Bulimia Nervosa: a case study in cognitive psychotherapy
- Authors: Kanfer, Josephine
- Date: 1990
- Subjects: Uncatalogued
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10962/192988 , vital:45287
- Description: This project uses the case-study method to illustrate the application of integrating varied accepted modes of psychotherapeutic interventions. It concentrates on the first 22 out-patient sessions of therapy with a diagnosed bulimic, spanning a 6 month period. A brief summary of the subsequent 10 follow-up sessions is also given. The case presented is of a 22 year old female student diagnosed as bulimic (of 7 year duration), dysthymic and with a dependent personality disorder. She has symptoms of anxiety. She has a history of anorexia nervosa. Fairburn's (1985) cognitive-behavioural programme for bulimia was used initially. Its structured framework with the emphasis on the eating behaviour was an essential aspect in contributing to the success of the initial phase of the therapy. This patient had had previously experienced 8 sessions of non-directive depth psychotherapy which had confused and compounded her problems. The structure had provided her with a sense of control. In implementing the second stage of Fairburn's programme, where the focus is cognitive, the patient could no longer work in this this structured manner. The attempts to implement the standard cognitive techniques provided the catalyst for activating deeper underlying emotions and cognitions. Furthermore, this gave impetus to work actively with the interpersonal aspect of the therapeutic relationship. Young's (1989) model for identifying Early Maladaptive Schemas could be applied. The focus then moved from the behaviours and dealt with these schemas as activated in the therapeutic relationship. The patient was able to make links to her family and her past. The therapy proved successful, as not only were the behavioural symptoms alleviated, but also the patient's interpersonal problems which underlay her personality disorder were accessed. The patient had become more self-assertive, her mood had improved considerably, she was less concerned with body image and more accepting of herself. She had become more reality based and her interpersonal relational abi1ity had improved. , Thesis (MA) -- Faculty of Humanities, Psychology, 1990
- Full Text:
- Date Issued: 1990
- Authors: Kanfer, Josephine
- Date: 1990
- Subjects: Uncatalogued
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10962/192988 , vital:45287
- Description: This project uses the case-study method to illustrate the application of integrating varied accepted modes of psychotherapeutic interventions. It concentrates on the first 22 out-patient sessions of therapy with a diagnosed bulimic, spanning a 6 month period. A brief summary of the subsequent 10 follow-up sessions is also given. The case presented is of a 22 year old female student diagnosed as bulimic (of 7 year duration), dysthymic and with a dependent personality disorder. She has symptoms of anxiety. She has a history of anorexia nervosa. Fairburn's (1985) cognitive-behavioural programme for bulimia was used initially. Its structured framework with the emphasis on the eating behaviour was an essential aspect in contributing to the success of the initial phase of the therapy. This patient had had previously experienced 8 sessions of non-directive depth psychotherapy which had confused and compounded her problems. The structure had provided her with a sense of control. In implementing the second stage of Fairburn's programme, where the focus is cognitive, the patient could no longer work in this this structured manner. The attempts to implement the standard cognitive techniques provided the catalyst for activating deeper underlying emotions and cognitions. Furthermore, this gave impetus to work actively with the interpersonal aspect of the therapeutic relationship. Young's (1989) model for identifying Early Maladaptive Schemas could be applied. The focus then moved from the behaviours and dealt with these schemas as activated in the therapeutic relationship. The patient was able to make links to her family and her past. The therapy proved successful, as not only were the behavioural symptoms alleviated, but also the patient's interpersonal problems which underlay her personality disorder were accessed. The patient had become more self-assertive, her mood had improved considerably, she was less concerned with body image and more accepting of herself. She had become more reality based and her interpersonal relational abi1ity had improved. , Thesis (MA) -- Faculty of Humanities, Psychology, 1990
- Full Text:
- Date Issued: 1990
A metabletic study of the male/female process in psychology
- O'Brien, Keith Stanley Edward Michael
- Authors: O'Brien, Keith Stanley Edward Michael
- Date: 1989
- Subjects: Psychology -- Philosophy , Sex difference (Psychology) , Psychotherapy
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: vital:2908 , http://hdl.handle.net/10962/d1002073
- Description: The motivation to explore the subject matter of this thesis arises from two interlinked processes: (1) the experience of the power and pervasiveness of a "basic split" experienced in therapy in the unity of the individual, (2) the tendency in the unitary discipline psychology for theorists to adopt views which are polar opposites. In trying to understand these phenomena one has to explore the basic paradox of being which has fascinated thinkers and mystics down through the ages, the paradox of the One and the many, and thus the phenomenon of change. This paradox is explored in mythology, in the "philosophia perennis" and as encountered in high-energy sub-atomic physics. Out of this emerges the awareness of Being as One but as embodying a dynamic polar process, the first of whose manifestations is the male and the female process (or Yin/Yang in Chinese). The male/female process is defined and explored and it is shown that the female process has been progressively ignored and largely repressed in the West. I demonstrate this process in a metabletic (hermeneutical phenomenological) study of Greek sacred architecture. Metabletics as defined by its originator, J.H. van den Berg, is "the theory of change" or a psychology of history. It is thus a particularly suitable method of analysing the cultural-historical process of the repression of the female process in Western society. The emergence of the male process as predominant in the West is explored hermeneutically through the emergence of the individual and the suppression of the old unity centred in the Mother Goddess, and the receding of the Father God to the heavens. The choice by the great Greek philosophers of the male process is particularly important because of their emphasis on the Logico-Mathematical Sequential (L.M.S.) mode of knowing and perception at the expense of the female process, Intuitive-Creative Holistic (I.C.H.) mode.The dominance of the male process in the West is traced from the aboriginal female-process state through neolithic village culture to the rise of the first cities. Processes studied are the rise of kingship, war, private property and the splitting of labour. The roots of anomie and alienation are described. The emergence of god as powerful ruler and lawgiver is shown. The splitting of the male/female process leads to the splitting of the individual from him/herself, from others, from the world and from the divine. This is traced in the mystery religions, in religious dualism, in the rise of the Judaeo-Christian tradition and Gnosticism. The split and its effects are demonstrated in Western science and psychology. The necessity and possibility of integration in science and in psychology is demonstrated through the integration of our process of knowing and perceiving which is used as a model for the integration of psychology. The effects of the male/female split on the individual in Western society are shown. The split in our society leads to anomie and alienation, which produce "socioses". These affect the child born into the society and lead to a "Parent/Child" split. The possibility of healing the split in the individual, between people, between humankind and the world and in re-establishing our unity in the One is illustrated. The unity of the One is experienced through the dynamic polar interaction of the male/female process.
- Full Text:
- Date Issued: 1989
- Authors: O'Brien, Keith Stanley Edward Michael
- Date: 1989
- Subjects: Psychology -- Philosophy , Sex difference (Psychology) , Psychotherapy
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: vital:2908 , http://hdl.handle.net/10962/d1002073
- Description: The motivation to explore the subject matter of this thesis arises from two interlinked processes: (1) the experience of the power and pervasiveness of a "basic split" experienced in therapy in the unity of the individual, (2) the tendency in the unitary discipline psychology for theorists to adopt views which are polar opposites. In trying to understand these phenomena one has to explore the basic paradox of being which has fascinated thinkers and mystics down through the ages, the paradox of the One and the many, and thus the phenomenon of change. This paradox is explored in mythology, in the "philosophia perennis" and as encountered in high-energy sub-atomic physics. Out of this emerges the awareness of Being as One but as embodying a dynamic polar process, the first of whose manifestations is the male and the female process (or Yin/Yang in Chinese). The male/female process is defined and explored and it is shown that the female process has been progressively ignored and largely repressed in the West. I demonstrate this process in a metabletic (hermeneutical phenomenological) study of Greek sacred architecture. Metabletics as defined by its originator, J.H. van den Berg, is "the theory of change" or a psychology of history. It is thus a particularly suitable method of analysing the cultural-historical process of the repression of the female process in Western society. The emergence of the male process as predominant in the West is explored hermeneutically through the emergence of the individual and the suppression of the old unity centred in the Mother Goddess, and the receding of the Father God to the heavens. The choice by the great Greek philosophers of the male process is particularly important because of their emphasis on the Logico-Mathematical Sequential (L.M.S.) mode of knowing and perception at the expense of the female process, Intuitive-Creative Holistic (I.C.H.) mode.The dominance of the male process in the West is traced from the aboriginal female-process state through neolithic village culture to the rise of the first cities. Processes studied are the rise of kingship, war, private property and the splitting of labour. The roots of anomie and alienation are described. The emergence of god as powerful ruler and lawgiver is shown. The splitting of the male/female process leads to the splitting of the individual from him/herself, from others, from the world and from the divine. This is traced in the mystery religions, in religious dualism, in the rise of the Judaeo-Christian tradition and Gnosticism. The split and its effects are demonstrated in Western science and psychology. The necessity and possibility of integration in science and in psychology is demonstrated through the integration of our process of knowing and perceiving which is used as a model for the integration of psychology. The effects of the male/female split on the individual in Western society are shown. The split in our society leads to anomie and alienation, which produce "socioses". These affect the child born into the society and lead to a "Parent/Child" split. The possibility of healing the split in the individual, between people, between humankind and the world and in re-establishing our unity in the One is illustrated. The unity of the One is experienced through the dynamic polar interaction of the male/female process.
- Full Text:
- Date Issued: 1989
An existential-phenomenological explication of being-a-black student at a predominantly white university, with special reference to Rhodes University
- Authors: Harilall, Rehena Ranir
- Date: 1989
- Subjects: Racism , South Africa , Black university students , College , Racism -- South Africa -- Psychological aspects , College students, Black , College students, Black -- South Africa -- Psychology
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: vital:2903 , http://hdl.handle.net/10962/d1002067
- Description: This study attempts to explore, theoretically and empirically, the experience of being black in a predominantly white university. It is more specifically concerned with perceived interaction between members of different cultural and ethnic groups, namely, between black and white. Using the existential-phenomenological method the experience of seven subjects, both male and female, were explicated. This explication revealed that black students become aware of their "difference" during interaction with members of the dominant white group. The black students perceive the behaviour of the white-dominant group to be racist and this creates a great deal of latent hostility, anger, and resentment. It is suggested that a programme be developed to diffuse the conflict situation during intergroup interaction at university.
- Full Text:
- Date Issued: 1989
- Authors: Harilall, Rehena Ranir
- Date: 1989
- Subjects: Racism , South Africa , Black university students , College , Racism -- South Africa -- Psychological aspects , College students, Black , College students, Black -- South Africa -- Psychology
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: vital:2903 , http://hdl.handle.net/10962/d1002067
- Description: This study attempts to explore, theoretically and empirically, the experience of being black in a predominantly white university. It is more specifically concerned with perceived interaction between members of different cultural and ethnic groups, namely, between black and white. Using the existential-phenomenological method the experience of seven subjects, both male and female, were explicated. This explication revealed that black students become aware of their "difference" during interaction with members of the dominant white group. The black students perceive the behaviour of the white-dominant group to be racist and this creates a great deal of latent hostility, anger, and resentment. It is suggested that a programme be developed to diffuse the conflict situation during intergroup interaction at university.
- Full Text:
- Date Issued: 1989
Health and politics : appraisal and evaluation of the provision of health and mental health services for Blacks in South Africa
- Authors: O'Donoghue, Sean B
- Date: 1989
- Subjects: Black people -- Mental health -- South Africa , Mental health services -- South Africa
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: vital:2909 , http://hdl.handle.net/10962/d1002074
- Description: The aim of this study has been to examine, in the light of recent events in the field of Health Care in South Africa, the remarks and claims made by the World Health Organization, and the American Psychiatric Association between 1976 and 1978 on Health Care services, as provided for Blacks, by the South African government. In two reports, these organizations instituted the earliest, and arguably most significant claims against South Africa's system of Health Care. This study sketches firstly the political genesis and social context of the WHO, and APA examinations. Secondly, this study evaluates responses made by the South African State to the critical climate inspired by the above mentioned reports, through a close analysis of recent events associated with the politics, and provision of Health Care Facilities - particularly with regard to Black South Africans. This analysis suggests that the governments' earlier tentative policy of privatisation (which was soundly condemned by WHO and the APA) has been even more enthusiastically pursued - in contradiction to it's avowed policies of Commu ity Health Care, and to the continuing detriment of those South African communities who are in most need of adequate Health Care services. The study concludes that the criticisms raised by the WHO and APA had the effect of inspiring positive reforms in South Africa's health services, but in no way thwarted the governments', at first only tentative plans, to increasingly privatise it's psychiatric and other medical institutions.
- Full Text:
- Date Issued: 1989
- Authors: O'Donoghue, Sean B
- Date: 1989
- Subjects: Black people -- Mental health -- South Africa , Mental health services -- South Africa
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: vital:2909 , http://hdl.handle.net/10962/d1002074
- Description: The aim of this study has been to examine, in the light of recent events in the field of Health Care in South Africa, the remarks and claims made by the World Health Organization, and the American Psychiatric Association between 1976 and 1978 on Health Care services, as provided for Blacks, by the South African government. In two reports, these organizations instituted the earliest, and arguably most significant claims against South Africa's system of Health Care. This study sketches firstly the political genesis and social context of the WHO, and APA examinations. Secondly, this study evaluates responses made by the South African State to the critical climate inspired by the above mentioned reports, through a close analysis of recent events associated with the politics, and provision of Health Care Facilities - particularly with regard to Black South Africans. This analysis suggests that the governments' earlier tentative policy of privatisation (which was soundly condemned by WHO and the APA) has been even more enthusiastically pursued - in contradiction to it's avowed policies of Commu ity Health Care, and to the continuing detriment of those South African communities who are in most need of adequate Health Care services. The study concludes that the criticisms raised by the WHO and APA had the effect of inspiring positive reforms in South Africa's health services, but in no way thwarted the governments', at first only tentative plans, to increasingly privatise it's psychiatric and other medical institutions.
- Full Text:
- Date Issued: 1989
The empty-nest stage of life : a comparative study of women and men facing transition
- Authors: Kaplan, Ernest
- Date: 1989
- Subjects: Empty nesters , Parent and child , Sex role -- Psychological aspect , Men -- Sexual behavior , Women -- Sexual behavior
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: vital:2899 , http://hdl.handle.net/10962/d1002063
- Description: This thesis encompasses a study of the empty-nest stage of life. For the purposes of this study, the above-mentioned stage was defined as that period in the family when the youngest child matriculates. Thirty-five empty-nest couples were interviewed during 1984, in the city of Port Elizabeth, South Africa. The mean age of the subjects was 49.5, and the standard deviation was 4.9. The couples were asked about their attitudes towards the empty-nest, using a structured questionnaire, the Family Attitude Survey (FAS). This survey consisted of nine-point attitude statements, which focused on theoretical issues pertinent to this stage, viz. children are on-time or off-time with regard to major life events, impact of children leaving home on the parents, degree of parental involvement with children, parent-child relationships, ageing, sexuality, menopause, work-career, and attitudes towards the past, future and death. The general purpose of the present study was to determine the extent to which the empty-nest stage of life constitutes a negative crisis period, or a positive period of stability and growth for the empty-nest parents. Overall, it was concluded that the empirical evidence depicting the empty- nest stage of life as a positive period of stability and growth rather than a negative crisis period, is persuasive for some of the empty-nest parents in the present study, in view of the empirical findings regarding certain of the above-mentioned theoretical issues examined in the present thesis. Notwithstanding this, it was deemed essential to qualify the above conclusion, given the fact that the same and other respondents experienced difficulty with the following issues, viz. children being off-time with regard to major life events, the departure of children from the home, overinvolvement with children, problematic relationships with them, perceptions of themselves as failures as parents, inability to accept their own ageing, problems with changing sexuality, diminishing enjoyment in their occupations, and lack of prospects for future career advancement, negative preoccupation with the past and future, anxiety about death, and an impoverished marital relationship. It was also demonstrated empirically that wives experience particular psychological problems at this time, viz., firstly, they are more adversely affected by their children's departure from the home than their husbands, secondly, they undergo a rehearsal for widowhood more frequently than them, and thirdly, a minority of them are unable to come to terms with the menopause. Finally, the finding that the majority of wives experienced relief with the onset of the menopause when viewed from the perspectives of general emotional impact, children, and the spousal relationship, conflicts with existing theories in this area. However, it is supported by and large by the majority of empirical studies.
- Full Text:
- Date Issued: 1989
- Authors: Kaplan, Ernest
- Date: 1989
- Subjects: Empty nesters , Parent and child , Sex role -- Psychological aspect , Men -- Sexual behavior , Women -- Sexual behavior
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: vital:2899 , http://hdl.handle.net/10962/d1002063
- Description: This thesis encompasses a study of the empty-nest stage of life. For the purposes of this study, the above-mentioned stage was defined as that period in the family when the youngest child matriculates. Thirty-five empty-nest couples were interviewed during 1984, in the city of Port Elizabeth, South Africa. The mean age of the subjects was 49.5, and the standard deviation was 4.9. The couples were asked about their attitudes towards the empty-nest, using a structured questionnaire, the Family Attitude Survey (FAS). This survey consisted of nine-point attitude statements, which focused on theoretical issues pertinent to this stage, viz. children are on-time or off-time with regard to major life events, impact of children leaving home on the parents, degree of parental involvement with children, parent-child relationships, ageing, sexuality, menopause, work-career, and attitudes towards the past, future and death. The general purpose of the present study was to determine the extent to which the empty-nest stage of life constitutes a negative crisis period, or a positive period of stability and growth for the empty-nest parents. Overall, it was concluded that the empirical evidence depicting the empty- nest stage of life as a positive period of stability and growth rather than a negative crisis period, is persuasive for some of the empty-nest parents in the present study, in view of the empirical findings regarding certain of the above-mentioned theoretical issues examined in the present thesis. Notwithstanding this, it was deemed essential to qualify the above conclusion, given the fact that the same and other respondents experienced difficulty with the following issues, viz. children being off-time with regard to major life events, the departure of children from the home, overinvolvement with children, problematic relationships with them, perceptions of themselves as failures as parents, inability to accept their own ageing, problems with changing sexuality, diminishing enjoyment in their occupations, and lack of prospects for future career advancement, negative preoccupation with the past and future, anxiety about death, and an impoverished marital relationship. It was also demonstrated empirically that wives experience particular psychological problems at this time, viz., firstly, they are more adversely affected by their children's departure from the home than their husbands, secondly, they undergo a rehearsal for widowhood more frequently than them, and thirdly, a minority of them are unable to come to terms with the menopause. Finally, the finding that the majority of wives experienced relief with the onset of the menopause when viewed from the perspectives of general emotional impact, children, and the spousal relationship, conflicts with existing theories in this area. However, it is supported by and large by the majority of empirical studies.
- Full Text:
- Date Issued: 1989
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