Therapy drop-out: a descriptive case study of an imperfect sand-play therapy process with an aggressive 12 year old boy
- Authors: Fouche, Aimee Louise
- Date: 2022-04-07
- Subjects: Psychotherapy Failure , Psychotherapy Outcome assessment , Psychotherapy , Aggressiveness in children , Sandplay Therapeutic use , Play therapy , Conduct disorders in children , Boys Psychology
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/292704 , vital:57008
- Description: This case study sought to document an imperfect sandplay therapy process with an aggressive 12 year old male. Premature abscondment is a recognised issue in child and adolescent therapy. Extra-therapeutic factors like social support from family and friends have been found to be determinants of child psychotherapy outcomes. There is a significant gap in case study research documenting a failed child therapy process. This research aims to address the omission by using qualitative methods to elicit a nuanced account of such a process. The results of thematic analysis found that parents played a crucial role in the failure of the process. Not only were they instrumental in stopping therapy attendance but their disengaged attitudes infiltrated into the child’s process. Implications for clinical practice were discussed and recommendations were made for more documentation of failed therapy processes. This case study hopes to form part of the ground work for future investigations. , Thesis (MA) -- Faculty of Humanities, Psychology, 2022
- Full Text:
- Date Issued: 2022-04-07
- Authors: Fouche, Aimee Louise
- Date: 2022-04-07
- Subjects: Psychotherapy Failure , Psychotherapy Outcome assessment , Psychotherapy , Aggressiveness in children , Sandplay Therapeutic use , Play therapy , Conduct disorders in children , Boys Psychology
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/292704 , vital:57008
- Description: This case study sought to document an imperfect sandplay therapy process with an aggressive 12 year old male. Premature abscondment is a recognised issue in child and adolescent therapy. Extra-therapeutic factors like social support from family and friends have been found to be determinants of child psychotherapy outcomes. There is a significant gap in case study research documenting a failed child therapy process. This research aims to address the omission by using qualitative methods to elicit a nuanced account of such a process. The results of thematic analysis found that parents played a crucial role in the failure of the process. Not only were they instrumental in stopping therapy attendance but their disengaged attitudes infiltrated into the child’s process. Implications for clinical practice were discussed and recommendations were made for more documentation of failed therapy processes. This case study hopes to form part of the ground work for future investigations. , Thesis (MA) -- Faculty of Humanities, Psychology, 2022
- Full Text:
- Date Issued: 2022-04-07
Educating learners with special educational needs in special schools: an interpretative phenomenological study of teachers’ experiences
- Authors: Matebese, Sibongile
- Date: 2021-10-29
- Subjects: Children with disabilities Education South Africa , South Africa. Department of Education , Inclusive education South Africa , Special education teachers South Africa , Special education teachers South Africa Interviews , Phenomenological psychology
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10962/192270 , vital:45211
- Description: In 2001, the Department of Education introduced a policy known as White Paper 6: Special Needs Education: Building an Inclusive Education and Training System. This policy was a response to the worldwide call for inclusive education. It aimed to ensure that all learners with special educational needs (LSEN) and who experience barriers to learning are accommodated and taught in mainstream schooling contexts. Implementation of this policy in South Africa has been a challenge, and special schools continue to exist. While research has explored the experiences of teachers who teach LSEN, such studies have focused on teacher experiences in mainstream schools. A few international and South African studies have explored teacher experiences of teaching LSEN in special schools; however, these explore specific aspects of teacher experiences and are outdated. Based on this premise and drawing on a phenomenological approach, this study sought to explore and understand the experiences of teachers who teach LSEN in special schools. Using the semi-structured interview, eight teachers teaching in special schools in a city in the Eastern Cape were recruited and interviewed. Five superordinate themes emerged from the shared experiences, namely, ‘personal commitment and the need for a balance’, ‘recognising the learner at the centre’, ‘the importance of a holistic approach’, ‘the ups and downs of teaching LSEN’, and ‘support is available but limited’. Within these themes, the teachers experienced teaching LSEN as involving more than teaching, as a role guided by the learner, as collaborative, associated with positive experiences and challenges, including an endeavour that they are adequately supported in but simultaneously require more support for. In reflecting on this analysis, this study argues that special schools are necessary; teaching LSEN in special schools is important to teachers, and they feel a responsibility for it. Recommendations for future research include repeating the present study with a different population and methodology, interviewing parents of LSEN and LSEN themselves to gain further insights into special schooling. The study makes key recommendations for special needs education to help ensure that such an educational system is sustained as inclusion is a long way from being realised. , Thesis (MA) -- Faculty of Humanities, Psychology, 2021
- Full Text:
- Date Issued: 2021-10-29
- Authors: Matebese, Sibongile
- Date: 2021-10-29
- Subjects: Children with disabilities Education South Africa , South Africa. Department of Education , Inclusive education South Africa , Special education teachers South Africa , Special education teachers South Africa Interviews , Phenomenological psychology
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10962/192270 , vital:45211
- Description: In 2001, the Department of Education introduced a policy known as White Paper 6: Special Needs Education: Building an Inclusive Education and Training System. This policy was a response to the worldwide call for inclusive education. It aimed to ensure that all learners with special educational needs (LSEN) and who experience barriers to learning are accommodated and taught in mainstream schooling contexts. Implementation of this policy in South Africa has been a challenge, and special schools continue to exist. While research has explored the experiences of teachers who teach LSEN, such studies have focused on teacher experiences in mainstream schools. A few international and South African studies have explored teacher experiences of teaching LSEN in special schools; however, these explore specific aspects of teacher experiences and are outdated. Based on this premise and drawing on a phenomenological approach, this study sought to explore and understand the experiences of teachers who teach LSEN in special schools. Using the semi-structured interview, eight teachers teaching in special schools in a city in the Eastern Cape were recruited and interviewed. Five superordinate themes emerged from the shared experiences, namely, ‘personal commitment and the need for a balance’, ‘recognising the learner at the centre’, ‘the importance of a holistic approach’, ‘the ups and downs of teaching LSEN’, and ‘support is available but limited’. Within these themes, the teachers experienced teaching LSEN as involving more than teaching, as a role guided by the learner, as collaborative, associated with positive experiences and challenges, including an endeavour that they are adequately supported in but simultaneously require more support for. In reflecting on this analysis, this study argues that special schools are necessary; teaching LSEN in special schools is important to teachers, and they feel a responsibility for it. Recommendations for future research include repeating the present study with a different population and methodology, interviewing parents of LSEN and LSEN themselves to gain further insights into special schooling. The study makes key recommendations for special needs education to help ensure that such an educational system is sustained as inclusion is a long way from being realised. , Thesis (MA) -- Faculty of Humanities, Psychology, 2021
- Full Text:
- Date Issued: 2021-10-29
Power in periods: a Foucauldian-feminist exploration of menstruation in an all-girls’ secondary school in South Africa
- Authors: Parkinson, Catherine Anne
- Date: 2021-10-29
- Subjects: Menstruation South Africa , Menstruation Social aspects South Africa , High school girls Health and hygiene South Africa , Communication in reproductive health South Africa , Sexual health South Africa , Sex differences (Psychology) in adolescence South Africa , Male domination (Social structure) South Africa , Feminist theory , Foucault, Michel, 1926-1984. Surveiller et punir. English , Discourse analysis
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10962/190930 , vital:45042
- Description: Absenteeism from school among girls due to a lack of menstrual health management (MHM) products has increasingly attracted attention from researchers and activists in recent years. Having highlighted the challenges caused by a lack of MHM products, the focus has been on the available facilities at schools to ensure MHM. Many schools in South Africa lack water, sanitation and hygiene (WASH) to ensure hygiene standards for the removal of bodily excre-ment, which further causes distress to girls needing MHM while at school. To investigate fur-ther the MHM challenges girls face, apart from access to products and WASH, this qualita-tive study purposively selected an all-girls’ school with access to good sanitation facilities. This research uses Foucauldian Discourse Analysis and Feminist Theory to explore the forms of discipline and control that girls experience at school to contain their bodily functioning and fluids, and the forms of resistance and support that girls encounter with MHM at school. I will argue that the ambivalent meanings girls acquire about menstruation at home and in soci-ety persist at school despite their own views that menstruation is normal. While MHM prod-ucts and WASH facilities need to be freely available, the problematic social response to men-struation is what needs to be addressed in order to emancipate women from the social patriar-chal power that informs their understanding that menstruation is shameful. MHM cannot only encompass products and facilities but needs to encompass a change in societal views of sex-ual and reproductive health. , Thesis (MA) -- Faculty of Humanities, Psychology, 2021
- Full Text:
- Date Issued: 2021-10-29
- Authors: Parkinson, Catherine Anne
- Date: 2021-10-29
- Subjects: Menstruation South Africa , Menstruation Social aspects South Africa , High school girls Health and hygiene South Africa , Communication in reproductive health South Africa , Sexual health South Africa , Sex differences (Psychology) in adolescence South Africa , Male domination (Social structure) South Africa , Feminist theory , Foucault, Michel, 1926-1984. Surveiller et punir. English , Discourse analysis
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10962/190930 , vital:45042
- Description: Absenteeism from school among girls due to a lack of menstrual health management (MHM) products has increasingly attracted attention from researchers and activists in recent years. Having highlighted the challenges caused by a lack of MHM products, the focus has been on the available facilities at schools to ensure MHM. Many schools in South Africa lack water, sanitation and hygiene (WASH) to ensure hygiene standards for the removal of bodily excre-ment, which further causes distress to girls needing MHM while at school. To investigate fur-ther the MHM challenges girls face, apart from access to products and WASH, this qualita-tive study purposively selected an all-girls’ school with access to good sanitation facilities. This research uses Foucauldian Discourse Analysis and Feminist Theory to explore the forms of discipline and control that girls experience at school to contain their bodily functioning and fluids, and the forms of resistance and support that girls encounter with MHM at school. I will argue that the ambivalent meanings girls acquire about menstruation at home and in soci-ety persist at school despite their own views that menstruation is normal. While MHM prod-ucts and WASH facilities need to be freely available, the problematic social response to men-struation is what needs to be addressed in order to emancipate women from the social patriar-chal power that informs their understanding that menstruation is shameful. MHM cannot only encompass products and facilities but needs to encompass a change in societal views of sex-ual and reproductive health. , Thesis (MA) -- Faculty of Humanities, Psychology, 2021
- Full Text:
- Date Issued: 2021-10-29
A systematic review of the efficacy of internet-based interventions for depression and anxiety disorders: the possibilities and limitations for feasibility within South Africa
- Authors: Sealy-Fisher, Kay Tibeta
- Date: 2020
- Subjects: Depression, Mental -- Treatment -- South Africa , Anxiety disorders -- Treatment -- South Africa , Internet in psychotherapy -- South Africa
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/144632 , vital:38364
- Description: Technological advances may alleviate the burden on South Africa’s mental healthcare system. This study is a systematic review of literature that assesses the efficacy of high quality online interventions for depression and anxiety, and that compares the reviewed studies’ characteristics to the South African context to assist in future developments of online interventions for depression and anxiety within South Africa. This was achieved through using a 2010 systematic review of Griffiths, Farrer, and Christensen as point of departure. This research had two aims: to provide an updated systematic review of the literature reporting on the efficacy of internet-based interventions for depression and anxiety disorders; and to evaluate the possibilities and limitations for the feasibility of implementing internet-based interventions for depression and anxiety disorders in the South African context. Databases accessed were PubMed, PsycINFO, and Cochrane Central Register of Controlled Trials. Included studies must: (i) report on one or more internet-based intervention, (ii) target depression or anxiety or both, (iii) report the effect size or provide enough information to calculate it, (iv) report a measure of symptoms outcome, (v) be a Randomised Controlled Trial, (vi) include a control group that received no active intervention, (vii) be published and peer-reviewed, (viii) have been published after January 2010. The search yielded 2999 potential studies of which 20 full texts were reviewed. Of these, 75% (n=15) of the studies report effect sizes above 0.20, and 25% (n=5) of the studies report effect sizes above 0.80. Themes emergent from literature and included studies distinguished effective from non-effective studies included the use of cognitive behavioural therapy, therapist input and reminders to engage with the intervention, and duration of over 6 weeks. Attrition rates did not differ between experimental and control groups. Sample characteristics between the reviewed interventions and South Africa’s population were found to be different and is discussed. Unfortunately, 37 potential studies could not be accessed and thus not included, although several attempts were made. The majority of studies had effect sizes equal to that of face-to-face therapeutic interventions. Implications of application in South Africa’s context with limited technological familiarity, insufficiency of professionally trained therapists, poor literacy, and high costs of internet data are discussed. It is concluded that with appropriate adaptation, online internet interventions for depression and anxiety would be beneficial to South Africa’s people and assist in lowering the country’s burden of mental health disorders.
- Full Text:
- Date Issued: 2020
- Authors: Sealy-Fisher, Kay Tibeta
- Date: 2020
- Subjects: Depression, Mental -- Treatment -- South Africa , Anxiety disorders -- Treatment -- South Africa , Internet in psychotherapy -- South Africa
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/144632 , vital:38364
- Description: Technological advances may alleviate the burden on South Africa’s mental healthcare system. This study is a systematic review of literature that assesses the efficacy of high quality online interventions for depression and anxiety, and that compares the reviewed studies’ characteristics to the South African context to assist in future developments of online interventions for depression and anxiety within South Africa. This was achieved through using a 2010 systematic review of Griffiths, Farrer, and Christensen as point of departure. This research had two aims: to provide an updated systematic review of the literature reporting on the efficacy of internet-based interventions for depression and anxiety disorders; and to evaluate the possibilities and limitations for the feasibility of implementing internet-based interventions for depression and anxiety disorders in the South African context. Databases accessed were PubMed, PsycINFO, and Cochrane Central Register of Controlled Trials. Included studies must: (i) report on one or more internet-based intervention, (ii) target depression or anxiety or both, (iii) report the effect size or provide enough information to calculate it, (iv) report a measure of symptoms outcome, (v) be a Randomised Controlled Trial, (vi) include a control group that received no active intervention, (vii) be published and peer-reviewed, (viii) have been published after January 2010. The search yielded 2999 potential studies of which 20 full texts were reviewed. Of these, 75% (n=15) of the studies report effect sizes above 0.20, and 25% (n=5) of the studies report effect sizes above 0.80. Themes emergent from literature and included studies distinguished effective from non-effective studies included the use of cognitive behavioural therapy, therapist input and reminders to engage with the intervention, and duration of over 6 weeks. Attrition rates did not differ between experimental and control groups. Sample characteristics between the reviewed interventions and South Africa’s population were found to be different and is discussed. Unfortunately, 37 potential studies could not be accessed and thus not included, although several attempts were made. The majority of studies had effect sizes equal to that of face-to-face therapeutic interventions. Implications of application in South Africa’s context with limited technological familiarity, insufficiency of professionally trained therapists, poor literacy, and high costs of internet data are discussed. It is concluded that with appropriate adaptation, online internet interventions for depression and anxiety would be beneficial to South Africa’s people and assist in lowering the country’s burden of mental health disorders.
- Full Text:
- Date Issued: 2020
An explorative study into Faith healing as an African belief system and its influence on the diagnosis and treatment of mental illness in the Eastern Cape province, South Africa
- Authors: Tsotsi, Liso
- Date: 2019
- Subjects: Traditional medicine -- South Africa -- Eastern Cape , Spiritual healing -- South Africa -- Eastern Cape , Ethnopsychology -- South Africa -- Eastern Cape , Mental illness -- Treatment -- South Africa -- Eastern Cape , Mental illness -- Alternative treatment -- South Africa -- Eastern Cape
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/67753 , vital:29137
- Description: The present study specifically focussed on Faith healing as an indigenous healing system and its influence on the diagnosis and treatment of mental illnesses in the Eastern Cape province of South Africa. The study aimed to provide a descriptive overview of Faith healers’ perspectives on the diagnosis and treatment of mental illnesses in the Eastern Cape, as well as to compare conclusions reached with other categories of indigenous healers. The inter-category comparisons on a broader level allowed for a further comparative discourse with the mainstream western medical psychiatric view of mental illness. Therefore, the scope of this study does not include in-depth analyses of findings, but rather the generation of themes for comparative discussions. While there exists vast literature on the diagnostic and treatment perspectives of the other two categories of indigenous healing systems (traditional healers and herbalists), a limited number of studies have been focussed on Faith healing as an indigenous mode of healing. The present study attempted to address this gap in the literature in an effort to promote future collaborative work across all viewpoints, in the management of mental illnesses. This study, grounded in qualitative research, utilized thematic analysis as its theoretical framework. Non probability judgmental sampling was used to secure self-identifying Faith healers, where conclusions from them were drawn from data collected, using in depth semi-structured interviews and observation. The main findings of the study indicated that Faith healers’ perspectives on the diagnosis and treatment of mental illnesses are based mainly on indigenous cultural theories. Furthermore, that collaboration with other viewpoints is hampered by animosity, feelings of distrust and the fear of appearing inferior.
- Full Text:
- Date Issued: 2019
- Authors: Tsotsi, Liso
- Date: 2019
- Subjects: Traditional medicine -- South Africa -- Eastern Cape , Spiritual healing -- South Africa -- Eastern Cape , Ethnopsychology -- South Africa -- Eastern Cape , Mental illness -- Treatment -- South Africa -- Eastern Cape , Mental illness -- Alternative treatment -- South Africa -- Eastern Cape
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/67753 , vital:29137
- Description: The present study specifically focussed on Faith healing as an indigenous healing system and its influence on the diagnosis and treatment of mental illnesses in the Eastern Cape province of South Africa. The study aimed to provide a descriptive overview of Faith healers’ perspectives on the diagnosis and treatment of mental illnesses in the Eastern Cape, as well as to compare conclusions reached with other categories of indigenous healers. The inter-category comparisons on a broader level allowed for a further comparative discourse with the mainstream western medical psychiatric view of mental illness. Therefore, the scope of this study does not include in-depth analyses of findings, but rather the generation of themes for comparative discussions. While there exists vast literature on the diagnostic and treatment perspectives of the other two categories of indigenous healing systems (traditional healers and herbalists), a limited number of studies have been focussed on Faith healing as an indigenous mode of healing. The present study attempted to address this gap in the literature in an effort to promote future collaborative work across all viewpoints, in the management of mental illnesses. This study, grounded in qualitative research, utilized thematic analysis as its theoretical framework. Non probability judgmental sampling was used to secure self-identifying Faith healers, where conclusions from them were drawn from data collected, using in depth semi-structured interviews and observation. The main findings of the study indicated that Faith healers’ perspectives on the diagnosis and treatment of mental illnesses are based mainly on indigenous cultural theories. Furthermore, that collaboration with other viewpoints is hampered by animosity, feelings of distrust and the fear of appearing inferior.
- Full Text:
- Date Issued: 2019
The effectiveness of sandplay therapy with a Xhosa child
- Authors: Snelgar, Orrin Glenn
- Date: 2019
- Subjects: Sandplay -- Therapeutic use -- Case studies -- South Africa , Play therapy -- Case studies -- South Africa , Child psychotherapy -- Case studies -- South Africa , Children, Black -- Psychology -- South Africa
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/179168 , vital:39876
- Description: This case study sought to determine whether Kalffian Sandtray Therapy was effective with a Xhosa child. In the context of ongoing discussions surrounding evidence-based practice and culturally appropriate interventions, no published research has yet explored the effectiveness of this classical tool within this significant South African demographic. In an effort to address this omission, the research adopted a mixed methods approach where Kalffian analysis of the sandplay process was evaluated in conjunction with quantitative measures (the Strengths and Difficulties Questionnaire and the Young Person’s Clinical Outcomes in Routine Evaluation). The results of this triangulation revealed a complex picture of improved interpersonal functioning and stagnant (or worsened) emotional wellbeing after five sessions. Contextualised interpretations of these findings are discussed and recommendations made for future sandplay practice and research in the South African context.
- Full Text:
- Date Issued: 2019
- Authors: Snelgar, Orrin Glenn
- Date: 2019
- Subjects: Sandplay -- Therapeutic use -- Case studies -- South Africa , Play therapy -- Case studies -- South Africa , Child psychotherapy -- Case studies -- South Africa , Children, Black -- Psychology -- South Africa
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/179168 , vital:39876
- Description: This case study sought to determine whether Kalffian Sandtray Therapy was effective with a Xhosa child. In the context of ongoing discussions surrounding evidence-based practice and culturally appropriate interventions, no published research has yet explored the effectiveness of this classical tool within this significant South African demographic. In an effort to address this omission, the research adopted a mixed methods approach where Kalffian analysis of the sandplay process was evaluated in conjunction with quantitative measures (the Strengths and Difficulties Questionnaire and the Young Person’s Clinical Outcomes in Routine Evaluation). The results of this triangulation revealed a complex picture of improved interpersonal functioning and stagnant (or worsened) emotional wellbeing after five sessions. Contextualised interpretations of these findings are discussed and recommendations made for future sandplay practice and research in the South African context.
- Full Text:
- Date Issued: 2019
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