A phenomenological hermeneutic investigation into the psychoanalytic psychotherapist's experience of using the psychoanalytic couch
- Authors: Milton, Christopher
- Date: 2004
- Subjects: Freud, Sigmund, 1856-1939 -- Criticism and interpretation Psychoanalysis Psychotherapy Psychotherapy -- Methods
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: vital:3162 , http://hdl.handle.net/10962/d1007655
- Description: The aim of this study was to describe and critically explore the psychoanalytic, psychotherapist's lived experience of the technique of using the couch. Through examination of the literature a question was formulated that would disclose the analyst's experience of the technique of using the couch. Four experienced psychoanalytic practitioners who could be operationally defined as 'analysts' were interviewed. Using a phenomenological method the protocols were comprehensively analyzed to produce descriptions of the general structure of the experience. These were then texturally enhanced using interleaved direct citations from the interviews. The structural and textural 'findings ' so produced were then hermeneutically dialogued with contemporary psychoanalytic notions of critical discourse and intersubjectivity. The phenomenological ' findings ' of the study disclosed the meaning of the couch as context-based, paradoxical and ambiguous. The couch was found to be a symbol of the analyst as analyst and the process as authentic analysis. Furthermore, at its best, the couch was found to mediate a mode of being that is containing and intimate and in which psychological life may be evoked, tracked and interpreted. The most significant contributor to this mode of being was found to be privacy, which, in particular, helps the analyst maintain an analytic attitude. The couch was also found to be significantly implicated in the generation of an intersubjective analytic third and to support reverie. These 'findings' were hermeneutically dialogued with literature on the couch as well as contemporary psychoanalytic theoretical notions. The dialogue fell into three foci. The first focus entailed deconstructing the meaning of the couch as context-based and ambiguous and not essential. The second pursued critiques of the role that the couch plays in domination, of its function as a symbol/evocative object and of the way in which it shapes being-together, bodily attunement, privacy, the intersubjective analytic third and reverie. Finally the 'findings' were critically examined in terms of both Lacan's notion 'analytic discourse ' and its role in revealing/concealing the analysand as subject. The study concludes with an examination of its own limitations and suggestions for further research.
- Full Text:
- Date Issued: 2004
- Authors: Milton, Christopher
- Date: 2004
- Subjects: Freud, Sigmund, 1856-1939 -- Criticism and interpretation Psychoanalysis Psychotherapy Psychotherapy -- Methods
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: vital:3162 , http://hdl.handle.net/10962/d1007655
- Description: The aim of this study was to describe and critically explore the psychoanalytic, psychotherapist's lived experience of the technique of using the couch. Through examination of the literature a question was formulated that would disclose the analyst's experience of the technique of using the couch. Four experienced psychoanalytic practitioners who could be operationally defined as 'analysts' were interviewed. Using a phenomenological method the protocols were comprehensively analyzed to produce descriptions of the general structure of the experience. These were then texturally enhanced using interleaved direct citations from the interviews. The structural and textural 'findings ' so produced were then hermeneutically dialogued with contemporary psychoanalytic notions of critical discourse and intersubjectivity. The phenomenological ' findings ' of the study disclosed the meaning of the couch as context-based, paradoxical and ambiguous. The couch was found to be a symbol of the analyst as analyst and the process as authentic analysis. Furthermore, at its best, the couch was found to mediate a mode of being that is containing and intimate and in which psychological life may be evoked, tracked and interpreted. The most significant contributor to this mode of being was found to be privacy, which, in particular, helps the analyst maintain an analytic attitude. The couch was also found to be significantly implicated in the generation of an intersubjective analytic third and to support reverie. These 'findings' were hermeneutically dialogued with literature on the couch as well as contemporary psychoanalytic theoretical notions. The dialogue fell into three foci. The first focus entailed deconstructing the meaning of the couch as context-based and ambiguous and not essential. The second pursued critiques of the role that the couch plays in domination, of its function as a symbol/evocative object and of the way in which it shapes being-together, bodily attunement, privacy, the intersubjective analytic third and reverie. Finally the 'findings' were critically examined in terms of both Lacan's notion 'analytic discourse ' and its role in revealing/concealing the analysand as subject. The study concludes with an examination of its own limitations and suggestions for further research.
- Full Text:
- Date Issued: 2004
An evaluation of the MMPI-2 using South African pre-trial forensic patients prediction of criminal responsibility and assessment of personality characteristics
- Authors: Du Toit, Emile
- Date: 2004
- Subjects: Minnesota Multiphasic Personality Inventory , Forensic psychiatry -- South Africa , Criminal investigation -- South Africa , Medical jurisprudence -- South Africa , Evidence, Criminal -- South Africa
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:2967 , http://hdl.handle.net/10962/d1002476 , Minnesota Multiphasic Personality Inventory , Forensic psychiatry -- South Africa , Criminal investigation -- South Africa , Medical jurisprudence -- South Africa , Evidence, Criminal -- South Africa
- Description: This study examines the utility of the MMPI-2 in predicting responsibility in pre-trial forensic patients, using a post hoc sample of 94 offenders from Sterkfontein Psychiatric Hospital in Gauteng. Firstly, the overall characteristics of the pre-trial forensic patients are discussed, following an analysis of demographic, clinical, criminal and MMPI-2 pre-trial data, as well as an overview of the Megargee typological classification of offenders. The sample is classified into Criminally Responsible (CR), Diminished Criminal Responsibility (DCR) and Not Criminally Responsible (NCR), and the CR and DCR groups are collapsed (CR/DCR) for many of the analyses when comparing them to the NCR group. Secondly, the variance of variables with responsibility is discussed, after examining one-way ANOVA’s of demographic, clinical, criminal and MMPI-2 variables, as well as an overview of high point pairs. Thirdly, discriminant analyses were conducted of demographic, clinical and MMPI-2 variables. When comparing the collapsed CR/DCR group to the NCR group, psychiatric diagnosis, presence of psychosis, the MMPI-2 Pa and Es scales, as well as race and substance abuse each had unique predictive power and created a substantial discriminative equation (F (6,70) = 45.732, p <0.0005) with a successful prediction rate of 96%. Using only MMPI-2 variables to predict responsibility showed significant unique contributions for the Pa, Es, MAC-R and Mf scales, with the BIZ scale not quite significant, and a fairly significant overall discriminant equation (F (5,73) = 6.474, p < 0.0005), with an overall successful prediction rate of 82%, with the MMPI-2 variables adding an additional 3% to the predictive power of the demographic and clinical variables. Similarly, when examining the more complex 3 group responsibility classification of CR, DCR and NCR, it was found that the demographic, clinical and MMPI-2 variables of psychiatric diagnosis, psychosis, race, substance abuse, and the Pa, Es and Ma scales all had significant contributions to a powerful discriminant analysis (F (14, 136) = 19.758, p < 0.0005) that was capable of correctly reclassifying almost 95% of the sample, and the MMPI-2 variables providing an increase in predictive power of 8%. Differences in responsible and not responsible pre-trial forensic patients are discussed, as well as the role of the MMPI-2 in assessing these differences, and the fact that it is highly likely that it adds more to the forensic assessment of responsibility than a 3% (CR/DCR versus NCR) or 8% (CR versus DCR versus NCR) increase in predictive power. Limitations of the study are discussed, together with recommendations for future research with the MMPI-2 for assessment of criminal responsibility. The suggestion is made that the MMPI-2 can become a valuable tool in South African forensic settings, not only in the assessment of responsibility and malingering, but also in the placement, management, follow-up and treatment of offenders, to maximize the limited resources in South Africa allocated for the rehabilitation of offenders, and minimize the risk of recidivism or rehospitalization.
- Full Text:
- Date Issued: 2004
- Authors: Du Toit, Emile
- Date: 2004
- Subjects: Minnesota Multiphasic Personality Inventory , Forensic psychiatry -- South Africa , Criminal investigation -- South Africa , Medical jurisprudence -- South Africa , Evidence, Criminal -- South Africa
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:2967 , http://hdl.handle.net/10962/d1002476 , Minnesota Multiphasic Personality Inventory , Forensic psychiatry -- South Africa , Criminal investigation -- South Africa , Medical jurisprudence -- South Africa , Evidence, Criminal -- South Africa
- Description: This study examines the utility of the MMPI-2 in predicting responsibility in pre-trial forensic patients, using a post hoc sample of 94 offenders from Sterkfontein Psychiatric Hospital in Gauteng. Firstly, the overall characteristics of the pre-trial forensic patients are discussed, following an analysis of demographic, clinical, criminal and MMPI-2 pre-trial data, as well as an overview of the Megargee typological classification of offenders. The sample is classified into Criminally Responsible (CR), Diminished Criminal Responsibility (DCR) and Not Criminally Responsible (NCR), and the CR and DCR groups are collapsed (CR/DCR) for many of the analyses when comparing them to the NCR group. Secondly, the variance of variables with responsibility is discussed, after examining one-way ANOVA’s of demographic, clinical, criminal and MMPI-2 variables, as well as an overview of high point pairs. Thirdly, discriminant analyses were conducted of demographic, clinical and MMPI-2 variables. When comparing the collapsed CR/DCR group to the NCR group, psychiatric diagnosis, presence of psychosis, the MMPI-2 Pa and Es scales, as well as race and substance abuse each had unique predictive power and created a substantial discriminative equation (F (6,70) = 45.732, p <0.0005) with a successful prediction rate of 96%. Using only MMPI-2 variables to predict responsibility showed significant unique contributions for the Pa, Es, MAC-R and Mf scales, with the BIZ scale not quite significant, and a fairly significant overall discriminant equation (F (5,73) = 6.474, p < 0.0005), with an overall successful prediction rate of 82%, with the MMPI-2 variables adding an additional 3% to the predictive power of the demographic and clinical variables. Similarly, when examining the more complex 3 group responsibility classification of CR, DCR and NCR, it was found that the demographic, clinical and MMPI-2 variables of psychiatric diagnosis, psychosis, race, substance abuse, and the Pa, Es and Ma scales all had significant contributions to a powerful discriminant analysis (F (14, 136) = 19.758, p < 0.0005) that was capable of correctly reclassifying almost 95% of the sample, and the MMPI-2 variables providing an increase in predictive power of 8%. Differences in responsible and not responsible pre-trial forensic patients are discussed, as well as the role of the MMPI-2 in assessing these differences, and the fact that it is highly likely that it adds more to the forensic assessment of responsibility than a 3% (CR/DCR versus NCR) or 8% (CR versus DCR versus NCR) increase in predictive power. Limitations of the study are discussed, together with recommendations for future research with the MMPI-2 for assessment of criminal responsibility. The suggestion is made that the MMPI-2 can become a valuable tool in South African forensic settings, not only in the assessment of responsibility and malingering, but also in the placement, management, follow-up and treatment of offenders, to maximize the limited resources in South Africa allocated for the rehabilitation of offenders, and minimize the risk of recidivism or rehospitalization.
- Full Text:
- Date Issued: 2004
An exploration of factors that impact on levels of employee satisfaction and organisational performance : an organisational diagnosis
- Authors: Foot, Kirsten Joan
- Date: 2004
- Subjects: Employee motivation Job satisfaction Employees -- Rating of Psychology, Industrial Organizational change Hotels -- Employees -- South Africa -- Case studies
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3178 , http://hdl.handle.net/10962/d1007951
- Description: Organisations today, regardless of their function, exist in an environment that is characterised by change. In order to maintain a competitive advantage it is vital that organisations manage such change and are sensitive to their human resource. It is imperative for organisations to understand and explore the factors that impact on employee satisfaction and overall organisational performance. The hospitality industry is an industry that is notorious for low levels of pay and long working hours, and often dissatisfied employees. This research focused on a hotel, that is part of an international chain of hotels, which has recently undergone a rebranding process (a change from within). This research aimed to assess and explore factors that impact on levels of employee satisfaction and organisation/hotel performance, in other words it aimed to 'diagnose' the hotel's current status. The research was conducted in two phases. Phase one made use of a widely used measure of job satisfaction, the job descriptive index (JDI), that looked at five facets of job satisfaction namely: pay, opportunity for promotion, co-workers, supervision and the nature of work. Phase two further explored the results of the JDI (staff being very dissatisfied with pay and promotions opportunity) and further explored other areas of the organisation/hotel with the use of an organisational development model, Weisbord's Six-Box Model (1990). The 'boxes' included areas of purpose, structure, relationships, leadership, rewards and helpful mechanisms. These areas were explored with staff using focus groups. Heads of departments (management) and the deputy general manager of the hotel were interviewed using a semi-structured interview format, exploring similar issues to those researched with staff. Results indicated problems in the hotel with regard to purpose, a severe lack of communication and staff feeling they have little chance for promotion as well as pay structures being perceived as unfair. The overall leadership at the hotel was described as erratic, and relationships between management revealed high levels of mistrust. Due to limited research in the South African hospitality industry, much of the literature available is based on experiences in the United States of America or the United Kingdom. For this research, the researcher had few previous published findings and was unsure of the many issues that could possibly arise. However, the intervention was enjoyable and recommendations have been provided for the hotel to consider, so the hotel can go from "good to great".
- Full Text:
- Date Issued: 2004
- Authors: Foot, Kirsten Joan
- Date: 2004
- Subjects: Employee motivation Job satisfaction Employees -- Rating of Psychology, Industrial Organizational change Hotels -- Employees -- South Africa -- Case studies
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3178 , http://hdl.handle.net/10962/d1007951
- Description: Organisations today, regardless of their function, exist in an environment that is characterised by change. In order to maintain a competitive advantage it is vital that organisations manage such change and are sensitive to their human resource. It is imperative for organisations to understand and explore the factors that impact on employee satisfaction and overall organisational performance. The hospitality industry is an industry that is notorious for low levels of pay and long working hours, and often dissatisfied employees. This research focused on a hotel, that is part of an international chain of hotels, which has recently undergone a rebranding process (a change from within). This research aimed to assess and explore factors that impact on levels of employee satisfaction and organisation/hotel performance, in other words it aimed to 'diagnose' the hotel's current status. The research was conducted in two phases. Phase one made use of a widely used measure of job satisfaction, the job descriptive index (JDI), that looked at five facets of job satisfaction namely: pay, opportunity for promotion, co-workers, supervision and the nature of work. Phase two further explored the results of the JDI (staff being very dissatisfied with pay and promotions opportunity) and further explored other areas of the organisation/hotel with the use of an organisational development model, Weisbord's Six-Box Model (1990). The 'boxes' included areas of purpose, structure, relationships, leadership, rewards and helpful mechanisms. These areas were explored with staff using focus groups. Heads of departments (management) and the deputy general manager of the hotel were interviewed using a semi-structured interview format, exploring similar issues to those researched with staff. Results indicated problems in the hotel with regard to purpose, a severe lack of communication and staff feeling they have little chance for promotion as well as pay structures being perceived as unfair. The overall leadership at the hotel was described as erratic, and relationships between management revealed high levels of mistrust. Due to limited research in the South African hospitality industry, much of the literature available is based on experiences in the United States of America or the United Kingdom. For this research, the researcher had few previous published findings and was unsure of the many issues that could possibly arise. However, the intervention was enjoyable and recommendations have been provided for the hotel to consider, so the hotel can go from "good to great".
- Full Text:
- Date Issued: 2004
An exploration of the impact of AIDS-related losses and role changes on grandmothers
- Authors: Burt, Mary
- Date: 2004
- Subjects: HIV infections -- Social aspects -- South Africa -- Eastern Cape HIV infections -- Economic aspects -- South Africa -- Eastern Cape AIDS (Disease) -- Social aspects -- South Africa -- Eastern Cape AIDS (Disease) -- Economic aspects -- South Africa -- Eastern Cape AIDS (Disease) -- Patients -- Care -- South Africa -- Eastern Cape Bereavement -- Psychological aspects -- Eastern Cape Foster parents -- South Africa -- Eastern Cape Loss (Psychology) Grandmothers -- South Africa -- Psychology
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3131 , http://hdl.handle.net/10962/d1006487
- Description: The US Bureau of the Census (1999) projected that by 2004, 14 million people in sub-Saharan Africa will develop full blown AIDS, making this region by far the largest disease burden in the world (World Health Organization, 2002). The United Nations AIDS Programme judged South Africa to have the leading number of people living with HIV/AIDS worldwide (World Health Organisation, 2002). To date there has been extensive research conducted on the socio-economic impacts of HIV/AIDS on families in Africa. However an area of investigation that has remained largely underreported is the inquiry into the psychological impacts of HIV/AIDS on elderly caregivers. In African families older women increasingly have to provide care to their adult children with AIDS and their orphaned grandchildren. However few research studies have assessed the experience of parental caregiving and its psychological impacts on these women. This qualitative research study hypothesised that the role of primary parental caregiver in fact causes a range of psychologically distressing states, which serve to compromise the psychological well-being of these caregivers. To investigate this hypothesis three Xhosa speaking women living in informal settlements in Grahamstown, in the Eastern Cape Province of South Africa were selected for the study. The women were interviewed by means of semi-structured interviews, which consisted of questions related to their caregiving experiences, their experiences of loss, their choice of coping strategies, the role of support networks and their experiences of foster care responsibilities. The interviews were transcribed and analysed using a grounded hermeneutic approach. The research results confirmed the working hypothesis. The research revealed that although it was considered culturally appropriate for older women to care for their children and grandchildren, their caregiver roles caused significant psychological distress. Their distress was related to: emotional and physical exhaustion, complicated grief reactions and ongoing emotional and physical upheaval related to foster care responsibilities. Based on the results, the research recommendations emphasised the need for continual awareness of the psychological implications of caregiving for older African women with the aim to preserve their capacity to function as the primary caring resource to families struck by HIV/AIDS.
- Full Text:
- Date Issued: 2004
- Authors: Burt, Mary
- Date: 2004
- Subjects: HIV infections -- Social aspects -- South Africa -- Eastern Cape HIV infections -- Economic aspects -- South Africa -- Eastern Cape AIDS (Disease) -- Social aspects -- South Africa -- Eastern Cape AIDS (Disease) -- Economic aspects -- South Africa -- Eastern Cape AIDS (Disease) -- Patients -- Care -- South Africa -- Eastern Cape Bereavement -- Psychological aspects -- Eastern Cape Foster parents -- South Africa -- Eastern Cape Loss (Psychology) Grandmothers -- South Africa -- Psychology
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3131 , http://hdl.handle.net/10962/d1006487
- Description: The US Bureau of the Census (1999) projected that by 2004, 14 million people in sub-Saharan Africa will develop full blown AIDS, making this region by far the largest disease burden in the world (World Health Organization, 2002). The United Nations AIDS Programme judged South Africa to have the leading number of people living with HIV/AIDS worldwide (World Health Organisation, 2002). To date there has been extensive research conducted on the socio-economic impacts of HIV/AIDS on families in Africa. However an area of investigation that has remained largely underreported is the inquiry into the psychological impacts of HIV/AIDS on elderly caregivers. In African families older women increasingly have to provide care to their adult children with AIDS and their orphaned grandchildren. However few research studies have assessed the experience of parental caregiving and its psychological impacts on these women. This qualitative research study hypothesised that the role of primary parental caregiver in fact causes a range of psychologically distressing states, which serve to compromise the psychological well-being of these caregivers. To investigate this hypothesis three Xhosa speaking women living in informal settlements in Grahamstown, in the Eastern Cape Province of South Africa were selected for the study. The women were interviewed by means of semi-structured interviews, which consisted of questions related to their caregiving experiences, their experiences of loss, their choice of coping strategies, the role of support networks and their experiences of foster care responsibilities. The interviews were transcribed and analysed using a grounded hermeneutic approach. The research results confirmed the working hypothesis. The research revealed that although it was considered culturally appropriate for older women to care for their children and grandchildren, their caregiver roles caused significant psychological distress. Their distress was related to: emotional and physical exhaustion, complicated grief reactions and ongoing emotional and physical upheaval related to foster care responsibilities. Based on the results, the research recommendations emphasised the need for continual awareness of the psychological implications of caregiving for older African women with the aim to preserve their capacity to function as the primary caring resource to families struck by HIV/AIDS.
- Full Text:
- Date Issued: 2004
An interpretive use of drawings to explore the lived experiences of orphaned children living with HIV/AIDS in South Africa
- Authors: Steenveld, Clint Michael
- Date: 2004
- Subjects: AIDS (Disease) -- South Africa AIDS (Disease) -- Social aspects -- South Africa HIV infections -- South Africa HIV infections -- Social aspects -- South Africa AIDS (Disease) -- Psychological aspects HIV infections -- Psychological aspects -- South Africa AIDS (Disease) in children -- Psychological aspects -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3099 , http://hdl.handle.net/10962/d1004374
- Description: Against the backdrop of the growing problem of AIDS orphans in South Africa and greater sub-Saharan Africa, this qualitative enquiry examines the lives of three South African orphaned children living with HIV / AIDS in a children's home in Cape Town. It aims to generate rich, child-centred descriptions of some of the significant experiences of the children's lives. Drawings, dialogue and narrative were employed to generate the primary data. This was supplemented by collateral interviews and other relevant records, e.g. medical and biographical. Existential-phenomenological theory informed the approach to data collection and analysis. Each child produced a series often to twelve impromptu drawings over a period often weeks. These drawings and transcripts of the children's verbal descriptions of their drawings were extensively analysed. Significant themes for each participant as well as themes common to all three were identified. Some of the central themes emerging include loss, abandonment, death, disease awareness and coping. The children's ability to develop adaptive coping mechanisms and resilience in the face of traumatic loss and terminal illness was a particularly outstanding feature of the findings. Recommendations are made regarding future research to address the lack of qualitative, child-focused investigations as well as appropriate interventions for addressing the psychosocial needs of orphaned children living with HIV/AIDS.
- Full Text:
- Date Issued: 2004
- Authors: Steenveld, Clint Michael
- Date: 2004
- Subjects: AIDS (Disease) -- South Africa AIDS (Disease) -- Social aspects -- South Africa HIV infections -- South Africa HIV infections -- Social aspects -- South Africa AIDS (Disease) -- Psychological aspects HIV infections -- Psychological aspects -- South Africa AIDS (Disease) in children -- Psychological aspects -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3099 , http://hdl.handle.net/10962/d1004374
- Description: Against the backdrop of the growing problem of AIDS orphans in South Africa and greater sub-Saharan Africa, this qualitative enquiry examines the lives of three South African orphaned children living with HIV / AIDS in a children's home in Cape Town. It aims to generate rich, child-centred descriptions of some of the significant experiences of the children's lives. Drawings, dialogue and narrative were employed to generate the primary data. This was supplemented by collateral interviews and other relevant records, e.g. medical and biographical. Existential-phenomenological theory informed the approach to data collection and analysis. Each child produced a series often to twelve impromptu drawings over a period often weeks. These drawings and transcripts of the children's verbal descriptions of their drawings were extensively analysed. Significant themes for each participant as well as themes common to all three were identified. Some of the central themes emerging include loss, abandonment, death, disease awareness and coping. The children's ability to develop adaptive coping mechanisms and resilience in the face of traumatic loss and terminal illness was a particularly outstanding feature of the findings. Recommendations are made regarding future research to address the lack of qualitative, child-focused investigations as well as appropriate interventions for addressing the psychosocial needs of orphaned children living with HIV/AIDS.
- Full Text:
- Date Issued: 2004
Imagery and the transformation of meaning in psychotherapy for post-traumatic stress disorder: a hermeneutic case study
- Authors: Karpelowsky, Belinda Jodi
- Date: 2004
- Subjects: Post-traumatic stress disorder -- Treatment , Post-traumatic stress disorder -- Rehabilitation , Imagery (Psychology) -- Therapeutic use , Psychotherapy , Post-traumatic stress disorder -- Case studies
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3000 , http://hdl.handle.net/10962/d1002509 , Post-traumatic stress disorder -- Treatment , Post-traumatic stress disorder -- Rehabilitation , Imagery (Psychology) -- Therapeutic use , Psychotherapy , Post-traumatic stress disorder -- Case studies
- Description: This study discusses the assessment and treatment of a 21-year old male who had suffered multiple traumas, which had culminated in the death of his younger brother. He presented with Acute Stress Disorder. The literature review examines a diverse range of theorists and discourses, that have addressed the psychological consequences of trauma and highlights the complexity of the phenomena involved. The case study, located in the South African context, aims to sensitise the reader to the unique dilemmas facing each trauma survivor, and serves to highlight specifically those areas, which are pertinent and further more contribute significantly to the recovery process. The case narrative consists of a detailed synopsis of the therapy process, extracted from the session record notes documented at the time. Several other sources of information, including contributions from the participant, were used to verify and validate the accuracy of the data included. The narrative is written in a style that conveys the intensity of the nature of trauma work and the manner in which both patient and clinician are frequently confronted with very difficult emotional work. Finally the discussion examines the case narrative through the use of a set of carefully selected hermeneutic questions. These focused on (I) key concepts from the work of Robert Lifton who highlights the existential dimensions of the impact of trauma; (2) the role of the image in encapsulating the complex traumatic and post-traumatic experience of the survivor as well as facilitating the emotional processing of the trauma is examined; (3) the contribution to the process of therapy of aspects of the therapeutic relationship; and (4) the concept of recovery in relation to the question of what constitutes 'trauma work'. In conclusion, several meta-theoretical issues related to trauma, the strengths and weaknesses inherent to the research and relevant future areas of research are highlighted.
- Full Text:
- Date Issued: 2004
- Authors: Karpelowsky, Belinda Jodi
- Date: 2004
- Subjects: Post-traumatic stress disorder -- Treatment , Post-traumatic stress disorder -- Rehabilitation , Imagery (Psychology) -- Therapeutic use , Psychotherapy , Post-traumatic stress disorder -- Case studies
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3000 , http://hdl.handle.net/10962/d1002509 , Post-traumatic stress disorder -- Treatment , Post-traumatic stress disorder -- Rehabilitation , Imagery (Psychology) -- Therapeutic use , Psychotherapy , Post-traumatic stress disorder -- Case studies
- Description: This study discusses the assessment and treatment of a 21-year old male who had suffered multiple traumas, which had culminated in the death of his younger brother. He presented with Acute Stress Disorder. The literature review examines a diverse range of theorists and discourses, that have addressed the psychological consequences of trauma and highlights the complexity of the phenomena involved. The case study, located in the South African context, aims to sensitise the reader to the unique dilemmas facing each trauma survivor, and serves to highlight specifically those areas, which are pertinent and further more contribute significantly to the recovery process. The case narrative consists of a detailed synopsis of the therapy process, extracted from the session record notes documented at the time. Several other sources of information, including contributions from the participant, were used to verify and validate the accuracy of the data included. The narrative is written in a style that conveys the intensity of the nature of trauma work and the manner in which both patient and clinician are frequently confronted with very difficult emotional work. Finally the discussion examines the case narrative through the use of a set of carefully selected hermeneutic questions. These focused on (I) key concepts from the work of Robert Lifton who highlights the existential dimensions of the impact of trauma; (2) the role of the image in encapsulating the complex traumatic and post-traumatic experience of the survivor as well as facilitating the emotional processing of the trauma is examined; (3) the contribution to the process of therapy of aspects of the therapeutic relationship; and (4) the concept of recovery in relation to the question of what constitutes 'trauma work'. In conclusion, several meta-theoretical issues related to trauma, the strengths and weaknesses inherent to the research and relevant future areas of research are highlighted.
- Full Text:
- Date Issued: 2004
In conversation with Barney: a critical discourse analysis of interaction between a child with autism and his co-participants
- Authors: Geils, Catherine
- Date: 2004
- Subjects: Autism in children -- Case studies , Autistic children , Autistic children -- Rehabilitation , Discourse analysis , Children and adults , Language acquisition , Conversation , Children -- Language
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:2980 , http://hdl.handle.net/10962/d1002489 , Autism in children -- Case studies , Autistic children , Autistic children -- Rehabilitation , Discourse analysis , Children and adults , Language acquisition , Conversation , Children -- Language
- Description: My study arose in the context of an intervention programme aimed at the development of a child with autism’s communication and social interaction skills. The approach I take is a social constructionist one in which language is considered to be constructive and constitutive of social and psychological reality. This orientation challenges the assumptions of a western psychiatric approach that emphasizes the impairment and deficits associated with autism. The participants of the study are a 6-year-old boy diagnosed with Pervasive Developmental Disorder (Autistic Spectrum), and his mother, father, sister and a volunteer on the intervention programme. The discourse analytic method of conversation analysis is employed as a means of elucidating the collaborative mechanisms employed by both the child and his co-participants in making sense of one another. The specific aims of the study are to closely examine the communicative behaviour and interactive styles of the child and his coparticipants, their implications for communicative success (co-ordinated interaction) or breakdown (discordant interaction), and the implications for how the child is positioned within the discourse in relation to his co-participants. My constructions of the data suggested that a playful, activity-based interactive style constituted by non-verbal turns, affection and short, simple utterances enhance mutual participation and the accomplishment of co-ordinated interaction. Barney’s co-participants sometimes tend to dominate interaction and frequently employ a strategy of repetitive questioning, which functions to direct and constrain the interaction and results in the child’s withdrawal and discordant interaction. This tendency to withdraw, however, seems to function as a means by which the child is able to actively resist positioning by others, and thus constitutes himself in a position of greater power. Furthermore, his use of the pronoun ‘I’ and collaborative negotiation of the words yours and mine suggest the active co-construction and positioning of himself as a separate person in relation to his co-participants. This research informs intervention efforts and encourages the co-participants to reflect on how interaction is co-constructed between themselves and the child.
- Full Text:
- Date Issued: 2004
- Authors: Geils, Catherine
- Date: 2004
- Subjects: Autism in children -- Case studies , Autistic children , Autistic children -- Rehabilitation , Discourse analysis , Children and adults , Language acquisition , Conversation , Children -- Language
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:2980 , http://hdl.handle.net/10962/d1002489 , Autism in children -- Case studies , Autistic children , Autistic children -- Rehabilitation , Discourse analysis , Children and adults , Language acquisition , Conversation , Children -- Language
- Description: My study arose in the context of an intervention programme aimed at the development of a child with autism’s communication and social interaction skills. The approach I take is a social constructionist one in which language is considered to be constructive and constitutive of social and psychological reality. This orientation challenges the assumptions of a western psychiatric approach that emphasizes the impairment and deficits associated with autism. The participants of the study are a 6-year-old boy diagnosed with Pervasive Developmental Disorder (Autistic Spectrum), and his mother, father, sister and a volunteer on the intervention programme. The discourse analytic method of conversation analysis is employed as a means of elucidating the collaborative mechanisms employed by both the child and his co-participants in making sense of one another. The specific aims of the study are to closely examine the communicative behaviour and interactive styles of the child and his coparticipants, their implications for communicative success (co-ordinated interaction) or breakdown (discordant interaction), and the implications for how the child is positioned within the discourse in relation to his co-participants. My constructions of the data suggested that a playful, activity-based interactive style constituted by non-verbal turns, affection and short, simple utterances enhance mutual participation and the accomplishment of co-ordinated interaction. Barney’s co-participants sometimes tend to dominate interaction and frequently employ a strategy of repetitive questioning, which functions to direct and constrain the interaction and results in the child’s withdrawal and discordant interaction. This tendency to withdraw, however, seems to function as a means by which the child is able to actively resist positioning by others, and thus constitutes himself in a position of greater power. Furthermore, his use of the pronoun ‘I’ and collaborative negotiation of the words yours and mine suggest the active co-construction and positioning of himself as a separate person in relation to his co-participants. This research informs intervention efforts and encourages the co-participants to reflect on how interaction is co-constructed between themselves and the child.
- Full Text:
- Date Issued: 2004
Indigenous trauma volunteers: survivors with a mission
- Authors: Moultrie, Alison
- Date: 2004
- Subjects: Volunteers -- Job stress , Volunteer workers in community development -- Job stress , Stress (Psychology) , Psychic trauma , Burn out (Psychology)
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3027 , http://hdl.handle.net/10962/d1002536 , Volunteers -- Job stress , Volunteer workers in community development -- Job stress , Stress (Psychology) , Psychic trauma , Burn out (Psychology)
- Description: There is a growing body of literature on the risk for secondary trauma amongst professional trauma workers. Nonetheless, there is scant published literature on the impact of trauma work on volunteers; particularly when such volunteers are indigenous to the highly traumatized communities which they serve. The study examined a group of parents (N=16) who volunteered in a school-based trauma support project in an impoverished, gang-ridden South African urban community in which they themselves reside. Aims were to 1) Explore the psychological impact of indigenous trauma volunteerism; 2) Explore volunteers’ perceptions of costs and benefits of volunteerism. Data collection was chiefly qualitative, using focus group and individual interviews. The Professional Quality of Life: Compassion Satisfaction and Fatigue Subscales (Stamm, 2002) were administered in order to determine risk for burnout, risk for compassion fatigue and potential for compassion satisfaction. The Stressful Life Experiences Screening Short Form (Stamm, 1997) was administered in order to gather descriptive information regarding personal trauma histories. Project documentation was reviewed. Analysis and interpretation of qualitative data involved a combination of both etic (theory-based) and emic (data and context-based) techniques. The volunteers’ experiences were co-constructed in interaction with three settings: 1) Experiences of training and supervision were affirming and empowering; 2) Experiences of the school context were mediated by the degree of access and integration into the school environment; 3) Experiences of the community context were mediated by the dynamics of identification, role fluidity and inter-setting negotiation. The primary cost of involvement was distress relating to limitations on capacity to help fellow community members with whom they strongly identified, and whom they felt intrapsychically, interpersonally and socially pressured to assist. These limitations included limited client resources, limited personal resources, limited occupational resources and limited systemic resources. Other sources of distress included context-related boundary management difficulties, institutional (school-related) stressors, difficulties in persuading children to disclose abuse and material costs of volunteering. Coping was facilitated by empowering training, supervision, peer support, and self-care practices. Benefits included acquisition of psychological, interpersonal and occupational skills, improved personal relationships, social support, validation, personal healing and role satisfaction.
- Full Text:
- Date Issued: 2004
- Authors: Moultrie, Alison
- Date: 2004
- Subjects: Volunteers -- Job stress , Volunteer workers in community development -- Job stress , Stress (Psychology) , Psychic trauma , Burn out (Psychology)
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3027 , http://hdl.handle.net/10962/d1002536 , Volunteers -- Job stress , Volunteer workers in community development -- Job stress , Stress (Psychology) , Psychic trauma , Burn out (Psychology)
- Description: There is a growing body of literature on the risk for secondary trauma amongst professional trauma workers. Nonetheless, there is scant published literature on the impact of trauma work on volunteers; particularly when such volunteers are indigenous to the highly traumatized communities which they serve. The study examined a group of parents (N=16) who volunteered in a school-based trauma support project in an impoverished, gang-ridden South African urban community in which they themselves reside. Aims were to 1) Explore the psychological impact of indigenous trauma volunteerism; 2) Explore volunteers’ perceptions of costs and benefits of volunteerism. Data collection was chiefly qualitative, using focus group and individual interviews. The Professional Quality of Life: Compassion Satisfaction and Fatigue Subscales (Stamm, 2002) were administered in order to determine risk for burnout, risk for compassion fatigue and potential for compassion satisfaction. The Stressful Life Experiences Screening Short Form (Stamm, 1997) was administered in order to gather descriptive information regarding personal trauma histories. Project documentation was reviewed. Analysis and interpretation of qualitative data involved a combination of both etic (theory-based) and emic (data and context-based) techniques. The volunteers’ experiences were co-constructed in interaction with three settings: 1) Experiences of training and supervision were affirming and empowering; 2) Experiences of the school context were mediated by the degree of access and integration into the school environment; 3) Experiences of the community context were mediated by the dynamics of identification, role fluidity and inter-setting negotiation. The primary cost of involvement was distress relating to limitations on capacity to help fellow community members with whom they strongly identified, and whom they felt intrapsychically, interpersonally and socially pressured to assist. These limitations included limited client resources, limited personal resources, limited occupational resources and limited systemic resources. Other sources of distress included context-related boundary management difficulties, institutional (school-related) stressors, difficulties in persuading children to disclose abuse and material costs of volunteering. Coping was facilitated by empowering training, supervision, peer support, and self-care practices. Benefits included acquisition of psychological, interpersonal and occupational skills, improved personal relationships, social support, validation, personal healing and role satisfaction.
- Full Text:
- Date Issued: 2004
Processes that influence the experiences of children living with mothers that have HIV: two case studies
- Authors: Castelletto, Simona
- Date: 2004
- Subjects: AIDS (Disease) in women , AIDS (Disease) -- Social aspects -- South Africa , HIV infections -- Social aspects -- South Africa , Mothers and daughters -- Social aspects , Mothers and sons -- Social aspects , AIDS (Disease) in children -- Social aspects -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3166 , http://hdl.handle.net/10962/d1007728 , AIDS (Disease) in women , AIDS (Disease) -- Social aspects -- South Africa , HIV infections -- Social aspects -- South Africa , Mothers and daughters -- Social aspects , Mothers and sons -- Social aspects , AIDS (Disease) in children -- Social aspects -- South Africa
- Description: Maternal HIV-infection is considered to be a threat to the psychosocial development of AIDS-affected children. In South Africa, AIDS-affected children may be particularly vulnerable due to the unprecedented effects of the HIV/AIDS epidemic on the breakdown of family and community resources in already disadvantaged communities. The aim of this study was to explore the contextualised experiences of two children living with mothers who have HIV by conducting two case studies. Mother-child dyads were recruited from local HIV/AIDS centres and informed consent was obtained. The mothers were in the minor symptomatic phase of HIV-infection and the children were uninfected and aged between 10 and 12 years. Through semi-structured interviewing, the mothers provided background and contextual information about the children. Play techniques were used in the child interviews to encourage the introduction and exploration of issues salient to the children. Play facilitated engagement around sensitive and potentially anxiety-provoking material. A key issue for the children was their concerns about the anticipated deaths of their mothers. The children held misconceptions about the transmission of HIV/ AIDS. They feared HIV/AIDS and expected that others would have negative perceptions of them. Family processes such as secrecy and avoidance around HIV/AIDS-related issues were understood to perpetuate the children's fears and false beliefs in a broader community context that stigmatised HIV/AIDS. It was argued that the mothers' shame over HIV-infection and their need to protect their relationship with their children compromised their ability to communicate openly with their children and to offer them meaningful emotional support. Limited parental involvement was identified as the key contextual process that engendered vulnerability in the children, as they were isolated within and beyond the family. Recommendations to address the processes that engendered vulnerability in the children are discussed.
- Full Text:
- Date Issued: 2004
- Authors: Castelletto, Simona
- Date: 2004
- Subjects: AIDS (Disease) in women , AIDS (Disease) -- Social aspects -- South Africa , HIV infections -- Social aspects -- South Africa , Mothers and daughters -- Social aspects , Mothers and sons -- Social aspects , AIDS (Disease) in children -- Social aspects -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3166 , http://hdl.handle.net/10962/d1007728 , AIDS (Disease) in women , AIDS (Disease) -- Social aspects -- South Africa , HIV infections -- Social aspects -- South Africa , Mothers and daughters -- Social aspects , Mothers and sons -- Social aspects , AIDS (Disease) in children -- Social aspects -- South Africa
- Description: Maternal HIV-infection is considered to be a threat to the psychosocial development of AIDS-affected children. In South Africa, AIDS-affected children may be particularly vulnerable due to the unprecedented effects of the HIV/AIDS epidemic on the breakdown of family and community resources in already disadvantaged communities. The aim of this study was to explore the contextualised experiences of two children living with mothers who have HIV by conducting two case studies. Mother-child dyads were recruited from local HIV/AIDS centres and informed consent was obtained. The mothers were in the minor symptomatic phase of HIV-infection and the children were uninfected and aged between 10 and 12 years. Through semi-structured interviewing, the mothers provided background and contextual information about the children. Play techniques were used in the child interviews to encourage the introduction and exploration of issues salient to the children. Play facilitated engagement around sensitive and potentially anxiety-provoking material. A key issue for the children was their concerns about the anticipated deaths of their mothers. The children held misconceptions about the transmission of HIV/ AIDS. They feared HIV/AIDS and expected that others would have negative perceptions of them. Family processes such as secrecy and avoidance around HIV/AIDS-related issues were understood to perpetuate the children's fears and false beliefs in a broader community context that stigmatised HIV/AIDS. It was argued that the mothers' shame over HIV-infection and their need to protect their relationship with their children compromised their ability to communicate openly with their children and to offer them meaningful emotional support. Limited parental involvement was identified as the key contextual process that engendered vulnerability in the children, as they were isolated within and beyond the family. Recommendations to address the processes that engendered vulnerability in the children are discussed.
- Full Text:
- Date Issued: 2004
The experiences and needs of HIV/AIDS counsellors at Settlers Hospital, Grahamstown
- Authors: Nulty, Maria
- Date: 2004
- Subjects: AIDS (Disease) -- Patients -- Counseling of -- South Africa -- Eastern Cape HIV-positive persons -- Counseling of -- South Africa -- Eastern Cape Counselors -- South Africa -- Eastern Cape Counselors -- Supervision of -- South Africa -- Eastern Cape Counselors -- Training of -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3032 , http://hdl.handle.net/10962/d1002541
- Description: Cognisant of the fact that counselling has become an essential aspect of dealing with HIV/AIDS in South Africa, the researcher aimed to explore the stressors experienced by HIV/AIDS counsellors. It was envisioned that the results obtained would both help to improve the counselling services provided at Settlers Hospital, and assist other organisations to do so. The research focused on how the participants dealt with the dual roles of non-directive listening and the more prescriptive advice-giving, the stressors they experienced and the support structures they had, or needed, to assist them in being more effective HIV/AIDS counsellors. The sample consisted of four HIV/AIDS counsellors working at Settlers Hospital, Grahamstown. The co-ordinator of HIV/AIDS at the hospital was interviewed for collateral information. A qualitative, multiple case study was undertaken. In-depth, semi-structured interviews were used to collect the data which were recorded and transcribed and then constructed into coherently organised personal narratives of each participant’s experiences. A composite description of all the results was arrived at through the use of a reading guide which reduced the data into a thematic content analysis. The analysed data served to present an understanding of the counsellors’ experiences and to enable recommendations to be made which could assist them in pursuing their work more effectively. The findings of this study indicate that HIV/AIDS counselling is an emotionally stressful occupation. Contributory factors include the twofold role of promoting prevention and serving as empathic listeners. Other stressors derive from issues of confidentiality and stigma concerning HIV/AIDS, counsellors’ identification with clients’ experiences and the demographics of HIV/AIDS in South Africa. Situational stressors which arise from working as both nurses and counsellors in a public health institution were also identified. Recommendations are made to alleviate the counsellors’ stress in the form of facilitated emotional support groups, professional supervision, managerial support to improve the working environment, and ongoing in-service training.
- Full Text:
- Date Issued: 2004
- Authors: Nulty, Maria
- Date: 2004
- Subjects: AIDS (Disease) -- Patients -- Counseling of -- South Africa -- Eastern Cape HIV-positive persons -- Counseling of -- South Africa -- Eastern Cape Counselors -- South Africa -- Eastern Cape Counselors -- Supervision of -- South Africa -- Eastern Cape Counselors -- Training of -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3032 , http://hdl.handle.net/10962/d1002541
- Description: Cognisant of the fact that counselling has become an essential aspect of dealing with HIV/AIDS in South Africa, the researcher aimed to explore the stressors experienced by HIV/AIDS counsellors. It was envisioned that the results obtained would both help to improve the counselling services provided at Settlers Hospital, and assist other organisations to do so. The research focused on how the participants dealt with the dual roles of non-directive listening and the more prescriptive advice-giving, the stressors they experienced and the support structures they had, or needed, to assist them in being more effective HIV/AIDS counsellors. The sample consisted of four HIV/AIDS counsellors working at Settlers Hospital, Grahamstown. The co-ordinator of HIV/AIDS at the hospital was interviewed for collateral information. A qualitative, multiple case study was undertaken. In-depth, semi-structured interviews were used to collect the data which were recorded and transcribed and then constructed into coherently organised personal narratives of each participant’s experiences. A composite description of all the results was arrived at through the use of a reading guide which reduced the data into a thematic content analysis. The analysed data served to present an understanding of the counsellors’ experiences and to enable recommendations to be made which could assist them in pursuing their work more effectively. The findings of this study indicate that HIV/AIDS counselling is an emotionally stressful occupation. Contributory factors include the twofold role of promoting prevention and serving as empathic listeners. Other stressors derive from issues of confidentiality and stigma concerning HIV/AIDS, counsellors’ identification with clients’ experiences and the demographics of HIV/AIDS in South Africa. Situational stressors which arise from working as both nurses and counsellors in a public health institution were also identified. Recommendations are made to alleviate the counsellors’ stress in the form of facilitated emotional support groups, professional supervision, managerial support to improve the working environment, and ongoing in-service training.
- Full Text:
- Date Issued: 2004
The mentally retarded offender in a forensic setting: a South African study
- Authors: Solomons, Warren Stanley
- Date: 2004
- Subjects: Mentally ill offenders -- South Africa , Forensic psychology , People with mental disabilities and crime -- South Africa , People with mental disabilities -- Rehabilitation , Mental health laws -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3063 , http://hdl.handle.net/10962/d1002572 , Mentally ill offenders -- South Africa , Forensic psychology , People with mental disabilities and crime -- South Africa , People with mental disabilities -- Rehabilitation , Mental health laws -- South Africa
- Description: This study examined, within the South African context, the prevalence of mental retardation in a forensic observation setting, and the impediments of and successes to forensic rehabilitation. The results of the study indicated that a significant amount of forensic observation patients (25.16%) are ultimately diagnosed as being mentally retarded, with 39.24 percent of such offenders being found unfit to plead. Further 32.91 percent of the same sample was found to be not responsible for their actions. A link was also drawn between the mentally retarded offender and violent offenses. The advantages and disadvantages of a current rehabilitative process are discussed in light of alternate community-based forms of rehabilitation that are being implemented in other countries, for example the United States of America, with a view towards investigated their usefulness and adaptability to South African circumstances. The findings of the study have implications for mental health professionals working within forensic settings concerning the future management of mentally retarded offenders, particularly within the rehabilitative process .
- Full Text:
- Date Issued: 2004
- Authors: Solomons, Warren Stanley
- Date: 2004
- Subjects: Mentally ill offenders -- South Africa , Forensic psychology , People with mental disabilities and crime -- South Africa , People with mental disabilities -- Rehabilitation , Mental health laws -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3063 , http://hdl.handle.net/10962/d1002572 , Mentally ill offenders -- South Africa , Forensic psychology , People with mental disabilities and crime -- South Africa , People with mental disabilities -- Rehabilitation , Mental health laws -- South Africa
- Description: This study examined, within the South African context, the prevalence of mental retardation in a forensic observation setting, and the impediments of and successes to forensic rehabilitation. The results of the study indicated that a significant amount of forensic observation patients (25.16%) are ultimately diagnosed as being mentally retarded, with 39.24 percent of such offenders being found unfit to plead. Further 32.91 percent of the same sample was found to be not responsible for their actions. A link was also drawn between the mentally retarded offender and violent offenses. The advantages and disadvantages of a current rehabilitative process are discussed in light of alternate community-based forms of rehabilitation that are being implemented in other countries, for example the United States of America, with a view towards investigated their usefulness and adaptability to South African circumstances. The findings of the study have implications for mental health professionals working within forensic settings concerning the future management of mentally retarded offenders, particularly within the rehabilitative process .
- Full Text:
- Date Issued: 2004
A comparison of depressed and non-depressed mothers' speech to two-month old infants in a South African peri-urban settlement
- Authors: Gulle, Gillian Julie
- Date: 2003
- Subjects: Postpartum depression Postpartum depression -- South Africa Mother and infant Mother and infant -- South Africa Speech perception in infants
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3172 , http://hdl.handle.net/10962/d1007801
- Description: Research shows that maternal depression has adverse effects on mother-infant attachment and subsequent infant development (Cogill, Caplan, Alexandra, Robson & Kumar, 1986). The mechanisms through which this comes about are unclear. Murray & Cooper (1997) suggest an impaired pattern of mother-infant communication is responsible. Within this, Murray proposes that maternal speech may be a key factor. This study constitutes a preliminary exploration into the mechanisms through which maternal depression effects mother-infant interaction in South Africa. 147 predominantly Xhosa-speaking mother-infant dyads that took part in a broader epidemiological study on post-partum depression in Khayelitsha (Cooper, Tomlinson, Swartz, Woolgar, Murray & Molteno, 1999) made up the subjects. Maternal depression was assessed according to the Structured Clinical Interview for DSMIV (SCID). Maternal speech recorded from standard, five-minute, face-to -face mother-infant interactions was translated and analysed according to a coding system developed by Murray (Murray, Kempton, Woolgar & Hooper, 1993). The speech of depressed mothers to their two month old infants was compared to the speech of non-depressed mothers on dimensions of focus, affect and agency, and the role of infant gender was assessed. Results revealed no significant group differences for depression. Maternal speech to male infants was found to hold significantly less ascription of agency than to female infants. Findings suggest that maternal speech may be too narrow a marker of maternal depression in this context and that broader indices are needed. It is recommended that future research control for measures of social adversity, factor in cultural and language particularities, and consider contextual aspects of mother-infant interaction / attachment processes, in investigating the mechanisms through which post-partum depression leads to negative infant outcome in the developing world.
- Full Text:
- Date Issued: 2003
- Authors: Gulle, Gillian Julie
- Date: 2003
- Subjects: Postpartum depression Postpartum depression -- South Africa Mother and infant Mother and infant -- South Africa Speech perception in infants
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3172 , http://hdl.handle.net/10962/d1007801
- Description: Research shows that maternal depression has adverse effects on mother-infant attachment and subsequent infant development (Cogill, Caplan, Alexandra, Robson & Kumar, 1986). The mechanisms through which this comes about are unclear. Murray & Cooper (1997) suggest an impaired pattern of mother-infant communication is responsible. Within this, Murray proposes that maternal speech may be a key factor. This study constitutes a preliminary exploration into the mechanisms through which maternal depression effects mother-infant interaction in South Africa. 147 predominantly Xhosa-speaking mother-infant dyads that took part in a broader epidemiological study on post-partum depression in Khayelitsha (Cooper, Tomlinson, Swartz, Woolgar, Murray & Molteno, 1999) made up the subjects. Maternal depression was assessed according to the Structured Clinical Interview for DSMIV (SCID). Maternal speech recorded from standard, five-minute, face-to -face mother-infant interactions was translated and analysed according to a coding system developed by Murray (Murray, Kempton, Woolgar & Hooper, 1993). The speech of depressed mothers to their two month old infants was compared to the speech of non-depressed mothers on dimensions of focus, affect and agency, and the role of infant gender was assessed. Results revealed no significant group differences for depression. Maternal speech to male infants was found to hold significantly less ascription of agency than to female infants. Findings suggest that maternal speech may be too narrow a marker of maternal depression in this context and that broader indices are needed. It is recommended that future research control for measures of social adversity, factor in cultural and language particularities, and consider contextual aspects of mother-infant interaction / attachment processes, in investigating the mechanisms through which post-partum depression leads to negative infant outcome in the developing world.
- Full Text:
- Date Issued: 2003
A situation analysis of sex education and communication and the implications thereof for HIV/AIDS prevention work
- Authors: Mankayi, Andiswa
- Date: 2003
- Subjects: Sex instruction , Safe sex in AIDS prevention , AIDS (Disease) -- South Africa -- Eastern Cape , AIDS (Disease) -- South Africa -- Eastern Cape -- Prevention
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3147 , http://hdl.handle.net/10962/d1007447 , Sex instruction , Safe sex in AIDS prevention , AIDS (Disease) -- South Africa -- Eastern Cape , AIDS (Disease) -- South Africa -- Eastern Cape -- Prevention
- Description: This study explores the history of sex communication and education over a period of fifty years (1950 to the present), in a deep rural area of the Eastern Cape. It describes patterns of sex communication between peers, between siblings, between children and parents and between young people and other non-familial agencies within communities. Communication trends are traced from the period before contraception was introduced, through to the introduction of female birth control methods into the HIV/AIDS era where the focus has been on attempting to introduce condoms. Twelve semi-structured interviews and two four-person focus groups were conducted to gather information on how the participants acquired information about sexuality and their responses to the same. The findings of the present study suggest that the widespread use of injectable contraceptives has had a marked effect on the sexual culture of the community under investigation. It has led to the collapse of the regulatory practices which were previously in place. This in turn has significantly affected the sexual communication and negotiation context. Furthermore, it has had a determining influence on male involvement in sexual reproductive health matters and has created a poor context for the adoption of condoms as a prophylactic. There were no major changes in the sexual communication context within families and within communities in that education has always been limited to instructions to avoid pregnancy. Of note was a culture of collusion between adults and children surrounding sexuality, which absolved the parties involved in addressing sexuality. These factors are understood have mediated response to HIV/AIDS prevention efforts, and need to be taken into consideration in the development of sex communication and education programmes.
- Full Text:
- Date Issued: 2003
- Authors: Mankayi, Andiswa
- Date: 2003
- Subjects: Sex instruction , Safe sex in AIDS prevention , AIDS (Disease) -- South Africa -- Eastern Cape , AIDS (Disease) -- South Africa -- Eastern Cape -- Prevention
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3147 , http://hdl.handle.net/10962/d1007447 , Sex instruction , Safe sex in AIDS prevention , AIDS (Disease) -- South Africa -- Eastern Cape , AIDS (Disease) -- South Africa -- Eastern Cape -- Prevention
- Description: This study explores the history of sex communication and education over a period of fifty years (1950 to the present), in a deep rural area of the Eastern Cape. It describes patterns of sex communication between peers, between siblings, between children and parents and between young people and other non-familial agencies within communities. Communication trends are traced from the period before contraception was introduced, through to the introduction of female birth control methods into the HIV/AIDS era where the focus has been on attempting to introduce condoms. Twelve semi-structured interviews and two four-person focus groups were conducted to gather information on how the participants acquired information about sexuality and their responses to the same. The findings of the present study suggest that the widespread use of injectable contraceptives has had a marked effect on the sexual culture of the community under investigation. It has led to the collapse of the regulatory practices which were previously in place. This in turn has significantly affected the sexual communication and negotiation context. Furthermore, it has had a determining influence on male involvement in sexual reproductive health matters and has created a poor context for the adoption of condoms as a prophylactic. There were no major changes in the sexual communication context within families and within communities in that education has always been limited to instructions to avoid pregnancy. Of note was a culture of collusion between adults and children surrounding sexuality, which absolved the parties involved in addressing sexuality. These factors are understood have mediated response to HIV/AIDS prevention efforts, and need to be taken into consideration in the development of sex communication and education programmes.
- Full Text:
- Date Issued: 2003
Exploring differences between organisational cultures in a company undergoing change
- Authors: Bowa, Mabvuto
- Date: 2003
- Subjects: Organizational change -- Africa , Corporate culture -- Africa , Management -- Africa , Organizational behavior -- Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3126 , http://hdl.handle.net/10962/d1006287 , Organizational change -- Africa , Corporate culture -- Africa , Management -- Africa , Organizational behavior -- Africa
- Description: Change is a common phenomena in business organisations today. The turbulent environment is exerting a significant influence on organisations to make continuous changes in their internal environment in an attempt to improve performance and achieve competitiveness in the marketplace. The human factors which confront organisations undergoing change have not been thoroughly investigated in Sub-Saharan Africa. The present study aimed at investigating human issues affecting the performance ofan organisation located in an Afiican country. Data was collected using semi-structured interviews and focus groups. Twenty interviews were conducted with employees randomly selected from all the levels of the company, namely attendant, operator, supervisory, middle and top management. Five focus groups were carried out with employees from different employee categories. Both sets of data were analysed using grounded theory. The findings showed that there were several problems in the company including insecurity, lack of opportunities for employee development, autocratic management style, lack of participation in decision making, substandard performance, ineffective human resources systems and lack of adaptation to technology. It was suggested that the problems resulted from the clash between organisational cultures in the company. At one level, there was a clash between the local workers' socialist organisational culture and the expatriates' capitalistic organisational culture. At a more deeper level, the clash appeared to be between the local employees' collectivistic sociocultural values and the expatriates' individualistic value system. These findings have significant implications for managing change in organisations with diverse cultures.
- Full Text:
- Date Issued: 2003
- Authors: Bowa, Mabvuto
- Date: 2003
- Subjects: Organizational change -- Africa , Corporate culture -- Africa , Management -- Africa , Organizational behavior -- Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3126 , http://hdl.handle.net/10962/d1006287 , Organizational change -- Africa , Corporate culture -- Africa , Management -- Africa , Organizational behavior -- Africa
- Description: Change is a common phenomena in business organisations today. The turbulent environment is exerting a significant influence on organisations to make continuous changes in their internal environment in an attempt to improve performance and achieve competitiveness in the marketplace. The human factors which confront organisations undergoing change have not been thoroughly investigated in Sub-Saharan Africa. The present study aimed at investigating human issues affecting the performance ofan organisation located in an Afiican country. Data was collected using semi-structured interviews and focus groups. Twenty interviews were conducted with employees randomly selected from all the levels of the company, namely attendant, operator, supervisory, middle and top management. Five focus groups were carried out with employees from different employee categories. Both sets of data were analysed using grounded theory. The findings showed that there were several problems in the company including insecurity, lack of opportunities for employee development, autocratic management style, lack of participation in decision making, substandard performance, ineffective human resources systems and lack of adaptation to technology. It was suggested that the problems resulted from the clash between organisational cultures in the company. At one level, there was a clash between the local workers' socialist organisational culture and the expatriates' capitalistic organisational culture. At a more deeper level, the clash appeared to be between the local employees' collectivistic sociocultural values and the expatriates' individualistic value system. These findings have significant implications for managing change in organisations with diverse cultures.
- Full Text:
- Date Issued: 2003
Holding on or letting go?: the resolution of grief in relation to two Xhosa rituals in South Africa
- Authors: Van Heerden, Gary Paul
- Date: 2003
- Subjects: South Africa -- Social life and customs , Death -- Social aspects -- South Africa , Mourning customs -- South Africa , Bereavement -- Psychological aspects , Bereavement -- South Africa -- Cross-cultural studies , Death -- South Africa -- Cross-cultural studies , Xhosa (African people) -- Rites and ceremonies , Xhosa (African people) -- Social life and customs , Animal sacrifice -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3253 , http://hdl.handle.net/10962/d1016055
- Description: The dominant emphasis in Western models of bereavement is on the breaking of bonds with the deceased in order for healing to occur. Failure to let go often leads to a diagnosis of 'pathological grief'. This paper challenges the assumption that death invariably means that the bonds with the deceased have to be severed. Situating Western models of bereavement in a modernist context not only challenges the 'truth' claims of these models, but also facilitates a deconstruction of the elements that contribute to the emphasis on letting go. In contrast to these theories, two Xhosa rituals (umkhapho and umbuyiso) that seek to sustain the bond with the deceased person will be examined. Such rituals demonstrate that it is possible to both maintain the bond and for the bereaved person to move on with their lives. Despite different contexts, it will be argued that these Xhosa bereavement rituals have a contribution to make to Western models of bereavement and some implications for therapy will be explored.
- Full Text:
- Date Issued: 2003
- Authors: Van Heerden, Gary Paul
- Date: 2003
- Subjects: South Africa -- Social life and customs , Death -- Social aspects -- South Africa , Mourning customs -- South Africa , Bereavement -- Psychological aspects , Bereavement -- South Africa -- Cross-cultural studies , Death -- South Africa -- Cross-cultural studies , Xhosa (African people) -- Rites and ceremonies , Xhosa (African people) -- Social life and customs , Animal sacrifice -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3253 , http://hdl.handle.net/10962/d1016055
- Description: The dominant emphasis in Western models of bereavement is on the breaking of bonds with the deceased in order for healing to occur. Failure to let go often leads to a diagnosis of 'pathological grief'. This paper challenges the assumption that death invariably means that the bonds with the deceased have to be severed. Situating Western models of bereavement in a modernist context not only challenges the 'truth' claims of these models, but also facilitates a deconstruction of the elements that contribute to the emphasis on letting go. In contrast to these theories, two Xhosa rituals (umkhapho and umbuyiso) that seek to sustain the bond with the deceased person will be examined. Such rituals demonstrate that it is possible to both maintain the bond and for the bereaved person to move on with their lives. Despite different contexts, it will be argued that these Xhosa bereavement rituals have a contribution to make to Western models of bereavement and some implications for therapy will be explored.
- Full Text:
- Date Issued: 2003
Nursing in transition: negotiating the experience: an exploration of the impact of the aids pandemic on the subjective work experiences of peri-urban nurses
- Authors: Brown, Lisa Joy
- Date: 2003
- Subjects: AIDS (Disease) -- Nursing -- South Africa , AIDS (Disease) -- Nursing -- Psychological aspects , Nurses -- Job stress -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3252 , http://hdl.handle.net/10962/d1015962
- Description: A substantial amount of international research exists examining the impact of HIV/AIDS on health care workers. However, the impact of HIV/AIDS on nursing staff in South Africa has been relatively neglected. The primary objective of this study was to examine the impact of the AIDS pandemic on the subjective work experiences of peri-urban nurses in South Africa. The study explored the relationship between external changes in the nurses' working environment and their internal psychological responses for negotiating this change. A focus group of eight nurses was conducted, followed by indepth individual interviews with three group members. A grounded theory method was utilised to process and analyse the data. The research showed that nurses experience two forms of change. It was suggested that nurses respond to external changes in a manner designed to maximise their control and sense of meaning in an unpredictable environment. This accommodation involves the restoration of an internal psychological equilibrium through a process of balancing positive and negative experiences. The attainment of such an acceptable equilibrium may allow for diminished stress, increased satisfaction or fulfilment and the validation of personal and professional significance.
- Full Text:
- Date Issued: 2003
- Authors: Brown, Lisa Joy
- Date: 2003
- Subjects: AIDS (Disease) -- Nursing -- South Africa , AIDS (Disease) -- Nursing -- Psychological aspects , Nurses -- Job stress -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3252 , http://hdl.handle.net/10962/d1015962
- Description: A substantial amount of international research exists examining the impact of HIV/AIDS on health care workers. However, the impact of HIV/AIDS on nursing staff in South Africa has been relatively neglected. The primary objective of this study was to examine the impact of the AIDS pandemic on the subjective work experiences of peri-urban nurses in South Africa. The study explored the relationship between external changes in the nurses' working environment and their internal psychological responses for negotiating this change. A focus group of eight nurses was conducted, followed by indepth individual interviews with three group members. A grounded theory method was utilised to process and analyse the data. The research showed that nurses experience two forms of change. It was suggested that nurses respond to external changes in a manner designed to maximise their control and sense of meaning in an unpredictable environment. This accommodation involves the restoration of an internal psychological equilibrium through a process of balancing positive and negative experiences. The attainment of such an acceptable equilibrium may allow for diminished stress, increased satisfaction or fulfilment and the validation of personal and professional significance.
- Full Text:
- Date Issued: 2003
Patterns of early adolescent sex and implications for HIV/AIDS risk prevention : a contextual study in the Amatole Basin, Eastern Cape
- Authors: Ntlabati, Pumla L
- Date: 2003
- Subjects: Teenagers -- Sexual behavior , Teenagers -- Health and hygiene -- South Africa -- Eastern Cape , Teenagers -- Diseases -- South Africa -- Eastern Cape , Sexually transmitted diseases -- South Africa -- Eastern Cape , AIDS (Disease) -- South Africa -- Eastern Cape , AIDS (Disease) in adolescence -- South Africa -- Eastern Cape -- Attitudes , AIDS (Disease) -- Prevention -- South Africa --Eastern Cape
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3176 , http://hdl.handle.net/10962/d1007814
- Description: This study involves an analysis of accounts of first and subsequent early sexual experiences in a deep rural area of the Eastern Cape in South Africa over the last forty years. Through interviews and focus group discussions, the enculturation of youth into sexual activity in the community of interest is explored. The study looks into sexual experiences from childhood, through early adolescence to adults of up to sixty five years old, allowing an analysis of the changing forms of sexual experimentation and sexual debut in this context. Contextual factors mediating these changes are explored, with special emphasis on the changing regulatory practices around early sexual experiences and the effect thereof on behaviors connected to HIV infection risk. Practices that were previously important mediators of sexual behavior were: anxiety about the social consequences of pregnancy, which was previously a significant disincentive to sexual intercourse; men's previous acceptance of the need to practice non-penetrative forms of sex and girls postponing sexual debut for as long as possible. All these were culturally endorsed, but are now noted to have changed due to changes in the regulatory practices surrounding youth sexuality. The context of early sexual experiences and the surrounding cultural practices have also changed significantly, and this needs to be taken into account in understanding receptivity to condom use messages. Implications for HIV/AIDS prevention are discussed. Among other interventions, the study describes a participatory, community-based, multi-sectoral approach that takes social conditions into account as a way of empowering the community to strengthen its response to the pandemic. This incorporates different sectors of the community, including youth, parents, religious and traditional leaders, and various other structures, services and institutions that make up the community.
- Full Text:
- Date Issued: 2003
- Authors: Ntlabati, Pumla L
- Date: 2003
- Subjects: Teenagers -- Sexual behavior , Teenagers -- Health and hygiene -- South Africa -- Eastern Cape , Teenagers -- Diseases -- South Africa -- Eastern Cape , Sexually transmitted diseases -- South Africa -- Eastern Cape , AIDS (Disease) -- South Africa -- Eastern Cape , AIDS (Disease) in adolescence -- South Africa -- Eastern Cape -- Attitudes , AIDS (Disease) -- Prevention -- South Africa --Eastern Cape
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3176 , http://hdl.handle.net/10962/d1007814
- Description: This study involves an analysis of accounts of first and subsequent early sexual experiences in a deep rural area of the Eastern Cape in South Africa over the last forty years. Through interviews and focus group discussions, the enculturation of youth into sexual activity in the community of interest is explored. The study looks into sexual experiences from childhood, through early adolescence to adults of up to sixty five years old, allowing an analysis of the changing forms of sexual experimentation and sexual debut in this context. Contextual factors mediating these changes are explored, with special emphasis on the changing regulatory practices around early sexual experiences and the effect thereof on behaviors connected to HIV infection risk. Practices that were previously important mediators of sexual behavior were: anxiety about the social consequences of pregnancy, which was previously a significant disincentive to sexual intercourse; men's previous acceptance of the need to practice non-penetrative forms of sex and girls postponing sexual debut for as long as possible. All these were culturally endorsed, but are now noted to have changed due to changes in the regulatory practices surrounding youth sexuality. The context of early sexual experiences and the surrounding cultural practices have also changed significantly, and this needs to be taken into account in understanding receptivity to condom use messages. Implications for HIV/AIDS prevention are discussed. Among other interventions, the study describes a participatory, community-based, multi-sectoral approach that takes social conditions into account as a way of empowering the community to strengthen its response to the pandemic. This incorporates different sectors of the community, including youth, parents, religious and traditional leaders, and various other structures, services and institutions that make up the community.
- Full Text:
- Date Issued: 2003
The anorexic mask : a case study of a patient with co-morbid nervosa and factitious disorder?
- Authors: Gaylard, Jeanne
- Date: 2003
- Subjects: Anorexia nervosa Anorexia nervosa -- Case studies Factitious disorders Factitious disorders -- Case studies
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3105 , http://hdl.handle.net/10962/d1004511
- Description: This study is a case-study of a patient who was diagnosed as having co-morbid Anorexia Nervosa and Factitious Disorder. It would appear that central to an understanding of both of these disorders is the patient's disturbed relationship to her own body. The existing literature on co-morbid Factitious Disorder and Anorexia Nervosa is rare, with only three cases published. A careful reading of these cases suggests that in all of these cases, Factitious Disorder may have been the primary diagnosis. In this case there was as overidentification with the patient role, and the patient's anorexic symptoms appeared to serve the function of meeting the patient's acute dependency needs. Thus, the patient's Anorexia Nervosa masked the Factitious Disorder and appeared to be secondary to the Factitious Disorder. It is argued that these disorders share several common dynamics, namely the inability to separate from the mother, high parental expectations as well as the use of the body as a transitional or pre-cursor object. In addition there are some common dynamics in the psychotherapy of these patients. All of these factors suggest that in both these disorders the developmental arrest may be located at a pre-verbal level.
- Full Text:
- Date Issued: 2003
- Authors: Gaylard, Jeanne
- Date: 2003
- Subjects: Anorexia nervosa Anorexia nervosa -- Case studies Factitious disorders Factitious disorders -- Case studies
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3105 , http://hdl.handle.net/10962/d1004511
- Description: This study is a case-study of a patient who was diagnosed as having co-morbid Anorexia Nervosa and Factitious Disorder. It would appear that central to an understanding of both of these disorders is the patient's disturbed relationship to her own body. The existing literature on co-morbid Factitious Disorder and Anorexia Nervosa is rare, with only three cases published. A careful reading of these cases suggests that in all of these cases, Factitious Disorder may have been the primary diagnosis. In this case there was as overidentification with the patient role, and the patient's anorexic symptoms appeared to serve the function of meeting the patient's acute dependency needs. Thus, the patient's Anorexia Nervosa masked the Factitious Disorder and appeared to be secondary to the Factitious Disorder. It is argued that these disorders share several common dynamics, namely the inability to separate from the mother, high parental expectations as well as the use of the body as a transitional or pre-cursor object. In addition there are some common dynamics in the psychotherapy of these patients. All of these factors suggest that in both these disorders the developmental arrest may be located at a pre-verbal level.
- Full Text:
- Date Issued: 2003
The challenges of managing HIV/AIDS counsellors in a rural district in the Eastern Cape, South Africa
- Authors: Gerber, Barbara
- Date: 2003
- Subjects: AIDS (Disease) -- Patients -- Counseling of -- South Africa -- Eastern Cape HIV-positive persons -- Counseling of -- South Africa -- Eastern Cape Counselors -- Supervision of -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3171 , http://hdl.handle.net/10962/d1007799
- Description: The pandemic of HIV/AIDS has challenged several aspects of contemporary social life. HIV/AIDS counselling has developed as a social response to provide support for those infected with the disease. Due to the nature and complexity of the disease, HIV/AIDS counsellors encounter a diversity and intensity of emotions when counselling. A support system that includes effective management and supervision may assist in resolving emotions and reactions that HIV/AIDS counsellors may experience as a result of working with HIV/AIDS clients. This study examines the difficulties that both managers and the HIV/AIDS counsellors at a rural district hospital in the Eastern Cape and its surrounding clinics are faced with, in providing the HIV/AIDS counsellors with the support they need. Engestrom's (1987) model of activity theory was used as a conceptual framework guiding both the analysis and interpretation of the data. This model facilitates the identification of tensions and contradictions thereby opening a space for change and transformation within an activity system. Multiple sources of data collection were used that included focus groups with managers and HIV/AIDS counsellors, interviews with senior hospital staff and an official from the Department of Health, Eastern Cape, and a tour of the rural district hospital. The findings suggest that HIV/AIDS counsellors do not feel supported by their managers. Managers in turn are of the opinion that they do not offer the support the HIV/AIDS counsellors' need. The lack of support is attributed to geographic distances between hospitals and the clinics they serve, lack of available transport and the multiplicity of roles of both managers and the HIV/AIDS counsellors. The pandemic of HIV/AIDS has challenged several aspects of contemporary social life. HIV/AIDS counselling has developed as a social response to provide support for those infected with the disease. Due to the nature and complexity of the disease, HIV/AIDS counsellors encounter a diversity and intensity of emotions when counselling. A support system that includes effective management and supervision may assist in resolving emotions and reactions that HIV/AIDS counsellors may experience as a result of working with HIV/AIDS clients. This study examines the difficulties that both managers and the HIV/AIDS counsellors at a rural district hospital in the Eastern Cape and its surrounding clinics are faced with, in providing the HIV/AIDS counsellors with the support they need. Engestrom's (1987) model of activity theory was used as a conceptual framework guiding both the analysis and interpretation of the data. This model facilitates the identification of tensions and contradictions thereby opening a space for change and transformation within an activity system. Multiple sources of data collection were used that included focus groups with managers and HIV/AIDS counsellors, interviews with senior hospital staff and an official from the Department of Health, Eastern Cape, and a tour of the rural district hospital. The findings suggest that HIV/AIDS counsellors do not feel supported by their managers. Managers in turn are of the opinion that they do not offer the support the HIV/AIDS counsellors' need. The lack of support is attributed to geographic distances between hospitals and the clinics they serve, lack of available transport and the multiplicity of roles of both managers and the HIV/AIDS counsellors. Recommendations include the introduction of self-supervision , peer groupsupervision for HIV/AIDS counsellors.
- Full Text:
- Date Issued: 2003
- Authors: Gerber, Barbara
- Date: 2003
- Subjects: AIDS (Disease) -- Patients -- Counseling of -- South Africa -- Eastern Cape HIV-positive persons -- Counseling of -- South Africa -- Eastern Cape Counselors -- Supervision of -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3171 , http://hdl.handle.net/10962/d1007799
- Description: The pandemic of HIV/AIDS has challenged several aspects of contemporary social life. HIV/AIDS counselling has developed as a social response to provide support for those infected with the disease. Due to the nature and complexity of the disease, HIV/AIDS counsellors encounter a diversity and intensity of emotions when counselling. A support system that includes effective management and supervision may assist in resolving emotions and reactions that HIV/AIDS counsellors may experience as a result of working with HIV/AIDS clients. This study examines the difficulties that both managers and the HIV/AIDS counsellors at a rural district hospital in the Eastern Cape and its surrounding clinics are faced with, in providing the HIV/AIDS counsellors with the support they need. Engestrom's (1987) model of activity theory was used as a conceptual framework guiding both the analysis and interpretation of the data. This model facilitates the identification of tensions and contradictions thereby opening a space for change and transformation within an activity system. Multiple sources of data collection were used that included focus groups with managers and HIV/AIDS counsellors, interviews with senior hospital staff and an official from the Department of Health, Eastern Cape, and a tour of the rural district hospital. The findings suggest that HIV/AIDS counsellors do not feel supported by their managers. Managers in turn are of the opinion that they do not offer the support the HIV/AIDS counsellors' need. The lack of support is attributed to geographic distances between hospitals and the clinics they serve, lack of available transport and the multiplicity of roles of both managers and the HIV/AIDS counsellors. The pandemic of HIV/AIDS has challenged several aspects of contemporary social life. HIV/AIDS counselling has developed as a social response to provide support for those infected with the disease. Due to the nature and complexity of the disease, HIV/AIDS counsellors encounter a diversity and intensity of emotions when counselling. A support system that includes effective management and supervision may assist in resolving emotions and reactions that HIV/AIDS counsellors may experience as a result of working with HIV/AIDS clients. This study examines the difficulties that both managers and the HIV/AIDS counsellors at a rural district hospital in the Eastern Cape and its surrounding clinics are faced with, in providing the HIV/AIDS counsellors with the support they need. Engestrom's (1987) model of activity theory was used as a conceptual framework guiding both the analysis and interpretation of the data. This model facilitates the identification of tensions and contradictions thereby opening a space for change and transformation within an activity system. Multiple sources of data collection were used that included focus groups with managers and HIV/AIDS counsellors, interviews with senior hospital staff and an official from the Department of Health, Eastern Cape, and a tour of the rural district hospital. The findings suggest that HIV/AIDS counsellors do not feel supported by their managers. Managers in turn are of the opinion that they do not offer the support the HIV/AIDS counsellors' need. The lack of support is attributed to geographic distances between hospitals and the clinics they serve, lack of available transport and the multiplicity of roles of both managers and the HIV/AIDS counsellors. Recommendations include the introduction of self-supervision , peer groupsupervision for HIV/AIDS counsellors.
- Full Text:
- Date Issued: 2003
The construction of masculinities: male university students' talk about women and heterosexual relationships
- Authors: Minnaar, Benita
- Date: 2003
- Subjects: Masculinity , Men -- Identity , Men -- South Africa , Men -- Conduct of life , Discourse analysis , Heterosexuality -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3020 , http://hdl.handle.net/10962/d1002529 , Masculinity , Men -- Identity , Men -- South Africa , Men -- Conduct of life , Discourse analysis , Heterosexuality -- South Africa
- Description: This article examines the talk of male Psychology students about women and heterosexual relationships in all-male discussion groups. Four vignettes depicting difficult situations in heterosexual relationships were used to initiate discussion. Eight men attending a historically black university participated in the group discussions, which were facilitated by a male postgraduate Psychology student. The study explored masculine identity construction by identifying interpretive repertoires deployed by respondents to construct and account for themselves and their social worlds, within the context of discussions about relationships with women. Three interpretive repertoires of masculinity: the male-as- breadwinner/provider, male-as-protector and the "New Man" repertoire were identified. The complex and contradictory nature of masculine identity construction is highlighted. Drawing on the work of Hollway (1984), two discourses of heterosexuality were also identified: the have/hold discourse and the permissive discourse. The invocation of the "New Man" repertoire and pro-feminist discourses of heterosexuality in the men's talk may signify a move towards more enlightened and less oppressive constructions of masculinity, heterosexuality and gender.
- Full Text:
- Date Issued: 2003
- Authors: Minnaar, Benita
- Date: 2003
- Subjects: Masculinity , Men -- Identity , Men -- South Africa , Men -- Conduct of life , Discourse analysis , Heterosexuality -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3020 , http://hdl.handle.net/10962/d1002529 , Masculinity , Men -- Identity , Men -- South Africa , Men -- Conduct of life , Discourse analysis , Heterosexuality -- South Africa
- Description: This article examines the talk of male Psychology students about women and heterosexual relationships in all-male discussion groups. Four vignettes depicting difficult situations in heterosexual relationships were used to initiate discussion. Eight men attending a historically black university participated in the group discussions, which were facilitated by a male postgraduate Psychology student. The study explored masculine identity construction by identifying interpretive repertoires deployed by respondents to construct and account for themselves and their social worlds, within the context of discussions about relationships with women. Three interpretive repertoires of masculinity: the male-as- breadwinner/provider, male-as-protector and the "New Man" repertoire were identified. The complex and contradictory nature of masculine identity construction is highlighted. Drawing on the work of Hollway (1984), two discourses of heterosexuality were also identified: the have/hold discourse and the permissive discourse. The invocation of the "New Man" repertoire and pro-feminist discourses of heterosexuality in the men's talk may signify a move towards more enlightened and less oppressive constructions of masculinity, heterosexuality and gender.
- Full Text:
- Date Issued: 2003