A qualitative review on the manner in which psychologists address language barriers in psychological testing with isiXhosa speaking clients.
- Authors: Fouche, Nicoleen
- Date: 2023-12
- Subjects: language barriers , isiXhosa , psychological tests,
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/62838 , vital:73055
- Description: A racially segregated culture historically influenced the growth of psychological testing and evaluation in South Africa. Thus, South Africa's multicultural and multilingual community poses difficulties for psychologists in their daily work. Most of the psychological tests used by psychologists are predominantly normed in either or only English/Afrikaans. Given the economic and professional resources required to develop new standardised tests for the broader South African population, the current status quo is set to continue for the foreseeable future. Consequently, language barriers pose a challenge when psychometric standardised tests are administered in a language that is different from that of the client, and as a result, psychologists must develop ways to enhance the fairness of these measures for their client base. The avenue of research that was explored is how psychologists overcome the language boundary when assessing clients who speak an indigenous first language, particularly isiXhosa. As such, this study explored this question through qualitative methods. Through purposive sampling, nine psychologists were invited to share their practical expertise on this topic, using semi-structured online interviews. The findings of this study suggested several core themes providing useful methods for other psychologists facing the same challenge, including the challenges with administering psychological tests with isiXhosa clients, the availability of standardised tests in the South African context, and the importance of determining the client’s language proficiency. Five themes with several sub-themes emerged from the study. The study contributes to the currently limited existing body of knowledge, and subsequently to the research area that this study explores - thus further providing guidelines that practitioners can employ when working with clients who are isiXhosa speaking. , Thesis (Ma) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 2023-12
- Authors: Fouche, Nicoleen
- Date: 2023-12
- Subjects: language barriers , isiXhosa , psychological tests,
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/62838 , vital:73055
- Description: A racially segregated culture historically influenced the growth of psychological testing and evaluation in South Africa. Thus, South Africa's multicultural and multilingual community poses difficulties for psychologists in their daily work. Most of the psychological tests used by psychologists are predominantly normed in either or only English/Afrikaans. Given the economic and professional resources required to develop new standardised tests for the broader South African population, the current status quo is set to continue for the foreseeable future. Consequently, language barriers pose a challenge when psychometric standardised tests are administered in a language that is different from that of the client, and as a result, psychologists must develop ways to enhance the fairness of these measures for their client base. The avenue of research that was explored is how psychologists overcome the language boundary when assessing clients who speak an indigenous first language, particularly isiXhosa. As such, this study explored this question through qualitative methods. Through purposive sampling, nine psychologists were invited to share their practical expertise on this topic, using semi-structured online interviews. The findings of this study suggested several core themes providing useful methods for other psychologists facing the same challenge, including the challenges with administering psychological tests with isiXhosa clients, the availability of standardised tests in the South African context, and the importance of determining the client’s language proficiency. Five themes with several sub-themes emerged from the study. The study contributes to the currently limited existing body of knowledge, and subsequently to the research area that this study explores - thus further providing guidelines that practitioners can employ when working with clients who are isiXhosa speaking. , Thesis (Ma) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 2023-12
A study exploring the understanding and interpretations of schizophrenia amongst Zulu Community members, in Durban, Kwa-Zulu Natal Province
- Authors: Lephoto, Thabo
- Date: 2023-12
- Subjects: chizophrenia , traditional healers , cultural belief,
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/62859 , vital:73059
- Description: Mental illness is a global and widespread phenomenon, and its presented symptoms are experienced differently within various contexts. In many contexts, cultural beliefs are noted as influencing the thinking, feeling, and behavior of individuals and groups. Schizophrenia is often associated with a clustering of symptoms, which are often interpreted from within a cultural lens. This is in part, due to the lack of access to mental health facilities, and the limited understanding of psychological processes, but primarily due to cultural belief systems. As such, many individuals rely on indigenous knowledge systems and traditional healing when experiencing psychological symptoms. Within South Africa, the symptoms associated with schizophrenia are understood and treated in accordance with cultural beliefs and it is likely that bewitchment, spirit possession, as well as ancestral callings such as ukuthwasa, etc. will be associated with the symptoms of mental illnesses. The implications that this poses to psychological treatments and interventions are vast and require exploration. This study employed a qualitative methodology, with an exploratory and descriptive design. There were 8 participants (males= 4; females= 4), aged between 26-37 that were recruited for the study by utilizing a purposive sampling strategy, as well as a snowball sampling technique. Thematic analysis was used as a means of data analysis, by following the method by Braun and Clarke. The study applies the principles of ethics with regard to confidentiality and privacy. The findings of the study revealed that participants’ perceptions of schizophrenia were influenced by their culture. Participants of the study suggested that culture is influential in the treatment of those diagnosed with schizophrenia. Furthermore, the study revealed that there is a hierarchical system in the Zulu Culture and those diagnosed with schizophrenia are placed at the bottom. , Thesis (Ma) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 2023-12
- Authors: Lephoto, Thabo
- Date: 2023-12
- Subjects: chizophrenia , traditional healers , cultural belief,
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/62859 , vital:73059
- Description: Mental illness is a global and widespread phenomenon, and its presented symptoms are experienced differently within various contexts. In many contexts, cultural beliefs are noted as influencing the thinking, feeling, and behavior of individuals and groups. Schizophrenia is often associated with a clustering of symptoms, which are often interpreted from within a cultural lens. This is in part, due to the lack of access to mental health facilities, and the limited understanding of psychological processes, but primarily due to cultural belief systems. As such, many individuals rely on indigenous knowledge systems and traditional healing when experiencing psychological symptoms. Within South Africa, the symptoms associated with schizophrenia are understood and treated in accordance with cultural beliefs and it is likely that bewitchment, spirit possession, as well as ancestral callings such as ukuthwasa, etc. will be associated with the symptoms of mental illnesses. The implications that this poses to psychological treatments and interventions are vast and require exploration. This study employed a qualitative methodology, with an exploratory and descriptive design. There were 8 participants (males= 4; females= 4), aged between 26-37 that were recruited for the study by utilizing a purposive sampling strategy, as well as a snowball sampling technique. Thematic analysis was used as a means of data analysis, by following the method by Braun and Clarke. The study applies the principles of ethics with regard to confidentiality and privacy. The findings of the study revealed that participants’ perceptions of schizophrenia were influenced by their culture. Participants of the study suggested that culture is influential in the treatment of those diagnosed with schizophrenia. Furthermore, the study revealed that there is a hierarchical system in the Zulu Culture and those diagnosed with schizophrenia are placed at the bottom. , Thesis (Ma) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 2023-12
Assessment of knowledge, attitudes, practices and the prevalence of intestinal parasites in Sarah Baartman District, Eastern Cape
- Authors: Mrwebi, Sisanda
- Date: 2023-12
- Subjects: Intestinal parasites , Knowledge Attitudes and Practices , transmitted helminths
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/62924 , vital:73070
- Description: ntestinal parasites also known as parasitic worms are one of the common water, soil and feacal transmitted infections of public importance in the world. This study evaluated the Knowledge, Attitudes and Practices (KAP) of public workers comprising EPWP and CWP general workers on intestinal parasites in a selected municipality in the study area . Additionally, using secondary data, the researcher established the prevalence of intestinal parasites in Sarah Baartman District Municipality (SBDM) from 2012 to 2020. Method: The study made use of a quantitative, cross-sectional research design resembling a study by S.D. Hambury .A structured questionnaire, closed-ended, telephonically-administered questionnaire was used to collect data from 160 Expanded Public Works Programme (EPWP) and Community Work Programme (CWP) general workers. Data on the prevalence was obtained from the SBDM National Health Laboratory Service (NHLS). Data was analysed using both inferential and descriptive statistics using SPSS software version 16.1, inferential statistics tests used were Chi2 square tests and p-value tests. Descriptive statistic tests used included frequency distributions, percentage, cumulative percent, and valid percent. Results: The participants’ overall awareness, attitudes and practices of the study were poor, 64.4% of the study participants had the correct knowledge about intestinal parasite infections. The age of study participants and who the participants thought was at risk of being infected by intestinal parasites had a non significant relationship (p>0.05). Gender and the responses to who is at risk of getting infected with intestinal parasites had a statistically significant (p<0.05) relationship. Intestinal parasite prevalence from 2012 to 2020 in SBDM was 46.37% which means it was close to half of the sampled population. Males had the highest prevalence as compared to females, with a prevalence of 53.1% xvi in males and 46.9% in females. The highest disease infection was found between ages one and six years. Conclusion: The researcher concluded that the overall awareness, attitudes and practices on intestinal parasites in SBDM were poor. The intestinal parasites present in SBDM were Cytoisospora belli (35.4%) and Giardia lamblia (35.4%), Ascaris lumbricoides (17.7%), Trichuris trichiura (3%), and Taenia species (2%). The study also revealed that the prevalence of intestinal parasites was low from 2012 to 2020. Recommendations were made with an emphasis on education to increase disease prevention and control awareness. , Thesis (Ma) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 2023-12
- Authors: Mrwebi, Sisanda
- Date: 2023-12
- Subjects: Intestinal parasites , Knowledge Attitudes and Practices , transmitted helminths
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/62924 , vital:73070
- Description: ntestinal parasites also known as parasitic worms are one of the common water, soil and feacal transmitted infections of public importance in the world. This study evaluated the Knowledge, Attitudes and Practices (KAP) of public workers comprising EPWP and CWP general workers on intestinal parasites in a selected municipality in the study area . Additionally, using secondary data, the researcher established the prevalence of intestinal parasites in Sarah Baartman District Municipality (SBDM) from 2012 to 2020. Method: The study made use of a quantitative, cross-sectional research design resembling a study by S.D. Hambury .A structured questionnaire, closed-ended, telephonically-administered questionnaire was used to collect data from 160 Expanded Public Works Programme (EPWP) and Community Work Programme (CWP) general workers. Data on the prevalence was obtained from the SBDM National Health Laboratory Service (NHLS). Data was analysed using both inferential and descriptive statistics using SPSS software version 16.1, inferential statistics tests used were Chi2 square tests and p-value tests. Descriptive statistic tests used included frequency distributions, percentage, cumulative percent, and valid percent. Results: The participants’ overall awareness, attitudes and practices of the study were poor, 64.4% of the study participants had the correct knowledge about intestinal parasite infections. The age of study participants and who the participants thought was at risk of being infected by intestinal parasites had a non significant relationship (p>0.05). Gender and the responses to who is at risk of getting infected with intestinal parasites had a statistically significant (p<0.05) relationship. Intestinal parasite prevalence from 2012 to 2020 in SBDM was 46.37% which means it was close to half of the sampled population. Males had the highest prevalence as compared to females, with a prevalence of 53.1% xvi in males and 46.9% in females. The highest disease infection was found between ages one and six years. Conclusion: The researcher concluded that the overall awareness, attitudes and practices on intestinal parasites in SBDM were poor. The intestinal parasites present in SBDM were Cytoisospora belli (35.4%) and Giardia lamblia (35.4%), Ascaris lumbricoides (17.7%), Trichuris trichiura (3%), and Taenia species (2%). The study also revealed that the prevalence of intestinal parasites was low from 2012 to 2020. Recommendations were made with an emphasis on education to increase disease prevention and control awareness. , Thesis (Ma) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 2023-12
Effects of selected natural flavonoids on an optimized insulin resistance induction model on myotubes and hepatocytes in vitro
- Authors: Van de Venter, Ruben
- Date: 2023-12
- Subjects: Flavonoid , Insulin resistance , Myotubes and hepatocytes
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/63049 , vital:73085
- Description: Introduction: As the third largest life-threatening non-communicable disease, further research to improve T2DM treatment remains pivotal. The approved insulin sensitizing agents, metformin and thiazolidinediones, although effective, have an array of adverse effects. This leads to the growing need for safer insulin sensitizing agents. Aims: To induce insulin resistance, an insulin resistance induction (IRI) model consisting of palmitic acid (PA), fructose, and dexamethasone (DEX), was optimized. The model was utilized to compare the insulin sensitizing efficacy of chrysin, apigenin, luteolin, and quercetin. The most effective flavonoid was extrapolated based on the hydroxylation hypothesis and relevant SAR. The flavonoid was combined with metformin to evaluate potential insulin sensitizing synergism. Methods: C3A hepatocytes and L6 myotubes were exposed to the IRI models: IR1, IR2, and OIR, for 24 and 48h. Morphological features indicative of insulin resistance were monitored through high-content analysis (HCA). Thereafter, cells were exposed to OIR and concurrently treated with the selected flavonoids. Cytotoxicity, oxidative stress (OS), mitochondrial content, mitochondrial membrane potential (MMP), and lipid accumulation, were once again evaluated through HCA. Subsequently, quercetin was combined with metformin (QM); insulin resistant conditions established through OIR exposure, and QM administered as prophylaxis. The efficacy of QM was determined through changes in phosphorylated-Akt, glucose uptake, and gluconeogenesis. Results: IR1 and IR2 demonstrated excessive potency, whereas OIR consistently generated insulin resistant C3A/L6 cells by increasing OS (↑14%/20%), lipid accumulation (0.7-fold/1.5-fold), and decreasing MMP (↓4%/6%). Of the selected flavonoids, quercetin was most effective at ameliorating each of these parameters. Furthermore, QM demonstrated potential insulin sensitizing synergism, as it improved Akt phosphorylation (Thr308: ↑31%/↑17%; Ser473: ↑29%), glucose uptake (↑10%/ 5%), and suppressed hepatic gluconeogenesis (15↓%) more effectively compared to monotherapy. Conclusions: OIR is an effective model for the induction of complete early-stage insulin resistance in myotubes and hepatocytes. Quercetin demonstrates exceptional antidiabetic activity due its unique expression of hydroxyl groups. Lastly, QM, comparative to monotherapy, improves insulin sensitivity with enhanced efficacy. , Thesis (Ma) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 2023-12
- Authors: Van de Venter, Ruben
- Date: 2023-12
- Subjects: Flavonoid , Insulin resistance , Myotubes and hepatocytes
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/63049 , vital:73085
- Description: Introduction: As the third largest life-threatening non-communicable disease, further research to improve T2DM treatment remains pivotal. The approved insulin sensitizing agents, metformin and thiazolidinediones, although effective, have an array of adverse effects. This leads to the growing need for safer insulin sensitizing agents. Aims: To induce insulin resistance, an insulin resistance induction (IRI) model consisting of palmitic acid (PA), fructose, and dexamethasone (DEX), was optimized. The model was utilized to compare the insulin sensitizing efficacy of chrysin, apigenin, luteolin, and quercetin. The most effective flavonoid was extrapolated based on the hydroxylation hypothesis and relevant SAR. The flavonoid was combined with metformin to evaluate potential insulin sensitizing synergism. Methods: C3A hepatocytes and L6 myotubes were exposed to the IRI models: IR1, IR2, and OIR, for 24 and 48h. Morphological features indicative of insulin resistance were monitored through high-content analysis (HCA). Thereafter, cells were exposed to OIR and concurrently treated with the selected flavonoids. Cytotoxicity, oxidative stress (OS), mitochondrial content, mitochondrial membrane potential (MMP), and lipid accumulation, were once again evaluated through HCA. Subsequently, quercetin was combined with metformin (QM); insulin resistant conditions established through OIR exposure, and QM administered as prophylaxis. The efficacy of QM was determined through changes in phosphorylated-Akt, glucose uptake, and gluconeogenesis. Results: IR1 and IR2 demonstrated excessive potency, whereas OIR consistently generated insulin resistant C3A/L6 cells by increasing OS (↑14%/20%), lipid accumulation (0.7-fold/1.5-fold), and decreasing MMP (↓4%/6%). Of the selected flavonoids, quercetin was most effective at ameliorating each of these parameters. Furthermore, QM demonstrated potential insulin sensitizing synergism, as it improved Akt phosphorylation (Thr308: ↑31%/↑17%; Ser473: ↑29%), glucose uptake (↑10%/ 5%), and suppressed hepatic gluconeogenesis (15↓%) more effectively compared to monotherapy. Conclusions: OIR is an effective model for the induction of complete early-stage insulin resistance in myotubes and hepatocytes. Quercetin demonstrates exceptional antidiabetic activity due its unique expression of hydroxyl groups. Lastly, QM, comparative to monotherapy, improves insulin sensitivity with enhanced efficacy. , Thesis (Ma) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 2023-12
Experiences of mothers who are on tuberculosis treatment While caring for their children in Nelson Mandela Bay health district
- Authors: Mwadiwa, Chiedza
- Date: 2023-12
- Subjects: Caring experiences -- Nelson Mandela Bay , Tuberculosis treatment
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/62935 , vital:73071
- Description: Women and mothers have an important role to play as caregivers of their children. However, mothers are often faced with challenges with fulfilling this important role. Many women value the caring role as a mother over other areas of their lives, and for ill women, such as those with tuberculosis (TB) and those on TB treatment, it can be difficult to relinquish maternal responsibility. Indeed, many mothers in South Africa and other low- and middle-income countries develop TB during pregnancy and postpartum because their immune systems are compromised. For a mother who is chronically ill, carrying out a mother’s caregiving role presents a range of challenges. However, few studies have addressed this problem or explored the experiences of such mothers. The purpose of the study was to understand the experiences of mothers who are on TB treatment while caring for their children in order to establish their support needs and thereby develop recommendations to assist CHWs, nurses and nurse managers at primary healthcare (PHC) clinics to provide optimum care to such women. The Socio-Ecological model was used as the theoretical lens to explore the phenomenon under investigation. A qualitative, exploratory-descriptive research design was identified as most suited to respond to the research question. Purposive sampling was used to select both the participants and the clinics in the Nelson Mandela Bay Health District (NMBHD) for the purpose of this study. The population was mothers on TB treatment caring for their children (aged five years or younger) who were attending either one of the two of the largest PHC clinics in Sub-district C in the NMBH. Altogether ten mothers on TB treatment caring for their children took part in individual semi-structured interviews conducted telephonically. Ethical clearance was obtained from Nelson Mandela University and permission was obtained from the Department of Health (DoH), district office, operational managers at the respective clinics, and the participants involved in the study. Trustworthiness was enhanced by ensuring credibility, transferability, dependability, and confirmability. Ethical principles were upheld throughout the course of this study namely respect for persons, beneficence and justice. All interviews were recorded and transcribed, and the data was analysed using Tesch’s method of data analysis to identify the themes. Three themes came out of the data, namely: Theme 1: Mothers expressed having to navigate a range of physical and psychosocial challenges while caring for their v children; Theme 2: Mothers struggled to perform motherly roles while on TB treatment; Theme 3: Mothers described their relationships with their family, community members and clinic health practitioners. The experiences of the participants were described using direct quotations from the interviews followed by a literature control used to verify the participants’ experiences. Thereafter, the findings were used to develop recommendations to optimise the care and support of mothers on TB treatment who are caring for their children. Four recommendations were developed: Recommendation 1: Prepare and support mothers with TB to care for themselves and their children; Recommendation 2: Assist CHWs and nurses to care and support mothers with TB and their children; Recommendation 3: Prepare and support family members to support mothers with TB and their children and Recommendation 4: Educate community members regarding the needs of mothers with TB. There is limited existing research on mothers who are on TB treatment while caring for their children. This research study helped to fill this gap, particularly in an urban Eastern Cape context. The findings illustrated mothers’ physical and psychosocial challenges, as well their role-related challenges and finally the challenges related to the various spousal, family, community and clinic relationships that influence their experience of caring for their child while on TB treatment. , Thesis (MA) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 2023-12
- Authors: Mwadiwa, Chiedza
- Date: 2023-12
- Subjects: Caring experiences -- Nelson Mandela Bay , Tuberculosis treatment
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/62935 , vital:73071
- Description: Women and mothers have an important role to play as caregivers of their children. However, mothers are often faced with challenges with fulfilling this important role. Many women value the caring role as a mother over other areas of their lives, and for ill women, such as those with tuberculosis (TB) and those on TB treatment, it can be difficult to relinquish maternal responsibility. Indeed, many mothers in South Africa and other low- and middle-income countries develop TB during pregnancy and postpartum because their immune systems are compromised. For a mother who is chronically ill, carrying out a mother’s caregiving role presents a range of challenges. However, few studies have addressed this problem or explored the experiences of such mothers. The purpose of the study was to understand the experiences of mothers who are on TB treatment while caring for their children in order to establish their support needs and thereby develop recommendations to assist CHWs, nurses and nurse managers at primary healthcare (PHC) clinics to provide optimum care to such women. The Socio-Ecological model was used as the theoretical lens to explore the phenomenon under investigation. A qualitative, exploratory-descriptive research design was identified as most suited to respond to the research question. Purposive sampling was used to select both the participants and the clinics in the Nelson Mandela Bay Health District (NMBHD) for the purpose of this study. The population was mothers on TB treatment caring for their children (aged five years or younger) who were attending either one of the two of the largest PHC clinics in Sub-district C in the NMBH. Altogether ten mothers on TB treatment caring for their children took part in individual semi-structured interviews conducted telephonically. Ethical clearance was obtained from Nelson Mandela University and permission was obtained from the Department of Health (DoH), district office, operational managers at the respective clinics, and the participants involved in the study. Trustworthiness was enhanced by ensuring credibility, transferability, dependability, and confirmability. Ethical principles were upheld throughout the course of this study namely respect for persons, beneficence and justice. All interviews were recorded and transcribed, and the data was analysed using Tesch’s method of data analysis to identify the themes. Three themes came out of the data, namely: Theme 1: Mothers expressed having to navigate a range of physical and psychosocial challenges while caring for their v children; Theme 2: Mothers struggled to perform motherly roles while on TB treatment; Theme 3: Mothers described their relationships with their family, community members and clinic health practitioners. The experiences of the participants were described using direct quotations from the interviews followed by a literature control used to verify the participants’ experiences. Thereafter, the findings were used to develop recommendations to optimise the care and support of mothers on TB treatment who are caring for their children. Four recommendations were developed: Recommendation 1: Prepare and support mothers with TB to care for themselves and their children; Recommendation 2: Assist CHWs and nurses to care and support mothers with TB and their children; Recommendation 3: Prepare and support family members to support mothers with TB and their children and Recommendation 4: Educate community members regarding the needs of mothers with TB. There is limited existing research on mothers who are on TB treatment while caring for their children. This research study helped to fill this gap, particularly in an urban Eastern Cape context. The findings illustrated mothers’ physical and psychosocial challenges, as well their role-related challenges and finally the challenges related to the various spousal, family, community and clinic relationships that influence their experience of caring for their child while on TB treatment. , Thesis (MA) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 2023-12
Experiences of psychological practitioners when working with Isixhosa speaking minors in the Eastern Cape.
- Authors: Matushe, Masakhane
- Date: 2023-12
- Subjects: language barriers -- Eastern Cape , Psychological practitioner
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/62884 , vital:73062
- Description: Language barriers continue to pose challenges in education and the health sector where psychological assessments and tests are administered in a language that is different from that of the client. The implication this has on the interpretations of test-taker scores may be bias against those whose first language is not English or Afrikaans, which are two of the primary languages majority of the tests currently used in the South Africa are normed against. This study aimed to explore the implications of the current language repertoires on test-taker performance. This was achieved through exploring the experiences of psychological practitioners who use English language psychological tests on isiXhosa speaking child clients in the Eastern Cape. The methodology followed an exploratory-descriptive, qualitative design, adopting Lincoln and Guba's model of trustworthiness. The researcher employed a qualitative method with an exploratory-descriptive research design, and participants were recruited by utilizing a purposive sampling strategy. Thematic analysis was used as a means of data analysis,and the following themes emerged and were discussed: The use of translators & interpreters, and the challenges thereof; practitioner’s own language proficiencies and limitations; cultutral influence and langaage exposure of clients; Adaptation as well as revision of decolonization of testing measures; and training psychological practitioners. , Thesis (Ma) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 2023-12
- Authors: Matushe, Masakhane
- Date: 2023-12
- Subjects: language barriers -- Eastern Cape , Psychological practitioner
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/62884 , vital:73062
- Description: Language barriers continue to pose challenges in education and the health sector where psychological assessments and tests are administered in a language that is different from that of the client. The implication this has on the interpretations of test-taker scores may be bias against those whose first language is not English or Afrikaans, which are two of the primary languages majority of the tests currently used in the South Africa are normed against. This study aimed to explore the implications of the current language repertoires on test-taker performance. This was achieved through exploring the experiences of psychological practitioners who use English language psychological tests on isiXhosa speaking child clients in the Eastern Cape. The methodology followed an exploratory-descriptive, qualitative design, adopting Lincoln and Guba's model of trustworthiness. The researcher employed a qualitative method with an exploratory-descriptive research design, and participants were recruited by utilizing a purposive sampling strategy. Thematic analysis was used as a means of data analysis,and the following themes emerged and were discussed: The use of translators & interpreters, and the challenges thereof; practitioner’s own language proficiencies and limitations; cultutral influence and langaage exposure of clients; Adaptation as well as revision of decolonization of testing measures; and training psychological practitioners. , Thesis (Ma) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 2023-12
Exploring culturally adapted psychological interventions for mental illness in South Africa: A scoping review
- Authors: Mbatha, Andiswa
- Date: 2023-12
- Subjects: Cultural Adaptation , Evidence-Based Treatments
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/62898 , vital:73065
- Description: Culturally appropriate interventions are crucial for its universal applicability. Although it is well documented that mental health practitioners need to consider cultural factors when working with clients, there is a paucity of research concerning culturally adapted psychological treatments within South Africa. Mental Health practitioners use borrowed Westernised methods of psychological interventions, whose effectiveness has been proven to work on people with different values and belief systems from those of South Africa. This study sought to map the literature on culturally adapted psychological interventions in the South African context. The main research question of the study is: “According to the literature, what are the culturally adapted psychological interventions available for use in the South African context?” Employing the scoping review methodology, published literature was sourced from various electronic databases. The data is presented in a table format using the thematic framework. The study found that out of 250 records that were retrieved, we identified nine articles describing four distinct interventions in treating three mental illnesses in South Africa. Cognitive behaviour therapy (n = 3), behaviour activation (n=2) mindfulness-based stress reduction (n=2) interpersonal therapy (n=1) and Motivational interviewing (n=1) surfaced as culturally adapted psychological interventions to treat people with depression, trauma and substance use disorder. Improvement in symptoms was a common result of all therapies. The potential benefit of the study is to provide recommendations that will inform further research and clinical practice. , Thesis (Ma) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 2023-12
- Authors: Mbatha, Andiswa
- Date: 2023-12
- Subjects: Cultural Adaptation , Evidence-Based Treatments
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/62898 , vital:73065
- Description: Culturally appropriate interventions are crucial for its universal applicability. Although it is well documented that mental health practitioners need to consider cultural factors when working with clients, there is a paucity of research concerning culturally adapted psychological treatments within South Africa. Mental Health practitioners use borrowed Westernised methods of psychological interventions, whose effectiveness has been proven to work on people with different values and belief systems from those of South Africa. This study sought to map the literature on culturally adapted psychological interventions in the South African context. The main research question of the study is: “According to the literature, what are the culturally adapted psychological interventions available for use in the South African context?” Employing the scoping review methodology, published literature was sourced from various electronic databases. The data is presented in a table format using the thematic framework. The study found that out of 250 records that were retrieved, we identified nine articles describing four distinct interventions in treating three mental illnesses in South Africa. Cognitive behaviour therapy (n = 3), behaviour activation (n=2) mindfulness-based stress reduction (n=2) interpersonal therapy (n=1) and Motivational interviewing (n=1) surfaced as culturally adapted psychological interventions to treat people with depression, trauma and substance use disorder. Improvement in symptoms was a common result of all therapies. The potential benefit of the study is to provide recommendations that will inform further research and clinical practice. , Thesis (Ma) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 2023-12
Exploring the psychological and emotional understanding of Amagqirha within the Eastern Cape province, South Africa
- Authors: Ncapayi, Abongile
- Date: 2023-12
- Subjects: traditional healers , Indigenous Knowledge , Cultural religion
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/62947 , vital:73074
- Description: Indigenous knowledge systems influence mental health understanding and treatments. Amongst the Xhosa’s (amaXhosa), a person may receive a ‘calling’ from the ancestors, usually associated with symptoms that would be characterized as a mental illness. However, the symptoms experienced during the calling, usually dissipate once training has been received. One of the categories within traditional healers are amagqirha, also known as diviners. These are individuals who receive the ‘calling’. Thereafter, they undergo extensive training and become blessed with clairvoyant “powers” to divine and act as mediators between the living and the dead. This study aimed to explore the psychological and emotional understanding of amagqirha of the Xhosa culture, within the Eastern Cape, South Africa. In doing so, the study centralizes the experiences of individuals within cultural spaces, allowing for commentary on the psychological and emotional understanding of the amagqirha. Furthermore, this study focused on the work that amagqirha do in communities and how this ultimately affects them. This study sought to understand the experiences and perceptions of the individuals who are affected by this ‘calling’. The researcher employed a qualitative method with an exploratory-descriptive research design. Ten participants were recruited by utilizing a purposive snowball sampling strategy. Data was collected using a semi-structured interview due to the sensitivity of the demographic of the study. Ethics were adhered to. Additionally, trustworthiness was guided by Lincoln and Guba’s (1985) four constructs: credibility, dependability, transferability, and confirmability. Thematic analysis was used as a means of data analysis, as presented by Braun and Clarke (2006). The themes identified were: The collateral damage/profuse repercussions cast upon by the ancestors due to inaction (either by them or those that case before them), the severity of the emotional and psychological effects is equally prevalent prior and during their journey of vi ubugqirha, methods that may assist in alleviating the emotional and psychological symptoms, understanding of mental health, awareness of their own mental health status, and help-seeking (psychological services). The main findings suggested that there is a general understanding of the term ‘mental health’ amongst amagqirha. Additionally, the findings revealed that amagqirha experienced emotional and psychological symptoms/effects, prior to and during the journey of ubugqirha - these were due to the lack of understanding and fear. Furthermore, the findings suggesting that amagqirha embarked on various help-seeking measures, i.e., seeking psychological services or leaning into seeking guidance from their ancestors. However, they were met with barriers as well, i.e., finding a mental health practitioner with awareness on African spirituality, and dealing with the stigma that comes with help-seeking. , Thesis (Ma) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 2023-12
- Authors: Ncapayi, Abongile
- Date: 2023-12
- Subjects: traditional healers , Indigenous Knowledge , Cultural religion
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/62947 , vital:73074
- Description: Indigenous knowledge systems influence mental health understanding and treatments. Amongst the Xhosa’s (amaXhosa), a person may receive a ‘calling’ from the ancestors, usually associated with symptoms that would be characterized as a mental illness. However, the symptoms experienced during the calling, usually dissipate once training has been received. One of the categories within traditional healers are amagqirha, also known as diviners. These are individuals who receive the ‘calling’. Thereafter, they undergo extensive training and become blessed with clairvoyant “powers” to divine and act as mediators between the living and the dead. This study aimed to explore the psychological and emotional understanding of amagqirha of the Xhosa culture, within the Eastern Cape, South Africa. In doing so, the study centralizes the experiences of individuals within cultural spaces, allowing for commentary on the psychological and emotional understanding of the amagqirha. Furthermore, this study focused on the work that amagqirha do in communities and how this ultimately affects them. This study sought to understand the experiences and perceptions of the individuals who are affected by this ‘calling’. The researcher employed a qualitative method with an exploratory-descriptive research design. Ten participants were recruited by utilizing a purposive snowball sampling strategy. Data was collected using a semi-structured interview due to the sensitivity of the demographic of the study. Ethics were adhered to. Additionally, trustworthiness was guided by Lincoln and Guba’s (1985) four constructs: credibility, dependability, transferability, and confirmability. Thematic analysis was used as a means of data analysis, as presented by Braun and Clarke (2006). The themes identified were: The collateral damage/profuse repercussions cast upon by the ancestors due to inaction (either by them or those that case before them), the severity of the emotional and psychological effects is equally prevalent prior and during their journey of vi ubugqirha, methods that may assist in alleviating the emotional and psychological symptoms, understanding of mental health, awareness of their own mental health status, and help-seeking (psychological services). The main findings suggested that there is a general understanding of the term ‘mental health’ amongst amagqirha. Additionally, the findings revealed that amagqirha experienced emotional and psychological symptoms/effects, prior to and during the journey of ubugqirha - these were due to the lack of understanding and fear. Furthermore, the findings suggesting that amagqirha embarked on various help-seeking measures, i.e., seeking psychological services or leaning into seeking guidance from their ancestors. However, they were met with barriers as well, i.e., finding a mental health practitioner with awareness on African spirituality, and dealing with the stigma that comes with help-seeking. , Thesis (Ma) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 2023-12
Exploring university level admissions decision-making based on access testing and undergraduate admissions variables
- Authors: Oakes, Elizabeth
- Date: 2023-12
- Subjects: decision-making , Social-Judgement Theory , Cognitive-Continuum TheoryLens Model Equation
- Language: English
- Type: Doctoral's theses , text
- Identifier: http://hdl.handle.net/10948/62969 , vital:73078
- Description: Decision-making is an essential everyday cognitive function. How people go about making judgements and decisions is difficult to pin down. The reason for this lies in the inherent nature of decision-making, which is uncertain and variable because decision-making is a human cognitive process that is context-dependent. However, the body of research on judgement and decision-making (JDM) is concerned with describing what people are 'actually' thinking, when they make decisions or judgements. This study applied the descriptive theories of the Social-Judgement Theory (SJT) and the Cognitive-Continuum Theory (CCT), in order to understand decision-making in an undergraduate, entry-level admission decision-making context, in which decision-makers used access testing and school results, to make admission decisions at Nelson Mandela University. The sample consisted of four consultants from the Centre for Access Assessment and Research (CAAR) who volunteered to participate in the study. While the sample was small, it was nonetheless deemed to be adequate as 57% of the consultants at CAAR were included in the sample. Using the SJT methodological approach, an experiment was conducted to mirror the real-life context of decision-making at CAAR. As CAAR consultants were used to test, and school results being presented on a profile when they made decisions, a sample of 120 of these was drawn from a repository, with 60 of them requiring decisions for degree admission (to B Com Accounting) and 60 for diploma admission (to the Diploma in Accountancy). Ten degree and 10 diploma profiles were duplicated to check for consistency in decision-making. As SJT suggests restricting the number of cues used, a process was instituted to identify the cues perceived to be used most frequently to make decisions at CAAR. This resulted in 5 cues being included on the cue profile. In Phase 1 of the experiment the CAAR consultants made admission decisions using a familiar cue profile in terms of how the information was presented visually and numerically. In phase 2 the information was presented using a different visual format, which was more closely aligned to the intuitive decision-making mode that most consultants used. A 2 x 2 within-subjects experimental design was thus employed with two independent variables, namely, profile type and program type. Descriptive statistics and correlational and regression analyses were used to describe the judgement policies of the consultants in terms of the time taken, the difficulty ratings, and the cue use and its importance). The indices of the Lens Model Equation (LME) of SJT were used to describe the decision-achievement levels, and the Task-Continuum Index (TCI) was computed to describe which cognitive modes were used. xvii The results revealed that decision-makers have unique, varied, and changeable judgement policies, with regard to the time taken, the perception of difficulty, and the decision outcomes and had a tendency to rely more on the school results, while the regression models derived indicated that test results made a stronger contribution to the decision outcome. The consultants found degree decisions easier than diploma decisions, and the consultants perceived the contribution and weighting of the cues somewhat differently, once the format of the cue profile had changed in Phase 2, although they made decisions more quickly in Phase 2. The decision-makers also displayed individualised patterns of decision achievement that differed for degree and diploma programs. Furthermore, in terms of the cognitive mode, decision-makers were thinking quasi-rationally and they largely used the cognitive modes of computer modelling or expert judgement. Thus, by synergistically using the two theories of JDM, the researcher was able to determine baseline information for understanding decision- making in an admission context. Furthermore, suggestions were made in terms of the nature of the feedback and training that could be provided to decision-makers to enhance their future decision-making. Suggestions were also made regarding how the methodology used and findings of this study could be applied in other contexts, such as when training students in psychological assessment. , Thesis (Ma) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 2023-12
- Authors: Oakes, Elizabeth
- Date: 2023-12
- Subjects: decision-making , Social-Judgement Theory , Cognitive-Continuum TheoryLens Model Equation
- Language: English
- Type: Doctoral's theses , text
- Identifier: http://hdl.handle.net/10948/62969 , vital:73078
- Description: Decision-making is an essential everyday cognitive function. How people go about making judgements and decisions is difficult to pin down. The reason for this lies in the inherent nature of decision-making, which is uncertain and variable because decision-making is a human cognitive process that is context-dependent. However, the body of research on judgement and decision-making (JDM) is concerned with describing what people are 'actually' thinking, when they make decisions or judgements. This study applied the descriptive theories of the Social-Judgement Theory (SJT) and the Cognitive-Continuum Theory (CCT), in order to understand decision-making in an undergraduate, entry-level admission decision-making context, in which decision-makers used access testing and school results, to make admission decisions at Nelson Mandela University. The sample consisted of four consultants from the Centre for Access Assessment and Research (CAAR) who volunteered to participate in the study. While the sample was small, it was nonetheless deemed to be adequate as 57% of the consultants at CAAR were included in the sample. Using the SJT methodological approach, an experiment was conducted to mirror the real-life context of decision-making at CAAR. As CAAR consultants were used to test, and school results being presented on a profile when they made decisions, a sample of 120 of these was drawn from a repository, with 60 of them requiring decisions for degree admission (to B Com Accounting) and 60 for diploma admission (to the Diploma in Accountancy). Ten degree and 10 diploma profiles were duplicated to check for consistency in decision-making. As SJT suggests restricting the number of cues used, a process was instituted to identify the cues perceived to be used most frequently to make decisions at CAAR. This resulted in 5 cues being included on the cue profile. In Phase 1 of the experiment the CAAR consultants made admission decisions using a familiar cue profile in terms of how the information was presented visually and numerically. In phase 2 the information was presented using a different visual format, which was more closely aligned to the intuitive decision-making mode that most consultants used. A 2 x 2 within-subjects experimental design was thus employed with two independent variables, namely, profile type and program type. Descriptive statistics and correlational and regression analyses were used to describe the judgement policies of the consultants in terms of the time taken, the difficulty ratings, and the cue use and its importance). The indices of the Lens Model Equation (LME) of SJT were used to describe the decision-achievement levels, and the Task-Continuum Index (TCI) was computed to describe which cognitive modes were used. xvii The results revealed that decision-makers have unique, varied, and changeable judgement policies, with regard to the time taken, the perception of difficulty, and the decision outcomes and had a tendency to rely more on the school results, while the regression models derived indicated that test results made a stronger contribution to the decision outcome. The consultants found degree decisions easier than diploma decisions, and the consultants perceived the contribution and weighting of the cues somewhat differently, once the format of the cue profile had changed in Phase 2, although they made decisions more quickly in Phase 2. The decision-makers also displayed individualised patterns of decision achievement that differed for degree and diploma programs. Furthermore, in terms of the cognitive mode, decision-makers were thinking quasi-rationally and they largely used the cognitive modes of computer modelling or expert judgement. Thus, by synergistically using the two theories of JDM, the researcher was able to determine baseline information for understanding decision- making in an admission context. Furthermore, suggestions were made in terms of the nature of the feedback and training that could be provided to decision-makers to enhance their future decision-making. Suggestions were also made regarding how the methodology used and findings of this study could be applied in other contexts, such as when training students in psychological assessment. , Thesis (Ma) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 2023-12
Honouring the Dead: The Psychological Consequences of the COVID-19 Lockdown Restrictions on Burial Practices and Rituals, amongst AmaXhosa from the Eastern Cape, South Africa
- Authors: Sibam-Twalo, Zimkhitha
- Date: 2023-12
- Subjects: Death and burial , COVID-19 Lockdown
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/63005 , vital:73081
- Description: Honouring the dead is upheld in religions and cultures across the world and embedded in rituals and rites of passage that must be adhered to. In many instances, religio-cultural beliefs synthesise or overlap, creating a mutual influence on the person. These religio-cultural rituals are symbolic and important for the living, but they are also equally important for the dead in order to ensure that their souls are returned to the source of their belief system. The COVID-19 lockdown restrictions in South Africa altered death ceremonies and rituals by limiting social gatherings to 50 people to ensure safety protocols like mask wearing and physical distancing. Additionally, family members were prohibited from interacting with the deceased’s body, including performing rituals like washing and dressing, to prevent virus spread. The resultant psychological consequences of these changes to burial practices have not been fully explored in the South African context, and given the importance rituals play, it becomes important to understand them. Studying the psychological consequences of the changes provided insights into individuals’ grief and loss coping in the absence of traditional burial rituals and practices. This is aimed at assisting with the development of interventions for mental health and well-being in future crises. The study explored the psychological consequences of COVID-19 lockdown restrictions on AmaXhosa burial practices and rituals in the Eastern Cape Province of South Africa. AmaXhosa have a rich cultural heritage that places great significance on death and burial rituals. These rituals serve as a way to honour and remember the deceased, provide closure for the bereaved, and maintain social cohesion within the community. The absence of these rituals during the COVID-19 lockdown had consequences for the AmaXhosa’s psychological and religio-cultural well-being. The exploration of their experiences was thus important because it shed light on the importance of these rituals and will help devise innovative ways to address their psychological needs during times of loss. The study utilised a qualitative method, conducting interviews with AmaXhosa aged 18 and older. Participants , Thesis (PhD) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 2023-12
- Authors: Sibam-Twalo, Zimkhitha
- Date: 2023-12
- Subjects: Death and burial , COVID-19 Lockdown
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/63005 , vital:73081
- Description: Honouring the dead is upheld in religions and cultures across the world and embedded in rituals and rites of passage that must be adhered to. In many instances, religio-cultural beliefs synthesise or overlap, creating a mutual influence on the person. These religio-cultural rituals are symbolic and important for the living, but they are also equally important for the dead in order to ensure that their souls are returned to the source of their belief system. The COVID-19 lockdown restrictions in South Africa altered death ceremonies and rituals by limiting social gatherings to 50 people to ensure safety protocols like mask wearing and physical distancing. Additionally, family members were prohibited from interacting with the deceased’s body, including performing rituals like washing and dressing, to prevent virus spread. The resultant psychological consequences of these changes to burial practices have not been fully explored in the South African context, and given the importance rituals play, it becomes important to understand them. Studying the psychological consequences of the changes provided insights into individuals’ grief and loss coping in the absence of traditional burial rituals and practices. This is aimed at assisting with the development of interventions for mental health and well-being in future crises. The study explored the psychological consequences of COVID-19 lockdown restrictions on AmaXhosa burial practices and rituals in the Eastern Cape Province of South Africa. AmaXhosa have a rich cultural heritage that places great significance on death and burial rituals. These rituals serve as a way to honour and remember the deceased, provide closure for the bereaved, and maintain social cohesion within the community. The absence of these rituals during the COVID-19 lockdown had consequences for the AmaXhosa’s psychological and religio-cultural well-being. The exploration of their experiences was thus important because it shed light on the importance of these rituals and will help devise innovative ways to address their psychological needs during times of loss. The study utilised a qualitative method, conducting interviews with AmaXhosa aged 18 and older. Participants , Thesis (PhD) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 2023-12
Isadora duncan: An instrumental case study
- Authors: Volker,Lauren
- Date: 2023-12
- Subjects: Analytical Psychology , Psychology of women
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/63038 , vital:73084
- Description: The study is an instrumental case study of Isadora Duncan (1877 - 1927). She was a pioneer of modern dance as she developed her unique style of dance that was free-flowing and natural. She further developed her own dance philosophy, which drew the attention of many as its archetypal dancer was a woman who embodied a space that was equal and free. She was not only revolutionary in her unique dance style but also for her strong beliefs. Isadora Duncan believed in anti-marriage, bearing children out of wedlock, and fighting for the emancipation of women where she used dance, her philosophy and post-performance lectures to communicate her thoughts and beliefs. An Instrumental case study is a qualitative method of enquiry, which entails researching an event or individual as a means of providing or gaining insight into a particular phenomenon. Similar to that of a psychobiography, the individual subject can be explored through the lens of a psychological theory for the purpose of creating a coherent psychological case study. The psychoanalytical lens of Carl Jung was used to explore and describe certain aspects of the life and work of Isadora Duncan. The subfield of the Psychology of Women provides a contextual description for the challenges that women faced in the past and in the present, and additionally presents the primary aim of the proposed study. Isadora Duncan was chosen due to her unique dance movement, both literally and figuratively as she developed her ability in giving voice to those emotions that women often kept hidden. She lived during significant times which included radical transformations that brought about noticeable change politically, socially, and culturally. Despite the reformative motions, it did not dismiss its own challenges especially for women. Women faced a constant struggle for freedom from oppression, community rights and gender equality, and Isadora Duncan was no exception to these challenges. Extensive biographical information data was collected and processed into salient features. The study integrates the theory of Carl Jung, the life and dance philosophy of Isadora Duncan and the v challenges faced by women over the centuries and demonstrates the value of using an instrumental case study as a method of inquiry into the exploration of a unique individual. The Psychology of Women provides an understanding of how those past challenges may still be modern-day concerns for the psychology of women today. The findings of the study demonstrated that Isadora Duncan was a unique and innovate women who pushed the boundaries socially. She was determined to perform her unique dance style in times that required women to conform to the cultural expectations. However, in times of trouble and despair, she was able to turn to dance as the individual and collective voice. The contribution of the study rests with its demonstration of the value of a holistic and reflexive exploration of a unique individual woman. It demonstrates the value and application of Jung’s in-depth theoretical understanding of the archetypes in human behaviour and the use of dance as a healing process for psychologically wounded women. Therefore, specific reference to the true inner voice of women allows insight into how clinicians might assist female clients who struggle to release their true inner voice. Furthermore, the study contributes to building knowledge of the challenges that women face in society and allows for future research of exploring integrative theoretical frameworks in understanding the healing of psychologically fragmented women in the 21st century. , Thesis (Ma) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 2023-12
- Authors: Volker,Lauren
- Date: 2023-12
- Subjects: Analytical Psychology , Psychology of women
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/63038 , vital:73084
- Description: The study is an instrumental case study of Isadora Duncan (1877 - 1927). She was a pioneer of modern dance as she developed her unique style of dance that was free-flowing and natural. She further developed her own dance philosophy, which drew the attention of many as its archetypal dancer was a woman who embodied a space that was equal and free. She was not only revolutionary in her unique dance style but also for her strong beliefs. Isadora Duncan believed in anti-marriage, bearing children out of wedlock, and fighting for the emancipation of women where she used dance, her philosophy and post-performance lectures to communicate her thoughts and beliefs. An Instrumental case study is a qualitative method of enquiry, which entails researching an event or individual as a means of providing or gaining insight into a particular phenomenon. Similar to that of a psychobiography, the individual subject can be explored through the lens of a psychological theory for the purpose of creating a coherent psychological case study. The psychoanalytical lens of Carl Jung was used to explore and describe certain aspects of the life and work of Isadora Duncan. The subfield of the Psychology of Women provides a contextual description for the challenges that women faced in the past and in the present, and additionally presents the primary aim of the proposed study. Isadora Duncan was chosen due to her unique dance movement, both literally and figuratively as she developed her ability in giving voice to those emotions that women often kept hidden. She lived during significant times which included radical transformations that brought about noticeable change politically, socially, and culturally. Despite the reformative motions, it did not dismiss its own challenges especially for women. Women faced a constant struggle for freedom from oppression, community rights and gender equality, and Isadora Duncan was no exception to these challenges. Extensive biographical information data was collected and processed into salient features. The study integrates the theory of Carl Jung, the life and dance philosophy of Isadora Duncan and the v challenges faced by women over the centuries and demonstrates the value of using an instrumental case study as a method of inquiry into the exploration of a unique individual. The Psychology of Women provides an understanding of how those past challenges may still be modern-day concerns for the psychology of women today. The findings of the study demonstrated that Isadora Duncan was a unique and innovate women who pushed the boundaries socially. She was determined to perform her unique dance style in times that required women to conform to the cultural expectations. However, in times of trouble and despair, she was able to turn to dance as the individual and collective voice. The contribution of the study rests with its demonstration of the value of a holistic and reflexive exploration of a unique individual woman. It demonstrates the value and application of Jung’s in-depth theoretical understanding of the archetypes in human behaviour and the use of dance as a healing process for psychologically wounded women. Therefore, specific reference to the true inner voice of women allows insight into how clinicians might assist female clients who struggle to release their true inner voice. Furthermore, the study contributes to building knowledge of the challenges that women face in society and allows for future research of exploring integrative theoretical frameworks in understanding the healing of psychologically fragmented women in the 21st century. , Thesis (Ma) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 2023-12
Knowledge, attitudes and practices of municipal workers regarding occupational health and safety in the garden route district municipality, Western Cape
- Authors: Shoto, Khanyisa
- Date: 2023-12
- Subjects: Occupational health and safety , Personal protective equipment
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/62991 , vital:73080
- Description: Background: Workers accidents at work have been demonstrated to be increasingly common and expensive, particularly in developing nations like South Africa. The failure of employers and employees to support and comply to (OHS) regulations measures frequently leads to injuries and accidents that are extremely expensive for both the employer and employees. Regardless of South African legislations that aim to prevent accidents and injuries, scourging statistics of industrial accidents are still a characteristic of OHS. Objectives: This study investigates knowledge gaps, attitude, and the practice of municipal workers regarding OHS at Garden Route District Municipality (GRDM) in the Western Cape Province of South Africa. Methodology: Quantitative approach was taken, and questionnaires were administered to 188 workers employed by the GRDM. A probability sampling method of stratified sampling method was utilised. Results: This study concluded that the workers of the GRDM are knowledgeable about OHS in their workplaces and that municipal workers positively perceive OHS issues in their workplaces. The main reason for this positive perception is because of the management support that the workers receive from the GRDM with regards to OHS matters. Furthermore most workers positively perceived OHS protocols and measures undertaken at the GRDM. Statistical tests proved that the municipal workers who positively perceived OHS protocols and measures were significantly higher (p< 0.05) than those that negatively perceived OHS protocols. Conclusion: The study revealed that GRDM workers were knowledgeable on OHS protocols. This was because of the support that they get from their employer as well as personal health and safety concerns. They positively perceived the OSH measures that are put in place to prevent accidents and injuries. It is only an insignificant percentage of individuals that disagreed with some of the OHS measures and protocols. This study contributes immeasurably to academic research in the field of OHS and extends knowledge that relates workers’ perceptions, safety awareness, as well as workers’ adherence to safety and behaviour. , Thesis (Ma) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 2023-12
- Authors: Shoto, Khanyisa
- Date: 2023-12
- Subjects: Occupational health and safety , Personal protective equipment
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/62991 , vital:73080
- Description: Background: Workers accidents at work have been demonstrated to be increasingly common and expensive, particularly in developing nations like South Africa. The failure of employers and employees to support and comply to (OHS) regulations measures frequently leads to injuries and accidents that are extremely expensive for both the employer and employees. Regardless of South African legislations that aim to prevent accidents and injuries, scourging statistics of industrial accidents are still a characteristic of OHS. Objectives: This study investigates knowledge gaps, attitude, and the practice of municipal workers regarding OHS at Garden Route District Municipality (GRDM) in the Western Cape Province of South Africa. Methodology: Quantitative approach was taken, and questionnaires were administered to 188 workers employed by the GRDM. A probability sampling method of stratified sampling method was utilised. Results: This study concluded that the workers of the GRDM are knowledgeable about OHS in their workplaces and that municipal workers positively perceive OHS issues in their workplaces. The main reason for this positive perception is because of the management support that the workers receive from the GRDM with regards to OHS matters. Furthermore most workers positively perceived OHS protocols and measures undertaken at the GRDM. Statistical tests proved that the municipal workers who positively perceived OHS protocols and measures were significantly higher (p< 0.05) than those that negatively perceived OHS protocols. Conclusion: The study revealed that GRDM workers were knowledgeable on OHS protocols. This was because of the support that they get from their employer as well as personal health and safety concerns. They positively perceived the OSH measures that are put in place to prevent accidents and injuries. It is only an insignificant percentage of individuals that disagreed with some of the OHS measures and protocols. This study contributes immeasurably to academic research in the field of OHS and extends knowledge that relates workers’ perceptions, safety awareness, as well as workers’ adherence to safety and behaviour. , Thesis (Ma) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 2023-12
Knowledge, attitudes and practices regarding social media as a teaching strategy at a public nursing college in Limpopo province
- Authors: Halala, Pfukani Symantha
- Date: 2023-12
- Subjects: Nurse educators , Teaching strategy
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/62849 , vital:73057
- Description: The emergence of social media (SM) in the academic arena has demonstrated the potential for innovation in teaching and learning. Moreover, its appeal is enhanced by its accessibility and affordability. Consequently, the use of SM has increased globally and has influenced interaction and socialisation amongst educators and learners. In addition, SM has affected learning and how educators teach and collaborate with learners when constructing knowledge in higher education settings. However, despite its advantages, nurse educators' use of SM is less than optimal in teaching. Therefore, the study aimed to explore nurse educators' knowledge, attitudes and practices regarding the use of SM as a teaching strategy at a public nursing college in the province of Limpopo, South Africa. The research design employed for this study was quantitative, explorative, descriptive and contextual, and Roger’s diffusion of innovation theory underpinned the study. Stratified, proportionate sampling was used to select the nurse educators who were respondents to the study’s survey via a questionnaire as the data collection instrument. An educator as a specialist in the use of SM, a statistician and the study supervisors reviewed the questionnaire. A pilot study was conducted to check the validity and reliability of the data collection instrument. Data gathered through the survey was statistically analysed to produce descriptive statistics. The researcher adhered to the ethical principles of respect, beneficence, and justice. The research results indicated that the nurse educators in the study were knowledgeable about SM platforms. Moreover, although they had a positive attitude towards incorporating SM as a teaching strategy. Therefore, based on the research results, recommendations were to facilitate the use of SM as a teaching strategy. , Thesis (Ma) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 2023-12
- Authors: Halala, Pfukani Symantha
- Date: 2023-12
- Subjects: Nurse educators , Teaching strategy
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/62849 , vital:73057
- Description: The emergence of social media (SM) in the academic arena has demonstrated the potential for innovation in teaching and learning. Moreover, its appeal is enhanced by its accessibility and affordability. Consequently, the use of SM has increased globally and has influenced interaction and socialisation amongst educators and learners. In addition, SM has affected learning and how educators teach and collaborate with learners when constructing knowledge in higher education settings. However, despite its advantages, nurse educators' use of SM is less than optimal in teaching. Therefore, the study aimed to explore nurse educators' knowledge, attitudes and practices regarding the use of SM as a teaching strategy at a public nursing college in the province of Limpopo, South Africa. The research design employed for this study was quantitative, explorative, descriptive and contextual, and Roger’s diffusion of innovation theory underpinned the study. Stratified, proportionate sampling was used to select the nurse educators who were respondents to the study’s survey via a questionnaire as the data collection instrument. An educator as a specialist in the use of SM, a statistician and the study supervisors reviewed the questionnaire. A pilot study was conducted to check the validity and reliability of the data collection instrument. Data gathered through the survey was statistically analysed to produce descriptive statistics. The researcher adhered to the ethical principles of respect, beneficence, and justice. The research results indicated that the nurse educators in the study were knowledgeable about SM platforms. Moreover, although they had a positive attitude towards incorporating SM as a teaching strategy. Therefore, based on the research results, recommendations were to facilitate the use of SM as a teaching strategy. , Thesis (Ma) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 2023-12
Psychobiographical study of Daisy De Melker
- Authors: Moodley, Kerisha
- Date: 2023-12
- Subjects: Psychobiographical study , Antisocial , Personality dynamics
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/62913 , vital:73067
- Description: Daisy Louisa C. de Melker, born on 1 June 1886, was a qualified nurse who is famously known to have poisoned two husbands with strychnine in order to receive life insurance money while living in Turffontein, Johannesburg. Later on, she poisoned her only son with arsenic for reasons which are still unclear, and he passed away soon after. She is notoriously known in history to be the second woman to have been hanged in South Africa due to receiving the death penalty. The primary aim of the study is to explore the life of de Melker to gain an understanding of her personality development, with the aim of acquiring insight into the motivation behind her behaviour. The secondary aim includes exploring apparent Cluster B personality traits. The study is exploratory-descriptive in nature and the subject was chosen through purposive sampling. The study uses a qualitative, psycho-biographical, single-case research design to study De Melker, in order to explore and describe the personality development of her from the theoretical perspectives of Kernberg’s Object Relations Theory. This specific theory was chosen as it allowed the researcher to explore Daisy de Melker’s early childhood and upbringing that impacted the formation of ‘internal representations’ of herself and other people. The theory suggests that when there is a lack of integration of object relations, which is made up of internal and external representations, it may result in the development of a personality disorder, as it places a focus on relationships being more crucial to personality development than individual drives and abilities. Data was collected by triangulating multiple sources of information. Miles and Huberman’s (1994) strategy were used to analyse the data according to three steps, which include data reduction, data display, and conclusion drawing and verification. The significance of doing a psychobiography study lies in merging of personality psychology and historical evidence which represents a growing field in the realm of biography and provides insight into personality development through a theoretical framework. , Thesis (Ma) -- Faculty of Health Science. 2023
- Full Text:
- Date Issued: 2023-12
- Authors: Moodley, Kerisha
- Date: 2023-12
- Subjects: Psychobiographical study , Antisocial , Personality dynamics
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/62913 , vital:73067
- Description: Daisy Louisa C. de Melker, born on 1 June 1886, was a qualified nurse who is famously known to have poisoned two husbands with strychnine in order to receive life insurance money while living in Turffontein, Johannesburg. Later on, she poisoned her only son with arsenic for reasons which are still unclear, and he passed away soon after. She is notoriously known in history to be the second woman to have been hanged in South Africa due to receiving the death penalty. The primary aim of the study is to explore the life of de Melker to gain an understanding of her personality development, with the aim of acquiring insight into the motivation behind her behaviour. The secondary aim includes exploring apparent Cluster B personality traits. The study is exploratory-descriptive in nature and the subject was chosen through purposive sampling. The study uses a qualitative, psycho-biographical, single-case research design to study De Melker, in order to explore and describe the personality development of her from the theoretical perspectives of Kernberg’s Object Relations Theory. This specific theory was chosen as it allowed the researcher to explore Daisy de Melker’s early childhood and upbringing that impacted the formation of ‘internal representations’ of herself and other people. The theory suggests that when there is a lack of integration of object relations, which is made up of internal and external representations, it may result in the development of a personality disorder, as it places a focus on relationships being more crucial to personality development than individual drives and abilities. Data was collected by triangulating multiple sources of information. Miles and Huberman’s (1994) strategy were used to analyse the data according to three steps, which include data reduction, data display, and conclusion drawing and verification. The significance of doing a psychobiography study lies in merging of personality psychology and historical evidence which represents a growing field in the realm of biography and provides insight into personality development through a theoretical framework. , Thesis (Ma) -- Faculty of Health Science. 2023
- Full Text:
- Date Issued: 2023-12
Study on the Isixhosa elder’s perspective on mental illness in buffalo city municipality, Eastern Cape, South Africa
- Bam, Zimkhitha Yolisa Nokubulela
- Authors: Bam, Zimkhitha Yolisa Nokubulela
- Date: 2023-12
- Subjects: Xhosa language -- Eastern Cape , Mental illness
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/62827 , vital:73046
- Description: Generally, the elders in the family are usually responsible for their families, including the care and socialisation of younger members. With the increasing number of mental illness cases being reported, not only in South Africa but the rest of the world, it is imperative to explore what the elderly understand about mental illnesses, given that they may have insights that might be useful. This study aimed to explore the perceptions of elderly members in the isiXhosa community of the Buffalo City Metropolitan Municipality in the Eastern Cape province, regarding their understanding of mental illnesses. The researcher employed an exploratory-descriptive, qualitative design and adopted Lincoln and Guba’s model of trustworthiness. Participants were recruited through the use of snowball and purposive sampling and the data was gathered through one-on-one interviews conducted with elderly isiXhosa individuals. Thematic analysis was used as a means of data analysis, by following data analysis method by Braun and Clarke. The following themes were identified during the study; Limited understanding about mental illness, varied causes of mental illness and a generationally linked understanding of mental illness. The findings reflected the participants understanding of what mental illness is and the causes of it and suggest that more research is required to understand the cultural influences on perceptions of mental illness. , Thesis (Ma) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 2023-12
- Authors: Bam, Zimkhitha Yolisa Nokubulela
- Date: 2023-12
- Subjects: Xhosa language -- Eastern Cape , Mental illness
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/62827 , vital:73046
- Description: Generally, the elders in the family are usually responsible for their families, including the care and socialisation of younger members. With the increasing number of mental illness cases being reported, not only in South Africa but the rest of the world, it is imperative to explore what the elderly understand about mental illnesses, given that they may have insights that might be useful. This study aimed to explore the perceptions of elderly members in the isiXhosa community of the Buffalo City Metropolitan Municipality in the Eastern Cape province, regarding their understanding of mental illnesses. The researcher employed an exploratory-descriptive, qualitative design and adopted Lincoln and Guba’s model of trustworthiness. Participants were recruited through the use of snowball and purposive sampling and the data was gathered through one-on-one interviews conducted with elderly isiXhosa individuals. Thematic analysis was used as a means of data analysis, by following data analysis method by Braun and Clarke. The following themes were identified during the study; Limited understanding about mental illness, varied causes of mental illness and a generationally linked understanding of mental illness. The findings reflected the participants understanding of what mental illness is and the causes of it and suggest that more research is required to understand the cultural influences on perceptions of mental illness. , Thesis (Ma) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 2023-12
The coping experiences of healthcare workers during covid-19 pandemic in the Nelson Mandela Bay health district
- Authors: Matsolo, Vuyiswa
- Date: 2023-12
- Subjects: Medical personnel -- Nelson Mandela Bay , COVID-19 pandemic
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/62871 , vital:73061
- Description: COVID-19 increased in prevalence in 2019 and was declared a pandemic in 2020 by the World Health Organisation (WHO). The pandemic arrived in South Africa in March 2020, and drastically impacted the country. One such impact was to healthcare workers, who had contact with COVID-19 patients on an ongoing basis. Increasing pressure was placed on healthcare workers, and they needed to cope with the demands placed on them during the pandemic. The study aimed to explore and describe the coping experiences of healthcare workers during the COVID-19 pandemic in the Nelson Mandela Bay Health District. To meet this aim, a qualitative explorative descriptive research design was used. Data was collected using individual, semi-structured interviews, with a sample of 10 healthcare workers in the Nelson Mandela Bay Health District. The data was analysed using Braun and Clarke’s (2006) Reflexive Thematic Analysis and the trustworthiness of the study was ensured through Guba’s (1985) model of data verification. Social Constructionism was used as a theoretical framework to conceptualise the findings that emerged from the participants within their socio-historical context. Participants shared their coping experiences which were different from the other but shared particular themes. Participants made use a combination of problem, emotion and meaning focused coping strategies during the peaks while utilising predominantly problem focused coping strategies during the lulls. It became apparent that there were differences in coping in terms of the lulls and the peaks with peaks producing fear and anxiety, while lulls bringing a sense of relief. , Thesis (Ma) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 2023-12
- Authors: Matsolo, Vuyiswa
- Date: 2023-12
- Subjects: Medical personnel -- Nelson Mandela Bay , COVID-19 pandemic
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/62871 , vital:73061
- Description: COVID-19 increased in prevalence in 2019 and was declared a pandemic in 2020 by the World Health Organisation (WHO). The pandemic arrived in South Africa in March 2020, and drastically impacted the country. One such impact was to healthcare workers, who had contact with COVID-19 patients on an ongoing basis. Increasing pressure was placed on healthcare workers, and they needed to cope with the demands placed on them during the pandemic. The study aimed to explore and describe the coping experiences of healthcare workers during the COVID-19 pandemic in the Nelson Mandela Bay Health District. To meet this aim, a qualitative explorative descriptive research design was used. Data was collected using individual, semi-structured interviews, with a sample of 10 healthcare workers in the Nelson Mandela Bay Health District. The data was analysed using Braun and Clarke’s (2006) Reflexive Thematic Analysis and the trustworthiness of the study was ensured through Guba’s (1985) model of data verification. Social Constructionism was used as a theoretical framework to conceptualise the findings that emerged from the participants within their socio-historical context. Participants shared their coping experiences which were different from the other but shared particular themes. Participants made use a combination of problem, emotion and meaning focused coping strategies during the peaks while utilising predominantly problem focused coping strategies during the lulls. It became apparent that there were differences in coping in terms of the lulls and the peaks with peaks producing fear and anxiety, while lulls bringing a sense of relief. , Thesis (Ma) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 2023-12
The intimate relationships of Xhosa men from the East London area: perceptions of the role and responsibilities
- Authors: Ntsaka, Ayanda
- Date: 2023-12
- Subjects: Intimate relationship , Indigenous Knowledge
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/62958 , vital:73076
- Description: Exploring gender identity and ideology can broaden our comprehension of how gender roles and responsibilities are carried out, and how disparities may be experienced. It is critical to explore them, within research, to generate new insight into the views and positioning of individuals, within their intimate relationships. Therefore, the aim of this study was to explore and describe the perceptions of isiXhosa men about their roles and responsibilities in intimate relationships. The study was broken down into three objectives which were: to explore perceptions of their role within their relationship, to explore their perceptions of their responsibilities within their relationship; and to explore factors supporting change within the roles and responsibilities. The study took the format of an exploratory descriptive research design. Ten Xhosa men were selected as participants using snowball sampling, and semi-structured interviews were used to gather data. Data was analysed using Braune and Clarke’s (2006) reflexive thematic analysis. The study came to the conclusion that there are two main roles of Xhosa men in intimate relationship, namely: head of the house; and the provider. Three dominant responsibilities were found to be common among the participants, namely, making all main decisions, providing financial support, and responsibility to safeguard. The study also found factors causing Xhosa men to change their roles and responsibilities in intimate relationsh were unemployment, disrespectful partner, extended family needs, demanding job and inadequate income from work. Lastly, the study concluded that the extent to which the changes of the roles and responsibilities among Xhosa men may affect their intimate relationships include break-ups/divorce, domestic violence, dysfunctional families – fragmentation of families and mental and emotional health issues. , Thesis (Ma) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 2023-12
- Authors: Ntsaka, Ayanda
- Date: 2023-12
- Subjects: Intimate relationship , Indigenous Knowledge
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/62958 , vital:73076
- Description: Exploring gender identity and ideology can broaden our comprehension of how gender roles and responsibilities are carried out, and how disparities may be experienced. It is critical to explore them, within research, to generate new insight into the views and positioning of individuals, within their intimate relationships. Therefore, the aim of this study was to explore and describe the perceptions of isiXhosa men about their roles and responsibilities in intimate relationships. The study was broken down into three objectives which were: to explore perceptions of their role within their relationship, to explore their perceptions of their responsibilities within their relationship; and to explore factors supporting change within the roles and responsibilities. The study took the format of an exploratory descriptive research design. Ten Xhosa men were selected as participants using snowball sampling, and semi-structured interviews were used to gather data. Data was analysed using Braune and Clarke’s (2006) reflexive thematic analysis. The study came to the conclusion that there are two main roles of Xhosa men in intimate relationship, namely: head of the house; and the provider. Three dominant responsibilities were found to be common among the participants, namely, making all main decisions, providing financial support, and responsibility to safeguard. The study also found factors causing Xhosa men to change their roles and responsibilities in intimate relationsh were unemployment, disrespectful partner, extended family needs, demanding job and inadequate income from work. Lastly, the study concluded that the extent to which the changes of the roles and responsibilities among Xhosa men may affect their intimate relationships include break-ups/divorce, domestic violence, dysfunctional families – fragmentation of families and mental and emotional health issues. , Thesis (Ma) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 2023-12
Traditional birth attendants’ perceptions of their role in caring for women during childbirth in the Nyandeni sub-district
- Authors: Sinxi, Sisanda
- Date: 2023-12
- Subjects: Traditional Birth , Midwives--Nyandeni sub district
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/63012 , vital:73082
- Description: The role of Traditional Birth Attendants (TBAs) has been within remote communities for a long time. TBAs remain a major health resource in rural communities in developing countries as well as in some parts of urban areas. South Africa is a long way from effectively utilising TBAs as a community resource to enhance access to maternity services. This qualitative study, with an explorative, contextual, and descriptive design, included ten (n=12) TBAs aged between 38 and 56 years who met the inclusion criteria and were interviewed for the study. The objective of the study was to explore and describe TBAs’ perceptions of their role in caring for women during childbirth in the Nyandeni Sub-district. Data for this study was collected using face-to- face and individual semi-structured interviews, and field notes. Recorded data was transcribed verbatim and analysed using thematic analysis. Three main themes emerged, namely: TBAs perceive their role in caring for women as an essential service to women in the community; they believe that they possess the knowledge to conduct deliveries safely; and acknowledge that collaboration with the Department of Health could strengthen rural midwifery services. , Thesis (Ma) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 2023-12
- Authors: Sinxi, Sisanda
- Date: 2023-12
- Subjects: Traditional Birth , Midwives--Nyandeni sub district
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/63012 , vital:73082
- Description: The role of Traditional Birth Attendants (TBAs) has been within remote communities for a long time. TBAs remain a major health resource in rural communities in developing countries as well as in some parts of urban areas. South Africa is a long way from effectively utilising TBAs as a community resource to enhance access to maternity services. This qualitative study, with an explorative, contextual, and descriptive design, included ten (n=12) TBAs aged between 38 and 56 years who met the inclusion criteria and were interviewed for the study. The objective of the study was to explore and describe TBAs’ perceptions of their role in caring for women during childbirth in the Nyandeni Sub-district. Data for this study was collected using face-to- face and individual semi-structured interviews, and field notes. Recorded data was transcribed verbatim and analysed using thematic analysis. Three main themes emerged, namely: TBAs perceive their role in caring for women as an essential service to women in the community; they believe that they possess the knowledge to conduct deliveries safely; and acknowledge that collaboration with the Department of Health could strengthen rural midwifery services. , Thesis (Ma) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 2023-12
Food addiction treatment: a systematic review
- Authors: Terblanche, Anchen
- Date: 20223-12
- Subjects: Food addiction , obesity
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/63026 , vital:73083
- Description: The proposed study sought to explore what treatments are available for food addiction, by means of systematically reviewing the existing literature. Although food addiction does not have a formal definition in the Diagnostic and Statistical Manual of Mental Disorders-V, it has many similarities to substance abuse and has been frequently associated with general, as well as eating disorder-related psychopathology. Exploring the concept of food addiction and the range of treatments available allows for furthering our knowledge of the Food Addiction phenomenon. This systematic review is a synthesis of available research that will aid healthcare practitioners to review what treatments are available for food addiction and what possible referrals can be made. This study critically analysed relevant literature from databases such as EBSCOhost, SAGE Publications, JSTOR, APA PsychINFO and Science Direct consisting of journal articles published in English on food addiction treatment. The researcher followed Uman’s (2011) eight steps for writing a systematic review. The steps proposed by Holly et al. (2011) guided the search strategy to identify relevant studies. The findings of the study will assist practitioners in their understanding of treatment options for food addiction. Treatments that are discussed that is non-psychological are: Transcranial Magnetic Stimulation (TMS), pharmacotherapy, surgery, acupuncture, and ketogenic diets. Treatments that are psychological that were discussed are: Cognitive Behavioural Therapy (CBT), Dialectal Behaviour Therapy (DBT), Acceptance and Commitment Therapy (ACT), Interpersonal Therapy, Mindfulness Interventions, Motivational Interviewing, harm reduction and 12-step self-help groups such as Overeaters Anonymous (OA). Combinations of different treatments are also discussed. , Thesis (Ma) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 20223-12
- Authors: Terblanche, Anchen
- Date: 20223-12
- Subjects: Food addiction , obesity
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10948/63026 , vital:73083
- Description: The proposed study sought to explore what treatments are available for food addiction, by means of systematically reviewing the existing literature. Although food addiction does not have a formal definition in the Diagnostic and Statistical Manual of Mental Disorders-V, it has many similarities to substance abuse and has been frequently associated with general, as well as eating disorder-related psychopathology. Exploring the concept of food addiction and the range of treatments available allows for furthering our knowledge of the Food Addiction phenomenon. This systematic review is a synthesis of available research that will aid healthcare practitioners to review what treatments are available for food addiction and what possible referrals can be made. This study critically analysed relevant literature from databases such as EBSCOhost, SAGE Publications, JSTOR, APA PsychINFO and Science Direct consisting of journal articles published in English on food addiction treatment. The researcher followed Uman’s (2011) eight steps for writing a systematic review. The steps proposed by Holly et al. (2011) guided the search strategy to identify relevant studies. The findings of the study will assist practitioners in their understanding of treatment options for food addiction. Treatments that are discussed that is non-psychological are: Transcranial Magnetic Stimulation (TMS), pharmacotherapy, surgery, acupuncture, and ketogenic diets. Treatments that are psychological that were discussed are: Cognitive Behavioural Therapy (CBT), Dialectal Behaviour Therapy (DBT), Acceptance and Commitment Therapy (ACT), Interpersonal Therapy, Mindfulness Interventions, Motivational Interviewing, harm reduction and 12-step self-help groups such as Overeaters Anonymous (OA). Combinations of different treatments are also discussed. , Thesis (Ma) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 20223-12
Spousal experiences of living with a gambling disordered partner and intimate partner violence in South Africa: a grounded theory study
- Authors: Oppelt, Thelma
- Date: 20223-12
- Subjects: Gambling and crime -- South Africa , Gambling Disordered
- Language: English
- Type: Doctoral's theses , text
- Identifier: http://hdl.handle.net/10948/62980 , vital:73079
- Description: I have been motivated to conduct this research on a professional and personal level. As an only child, I grew up with individuals who gambled every day of their lives, and the spouses/partners who struggled with being labelled by society as weak to stay with them. Furthermore, I have personal insights into the Intimate Partner Violence (IPV) stories of the women, having been tagged along with my mother who worked at a women’s support centre in our community. I can appreciate the help that these women provide to each other and the perspectives they lend to this study. The insights I bring from my personal experiences have assisted me in making a personal connection with this research area. I became the first in my family to attend university, even though my father was a cleaner and never completed high school. I performed well as an undergraduate and completed my first degree, with Psychology as a major. My master’s degree challenged me to look at spouses’ experiences of the psychological and financial trauma of living with a male gambling disordered partner, and out of it the doctoral thesis of Intimate Partner Violence as a specific form of violence in a gambling disordered relationship was formed. I worked as a researcher for five years at the Human Sciences Research Council (HSRC). At the HSRC I had come to realise that I had to find a solution for my difficulty in working on projects far removed from Psychology or human interactions. I was always the first person to be nominated to do qualitative interviews and analyse the data, but all in fields far removed from my chosen field of study. However, I do appreciate that if I had not done all those projects, I would not have been ready to embark on my PhD journey. Upon leaving the HSRC, I started as the Senior Programmes and Safe House Manager at a not-for-profit organisation. I do not think that I would have been able to do justice to the stories that many of the individuals have described in this research study, without xvii working for an organisation that advocates for the safety of individuals who find themselves in such circumstances. On a personal level, even though I have never gambled in my life, I believe that gambling is a personal choice. I have volunteered at sober living homes and have seen some of the problems that spouses and their families experience. Because of my own experiences, I decided that the topic for my PhD thesis could explore the way Intimate Partner Violence is socially constructed and the implications of being the spouse of someone who is challenged by a gambling disorder. , Thesis (PHD) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 20223-12
- Authors: Oppelt, Thelma
- Date: 20223-12
- Subjects: Gambling and crime -- South Africa , Gambling Disordered
- Language: English
- Type: Doctoral's theses , text
- Identifier: http://hdl.handle.net/10948/62980 , vital:73079
- Description: I have been motivated to conduct this research on a professional and personal level. As an only child, I grew up with individuals who gambled every day of their lives, and the spouses/partners who struggled with being labelled by society as weak to stay with them. Furthermore, I have personal insights into the Intimate Partner Violence (IPV) stories of the women, having been tagged along with my mother who worked at a women’s support centre in our community. I can appreciate the help that these women provide to each other and the perspectives they lend to this study. The insights I bring from my personal experiences have assisted me in making a personal connection with this research area. I became the first in my family to attend university, even though my father was a cleaner and never completed high school. I performed well as an undergraduate and completed my first degree, with Psychology as a major. My master’s degree challenged me to look at spouses’ experiences of the psychological and financial trauma of living with a male gambling disordered partner, and out of it the doctoral thesis of Intimate Partner Violence as a specific form of violence in a gambling disordered relationship was formed. I worked as a researcher for five years at the Human Sciences Research Council (HSRC). At the HSRC I had come to realise that I had to find a solution for my difficulty in working on projects far removed from Psychology or human interactions. I was always the first person to be nominated to do qualitative interviews and analyse the data, but all in fields far removed from my chosen field of study. However, I do appreciate that if I had not done all those projects, I would not have been ready to embark on my PhD journey. Upon leaving the HSRC, I started as the Senior Programmes and Safe House Manager at a not-for-profit organisation. I do not think that I would have been able to do justice to the stories that many of the individuals have described in this research study, without xvii working for an organisation that advocates for the safety of individuals who find themselves in such circumstances. On a personal level, even though I have never gambled in my life, I believe that gambling is a personal choice. I have volunteered at sober living homes and have seen some of the problems that spouses and their families experience. Because of my own experiences, I decided that the topic for my PhD thesis could explore the way Intimate Partner Violence is socially constructed and the implications of being the spouse of someone who is challenged by a gambling disorder. , Thesis (PHD) -- Faculty of Health Science, 2023
- Full Text:
- Date Issued: 20223-12