -- Grahamstown , Tuberculosis -- Social aspects -- South Africa -- Grahamstown , Tuberculosis -- Prevention -- South Africa -- Grahamstown , AIDS (Disease) -- South Africa -- Grahamstown -- Public opinion , Tuberculosis -- South Africa -- Grahamstown -- Public opinion , Health surveys -- South Africa -- Grahamstown
- Description: Tuberculosis (TB) has become a serious South African health problem because it is the most common opportunistic disease that leads to death in people with HIV/AIDS. Due to the airborne nature of the disease it can easily be spread to anyone including healthy people. A lack of compliance to treatment by TB patients explains why prevalence rates of the disease are high and why there is an emergence of drug resistant strains such as XDR-TB and MDR-TB. Information on existing knowledge, attitudes and perceptions regarding TB can provide a crucial foundation for the development of educational programmes and interventions aimed at reducing the further spread of the disease. This study aimed at understanding the knowledge, attitudes and perceptions towards TB and relating these to the current prevalence of HIV/AIDS. A face-to-face interview survey was conducted among adult Grahamstown East residents (n=1020). The Health Belief Model (Rosenstock et al., 1994) and Bandura’s (1986) Social Cognitive Theory formed the theoretical framework of the data collection and analysis. The data generated from the field work was first descriptively analysed providing frequency tables. Thereafter cross tabulations were calculated for relevant items using independent variables, namely gender, level of education, and experience of dealing with TB. The results of the study show that, in general, knowledge concerning TB was sufficient to provide a foundation for the adoption of healthier behaviours in the female respondents. Few of the respondents reported feeling personally susceptible although the majority of the respondents acknowledged the severity of the disease. The cues to action lacked the influence to persuade people to adopt positive health related behaviours. The perceived benefits of adopting preventative behaviour were not very influential in the adoption of healthier behavioural changes in the respondents. Disease stigma regarding the dual association of TB and HIV/AIDS was the main barrier for the adoption of healthier behavioural attitudes. Perceived self-efficacy in preventative behaviours was generally low in the less educated respondents. Recommendations regarding areas for future research and change interventions are provided.
- Full Text:
- Date Issued: 2009
Constructing the intellectually disabled person as a subject of education: a discourse analysis using Q-methodology
- Authors: McKenzie, Judith Anne
- Date: 2009
- Subjects: Foucault, Michel, 1926-1984 Learning disabled -- Education -- South Africa Discourse analysis -- Methodology Discourse analysis Children with mental disabilities -- Education -- South Africa Q technique Special education -- South Africa Children with disabilities -- Education -- South Africa Right to education Intelligence tests -- South Africa
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: vital:3017 , http://hdl.handle.net/10962/d1002526
- Description: The education of intellectually disabled (ID) people is constructed within mass education systems as a problem requiring specialised intervention, separation from “normal” school contexts and the application of professional expertise. A social model of disability resists these practices from a human rights perspective and underpins an inclusive education approach. In this study, a post-structuralist disability studies theoretical framework, drawing particularly on the work of Foucault, was used to examine discourses that construct the intellectually disabled person as a subject of education. The study was conducted in Buffalo City, South Africa at a time when an inclusive education policy is being implemented in the country. The research questions were: What discourses are deployed in the representation and educational practices of those identified as ID? What are the effects of these discourses in constructing the ID subject and associated educational practice? The study utilises Q-methodology, a factor analytic method that yields whole patterns of responses for analysis. A process of sorting selected statements along the dimension of agree to disagree was completed by three groups of participants, namely adults with ID, parents of people with ID and professionals working with ID. Discourses of representation and of educational practice were identified through statistical and interpretive analysis, following the discourse analysis school of Q-methodology. The findings of this study reveal the operation of power in a medico-psychological gaze that makes ID visible and supervises disability expertise within education. Representations of ID suffused with religious notions support the exercise of pastoral power by disability experts. Human rights discourses in education can marginalise ID people if applied uncritically. Fixed notions of impairment constrain an intellectually disabled subject who is vulnerable and incompetent. This study argues instead for a theory of (poss)ability, underpinned by an understanding of the situational and shared nature of competence and a fluid conception of impairment. Human rights should be supplemented by an ethics of care and belonging in the community (ubuntu). A research agenda supporting this effort would examine the ways in which ID people work on themselves as subjects (subjectivisation) and explore the potential for resistance in this process.
- Full Text:
- Date Issued: 2009
- Authors: McKenzie, Judith Anne
- Date: 2009
- Subjects: Foucault, Michel, 1926-1984 Learning disabled -- Education -- South Africa Discourse analysis -- Methodology Discourse analysis Children with mental disabilities -- Education -- South Africa Q technique Special education -- South Africa Children with disabilities -- Education -- South Africa Right to education Intelligence tests -- South Africa
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: vital:3017 , http://hdl.handle.net/10962/d1002526
- Description: The education of intellectually disabled (ID) people is constructed within mass education systems as a problem requiring specialised intervention, separation from “normal” school contexts and the application of professional expertise. A social model of disability resists these practices from a human rights perspective and underpins an inclusive education approach. In this study, a post-structuralist disability studies theoretical framework, drawing particularly on the work of Foucault, was used to examine discourses that construct the intellectually disabled person as a subject of education. The study was conducted in Buffalo City, South Africa at a time when an inclusive education policy is being implemented in the country. The research questions were: What discourses are deployed in the representation and educational practices of those identified as ID? What are the effects of these discourses in constructing the ID subject and associated educational practice? The study utilises Q-methodology, a factor analytic method that yields whole patterns of responses for analysis. A process of sorting selected statements along the dimension of agree to disagree was completed by three groups of participants, namely adults with ID, parents of people with ID and professionals working with ID. Discourses of representation and of educational practice were identified through statistical and interpretive analysis, following the discourse analysis school of Q-methodology. The findings of this study reveal the operation of power in a medico-psychological gaze that makes ID visible and supervises disability expertise within education. Representations of ID suffused with religious notions support the exercise of pastoral power by disability experts. Human rights discourses in education can marginalise ID people if applied uncritically. Fixed notions of impairment constrain an intellectually disabled subject who is vulnerable and incompetent. This study argues instead for a theory of (poss)ability, underpinned by an understanding of the situational and shared nature of competence and a fluid conception of impairment. Human rights should be supplemented by an ethics of care and belonging in the community (ubuntu). A research agenda supporting this effort would examine the ways in which ID people work on themselves as subjects (subjectivisation) and explore the potential for resistance in this process.
- Full Text:
- Date Issued: 2009
Discourses around abortion in a low-income community in the Western Cape
- Authors: Bowes, Tanya-Ann
- Date: 2009
- Subjects: Abortion -- Moral and ethical aspects , Abortion -- Religious aspects -- Christianity , Patriarchy -- South Africa , Abortion -- South Africa -- Western Cape , Male domination (Social structure)
- Language: English
- Type: text , Thesis , Masters , MSocSci
- Identifier: vital:2939 , http://hdl.handle.net/10962/d1002448
- Description: Since the introduction of the Choice on Termination of Pregnancy Act in 1996, research concerning abortion has primarily focused on public health issues or on the personal experience of women. The cultural and social context within which women experience a termination of pregnancy and in which services are offered has received less attention. The purpose of this study was to analyse public discourses around abortion in a low-income community in the Western Cape. Focus groups were used to gather data from three women’s and three men’s groups. The findings suggest that the agenda of pro-life discourses in this community is not always to defend the life of the fetus. Rather these discourses serve to protect, preserve and maintain the power of the traditional nuclear family, headed by the husband, over women’s reproduction and sexuality. Religious and moral arguments serve to disguise the gender issues at stake. However, instances also occurred where TOP was supported if the husband participated in the decision-making process. Therefore, his presence normalised abortion. Thus, the prevailing public discourses around abortion in this community either support or negate abortion in order to further the agenda of patriarchy.
- Full Text:
- Date Issued: 2009
- Authors: Bowes, Tanya-Ann
- Date: 2009
- Subjects: Abortion -- Moral and ethical aspects , Abortion -- Religious aspects -- Christianity , Patriarchy -- South Africa , Abortion -- South Africa -- Western Cape , Male domination (Social structure)
- Language: English
- Type: text , Thesis , Masters , MSocSci
- Identifier: vital:2939 , http://hdl.handle.net/10962/d1002448
- Description: Since the introduction of the Choice on Termination of Pregnancy Act in 1996, research concerning abortion has primarily focused on public health issues or on the personal experience of women. The cultural and social context within which women experience a termination of pregnancy and in which services are offered has received less attention. The purpose of this study was to analyse public discourses around abortion in a low-income community in the Western Cape. Focus groups were used to gather data from three women’s and three men’s groups. The findings suggest that the agenda of pro-life discourses in this community is not always to defend the life of the fetus. Rather these discourses serve to protect, preserve and maintain the power of the traditional nuclear family, headed by the husband, over women’s reproduction and sexuality. Religious and moral arguments serve to disguise the gender issues at stake. However, instances also occurred where TOP was supported if the husband participated in the decision-making process. Therefore, his presence normalised abortion. Thus, the prevailing public discourses around abortion in this community either support or negate abortion in order to further the agenda of patriarchy.
- Full Text:
- Date Issued: 2009
Dominant and non-dominant group's perceptions of the government-led economic transformation process in South Africa: report
- Authors: Dlamini, Thobile G. K
- Date: 2009
- Subjects: Group identity -- South Africa Post-apartheid era -- South Africa South Africa -- Ethnic relations Social change -- South Africa South Africa -- Social conditions -- 1994- South Africa -- Economic conditions -- 1991-
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:2963 , http://hdl.handle.net/10962/d1002472
- Description: The enormous social, economic, and political government-led societal transformation South Africans have experienced over the past 15 years have brought about numerous societal and identity changes. The aim of the present study was to explore how dominant (White participants) and non-dominant (Black participants) groups experiencing the government-led societal transformation process deal with perceptions of intergroup differences based on Social Identity Theory (Tajfel & Turner, 1979, 1986) and related field research. Social Identity Theory predicts that in the presence of intergroup differences group members irrespective of their status position will apply identity management strategies to either improve or maintain their status position. The relationships between perceptions of intergroup relations and identity management strategies as proposed by Social Identity Theory were tested studying 170 second year Rhodes University psychology students. Sixty participants indicated themselves as Black South Africans (representing non-dominant group) and 110 participants identified themselves as White South Africans (dominant group). The results revealed that dominant and non-dominant groups differ systematically regarding the functional interaction between beliefs about the intergroup situation and identity management strategies. The results of the study indicate too, that ingroup identification differentiates between individual and collective strategies irrespective of the group’s status position.
- Full Text:
- Date Issued: 2009
- Authors: Dlamini, Thobile G. K
- Date: 2009
- Subjects: Group identity -- South Africa Post-apartheid era -- South Africa South Africa -- Ethnic relations Social change -- South Africa South Africa -- Social conditions -- 1994- South Africa -- Economic conditions -- 1991-
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:2963 , http://hdl.handle.net/10962/d1002472
- Description: The enormous social, economic, and political government-led societal transformation South Africans have experienced over the past 15 years have brought about numerous societal and identity changes. The aim of the present study was to explore how dominant (White participants) and non-dominant (Black participants) groups experiencing the government-led societal transformation process deal with perceptions of intergroup differences based on Social Identity Theory (Tajfel & Turner, 1979, 1986) and related field research. Social Identity Theory predicts that in the presence of intergroup differences group members irrespective of their status position will apply identity management strategies to either improve or maintain their status position. The relationships between perceptions of intergroup relations and identity management strategies as proposed by Social Identity Theory were tested studying 170 second year Rhodes University psychology students. Sixty participants indicated themselves as Black South Africans (representing non-dominant group) and 110 participants identified themselves as White South Africans (dominant group). The results revealed that dominant and non-dominant groups differ systematically regarding the functional interaction between beliefs about the intergroup situation and identity management strategies. The results of the study indicate too, that ingroup identification differentiates between individual and collective strategies irrespective of the group’s status position.
- Full Text:
- Date Issued: 2009
Ethical decision-making in the therapeutic space : a psychoanalytic view
- Authors: Silove, Melanie
- Date: 2009
- Subjects: Decision making -- Moral and ethical aspects , Psychotherapy -- Moral and ethical aspects , Psychotherapists -- Professional ethics
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: vital:3273 , http://hdl.handle.net/10962/d1020873
- Description: This study examined the ethical decision-making process as it transpired in the everyday context of the therapeutic space. In-depth interviews explored the subjective experiences of six South African psychologists, practicing as psychoanalytic psychotherapists, and their efforts to resolve real-life ethical dilemmas. The theoretical framework used to interpret the data subsumed professional literature in psychology on principle-based ethical decision-making as well as contemporary psychoanalytic debates on the phenomenon of countertransference enactments. A review of ethics codes, survey research and seminal decision-making frameworks suggests that ethical dilemmas have traditionally been resolved by recourse to an objective and impartial “principle ethics” perspective. Empirical evidence shows, however, that logical thinking and the rational application of codes, principles and standards are often insufficient to secure ethical action. The establishment of reflective space and the core theoretical notion of “ethical decision-making enactments” were proposed in order to address the subjective, irrational and unconscious dimension of professional decision-making. This study used a broadly hermeneutic research method which transformed participants‟ descriptions of engagement with real-life dilemmas into a psychoanalytically informed interpretive account of ethical decision-making. Twelve aspirational ethical principles were found to guide participants‟ daily analytic work. Beneficence was the principle most strongly identified with and nonmaleficence was the most neglected ethical principle. Unprocessed countertransference responses were shown to drive earlier prereflective phases of the ethical decision-making process. Mature ethical judgment was predicated upon the retrospective analysis of enactment phenomena. Dissatisfaction was expressed by all participants with regard to the role of professional resources in aiding the resolution of stressful ethical dilemmas. Risk factors for compromised professional decision-making included the paucity and perceived irrelevance of postgraduate ethics training, supervisory failure to confront the ethical and countertransference dimensions of common dilemmas and professional isolation. Rather than eliciting the hope of emotional support and greater insight, professional resources on the contrary mostly appeared to induce anxiety, mistrust and fearfulness. Based on the data and the literature, a pragmatic psychoanalytically informed ethical decision-making model was finally generated. The model, which considers both principle ethics as well as countertransference phenomena, offers a preliminary contribution to professional dialogue on the development and evaluation of empirically based decision-making frameworks. Practical recommendations are made for both the revision of the current South African ethics code and for improving the postqualifying ethics education of psychoanalytic practitioners and supervisors. The limitations of the data are discussed and directions for future research initiatives are proposed.
- Full Text:
- Date Issued: 2009
- Authors: Silove, Melanie
- Date: 2009
- Subjects: Decision making -- Moral and ethical aspects , Psychotherapy -- Moral and ethical aspects , Psychotherapists -- Professional ethics
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: vital:3273 , http://hdl.handle.net/10962/d1020873
- Description: This study examined the ethical decision-making process as it transpired in the everyday context of the therapeutic space. In-depth interviews explored the subjective experiences of six South African psychologists, practicing as psychoanalytic psychotherapists, and their efforts to resolve real-life ethical dilemmas. The theoretical framework used to interpret the data subsumed professional literature in psychology on principle-based ethical decision-making as well as contemporary psychoanalytic debates on the phenomenon of countertransference enactments. A review of ethics codes, survey research and seminal decision-making frameworks suggests that ethical dilemmas have traditionally been resolved by recourse to an objective and impartial “principle ethics” perspective. Empirical evidence shows, however, that logical thinking and the rational application of codes, principles and standards are often insufficient to secure ethical action. The establishment of reflective space and the core theoretical notion of “ethical decision-making enactments” were proposed in order to address the subjective, irrational and unconscious dimension of professional decision-making. This study used a broadly hermeneutic research method which transformed participants‟ descriptions of engagement with real-life dilemmas into a psychoanalytically informed interpretive account of ethical decision-making. Twelve aspirational ethical principles were found to guide participants‟ daily analytic work. Beneficence was the principle most strongly identified with and nonmaleficence was the most neglected ethical principle. Unprocessed countertransference responses were shown to drive earlier prereflective phases of the ethical decision-making process. Mature ethical judgment was predicated upon the retrospective analysis of enactment phenomena. Dissatisfaction was expressed by all participants with regard to the role of professional resources in aiding the resolution of stressful ethical dilemmas. Risk factors for compromised professional decision-making included the paucity and perceived irrelevance of postgraduate ethics training, supervisory failure to confront the ethical and countertransference dimensions of common dilemmas and professional isolation. Rather than eliciting the hope of emotional support and greater insight, professional resources on the contrary mostly appeared to induce anxiety, mistrust and fearfulness. Based on the data and the literature, a pragmatic psychoanalytically informed ethical decision-making model was finally generated. The model, which considers both principle ethics as well as countertransference phenomena, offers a preliminary contribution to professional dialogue on the development and evaluation of empirically based decision-making frameworks. Practical recommendations are made for both the revision of the current South African ethics code and for improving the postqualifying ethics education of psychoanalytic practitioners and supervisors. The limitations of the data are discussed and directions for future research initiatives are proposed.
- Full Text:
- Date Issued: 2009
Labour hire: the impact of labour broking on employee job satisfaction and commitment in a number of Namibian organizations
- Shivangulula, Shirley Euginia
- Authors: Shivangulula, Shirley Euginia
- Date: 2009
- Subjects: Temporary employment -- Namibia , Industrial relations -- Namibia , Employee motivation , Labor market -- Namibia , Labor policy -- Namibia
- Language: English
- Type: Thesis , Masters , MCom
- Identifier: vital:3054 , http://hdl.handle.net/10962/d1002563 , Temporary employment -- Namibia , Industrial relations -- Namibia , Employee motivation , Labor market -- Namibia , Labor policy -- Namibia
- Description: Over decades, job satisfaction has generated active empirical research. Similarly, organizational commitment, another attitudinal variable in the work domain, strongly related to, but distinctly different from job satisfaction, received comparatively equal research scrutiny. However, research on the impact of labour broking on employees’ job satisfaction and organizational commitment is nonexistent in Namibia. Using a quantitative approach, within a positivist paradigm, the purpose of this thesis was to examine the impact of labour broking on employees’ job satisfaction and organizational commitment as well as to determine the dynamics that mediate such experiences. These experiences were examined through a 5-dimensional, 72-item Job Descriptive Index and a 3-dimensional, 12-item Organizational Commitment Questionnaire over a sample size of 108 temporary and permanent employees, drawn through random probability sampling in a number of Namibian organizations that make use of labour hire services. These experiences were further amplified by face-to-face interviews over a sub sample of 20 employees. Data analysis was carried out using the chi-square, correlation, t-tests and multiple regression techniques of the STATISTICA software. Drawing on the principles of the multi dimensional theory of organizational commitment, the Cornell dispositional theory of job satisfaction and the temporary employee stigmatization model, results revealed that variables of employment status, tenure, inadequate income, inappropriate supervision and fear of job losses ahead of a newly proposed piece of legislat st labour hire ractices significantly influenced job satisfaction and organizational commitment of employees. Estimates indicate that for a mere change in tenure, job satisfaction levels will significantly rise by 0.26 units, whereas organizational commitment will augment by 0.03 units. However, for every N$ fall in employees’ pay, we can expect job satisfaction levels to decrease by 26%, but with significant effects. The study recommends that organizations must adopt policies that grant permanent tenure to all their employees, position them in respected and challenging jobs in which they will grow skills and ensure that all employees are remunerated with pay that signals their contribution to the organizations. In doing so, the negative effects of labour broking will disappear and employees will be satisfied with their jobs and Tommitted to their organizations.
- Full Text:
- Date Issued: 2009
- Authors: Shivangulula, Shirley Euginia
- Date: 2009
- Subjects: Temporary employment -- Namibia , Industrial relations -- Namibia , Employee motivation , Labor market -- Namibia , Labor policy -- Namibia
- Language: English
- Type: Thesis , Masters , MCom
- Identifier: vital:3054 , http://hdl.handle.net/10962/d1002563 , Temporary employment -- Namibia , Industrial relations -- Namibia , Employee motivation , Labor market -- Namibia , Labor policy -- Namibia
- Description: Over decades, job satisfaction has generated active empirical research. Similarly, organizational commitment, another attitudinal variable in the work domain, strongly related to, but distinctly different from job satisfaction, received comparatively equal research scrutiny. However, research on the impact of labour broking on employees’ job satisfaction and organizational commitment is nonexistent in Namibia. Using a quantitative approach, within a positivist paradigm, the purpose of this thesis was to examine the impact of labour broking on employees’ job satisfaction and organizational commitment as well as to determine the dynamics that mediate such experiences. These experiences were examined through a 5-dimensional, 72-item Job Descriptive Index and a 3-dimensional, 12-item Organizational Commitment Questionnaire over a sample size of 108 temporary and permanent employees, drawn through random probability sampling in a number of Namibian organizations that make use of labour hire services. These experiences were further amplified by face-to-face interviews over a sub sample of 20 employees. Data analysis was carried out using the chi-square, correlation, t-tests and multiple regression techniques of the STATISTICA software. Drawing on the principles of the multi dimensional theory of organizational commitment, the Cornell dispositional theory of job satisfaction and the temporary employee stigmatization model, results revealed that variables of employment status, tenure, inadequate income, inappropriate supervision and fear of job losses ahead of a newly proposed piece of legislat st labour hire ractices significantly influenced job satisfaction and organizational commitment of employees. Estimates indicate that for a mere change in tenure, job satisfaction levels will significantly rise by 0.26 units, whereas organizational commitment will augment by 0.03 units. However, for every N$ fall in employees’ pay, we can expect job satisfaction levels to decrease by 26%, but with significant effects. The study recommends that organizations must adopt policies that grant permanent tenure to all their employees, position them in respected and challenging jobs in which they will grow skills and ensure that all employees are remunerated with pay that signals their contribution to the organizations. In doing so, the negative effects of labour broking will disappear and employees will be satisfied with their jobs and Tommitted to their organizations.
- Full Text:
- Date Issued: 2009
Normative indicators for a black, Xhosa speaking population without tertiary education on four tests used to access malingering
- Authors: Wong, Andrea Jane
- Date: 2009
- Subjects: Malingering Neuropsychological tests Language and languages -- Ability testing Educational tests and measurements Education evaluation Xhosa (African people) -- Education
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3088 , http://hdl.handle.net/10962/d1002597
- Description: Malingering has become an increasing concern in neuropsychological assessment in recent years, and a wide range of tests have been designed and examined for the purpose of detecting malingering. Cut-off scores have been recommended for these tests in order to provide indications of malingering performances. However, the derived scores have been in respect of westernised populations of people with relatively high levels of education who speak English as their first language. Accordingly, the current study aimed to attain normative data and cut-off scores for four commonly employed neuropsychological tools, administered in English, on a population of black, South African, Xhosa-speaking people (N = 33), who attended a former DET-type school in the Eastern Cape, with a Grade 11-12 level of education, in the age range of 18 - 40 years. The targeted measures included the TOMM, the Rey-15 Item Memory Test, the Digit Span subtest of the WAIS-III, and the Trail Making Test. The obtained scores were poorer than the previously published cut-offs for at least one component of each of the tests investigated, except the TOMM. The fmdings of this study highlight the important role that the factors of culture, quality of education, and language play in neuropsychological test performance.
- Full Text:
- Date Issued: 2009
- Authors: Wong, Andrea Jane
- Date: 2009
- Subjects: Malingering Neuropsychological tests Language and languages -- Ability testing Educational tests and measurements Education evaluation Xhosa (African people) -- Education
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3088 , http://hdl.handle.net/10962/d1002597
- Description: Malingering has become an increasing concern in neuropsychological assessment in recent years, and a wide range of tests have been designed and examined for the purpose of detecting malingering. Cut-off scores have been recommended for these tests in order to provide indications of malingering performances. However, the derived scores have been in respect of westernised populations of people with relatively high levels of education who speak English as their first language. Accordingly, the current study aimed to attain normative data and cut-off scores for four commonly employed neuropsychological tools, administered in English, on a population of black, South African, Xhosa-speaking people (N = 33), who attended a former DET-type school in the Eastern Cape, with a Grade 11-12 level of education, in the age range of 18 - 40 years. The targeted measures included the TOMM, the Rey-15 Item Memory Test, the Digit Span subtest of the WAIS-III, and the Trail Making Test. The obtained scores were poorer than the previously published cut-offs for at least one component of each of the tests investigated, except the TOMM. The fmdings of this study highlight the important role that the factors of culture, quality of education, and language play in neuropsychological test performance.
- Full Text:
- Date Issued: 2009
Public discourses on choice of termination of pregnancy in a rural area of the Eastern Cape Province in South Africa
- Authors: Sigcau, Nomakhosi
- Date: 2009
- Subjects: Abortion -- South Africa -- Eastern Cape Abortion -- Public opinion Abortion -- Moral and ethical aspects Abortion -- Social aspects Abortion -- Psychological aspects Discourse analysis -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3055 , http://hdl.handle.net/10962/d1002564
- Description: A period of ten years has elapsed since the Choice on Termination of Pregnancy Act came into effect. Little has been done in South Africa to investigate public discourses concerning termination of pregnancy since the implementation of the Act. The social context and the quality of available support systems determine the outcome of the women’s feelings after the abortion. Knowledge about the social context is important, as it will help to understand the complexities and nuances of abortion. The aim of the research is to explore public discourses on Choice on Termination of Pregnancy (CTOP), and the potential implications of these discourses on the use of the CTOP service. The sample consisted of 23 black isiXhosa-speaking participants from the rural area of the Eastern Cape Province in South Africa. Four focus groups coming from different age groups (between the ages 18 and 52) with both men and women participated in the study. Fictitious vignettes that tap into two different scenarios regarding abortion based on women’s stories were used. Discourses that emerged from people’s text are explained, described and interpreted through a discourse analysis. Since the study was interested in public discourses it led to the discovery of 17 interpretative repertoires as follows: social stigma, abortion equated to murder, degradation of society, pregnancy as an irresponsible act, conditional acceptance, TOP in the context of marriage, future potentiality invested in the foetus, dehumanizing foetus into a clot, shared decision making responsibility, gender dynamics interpretative repertoire, negative post abortion consequences, the scolding versus the supportive nurse interpretative repertoire, alternatives interpretative repertoire, rights versus no responsibility interpretative repertoire, more knowledge needed, male and female or generational differentiation repertoire, and the positive effects repertoire. Abortion is opposed on religious and cultural grounds. TOP has been legalized in South Africa but with this a debate and conflicting views have arisen. These variations in people’s discourses may limit access to TOP for women who need the service.
- Full Text:
- Date Issued: 2009
- Authors: Sigcau, Nomakhosi
- Date: 2009
- Subjects: Abortion -- South Africa -- Eastern Cape Abortion -- Public opinion Abortion -- Moral and ethical aspects Abortion -- Social aspects Abortion -- Psychological aspects Discourse analysis -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3055 , http://hdl.handle.net/10962/d1002564
- Description: A period of ten years has elapsed since the Choice on Termination of Pregnancy Act came into effect. Little has been done in South Africa to investigate public discourses concerning termination of pregnancy since the implementation of the Act. The social context and the quality of available support systems determine the outcome of the women’s feelings after the abortion. Knowledge about the social context is important, as it will help to understand the complexities and nuances of abortion. The aim of the research is to explore public discourses on Choice on Termination of Pregnancy (CTOP), and the potential implications of these discourses on the use of the CTOP service. The sample consisted of 23 black isiXhosa-speaking participants from the rural area of the Eastern Cape Province in South Africa. Four focus groups coming from different age groups (between the ages 18 and 52) with both men and women participated in the study. Fictitious vignettes that tap into two different scenarios regarding abortion based on women’s stories were used. Discourses that emerged from people’s text are explained, described and interpreted through a discourse analysis. Since the study was interested in public discourses it led to the discovery of 17 interpretative repertoires as follows: social stigma, abortion equated to murder, degradation of society, pregnancy as an irresponsible act, conditional acceptance, TOP in the context of marriage, future potentiality invested in the foetus, dehumanizing foetus into a clot, shared decision making responsibility, gender dynamics interpretative repertoire, negative post abortion consequences, the scolding versus the supportive nurse interpretative repertoire, alternatives interpretative repertoire, rights versus no responsibility interpretative repertoire, more knowledge needed, male and female or generational differentiation repertoire, and the positive effects repertoire. Abortion is opposed on religious and cultural grounds. TOP has been legalized in South Africa but with this a debate and conflicting views have arisen. These variations in people’s discourses may limit access to TOP for women who need the service.
- Full Text:
- Date Issued: 2009
Repetitive symbolic play as a therapeutic process
- Authors: Campbell, Megan
- Date: 2009
- Subjects: Play therapy Symbolic play Child psychology Developmental psychology
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:2944 , http://hdl.handle.net/10962/d1002453
- Description: Child centred play therapy theory explains that the facilitative environment of the relationship between child and play therapist allows the child the opportunity to confront emotional pain imbedded in lived, relational experiences, and in so doing process and gain mastery over it. However very little research exists into how the child, through his use of repetitive, symbolic play, as a therapeutic process, achieves this resolution. This research project aims to address this gap in research by exploring and describing repetitive symbolic play as a therapeutic process within child centred play therapy that facilitates change in the child‟s sense of self, assisting him towards healthy adjustment. The research project uses a young boys‟ therapeutic process as a case study, employing a qualitative research design that draws from interpretative research. Fourteen repetitive play sequence themes were analysed within the context of the case formulation and follow-up feedback meetings that took place throughout the therapy process. Using a hermeneutic enquiry the researcher illustrates how the child‟s sense of self, dependent on his perceptions of his external environment, became far more congruent, as evident through his behaviour, when his environment, first in play therapy, then at home and at school became more consistent, supportive and nurturing. Within this facilitative environment the researcher then describes how the child used repetitive symbolic play to address and process emotional issues relating to earlier experiences within his external environment. Hermeneutic analysis suggests that the child‟s use of repetitive symbolic play within the facilitative relationship between him and his therapist became a therapeutic process in and of itself that contributed towards self-directed healing, and change within his sense of self, that promoted healthier adjustment within his environment.
- Full Text:
- Date Issued: 2009
- Authors: Campbell, Megan
- Date: 2009
- Subjects: Play therapy Symbolic play Child psychology Developmental psychology
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:2944 , http://hdl.handle.net/10962/d1002453
- Description: Child centred play therapy theory explains that the facilitative environment of the relationship between child and play therapist allows the child the opportunity to confront emotional pain imbedded in lived, relational experiences, and in so doing process and gain mastery over it. However very little research exists into how the child, through his use of repetitive, symbolic play, as a therapeutic process, achieves this resolution. This research project aims to address this gap in research by exploring and describing repetitive symbolic play as a therapeutic process within child centred play therapy that facilitates change in the child‟s sense of self, assisting him towards healthy adjustment. The research project uses a young boys‟ therapeutic process as a case study, employing a qualitative research design that draws from interpretative research. Fourteen repetitive play sequence themes were analysed within the context of the case formulation and follow-up feedback meetings that took place throughout the therapy process. Using a hermeneutic enquiry the researcher illustrates how the child‟s sense of self, dependent on his perceptions of his external environment, became far more congruent, as evident through his behaviour, when his environment, first in play therapy, then at home and at school became more consistent, supportive and nurturing. Within this facilitative environment the researcher then describes how the child used repetitive symbolic play to address and process emotional issues relating to earlier experiences within his external environment. Hermeneutic analysis suggests that the child‟s use of repetitive symbolic play within the facilitative relationship between him and his therapist became a therapeutic process in and of itself that contributed towards self-directed healing, and change within his sense of self, that promoted healthier adjustment within his environment.
- Full Text:
- Date Issued: 2009
Student-athletes' attitude formation towards sport or other psychology services
- Wilmot, Gregory Thomas Charlton
- Authors: Wilmot, Gregory Thomas Charlton
- Date: 2009
- Subjects: Sports -- Psychological aspects Attitude (Psychology) Stereotypes (Social psychology) Clinical psychology Athletes -- Counseling of Athletes -- Attitudes
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3086 , http://hdl.handle.net/10962/d1002595
- Description: This qualitative study aims to explore attitude formation within a small sample of Tertiary level student-athletes in relation to their antecedent experiences, individual knowledge about psychology and the social factors impacting on their attitude formation. The study is intended to allow for the development of themes related to the participants’ personal responses to the questions posed to them. The participants’ answers from the interviews will allow for an in-depth analysis and interpretation of the constituents influencing attitude formation towards sport psychology consultation. Primarily, the study aims to explore how attitudes towards clinical and sport psychology practitioners are constructed in this sample. Clinical psychology is used as a contrasting reference point to explore attitude formation in sport psychology. The participants’ beliefs, knowledge sources and attitude toward clinical psychology are examined to understand the fundamental constituents of their attitudes and to understand how this might be related to attitude formation towards sport psychology. It is intended that exploration of the participants’ knowledge sources (e.g. parents, peers, media and coaches) and additional influences on attitudes towards clinical psychology are used to provide insight into how they might shape attitude formation toward sport psychology. This is viewed as particularly important as sport psychology is an increasingly important tool in assisting the enhancement of sporting performance output. This qualitative study uses four elite student-athletes from the same sporting discipline and contextual background to allow for close linkages between the participants’ responses about attitude formation to be made. The study further aims to explore and understand how similarities and differences occur between the participants’ responses which will be completed through analysing and drawing parallels within themes relating to the literature or emerging separately. The Literature Review is intended to help guide the research through providing a reference source for contextualizing individual, public and socially generated beliefs and knowledge (literacy) about mental health / psychology, the constituents of attitude formation and the student-athlete’s context. These factors were identified in the literature as crucial components in attitude formation and also assisted in the development of initial themes, thus guiding the research. Unfortunately, there was limited literature pertaining to attitude formation in relation to sport psychology services and thus provide justification for using clinical psychology to explore attitude formation in sport psychology. This initial exploration of attitude formation in clinical psychology was used as a ‘template’ for contrasting attitude formation in the sample student-athletes as an indication of attitude formation in sport psychology. The Literature Review is viewed as an integral and active component of the study that is used as a body of reference guiding the exploration and interpretation of the emergent themes. This is done through the iterative reference to past research relating to attitude formation, health beliefs, and the numerous sources of information influencing attitude formation within clinical psychology and the student-athlete context. Most importantly, the Literature Review provides a significant base of information that guides the Research Question and the particular factors that have been noted as the most significant to the research. The Literature Review is intended to guide the Research Question and highlight the significant components that need to be taken into consideration in exploring attitude formation. This study, having taken the numerous individual, social, contextual and other factors into consideration, seeks to understand how such factors combine to shape attitudes and influence attitude formation. The collection of literature on social, knowledge and antecedent factors are significant in their role of shaping attitude formation and thus have been included within the Research Question. Furthermore, the Research Question and Literature Review had an impact on the Methodology and why Thematic Analysis was selected. Given the similarities in the participants’ sporting and contextual backgrounds (e.g., being in the same crew, university and social context), it was felt that the primary determinants of attitude formation, within antecedent experiences, knowledge and social influences, would emerge in related themes and thus provide greater insight into attitude formation within the student-athlete context. A limiting factor however, does lie in the small number of participants from a limited diversity of backgrounds, experiences or factors that could assist in allowing broader generalisations of the findings. However, this study aims to understand how the particular factors influence or shape attitudes towards sport and other psychology services and aims to understand the more specific or ‘fundamental’ components of attitude formation that are experienced within the student-athlete’s context and environment.
- Full Text:
- Date Issued: 2009
- Authors: Wilmot, Gregory Thomas Charlton
- Date: 2009
- Subjects: Sports -- Psychological aspects Attitude (Psychology) Stereotypes (Social psychology) Clinical psychology Athletes -- Counseling of Athletes -- Attitudes
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3086 , http://hdl.handle.net/10962/d1002595
- Description: This qualitative study aims to explore attitude formation within a small sample of Tertiary level student-athletes in relation to their antecedent experiences, individual knowledge about psychology and the social factors impacting on their attitude formation. The study is intended to allow for the development of themes related to the participants’ personal responses to the questions posed to them. The participants’ answers from the interviews will allow for an in-depth analysis and interpretation of the constituents influencing attitude formation towards sport psychology consultation. Primarily, the study aims to explore how attitudes towards clinical and sport psychology practitioners are constructed in this sample. Clinical psychology is used as a contrasting reference point to explore attitude formation in sport psychology. The participants’ beliefs, knowledge sources and attitude toward clinical psychology are examined to understand the fundamental constituents of their attitudes and to understand how this might be related to attitude formation towards sport psychology. It is intended that exploration of the participants’ knowledge sources (e.g. parents, peers, media and coaches) and additional influences on attitudes towards clinical psychology are used to provide insight into how they might shape attitude formation toward sport psychology. This is viewed as particularly important as sport psychology is an increasingly important tool in assisting the enhancement of sporting performance output. This qualitative study uses four elite student-athletes from the same sporting discipline and contextual background to allow for close linkages between the participants’ responses about attitude formation to be made. The study further aims to explore and understand how similarities and differences occur between the participants’ responses which will be completed through analysing and drawing parallels within themes relating to the literature or emerging separately. The Literature Review is intended to help guide the research through providing a reference source for contextualizing individual, public and socially generated beliefs and knowledge (literacy) about mental health / psychology, the constituents of attitude formation and the student-athlete’s context. These factors were identified in the literature as crucial components in attitude formation and also assisted in the development of initial themes, thus guiding the research. Unfortunately, there was limited literature pertaining to attitude formation in relation to sport psychology services and thus provide justification for using clinical psychology to explore attitude formation in sport psychology. This initial exploration of attitude formation in clinical psychology was used as a ‘template’ for contrasting attitude formation in the sample student-athletes as an indication of attitude formation in sport psychology. The Literature Review is viewed as an integral and active component of the study that is used as a body of reference guiding the exploration and interpretation of the emergent themes. This is done through the iterative reference to past research relating to attitude formation, health beliefs, and the numerous sources of information influencing attitude formation within clinical psychology and the student-athlete context. Most importantly, the Literature Review provides a significant base of information that guides the Research Question and the particular factors that have been noted as the most significant to the research. The Literature Review is intended to guide the Research Question and highlight the significant components that need to be taken into consideration in exploring attitude formation. This study, having taken the numerous individual, social, contextual and other factors into consideration, seeks to understand how such factors combine to shape attitudes and influence attitude formation. The collection of literature on social, knowledge and antecedent factors are significant in their role of shaping attitude formation and thus have been included within the Research Question. Furthermore, the Research Question and Literature Review had an impact on the Methodology and why Thematic Analysis was selected. Given the similarities in the participants’ sporting and contextual backgrounds (e.g., being in the same crew, university and social context), it was felt that the primary determinants of attitude formation, within antecedent experiences, knowledge and social influences, would emerge in related themes and thus provide greater insight into attitude formation within the student-athlete context. A limiting factor however, does lie in the small number of participants from a limited diversity of backgrounds, experiences or factors that could assist in allowing broader generalisations of the findings. However, this study aims to understand how the particular factors influence or shape attitudes towards sport and other psychology services and aims to understand the more specific or ‘fundamental’ components of attitude formation that are experienced within the student-athlete’s context and environment.
- Full Text:
- Date Issued: 2009
The development and evaluation of a programme to promote sensitive pscyhotherapeutic practice with gay men and lesbians
- Authors: Coetzee, Catherine Ann
- Date: 2009
- Subjects: Psychotherapy -- Practice -- South Africa Psychoanalysis and homosexuality -- South Africa Homosexuality -- Social aspects -- South Africa Homosexuality -- Psychological aspects -- South Africa Psychotherapy -- Moral and ethical aspects -- South Africa Psychologists -- Training of -- South Africa
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: vital:2952 , http://hdl.handle.net/10962/d1002461
- Description: Clinical psychology’s relevance and future viability depend on its ability to render services that are relevant and sensitive to multicultural and minority issues. Lesbian, gay, bisexual and transgendered people are one such group that professional psychology – both in South Africa and abroad - has identified as having unique treatment needs for which psychologists require specialised knowledge and skills in order to render appropriate treatment. Competence to treat non-heterosexual patients has been framed in terms of a gay affirmative paradigm which has as its basic tenet the recognition that same-gender orientation is not pathological but rather a healthy alternative to heterosexuality. From this perspective being “gay friendly” or “gay accepting” is not enough. To implement a gay affirmative approach in practice, practitioners must have resolved their possible prejudice and heterosexist bias and have the requisite knowledge of concerns unique to lesbian, gay, and bisexual (LGB) individuals to be able to apply their skills in a culturally sensitive manner. Although more American post-graduate psychology programmes are addressing sexual diversity, their failure to produce psychologists who feel competent to treat lesbian/gay or bisexual individuals has highlighted the need to develop effective training strategies based on empirical nvestigation. The dearth of comparable data about local South African psychology training prompted this inquiry which had four broad aims namely, (i) to establish to what extent trainees’ prior training had equipped them with the knowledge, awareness, and skills to approach their work with non-heterosexual patients in a gay affirmative manner, and (ii) to implement and (iii) to evaluate to what extent a brief structured training programme is effective in engaging the trainees; in increasing knowledge, in raising awareness, and in changing specific attitudes and imparting specific skills required for treating lesbian and gay patients.; and (iv) what, if any, recommendations should be made for the future with respect to training of sychologists in this area? The field of sexual orientation research has been expanded to include issues pertaining to bisexual, transgendered and intersexed people, but serious time constraints meant that issues pertaining to these groups could not be addressed in depth. Although the exclusion of these groups is problematic and may be seen as reinforcing their invisibility, it was decided to focus primarily on gay and lesbian issues s an introduction to same-sex orientation. It is envisaged that bisexual and transgender issues would be dealt with in depth in more advanced training. Nine trainee psychologists employed at hospitals in the greater Cape Town area volunteered to participate in the programme which comprised a series of two-hour experiential workshops offered once a week over six weeks. The study employed both quantitative and qualitative data analysis methods. The first stage entailed gathering information to better understand trainees’ existing level of competence. Individual interviews were conducted prior to the course to obtain data about their attitudes and perceptions regarding the need for such specialised training, and how qualified they considered themselves to be to treat LGB patients, and their experience in this regard. For the purpose of the over-all analysis information was also gathered about pertinent personal and social characteristics of the trainees, as well as their contact with lesbian/gay persons. In addition, an attitude survey and the Lesbian, Gay, and Bisexual Counselling Self-efficacy Scale (LGB-CSI) were administered to obtain benchmarks against which change could be measured. The second stage involved the implementation of the educational programme and gathering information about trainees’ responses to its various components. This stage concentrated on discovering how individual trainees reacted to material on lesbian, gay, and bisexual issues and how they used the programme to improve their self-awareness and skills. The results indicate that local psychology training might not address same-gender orientation adequately, thus reinforcing trainees’ belief that sexual orientation is irrelevant, and that their generalist training equips them to work with gay/lesbian/bisexual patients. While the training strengthened existing positive attitudes, it was less effective in changing blatant antigay prejudice. However, both quantitative and qualitative data suggest that the programme increased individuals’ awareness and insight into their previously unrecognised heterosexist biases and created greater understanding of the effects of stigmatisation on sexual minority individuals. In addition, the training increased trainee’s sense of competence to provide affirmative treatment as evidenced by the significant differences between the pre- and post-training mean scores on the Relationship, Knowledge, and Advocacy Scales and between the mid- and post-training means scores on the Assessment and Awareness Scales of the LGB-CSI. Despite the limited generalisability of these findings on account of possible sampling bias, the need and value of such training was confirmed by trainees’ recommendation that this programme should be a mandatory offering in the first year of clinical psychology training.
- Full Text:
- Date Issued: 2009
- Authors: Coetzee, Catherine Ann
- Date: 2009
- Subjects: Psychotherapy -- Practice -- South Africa Psychoanalysis and homosexuality -- South Africa Homosexuality -- Social aspects -- South Africa Homosexuality -- Psychological aspects -- South Africa Psychotherapy -- Moral and ethical aspects -- South Africa Psychologists -- Training of -- South Africa
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: vital:2952 , http://hdl.handle.net/10962/d1002461
- Description: Clinical psychology’s relevance and future viability depend on its ability to render services that are relevant and sensitive to multicultural and minority issues. Lesbian, gay, bisexual and transgendered people are one such group that professional psychology – both in South Africa and abroad - has identified as having unique treatment needs for which psychologists require specialised knowledge and skills in order to render appropriate treatment. Competence to treat non-heterosexual patients has been framed in terms of a gay affirmative paradigm which has as its basic tenet the recognition that same-gender orientation is not pathological but rather a healthy alternative to heterosexuality. From this perspective being “gay friendly” or “gay accepting” is not enough. To implement a gay affirmative approach in practice, practitioners must have resolved their possible prejudice and heterosexist bias and have the requisite knowledge of concerns unique to lesbian, gay, and bisexual (LGB) individuals to be able to apply their skills in a culturally sensitive manner. Although more American post-graduate psychology programmes are addressing sexual diversity, their failure to produce psychologists who feel competent to treat lesbian/gay or bisexual individuals has highlighted the need to develop effective training strategies based on empirical nvestigation. The dearth of comparable data about local South African psychology training prompted this inquiry which had four broad aims namely, (i) to establish to what extent trainees’ prior training had equipped them with the knowledge, awareness, and skills to approach their work with non-heterosexual patients in a gay affirmative manner, and (ii) to implement and (iii) to evaluate to what extent a brief structured training programme is effective in engaging the trainees; in increasing knowledge, in raising awareness, and in changing specific attitudes and imparting specific skills required for treating lesbian and gay patients.; and (iv) what, if any, recommendations should be made for the future with respect to training of sychologists in this area? The field of sexual orientation research has been expanded to include issues pertaining to bisexual, transgendered and intersexed people, but serious time constraints meant that issues pertaining to these groups could not be addressed in depth. Although the exclusion of these groups is problematic and may be seen as reinforcing their invisibility, it was decided to focus primarily on gay and lesbian issues s an introduction to same-sex orientation. It is envisaged that bisexual and transgender issues would be dealt with in depth in more advanced training. Nine trainee psychologists employed at hospitals in the greater Cape Town area volunteered to participate in the programme which comprised a series of two-hour experiential workshops offered once a week over six weeks. The study employed both quantitative and qualitative data analysis methods. The first stage entailed gathering information to better understand trainees’ existing level of competence. Individual interviews were conducted prior to the course to obtain data about their attitudes and perceptions regarding the need for such specialised training, and how qualified they considered themselves to be to treat LGB patients, and their experience in this regard. For the purpose of the over-all analysis information was also gathered about pertinent personal and social characteristics of the trainees, as well as their contact with lesbian/gay persons. In addition, an attitude survey and the Lesbian, Gay, and Bisexual Counselling Self-efficacy Scale (LGB-CSI) were administered to obtain benchmarks against which change could be measured. The second stage involved the implementation of the educational programme and gathering information about trainees’ responses to its various components. This stage concentrated on discovering how individual trainees reacted to material on lesbian, gay, and bisexual issues and how they used the programme to improve their self-awareness and skills. The results indicate that local psychology training might not address same-gender orientation adequately, thus reinforcing trainees’ belief that sexual orientation is irrelevant, and that their generalist training equips them to work with gay/lesbian/bisexual patients. While the training strengthened existing positive attitudes, it was less effective in changing blatant antigay prejudice. However, both quantitative and qualitative data suggest that the programme increased individuals’ awareness and insight into their previously unrecognised heterosexist biases and created greater understanding of the effects of stigmatisation on sexual minority individuals. In addition, the training increased trainee’s sense of competence to provide affirmative treatment as evidenced by the significant differences between the pre- and post-training mean scores on the Relationship, Knowledge, and Advocacy Scales and between the mid- and post-training means scores on the Assessment and Awareness Scales of the LGB-CSI. Despite the limited generalisability of these findings on account of possible sampling bias, the need and value of such training was confirmed by trainees’ recommendation that this programme should be a mandatory offering in the first year of clinical psychology training.
- Full Text:
- Date Issued: 2009
The phenomenolgoical experience of posttraumatic growth in the context of a traumatic bereavement
- Authors: Acheson, Kerry
- Date: 2009 , 2013-07-15
- Subjects: Post-traumatic stress disorder -- Case studies Bereavement -- Psychological aspects Death -- Psychological aspects Phenomenological psychology Grief
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3102 , http://hdl.handle.net/10962/d1004456
- Description: The present study involves an exploration of the phenomenological expenence of posttraumatic growth in the context of a traumatic bereavement. An idiographic case study of a student who had witnessed her mother's death twelve years previously was conducted. Semi-structured interviews elicited data which was analysed using interpretative phenomenological analysis (IP A). Posttraumatic growth was found to have developed with regards to self-perception, relationships, and also in a broader spiritual and existential domain. The findings of this study shed light on the extant posttraumatic growth literature. In particular, findings were discussed in relation to the posttraumatic growth model as proposed by Calhoun and Tedeschi (2006). As posttraumatic growth is a relatively young concept, further research is needed in order to understand the meaning of reported growth more fully. While posttraumatic growth has been investigated in the context of bereavement, future research should distinguish more clearly between growth following traumatic and non-traumatic bereavement. Posttraumatic growth has received minimal empirical attention in South Africa, and therefore exploration of this area is suggested in the future. , KMBT_363 , Adobe Acrobat 9.54 Paper Capture Plug-in
- Full Text:
- Date Issued: 2009
- Authors: Acheson, Kerry
- Date: 2009 , 2013-07-15
- Subjects: Post-traumatic stress disorder -- Case studies Bereavement -- Psychological aspects Death -- Psychological aspects Phenomenological psychology Grief
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3102 , http://hdl.handle.net/10962/d1004456
- Description: The present study involves an exploration of the phenomenological expenence of posttraumatic growth in the context of a traumatic bereavement. An idiographic case study of a student who had witnessed her mother's death twelve years previously was conducted. Semi-structured interviews elicited data which was analysed using interpretative phenomenological analysis (IP A). Posttraumatic growth was found to have developed with regards to self-perception, relationships, and also in a broader spiritual and existential domain. The findings of this study shed light on the extant posttraumatic growth literature. In particular, findings were discussed in relation to the posttraumatic growth model as proposed by Calhoun and Tedeschi (2006). As posttraumatic growth is a relatively young concept, further research is needed in order to understand the meaning of reported growth more fully. While posttraumatic growth has been investigated in the context of bereavement, future research should distinguish more clearly between growth following traumatic and non-traumatic bereavement. Posttraumatic growth has received minimal empirical attention in South Africa, and therefore exploration of this area is suggested in the future. , KMBT_363 , Adobe Acrobat 9.54 Paper Capture Plug-in
- Full Text:
- Date Issued: 2009
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