Integrating spirituality and psychotherapy : experiences of a sample of terminally ill patients
- Chemane, Bonginkosi Reginald
- Authors: Chemane, Bonginkosi Reginald
- Date: 2013-07-15
- Subjects: Psychotherapy Terminal care -- South Africa -- Grahamstown Hospices (Terminal care) Terminally ill -- Psychology Spiritual care (Medical care)
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3183 , http://hdl.handle.net/10962/d1008217
- Description: The general aim of this study was to determine the experiences of a sample of terminally ill patients in using spiritually focused psychotherapy. This was a qualitative study conducted to a sample of 2 terminally ill patients from hospice in Grahamstown, South Africa. The research was conducted in 3 phases: an initial in-depth interview conducted to determine the participants' level of spirituality as well as the extent to which their terminal illnesses had affected their functioning. This was followed by a minimum of 6 spiritually focused therapy (SFT) sessions as a second phase of the research. To determine the participants' experiences of SFT, 2-3 in-depth interviews were conducted during the 3m phase of the research study. The research revealed that a belief in a higher power helps terminally ill patients cope better with their illness and that social disconnectedness is related to HIV / AIDS stigma. It also revealed that terminal illness is co-morbid with other psychiatric symptoms such as depression, evokes existential concerns, results in a change in the level of spirituality and affects the whole family. Participants blamed themselves for their illness, but found that engaging in the process of forgiveness of self and others brought about psychological healing for them. They experienced SFT as a coping resource that assisted them to deal with the fear of death as well as increased insight into the development of psychopathology and spiritual blockages. It is recommended that a comprehensive and holistic assessment during intake be undertaken so that where spiritual needs are available, therapy can be spiritually augmented to ensure that such needs/ struggles are addressed. , KMBT_363 , Adobe Acrobat 9.54 Paper Capture Plug-in
- Full Text:
- Authors: Chemane, Bonginkosi Reginald
- Date: 2013-07-15
- Subjects: Psychotherapy Terminal care -- South Africa -- Grahamstown Hospices (Terminal care) Terminally ill -- Psychology Spiritual care (Medical care)
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3183 , http://hdl.handle.net/10962/d1008217
- Description: The general aim of this study was to determine the experiences of a sample of terminally ill patients in using spiritually focused psychotherapy. This was a qualitative study conducted to a sample of 2 terminally ill patients from hospice in Grahamstown, South Africa. The research was conducted in 3 phases: an initial in-depth interview conducted to determine the participants' level of spirituality as well as the extent to which their terminal illnesses had affected their functioning. This was followed by a minimum of 6 spiritually focused therapy (SFT) sessions as a second phase of the research. To determine the participants' experiences of SFT, 2-3 in-depth interviews were conducted during the 3m phase of the research study. The research revealed that a belief in a higher power helps terminally ill patients cope better with their illness and that social disconnectedness is related to HIV / AIDS stigma. It also revealed that terminal illness is co-morbid with other psychiatric symptoms such as depression, evokes existential concerns, results in a change in the level of spirituality and affects the whole family. Participants blamed themselves for their illness, but found that engaging in the process of forgiveness of self and others brought about psychological healing for them. They experienced SFT as a coping resource that assisted them to deal with the fear of death as well as increased insight into the development of psychopathology and spiritual blockages. It is recommended that a comprehensive and holistic assessment during intake be undertaken so that where spiritual needs are available, therapy can be spiritually augmented to ensure that such needs/ struggles are addressed. , KMBT_363 , Adobe Acrobat 9.54 Paper Capture Plug-in
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Crossing the border : constructions of borderline personality disorder within the South African context: a discourse analytic study
- Authors: Elphick, Marie-Clair
- Date: 2013-07-12
- Subjects: Borderline personality disorder -- South Africa Borderline personality disorder -- Diagnosis
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3184 , http://hdl.handle.net/10962/d1008307
- Description: This research aims to open up for critical discussion the effects of the discourses employed by mental health professionals in relation to the diagnosis of BPO, with a view of questioning the discursive practices available within a South African context. This discussion will situate identified discourses in relation to the subjects and objects to which it refers in an attempt to identify and interrogate dominant discourses which circulate to oppress and discriminate against female 'others' within the mental health setting. This discussion will serve to challenge mainstream, traditional psychology by questioning the utility of deploying these concepts within a South African context as well as the effects this deployment may have. A discourse analytic methodology is employed to identify the constructions of BPO by five mental health professionals working within a government setting. The analysis aims at interrogating the broader role of the identified discourses in supporting institutions, preserving power relations and transmitting ideological practices. Ultimately the aim of the research is to open up for critical debate, through the example of psychology and psychiatry's treatment of BPO; constituted as 'other', the possibility that there may be deleterious consequences for the wholesale acceptance of traditional psychological understandings by mental health professionals working within a South African context. , KMBT_363 , Adobe Acrobat 9.54 Paper Capture Plug-in
- Full Text:
- Authors: Elphick, Marie-Clair
- Date: 2013-07-12
- Subjects: Borderline personality disorder -- South Africa Borderline personality disorder -- Diagnosis
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3184 , http://hdl.handle.net/10962/d1008307
- Description: This research aims to open up for critical discussion the effects of the discourses employed by mental health professionals in relation to the diagnosis of BPO, with a view of questioning the discursive practices available within a South African context. This discussion will situate identified discourses in relation to the subjects and objects to which it refers in an attempt to identify and interrogate dominant discourses which circulate to oppress and discriminate against female 'others' within the mental health setting. This discussion will serve to challenge mainstream, traditional psychology by questioning the utility of deploying these concepts within a South African context as well as the effects this deployment may have. A discourse analytic methodology is employed to identify the constructions of BPO by five mental health professionals working within a government setting. The analysis aims at interrogating the broader role of the identified discourses in supporting institutions, preserving power relations and transmitting ideological practices. Ultimately the aim of the research is to open up for critical debate, through the example of psychology and psychiatry's treatment of BPO; constituted as 'other', the possibility that there may be deleterious consequences for the wholesale acceptance of traditional psychological understandings by mental health professionals working within a South African context. , KMBT_363 , Adobe Acrobat 9.54 Paper Capture Plug-in
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The development of a parental alienation syndrome interview protocol
- Authors: De Jager, Melissa
- Date: 2013-07-12
- Subjects: Parental alienation syndrome Custody of children -- Psychological aspects Child abuse
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3182 , http://hdl.handle.net/10962/d1008212
- Description: Parental Alienation Syndrome (PAS) is a childhood disorder that arises almost exclusively in child custody disputes. Its primary manifestation is the unjustified rejection of a once-loved parent by a child due to a combination of the 'programming' parent's alienating techniques and the child's own contributions to the vilification of the targeted parent. Parental Alienation (PA) is differentiated from PAS as in the case of the former the child's rejection is justified and may be explained either by normal developmental behaviours or by child abuse that involves no form of programming. The purpose of this study is to develop a preliminary interview protocol to aid in the detection of PAS, with a special emphasis on differentiating false allegations of abuse, which usually accompany severe PAS, from true abuse. The aim of the study is to develop a protocol to enhance diagnostic clarity and facilitate appropriate custody-related recommendations. The interview protocol is based on an extensive thematic literature analysis in conjunction with existing guidelines for conducting a child custody and visitation interview. The interview protocol comprises a child and parent section, which both have their own reference tables with supporting corresponding information. The protocol 's administration instructions are outlined in a covering information page. Rigour was added to the protocol by having it assessed for clarity and accessibility by four medico-legal professionals with custody-related experience, and their opinions regarding the protocol's structure, sections, questions and reference tables were taken into consideration in the revision of the protocol. , KMBT_363 , Adobe Acrobat 9.54 Paper Capture Plug-in
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- Authors: De Jager, Melissa
- Date: 2013-07-12
- Subjects: Parental alienation syndrome Custody of children -- Psychological aspects Child abuse
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3182 , http://hdl.handle.net/10962/d1008212
- Description: Parental Alienation Syndrome (PAS) is a childhood disorder that arises almost exclusively in child custody disputes. Its primary manifestation is the unjustified rejection of a once-loved parent by a child due to a combination of the 'programming' parent's alienating techniques and the child's own contributions to the vilification of the targeted parent. Parental Alienation (PA) is differentiated from PAS as in the case of the former the child's rejection is justified and may be explained either by normal developmental behaviours or by child abuse that involves no form of programming. The purpose of this study is to develop a preliminary interview protocol to aid in the detection of PAS, with a special emphasis on differentiating false allegations of abuse, which usually accompany severe PAS, from true abuse. The aim of the study is to develop a protocol to enhance diagnostic clarity and facilitate appropriate custody-related recommendations. The interview protocol is based on an extensive thematic literature analysis in conjunction with existing guidelines for conducting a child custody and visitation interview. The interview protocol comprises a child and parent section, which both have their own reference tables with supporting corresponding information. The protocol 's administration instructions are outlined in a covering information page. Rigour was added to the protocol by having it assessed for clarity and accessibility by four medico-legal professionals with custody-related experience, and their opinions regarding the protocol's structure, sections, questions and reference tables were taken into consideration in the revision of the protocol. , KMBT_363 , Adobe Acrobat 9.54 Paper Capture Plug-in
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