A psychoanalytic hermeneutic investigation of destructive narcissism
- Authors: De Wit, Estelle
- Date: 2013-06-04 , 2004
- Subjects: Narcissism Narcissism -- Treatment Psychoanalysis Death instinct Ego (Psychology) Self psychology
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: vital:3180 , http://hdl.handle.net/10962/d1008055
- Description: The purpose of this research was to investigate the clinical phenomenon of destructive narcissism. Contemporary Kleinian and neo-Kleinian theoretical perspectives provided the interpretative perspective on the complexities of inaccessible personalities and subtle forms of internal destructiveness. Four research questions were formulated to interrogate the individual and collective experiences of three male patients whose internal worlds seem to be governed by rigid intrapychic structures organized around the dictatorship of a constellation of seemingly impenetrable defensive strategies. These questions were as follows: 1. What emotional states, actions and experiences of self and others characterize the clinical phenomenon designed as destructive narcissism and distinguish it from other forms of character pathology? 2. What early developmental experiences and relationships may have pre-disposed individuals to the development of this type of character pathology? 3. How are the psychodynamic processes of destructive narcissism structured and configured in the psychotherapeutic process and progress? 4. What are the transference/countertransference psychotherapeutic manifestations of the psychodynamics of destructive narcissism? The illustrative-didactic case study method was utilized to discuss pertinent aspects of each patient. This included their early developmental histories, inter- and intrapersonal relationships, their current mental state, defensive strategies and their stated reasons for commencing psychotherapy. In addition, the structure of the psychotherapeutic process with these patients was reviewed in depth. Various psychic and personality features, as unveiled through this process were discussed, as well as the implications of these for the therapeutic endeavor. The features chosen for discussion were: Firstly, the constellation of the internal object world, the capacity for symbolic thought and defensive organizations. Secondly, therapeutic ambivalence, which made psychotherapy untenable, was explored in conjunction with transference/countertransference issues. Thirdly, the shadow sides of psychotherapeutic change with these patients were considered and the issues of therapeutic failure and other treatment possibilities were examined. It was concluded that there need be an important shift with regard to the psychotherapeutic goals for those patients whose condition may be chronic, and for whom it appears that psychotherapy is of little benefit. In essence, the intent of psychotherapy with these patients is to reach the healthy sane patient of the patient within the pathological organization. Attempts to unravel the perverse gratification and protection derived from the domination of the narcissistic structure may not be enough, and the patient's collusion with the internal destructive gang should also be exposed. If this can be achieved, the patient may come to accept the existence of a part of himself as truly destructive. This, in turn, cannot be disowned, therefore the patient has to live with it. Thus, in destructive narcissism, the challenge for the therapist is the extremely difficult task of disentangling the patient's pain from the idealization of internal destructiveness. , KMBT_363 , Adobe Acrobat 9.54 Paper Capture Plug-in
- Full Text:
- Date Issued: 2004
- Authors: De Wit, Estelle
- Date: 2013-06-04 , 2004
- Subjects: Narcissism Narcissism -- Treatment Psychoanalysis Death instinct Ego (Psychology) Self psychology
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: vital:3180 , http://hdl.handle.net/10962/d1008055
- Description: The purpose of this research was to investigate the clinical phenomenon of destructive narcissism. Contemporary Kleinian and neo-Kleinian theoretical perspectives provided the interpretative perspective on the complexities of inaccessible personalities and subtle forms of internal destructiveness. Four research questions were formulated to interrogate the individual and collective experiences of three male patients whose internal worlds seem to be governed by rigid intrapychic structures organized around the dictatorship of a constellation of seemingly impenetrable defensive strategies. These questions were as follows: 1. What emotional states, actions and experiences of self and others characterize the clinical phenomenon designed as destructive narcissism and distinguish it from other forms of character pathology? 2. What early developmental experiences and relationships may have pre-disposed individuals to the development of this type of character pathology? 3. How are the psychodynamic processes of destructive narcissism structured and configured in the psychotherapeutic process and progress? 4. What are the transference/countertransference psychotherapeutic manifestations of the psychodynamics of destructive narcissism? The illustrative-didactic case study method was utilized to discuss pertinent aspects of each patient. This included their early developmental histories, inter- and intrapersonal relationships, their current mental state, defensive strategies and their stated reasons for commencing psychotherapy. In addition, the structure of the psychotherapeutic process with these patients was reviewed in depth. Various psychic and personality features, as unveiled through this process were discussed, as well as the implications of these for the therapeutic endeavor. The features chosen for discussion were: Firstly, the constellation of the internal object world, the capacity for symbolic thought and defensive organizations. Secondly, therapeutic ambivalence, which made psychotherapy untenable, was explored in conjunction with transference/countertransference issues. Thirdly, the shadow sides of psychotherapeutic change with these patients were considered and the issues of therapeutic failure and other treatment possibilities were examined. It was concluded that there need be an important shift with regard to the psychotherapeutic goals for those patients whose condition may be chronic, and for whom it appears that psychotherapy is of little benefit. In essence, the intent of psychotherapy with these patients is to reach the healthy sane patient of the patient within the pathological organization. Attempts to unravel the perverse gratification and protection derived from the domination of the narcissistic structure may not be enough, and the patient's collusion with the internal destructive gang should also be exposed. If this can be achieved, the patient may come to accept the existence of a part of himself as truly destructive. This, in turn, cannot be disowned, therefore the patient has to live with it. Thus, in destructive narcissism, the challenge for the therapist is the extremely difficult task of disentangling the patient's pain from the idealization of internal destructiveness. , KMBT_363 , Adobe Acrobat 9.54 Paper Capture Plug-in
- Full Text:
- Date Issued: 2004
Getting "layed" : new professional positions in South African psychology
- Authors: Henderson, Jill
- Date: 2013-06-04
- Subjects: Psychology -- Study and teaching -- South Africa Psychologists -- Training of -- South Africa Psychologists -- Selection and appointment -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3179 , http://hdl.handle.net/10962/d1007953
- Description: KMBT_363 , Adobe Acrobat 9.54 Paper Capture Plug-in
- Full Text:
- Authors: Henderson, Jill
- Date: 2013-06-04
- Subjects: Psychology -- Study and teaching -- South Africa Psychologists -- Training of -- South Africa Psychologists -- Selection and appointment -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3179 , http://hdl.handle.net/10962/d1007953
- Description: KMBT_363 , Adobe Acrobat 9.54 Paper Capture Plug-in
- Full Text:
Employees' experience of job satisfaction within a successful organisation
- Authors: Milne, Claire
- Date: 2013-06-03
- Subjects: Employee motivation Job satisfaction Employees -- Rating of Performance standards Management -- Employee participation Organizational effectiveness Organizational behavior Employees -- Psychology Wages -- Psychological aspects
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3159 , http://hdl.handle.net/10962/d1007639
- Description: In the present organisational climate characterised by intense competition, the success of an organisation is increasingly dependent on its employees' expertise and knowledge (Carrel, Elbert, Hatfield, Grobler, Marx & Van der Schyf, 1997). Employees need to be motivated to contribute to the organisation's goals, for their knowledge and expertise to benefit an organisation (Lawler III, 1994). Organisations need to foster a situation in which employees have a positive attitude towards work and are able to benefit personally through directing their effort towards organisational goals. (Robbins, 2000) This study focuses on an organisation that has managed to link job satisfaction with organisational gain, and explores the link between these two subjects. A case study of a South African mining operation is reported on, and examined in-depth. The mine, a successful operation in terms of productivity, is recognised by its holding company as exemplary and is competing with the best base metal producers in the world. The research was conducted in two stages. The first stage consisted of 20 semi-structured individual interviews. Ten employees were selected from both the lower employee-levels and the higher employee-levels. The individual interviews focused on the experience of working at the mine with particular reference to interpersonal dynamics, job satisfaction, leadership style, and reward systems. During the second stage of the research, focus groups were conducted with two groups of seven employees each, one group from the lower-levels and one from the higher-levels. The focus groups aimed at obtaining a deeper understanding of the issues that emerged from the individual interviews. Grounded theory analysis was used during both the first, and second phase of the study. The results indicated that the mine's employees experience a high level fulfilment of higher-order needs, and that this experience is a reaction to the mine's performance enhancing culture. It is further shown that the same factors that create job satisfaction, when applied in excess, or in certain circumstances may lead to dissatisfaction within the same context.
- Full Text:
- Authors: Milne, Claire
- Date: 2013-06-03
- Subjects: Employee motivation Job satisfaction Employees -- Rating of Performance standards Management -- Employee participation Organizational effectiveness Organizational behavior Employees -- Psychology Wages -- Psychological aspects
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3159 , http://hdl.handle.net/10962/d1007639
- Description: In the present organisational climate characterised by intense competition, the success of an organisation is increasingly dependent on its employees' expertise and knowledge (Carrel, Elbert, Hatfield, Grobler, Marx & Van der Schyf, 1997). Employees need to be motivated to contribute to the organisation's goals, for their knowledge and expertise to benefit an organisation (Lawler III, 1994). Organisations need to foster a situation in which employees have a positive attitude towards work and are able to benefit personally through directing their effort towards organisational goals. (Robbins, 2000) This study focuses on an organisation that has managed to link job satisfaction with organisational gain, and explores the link between these two subjects. A case study of a South African mining operation is reported on, and examined in-depth. The mine, a successful operation in terms of productivity, is recognised by its holding company as exemplary and is competing with the best base metal producers in the world. The research was conducted in two stages. The first stage consisted of 20 semi-structured individual interviews. Ten employees were selected from both the lower employee-levels and the higher employee-levels. The individual interviews focused on the experience of working at the mine with particular reference to interpersonal dynamics, job satisfaction, leadership style, and reward systems. During the second stage of the research, focus groups were conducted with two groups of seven employees each, one group from the lower-levels and one from the higher-levels. The focus groups aimed at obtaining a deeper understanding of the issues that emerged from the individual interviews. Grounded theory analysis was used during both the first, and second phase of the study. The results indicated that the mine's employees experience a high level fulfilment of higher-order needs, and that this experience is a reaction to the mine's performance enhancing culture. It is further shown that the same factors that create job satisfaction, when applied in excess, or in certain circumstances may lead to dissatisfaction within the same context.
- Full Text:
A phenomenological exploration of adoptive parents' motivation for and experience of transracial adoption in South Africa
- Authors: Attwell, Terry-Anne
- Date: 2004
- Subjects: Interracial adoption -- South Africa , Race awareness in children -- South Africa , Prejudices in children -- South Africa , Adoption -- Law and legislation -- South Africa , Children's rights -- South Africa , South Africa -- Race relations
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:2927 , http://hdl.handle.net/10962/d1002436 , Interracial adoption -- South Africa , Race awareness in children -- South Africa , Prejudices in children -- South Africa , Adoption -- Law and legislation -- South Africa , Children's rights -- South Africa , South Africa -- Race relations
- Description: Prior to the democratic elections of 1994, South Africa was daunted by legislation flooded with racial segregation. Adoption across racial lines is, because of South Africa’s racially segregated past, a relatively recent phenomenon in this country. The number of legal adoptions has increased dramatically, especially after its legalization in 1991. Parents may adopt across racial lines for an array of different reasons, from not being able to conceive a baby, to wanting to give a child the best opportunity in life. This study explored the experiences of white parents who have adopted black children, paying particular attention to how they deal with issues of “racial” identity. In-depth interviews were used to generate qualitative data pertaining to the parental perceptions of their motivation for, and experiences of adopting a child transracially in South Africa. The study aimed to explore their motivation for adopting and experiences, as well as issues relating to “racial” identity. Recommendations have been made to assist parents who are interested in adopting transracially. The report presents findings relating to the unique characteristics of the participants who have adopted transracially. These include adopters’ motivation and thought processes before taking the relevant steps to adopt transracially; the support that they have received from others in their decision to adopt transracially; communication patterns; their relevant concerns regarding the future of their adopted child; and issues pertaining to race, culture, heritage, prejudices and stereotypes. The findings suggest that parents were pragmatic, without regrets, in their views about adopting across racial lines. The parents’ motivations for adopting across racial lines were very similar to various perspectives, but were all due to the fact that they were unable to have biological children. Parents were aware of the child’s identity and cultural issues, which may be more perceptible in the future. Their perceptions, views and opinions, and the future concerns of their children were not unrealistic. Due to the children’s young age a follow-up study of these children should be considered.
- Full Text:
- Date Issued: 2004
- Authors: Attwell, Terry-Anne
- Date: 2004
- Subjects: Interracial adoption -- South Africa , Race awareness in children -- South Africa , Prejudices in children -- South Africa , Adoption -- Law and legislation -- South Africa , Children's rights -- South Africa , South Africa -- Race relations
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:2927 , http://hdl.handle.net/10962/d1002436 , Interracial adoption -- South Africa , Race awareness in children -- South Africa , Prejudices in children -- South Africa , Adoption -- Law and legislation -- South Africa , Children's rights -- South Africa , South Africa -- Race relations
- Description: Prior to the democratic elections of 1994, South Africa was daunted by legislation flooded with racial segregation. Adoption across racial lines is, because of South Africa’s racially segregated past, a relatively recent phenomenon in this country. The number of legal adoptions has increased dramatically, especially after its legalization in 1991. Parents may adopt across racial lines for an array of different reasons, from not being able to conceive a baby, to wanting to give a child the best opportunity in life. This study explored the experiences of white parents who have adopted black children, paying particular attention to how they deal with issues of “racial” identity. In-depth interviews were used to generate qualitative data pertaining to the parental perceptions of their motivation for, and experiences of adopting a child transracially in South Africa. The study aimed to explore their motivation for adopting and experiences, as well as issues relating to “racial” identity. Recommendations have been made to assist parents who are interested in adopting transracially. The report presents findings relating to the unique characteristics of the participants who have adopted transracially. These include adopters’ motivation and thought processes before taking the relevant steps to adopt transracially; the support that they have received from others in their decision to adopt transracially; communication patterns; their relevant concerns regarding the future of their adopted child; and issues pertaining to race, culture, heritage, prejudices and stereotypes. The findings suggest that parents were pragmatic, without regrets, in their views about adopting across racial lines. The parents’ motivations for adopting across racial lines were very similar to various perspectives, but were all due to the fact that they were unable to have biological children. Parents were aware of the child’s identity and cultural issues, which may be more perceptible in the future. Their perceptions, views and opinions, and the future concerns of their children were not unrealistic. Due to the children’s young age a follow-up study of these children should be considered.
- Full Text:
- Date Issued: 2004
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
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