The effectiveness of prolonged exposure therapy for the treatment of PTSD and suicide ideation: a case study
- Authors: Mhlane, Zuziwe Gloria
- Date: 2023-10-13
- Subjects: Post-traumatic stress disorder South Africa , Suicidal ideation , Prolonged exposure therapy , Post-traumatic stress disorder in adolescence South Africa , Emotional process , Beck Scale for Suicide Ideation , Beck Depression Inventory , Beck Anxiety Inventory , CORE-OM
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/424997 , vital:72200
- Description: Post-Traumatic Stress Disorder (PTSD) is regarded as a public health burden in South Africa (SA) (Atwoli et al., 2013; Kagee, Bantjies & Saal 2017; Koenen et al.; 2017; Williams et al., 2007). According to McGowan & Kagee (2013), young adults in SA are a high-risk group of trauma. Exposure to trauma is also associated to comorbid conditions such as depression, anxiety suicidal ideation (SI) experienced by a large population (Bantjes, McGowan, Kagee & Steel, 2016). Prolonged Exposure (PE) is empirically supported and evaluated trauma therapy for PTSD (Foa, Hembree, & Rothbaum, 2007). However, there has been limited to no studies conducted to evaluate the effectiveness of PE in SA. Therefore, this study investigated whether PE is effective treatment for PTSD symptom reduction and suicide ideation in South Africa. Three participants were recruited from Focus on the Family SA (FOTF SA SA) through purposive sampling, and single-case experimental design (SCED) was utilised. PE was implemented online through zoom for 6 sessions on each client. At baseline, all the participants met the criteria for PTSD as per the Post-traumatic stress disorder symptom scale interview for DSM-5 (PSSI-5): Participant 1 (PSSI-5 - 63), Participant 2 (PSSI-5 - 53), Participant 3 (PSSI-5 - 63) and the clinical cut off score is 23. Furthermore, all participants were screened for suicide ideation (SI) using the Beck Suicide Inventory (BSI). All participants’ BSI score ranges were mild to moderate. Participants were also screened for depression using the Beck Depression Inventory second edition (BDI-II) and anxiety using the Beck Anxiety Inventory (BAI). The score ranges for both BDI-II and BAI were moderate to severe. The Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) was also used to assess general psychological distress. The CORE-OM scores for all the participants for trauma, depression and anxiety were severe. However, the risk to self/SI for all the participants was minimal. During the intervention phase, all the participants scores showed a downtrend of PTSD symptomology, as per the Post-traumatic Stress Disorder Checklist for DSM-5 (PCL-5). The PCL-5 scores went down from PCL-5 score of 58 to final session PCL-5 score of 3. The clinical cut off score is 31-33. They were also screened using the BSI, BDI and BAI and the score ranges were mild. The CORE-OM scores for trauma, anxiety, depression, and risk to self/SI were also minimal. Overall, the preliminary result of this study supports the notion that adults with symptoms of PTSD and SI had improved at the end of a brief 6-session PE intervention. The comorbid depression also showed a downtrend. , Thesis (MA) -- Faculty of Humanities, Psychology, 2023
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The photodynamic therapeutic activities and optical limiting properties of metalated asymmetric porphyrins and corroles
- Authors: Burgess, Kristen Paige
- Date: 2023-10-13
- Subjects: Porphyrins , Corrole , Photochemotherapy , Anti-infective agents , Nonlinear optics , Z-scan technique , Active oxygen , Time-dependent density functional theory , Chemical synthesis
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/424490 , vital:72158
- Description: Cancer is a devastating disease that is a leading cause of death worldwide. Despite the available cancer treatments, there is a significant need to improve the therapeutic approach towards this disease. Photodynamic therapy (PDT) is an alternative approach for treating cancer, which requires a photosensitiser, molecular oxygen and light. Although some porphyrin-based derivatives have been approved by the United States Food and Drug Administration (FDA) and other similar agencies elsewhere for photodynamic therapy, their relatively poor photophysicochemical properties mean that there is an ongoing need for new photosensitiser dyes. Singlet oxygen photosensitiser dyes can also be used to treat bacteria that develop antimicrobial resistance in the context of photodynamic antimicrobial chemotherapy (PACT). The main aim of this study was to synthesise and characterise a series of porphyrin dyes with 4-quinolinyl, thien-2-yl and 4-bromo-thien-2-yl meso-aryl groups and their Sn(IV) and In(III) complexes, as well as their corrole analogues. Corroles are contracted macrocycles that have interesting optical properties. The corroles selected for study were found to be difficult to synthesise and purify and had unfavourable photophysicochemical properties and were thus omitted from the PDT and PACT biological applications within this thesis. High- and low-symmetry A4 and ABAB type meso-tetraarylporphyrins porphyrins were synthesised to improve the photophysicochemical properties of the photosensitisers; the utility of these dyes as photosensitisers was studied against the MCF-7 breast cancer cell line for PDT and against Staphylococcus aureus and Escherichia coli for PACT. The thienyl-2-yl rings were introduced to red shift the lowest energy Q band towards the phototherapeutic window, while quaternisation of the nitrogen and sulfur atoms of the 4-quinolinyl and thien-2-yl rings to introduce a cationic nature was explored to improve the bioavailability of the drugs and uptake into the target cell walls for improved efficacy. Heavy Sn(IV) and In(III) central metal ions were introduced to enhance the singlet oxygen quantum yields and limit aggregation through axial ligation. The bromine atoms of the 4-bromo-thien-2-yl meso-aryl rings were also introduced to enhance the singlet oxygen quantum yields of the dyes. Furthermore, the utility of the porphyrin and corrole molecules for optical limiting properties to limit laser radiation to protect optical devices, including eyes, was explored by the z-scan technique. One of the dyes studied, Sn(IV) tetrathien-2-ylporphyrin, that exhibited the most favourable reverse saturable absorbance (RSA) response was embedded into a poly(bisphenol carbonate A) polymer thin film to further explore its suitability for practical applications. , Thesis (MSc) -- Faculty of Science, Chemistry, 2023
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The professional experiences of early career counselling psychologists in South Africa: a mixed method study
- Authors: Haine, Phillipa Claire
- Date: 2023-10-13
- Subjects: Counseling psychology South Africa , Career development , Counseling psychologists Training of South Africa , Mixed methods research , Interpretative phenomenological analysis
- Language: English
- Type: Academic theses , Doctoral theses , text
- Identifier: http://hdl.handle.net/10962/432321 , vital:72861 , DOI 10.21504/10962/432322
- Description: Counselling psychologists represent a considerable proportion of psychologists in South Africa (SA), yet knowledge on the discipline’s workforce is limited. In addition, professional lifespan issues have received inadequate attention, inclusive of the early career stage, identified as an exceptionally vulnerable segment of the professional lifespan. Undergirded by an interpretative phenomenology research paradigm, this mixed method sequential explanatory study, consisting of two distinct phases, aimed to explore the professional experiences of early career counselling psychologists (counselling ECPs) in SA, inclusive of employment trends, challenges and support needs. The quantitative phase (‘First Phase’) comprised of an online survey questionnaire (n = 512) to investigate the employment trends of counselling ECPs in SA. A qualitative phase (‘Second Phase’) followed, comprising of online semi-structured interviews with ten counselling ECPs. The rationale for this was that the preliminary quantitative data provided a broad understanding of the research problem, whereas the qualitative data sought to expand on the quantitative data by exploring the participants’ experiences in depth. Moreover, the collection of quantitative data provided a strong justification and phenomenological orientation for the second, qualitative, phase. The data from the two research phases were combined within a joint discussion to ensure a level of methodological complementarity and a more holistic understanding of the data captured. Trends from the first, quantitative, phase demonstrated that counselling ECPs differed across various domains from more senior generations. In the second, qualitative, phase, Interpretative Phenomenological Analysis of the data revealed three Group Experiential Themes: i) Complexity of finding and securing work, ii) Navigating an array of personal, professional and systemic challenges, and iii) Support as self-acquired. Overall, the findings suggest that counselling ECPs in SA face a variety of challenges upon entering the workforce, enhanced support is thus needed for this new, more diverse cohort of practitioners. Actionable recommendations are offered at various levels. , Thesis (PhD) -- Faculty of Humanities, Psychology, 2023
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The role of local level agency in a just green transition: the case of Rhodes University
- Authors: Nel, Vanray
- Date: 2023-10-13
- Subjects: Green economy , Just Transition , Clean energy South Africa Makhanda , Rhodes University , Triple bottom line , Sustainable development South Africa Makhanda
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/419643 , vital:71662
- Description: The research uses a richly contextualised case study of Rhodes University to explore the role of local level agency in a just green transition. The central concept of the thesis is mainstreaming sustainability. Sustainability has become a core objective both at the macro and micro levels. The just green transition and triple bottom line are shorthand for these macro and micro concepts. At the macro level, there is increasing evidence suggesting that transitioning to a sustainable economy can be a key driver of economic development. At the micro level, the elements of the triple bottom line increasingly overlap, with sustainability no longer a separate goal, or a ‘nice to have’, but integral to organisational success. However, this potential is clearly not being realised, and sustainability often remains ‘niche’. Lack of progress at the macro-level reinforces the importance of bottom-up, local level agency. In keeping with the broader micro-level literature, the case study strongly suggests that mainstreaming sustainability would have multiple benefits. These include reducing dependence on unreliable state-provided services and enhancing Rhodes University’s standing as a genuinely transformative institution. The evidence suggests that there is a pure financial case for green investments, such as the construction of a solar farm at Rhodes University, even before accounting for the social and environmental benefits of such an initiative. This shifts the focus to why institutions like Rhodes University have not been proactive in mainstreaming sustainability. The document analysis and the interviews showed that there is an awareness of the importance and potential of mainstreaming sustainability. However, the funding squeeze is often misperceived as a binding constraint, and there is an absence of innovative thinking about how to finance projects with high returns, such as a solar farm. A theme amongst several of the interviewees was that the university should embrace a policy of enhancing small changes as a way of mainstreaming sustainability gradually. Even here, there are doubts about whether the organisational structure of the university will allow this. On the other hand, there are positive signs that the increasing sense of crisis means management and other key stakeholders are gradually shifting towards seeing the crucial importance of the university embracing a more proactive stance. , Thesis (MCom) -- Faculty of Commerce, Economics and Economic History, 2023
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