A comparison of depressed and non-depressed mothers' speech to two-month old infants in a South African peri-urban settlement
- Authors: Gulle, Gillian Julie
- Date: 2003
- Subjects: Postpartum depression Postpartum depression -- South Africa Mother and infant Mother and infant -- South Africa Speech perception in infants
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3172 , http://hdl.handle.net/10962/d1007801
- Description: Research shows that maternal depression has adverse effects on mother-infant attachment and subsequent infant development (Cogill, Caplan, Alexandra, Robson & Kumar, 1986). The mechanisms through which this comes about are unclear. Murray & Cooper (1997) suggest an impaired pattern of mother-infant communication is responsible. Within this, Murray proposes that maternal speech may be a key factor. This study constitutes a preliminary exploration into the mechanisms through which maternal depression effects mother-infant interaction in South Africa. 147 predominantly Xhosa-speaking mother-infant dyads that took part in a broader epidemiological study on post-partum depression in Khayelitsha (Cooper, Tomlinson, Swartz, Woolgar, Murray & Molteno, 1999) made up the subjects. Maternal depression was assessed according to the Structured Clinical Interview for DSMIV (SCID). Maternal speech recorded from standard, five-minute, face-to -face mother-infant interactions was translated and analysed according to a coding system developed by Murray (Murray, Kempton, Woolgar & Hooper, 1993). The speech of depressed mothers to their two month old infants was compared to the speech of non-depressed mothers on dimensions of focus, affect and agency, and the role of infant gender was assessed. Results revealed no significant group differences for depression. Maternal speech to male infants was found to hold significantly less ascription of agency than to female infants. Findings suggest that maternal speech may be too narrow a marker of maternal depression in this context and that broader indices are needed. It is recommended that future research control for measures of social adversity, factor in cultural and language particularities, and consider contextual aspects of mother-infant interaction / attachment processes, in investigating the mechanisms through which post-partum depression leads to negative infant outcome in the developing world.
- Full Text:
- Date Issued: 2003
- Authors: Gulle, Gillian Julie
- Date: 2003
- Subjects: Postpartum depression Postpartum depression -- South Africa Mother and infant Mother and infant -- South Africa Speech perception in infants
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3172 , http://hdl.handle.net/10962/d1007801
- Description: Research shows that maternal depression has adverse effects on mother-infant attachment and subsequent infant development (Cogill, Caplan, Alexandra, Robson & Kumar, 1986). The mechanisms through which this comes about are unclear. Murray & Cooper (1997) suggest an impaired pattern of mother-infant communication is responsible. Within this, Murray proposes that maternal speech may be a key factor. This study constitutes a preliminary exploration into the mechanisms through which maternal depression effects mother-infant interaction in South Africa. 147 predominantly Xhosa-speaking mother-infant dyads that took part in a broader epidemiological study on post-partum depression in Khayelitsha (Cooper, Tomlinson, Swartz, Woolgar, Murray & Molteno, 1999) made up the subjects. Maternal depression was assessed according to the Structured Clinical Interview for DSMIV (SCID). Maternal speech recorded from standard, five-minute, face-to -face mother-infant interactions was translated and analysed according to a coding system developed by Murray (Murray, Kempton, Woolgar & Hooper, 1993). The speech of depressed mothers to their two month old infants was compared to the speech of non-depressed mothers on dimensions of focus, affect and agency, and the role of infant gender was assessed. Results revealed no significant group differences for depression. Maternal speech to male infants was found to hold significantly less ascription of agency than to female infants. Findings suggest that maternal speech may be too narrow a marker of maternal depression in this context and that broader indices are needed. It is recommended that future research control for measures of social adversity, factor in cultural and language particularities, and consider contextual aspects of mother-infant interaction / attachment processes, in investigating the mechanisms through which post-partum depression leads to negative infant outcome in the developing world.
- Full Text:
- Date Issued: 2003
An investigation into the current and potential benefits of tourism-based development in the Albany and Peddie districts
- Authors: Klinkradt, Mary Louise
- Date: 2003 , 2013-05-27
- Subjects: Tourism -- South Africa -- Eastern Cape , Tourism -- South Africa -- Grahamstown , Tourism -- South Africa -- Peddie , Ecotourism -- South Africa -- Eastern Cape , Tourism -- South Africa -- Eastern Cape -- Management , Tourism -- Social aspects -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:4811 , http://hdl.handle.net/10962/d1004904 , Tourism -- South Africa -- Eastern Cape , Tourism -- South Africa -- Grahamstown , Tourism -- South Africa -- Peddie , Ecotourism -- South Africa -- Eastern Cape , Tourism -- South Africa -- Eastern Cape -- Management , Tourism -- Social aspects -- South Africa -- Eastern Cape
- Description: This research considers the relationship between tourism and development, and how tourism can be used as a means of promoting development. In order to explore this relationship, two districts in the Eastern Cape province of South Africa, the Albany and Peddie Districts have been selected as case study areas. Both the Albany and Peddie Districts are in need of development which can meet the economic and social development of the districts. One such option for the two districts is tourism-based development. This research examines the current status of tourism in both districts through the use of secondary data analysis and primary data gathered from questionnaires and interviews undertaken with tourists and representatives of key stakeholders in the tourism industry. This data was used to establish the current and future potential of tourism in the districts in terms of the availability and diversity of attractions and the tourism assets and facilities in the districts. It was also used to determine whether or not tourism, by promoting infrastructural and economic development, may lead to the socio-economic upliftment of the Albany and Peddie Districts. The results obtained from this research highlight the significant lack of tourism infrastructure in the Peddie District, and the reality that the tourism potential of the district remains untapped. With the marketing and promotion of tourism to the district, and the associated tourist requirements such as accommodation, and other facilities, tourism does hold a potential key to the socio-economic development of the district. The Albany District, however, has a well-established tourism industry, but the development spin-ofts are minimal, and the potential for further tourism-based development in the future would therefore appear to be somewhat limited. A GIS (Geographic Information System) was use to determine and detail possible tourism routes, a final outcome of the investigation being the proposal of two tourism routes to draw people into and through the study area, based on the current assets and attractions of the two districts. These routes highlight one of the options available in the districts to promote much needed development in the two districts through the use of the tourism industry. , KMBT_363 , Adobe Acrobat 9.54 Paper Capture Plug-in
- Full Text:
- Date Issued: 2003
- Authors: Klinkradt, Mary Louise
- Date: 2003 , 2013-05-27
- Subjects: Tourism -- South Africa -- Eastern Cape , Tourism -- South Africa -- Grahamstown , Tourism -- South Africa -- Peddie , Ecotourism -- South Africa -- Eastern Cape , Tourism -- South Africa -- Eastern Cape -- Management , Tourism -- Social aspects -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:4811 , http://hdl.handle.net/10962/d1004904 , Tourism -- South Africa -- Eastern Cape , Tourism -- South Africa -- Grahamstown , Tourism -- South Africa -- Peddie , Ecotourism -- South Africa -- Eastern Cape , Tourism -- South Africa -- Eastern Cape -- Management , Tourism -- Social aspects -- South Africa -- Eastern Cape
- Description: This research considers the relationship between tourism and development, and how tourism can be used as a means of promoting development. In order to explore this relationship, two districts in the Eastern Cape province of South Africa, the Albany and Peddie Districts have been selected as case study areas. Both the Albany and Peddie Districts are in need of development which can meet the economic and social development of the districts. One such option for the two districts is tourism-based development. This research examines the current status of tourism in both districts through the use of secondary data analysis and primary data gathered from questionnaires and interviews undertaken with tourists and representatives of key stakeholders in the tourism industry. This data was used to establish the current and future potential of tourism in the districts in terms of the availability and diversity of attractions and the tourism assets and facilities in the districts. It was also used to determine whether or not tourism, by promoting infrastructural and economic development, may lead to the socio-economic upliftment of the Albany and Peddie Districts. The results obtained from this research highlight the significant lack of tourism infrastructure in the Peddie District, and the reality that the tourism potential of the district remains untapped. With the marketing and promotion of tourism to the district, and the associated tourist requirements such as accommodation, and other facilities, tourism does hold a potential key to the socio-economic development of the district. The Albany District, however, has a well-established tourism industry, but the development spin-ofts are minimal, and the potential for further tourism-based development in the future would therefore appear to be somewhat limited. A GIS (Geographic Information System) was use to determine and detail possible tourism routes, a final outcome of the investigation being the proposal of two tourism routes to draw people into and through the study area, based on the current assets and attractions of the two districts. These routes highlight one of the options available in the districts to promote much needed development in the two districts through the use of the tourism industry. , KMBT_363 , Adobe Acrobat 9.54 Paper Capture Plug-in
- Full Text:
- Date Issued: 2003
From labour reserve to investment opportunity: economic development planning in the Mbashe Local Municipal area in the Eastern Cape
- Authors: Reynolds, John Hunter
- Date: 2003
- Subjects: Economic development -- South Africa -- Eastern Cape , Community development -- South Africa -- Eastern Cape , South Africa -- Economic policy , Planning -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3353 , http://hdl.handle.net/10962/d1007490 , Economic development -- South Africa -- Eastern Cape , Community development -- South Africa -- Eastern Cape , South Africa -- Economic policy , Planning -- South Africa -- Eastern Cape
- Description: Planning for economic development at the local level has become increasingly important in many countries of the world. South Africa is no exception and has had the local focus entrenched through constitutional provisions for developmental local government. This developmental approach has been intimately linked to, and influenced by, the broader legislative, policy and planning context within which the development challenges of post-Apartheid South Africa have been addressed. It has also been implemented in a context of far-reaching transformation of public institutions aimed, in the final analysis, at the effective functioning of three spheres of government. In this thesis, the Mbashe Local Municipal area is used as a case study for an examination of the linkages between economic development planning at the local, provincial and national levels. It is not a case study in the sense that an in-depth analysis of practice is undertaken; it is used rather as a lens through which the economic development planning activities of the three spheres of government are viewed. Its value as a lens lies in its location in the former Transkei, which is characterised by high levels of unemployment and poverty and low levels of service infrastructure, and in its status as one of the newly demarcated local municipalities in South Africa. Mbashe is a pilot site of the Promotion of Rural Livelihoods Programme, which has been linked to the Eastern Cape Province's Integrated Sustainable Rural Development Programme. It also includes one of the nodes of the Wild Coast Spatial Development Initiative, which has, since 1998, been promoted as a vehicle for economic development in the former Transkei. Research comprised extensive documentary research, individual interviews with key role players in the Mbashe Local Municipality, the Promotion of Rural Livelihoods Programme and the Wild Coast Spatial Development Initiative, and a group interview with members of the Local Economic Development Sub-Committee of the Mbashe Local Municipal Council. An attempt was made to understand the complex layers of policy and planning frameworks that guide planning at the national and provincial levels and within which local level economic development is situated, and to explore the responses that have been forged by agents within the Mbashe area. Key in this endeavour has been the initiatives developed under the guidance of the Mbashe Local Economic Development Sub-Committee. It is argued that the severe resource constraints faced within Mbashe, combined with limited knowledge of and participation in larger planning and resource mobilisation frameworks, lock Local Economic Development within the top-down and investmentled approaches, rather than the more integrated approach that is promoted in terms of legislation and that is required if poverty is to be addressed successfully. The limitations on state fiscal expenditure and the market-led approach to service provision and economic development, implemented in terms of South Africa's macroeconomic framework, combined with limited synchronisation of planning cycles in which integrated development planning at the local level is privileged, leave little scope for endogenous economic development at local level. There is scope for creative engagement with the interlocking local, provincial, national and continental economies by actively shifting resources in support of integrated, endogenous approaches. Such approaches could serve as counter-narratives to the dominance of neoliberalism and allow for the establishment of local economic development practice that addresses the needs of the poor and that builds integrated local economies under the control of democratic institutions. It is only with such a shifting of approach that economic development within Mbashe will shift the structural conditions that lock it into economic dependence and poverty.
- Full Text:
- Date Issued: 2003
- Authors: Reynolds, John Hunter
- Date: 2003
- Subjects: Economic development -- South Africa -- Eastern Cape , Community development -- South Africa -- Eastern Cape , South Africa -- Economic policy , Planning -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3353 , http://hdl.handle.net/10962/d1007490 , Economic development -- South Africa -- Eastern Cape , Community development -- South Africa -- Eastern Cape , South Africa -- Economic policy , Planning -- South Africa -- Eastern Cape
- Description: Planning for economic development at the local level has become increasingly important in many countries of the world. South Africa is no exception and has had the local focus entrenched through constitutional provisions for developmental local government. This developmental approach has been intimately linked to, and influenced by, the broader legislative, policy and planning context within which the development challenges of post-Apartheid South Africa have been addressed. It has also been implemented in a context of far-reaching transformation of public institutions aimed, in the final analysis, at the effective functioning of three spheres of government. In this thesis, the Mbashe Local Municipal area is used as a case study for an examination of the linkages between economic development planning at the local, provincial and national levels. It is not a case study in the sense that an in-depth analysis of practice is undertaken; it is used rather as a lens through which the economic development planning activities of the three spheres of government are viewed. Its value as a lens lies in its location in the former Transkei, which is characterised by high levels of unemployment and poverty and low levels of service infrastructure, and in its status as one of the newly demarcated local municipalities in South Africa. Mbashe is a pilot site of the Promotion of Rural Livelihoods Programme, which has been linked to the Eastern Cape Province's Integrated Sustainable Rural Development Programme. It also includes one of the nodes of the Wild Coast Spatial Development Initiative, which has, since 1998, been promoted as a vehicle for economic development in the former Transkei. Research comprised extensive documentary research, individual interviews with key role players in the Mbashe Local Municipality, the Promotion of Rural Livelihoods Programme and the Wild Coast Spatial Development Initiative, and a group interview with members of the Local Economic Development Sub-Committee of the Mbashe Local Municipal Council. An attempt was made to understand the complex layers of policy and planning frameworks that guide planning at the national and provincial levels and within which local level economic development is situated, and to explore the responses that have been forged by agents within the Mbashe area. Key in this endeavour has been the initiatives developed under the guidance of the Mbashe Local Economic Development Sub-Committee. It is argued that the severe resource constraints faced within Mbashe, combined with limited knowledge of and participation in larger planning and resource mobilisation frameworks, lock Local Economic Development within the top-down and investmentled approaches, rather than the more integrated approach that is promoted in terms of legislation and that is required if poverty is to be addressed successfully. The limitations on state fiscal expenditure and the market-led approach to service provision and economic development, implemented in terms of South Africa's macroeconomic framework, combined with limited synchronisation of planning cycles in which integrated development planning at the local level is privileged, leave little scope for endogenous economic development at local level. There is scope for creative engagement with the interlocking local, provincial, national and continental economies by actively shifting resources in support of integrated, endogenous approaches. Such approaches could serve as counter-narratives to the dominance of neoliberalism and allow for the establishment of local economic development practice that addresses the needs of the poor and that builds integrated local economies under the control of democratic institutions. It is only with such a shifting of approach that economic development within Mbashe will shift the structural conditions that lock it into economic dependence and poverty.
- Full Text:
- Date Issued: 2003
Psychoanalysis and realism
- Rae, Andrew Kenneth McKenzie
- Authors: Rae, Andrew Kenneth McKenzie
- Date: 2003
- Subjects: Psychoanalysis Realism Human beings -- Psychology International relations -- Psychological aspects
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:2825 , http://hdl.handle.net/10962/d1003035
- Description: International politics has always been characterised by conflict. This has been true regardless of the political systems in place or of any specific time in the history of humanity. Inter-state conflict exists today despite the fact that the vast majority of the states of the world are members of the United Nations and signatories to various treaties aimed at removing conflict as a means of state action. The realist school of thought argues that the international system is characterised by continual state conflict, caused by competition over scarce resources. The propensity towards conflict is argued to be an essential characteristic of human nature and, as such, human nature is considered to be aggressive and conflictual. Thus, for the realist, inter-state competition, coupled with aggressive human nature, constitutes the primary cause of interstate conflict. This thesis aims to examine two criticisms of the realist position in depth. The first concerns the attribution of human nature to states. This logical progression is problematic because it creates a type of „state-nature‟ that cannot be defended without providing a logical link between the individual, the group and the state. It is therefore an aim of this thesis to provide this link, using methodological individualism, in order to provide a basis for the attribution of human nature to states. The second aim of this thesis is to examine the notion of human nature that is offered by the realists. It is not enough to claim that human nature is aggressive and conflictual merely because conflict has characterised international relations throughout history. Rather, one should examine the individual‟s psychological development, in order to gain an understanding of aggressive instincts apparent in human nature. The thesis therefore examines psychoanalysis in order to attempt an understanding both of human nature, and of the conditions under which human nature may manifest itself in an aggressive, conflictual manner. The intention of this thesis, then, is to provide a defence of political realism, highlighting the shortcomings of the two criticisms outlined above.
- Full Text:
- Date Issued: 2003
- Authors: Rae, Andrew Kenneth McKenzie
- Date: 2003
- Subjects: Psychoanalysis Realism Human beings -- Psychology International relations -- Psychological aspects
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:2825 , http://hdl.handle.net/10962/d1003035
- Description: International politics has always been characterised by conflict. This has been true regardless of the political systems in place or of any specific time in the history of humanity. Inter-state conflict exists today despite the fact that the vast majority of the states of the world are members of the United Nations and signatories to various treaties aimed at removing conflict as a means of state action. The realist school of thought argues that the international system is characterised by continual state conflict, caused by competition over scarce resources. The propensity towards conflict is argued to be an essential characteristic of human nature and, as such, human nature is considered to be aggressive and conflictual. Thus, for the realist, inter-state competition, coupled with aggressive human nature, constitutes the primary cause of interstate conflict. This thesis aims to examine two criticisms of the realist position in depth. The first concerns the attribution of human nature to states. This logical progression is problematic because it creates a type of „state-nature‟ that cannot be defended without providing a logical link between the individual, the group and the state. It is therefore an aim of this thesis to provide this link, using methodological individualism, in order to provide a basis for the attribution of human nature to states. The second aim of this thesis is to examine the notion of human nature that is offered by the realists. It is not enough to claim that human nature is aggressive and conflictual merely because conflict has characterised international relations throughout history. Rather, one should examine the individual‟s psychological development, in order to gain an understanding of aggressive instincts apparent in human nature. The thesis therefore examines psychoanalysis in order to attempt an understanding both of human nature, and of the conditions under which human nature may manifest itself in an aggressive, conflictual manner. The intention of this thesis, then, is to provide a defence of political realism, highlighting the shortcomings of the two criticisms outlined above.
- Full Text:
- Date Issued: 2003
Small-scale fisheries as a vehicle for rural development : a case study of two villages in the former Ciskei, Eastern Cape Province, South Africa
- Authors: Seti, Simpiwe
- Date: 2003
- Subjects: Small-scale fisheries -- South Africa -- Eastern Cape Fisheries -- South Africa -- Eastern Cape Fishes -- South Africa -- Eastern Cape Rural development -- South Africa -- Eastern Cape Fish trade -- Developing countries Fisheries, Cooperative -- Developing countries
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3346 , http://hdl.handle.net/10962/d1006016
- Description: This thesis examines small-scale rural fisheries which were initiated in two villages by the Department of Ichthyology and Fisheries in conjunction with the Institute of Social and Economic Research in 1997. The main objective for undertaking the study was to determine the potential of the fisheries to serve as viable and sustainable options that could contribute towards rural development in the area of study. To examine the contribution made by the small-scale fisheries towards rural development in the villages, it is imperative to have an understanding of the context in which they were established as well as the prospects for sustainable development. It is argued in this study that despite the significant contribution made by inland rural fisheries in improving rural livelihoods they are still accorded minimal support and attention in South Africa. As an illustration of the important role played by rural fisheries, case studies from Malawi and Zimbabwe have been drawn into the study with a view to providing lessons for rural areas of South Africa. The study took place at a time when natural resources in the villages were significantly declining and environmental degradation reaching uncontrollable proportions, so there is an urgent need to secure an alternative mode of subsistence for the population in the villages. Development interventions by the state and non-governmental organisations in the study area have not been sustainable and they collapsed within a short period of time. A case in point is the Tyefu irrigation scheme, which was initiated in the villages but, owing to various factors, it failed leaving the villagers with a diminished mode of subsistence, thus providing the impetus for the implementation of small-scale rural fisheries. In order for small-scale fisheries to be sustainable it is essential to adopt models that are aimed at sound natural resource use and management. This study has raised various issues pertinent to natural resource use and management in the study area. A model for management of natural resources that involves and aims to empower local communities in the management of the fisheries is presented in the study. It has also been demonstrated that rural fisheries in the study area comply with the model. Finally, the study draws the conclusion that small-scale fisheries in the villages contribute towards rural development, however, there are constraints that need to be eradicated.
- Full Text:
- Date Issued: 2003
- Authors: Seti, Simpiwe
- Date: 2003
- Subjects: Small-scale fisheries -- South Africa -- Eastern Cape Fisheries -- South Africa -- Eastern Cape Fishes -- South Africa -- Eastern Cape Rural development -- South Africa -- Eastern Cape Fish trade -- Developing countries Fisheries, Cooperative -- Developing countries
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3346 , http://hdl.handle.net/10962/d1006016
- Description: This thesis examines small-scale rural fisheries which were initiated in two villages by the Department of Ichthyology and Fisheries in conjunction with the Institute of Social and Economic Research in 1997. The main objective for undertaking the study was to determine the potential of the fisheries to serve as viable and sustainable options that could contribute towards rural development in the area of study. To examine the contribution made by the small-scale fisheries towards rural development in the villages, it is imperative to have an understanding of the context in which they were established as well as the prospects for sustainable development. It is argued in this study that despite the significant contribution made by inland rural fisheries in improving rural livelihoods they are still accorded minimal support and attention in South Africa. As an illustration of the important role played by rural fisheries, case studies from Malawi and Zimbabwe have been drawn into the study with a view to providing lessons for rural areas of South Africa. The study took place at a time when natural resources in the villages were significantly declining and environmental degradation reaching uncontrollable proportions, so there is an urgent need to secure an alternative mode of subsistence for the population in the villages. Development interventions by the state and non-governmental organisations in the study area have not been sustainable and they collapsed within a short period of time. A case in point is the Tyefu irrigation scheme, which was initiated in the villages but, owing to various factors, it failed leaving the villagers with a diminished mode of subsistence, thus providing the impetus for the implementation of small-scale rural fisheries. In order for small-scale fisheries to be sustainable it is essential to adopt models that are aimed at sound natural resource use and management. This study has raised various issues pertinent to natural resource use and management in the study area. A model for management of natural resources that involves and aims to empower local communities in the management of the fisheries is presented in the study. It has also been demonstrated that rural fisheries in the study area comply with the model. Finally, the study draws the conclusion that small-scale fisheries in the villages contribute towards rural development, however, there are constraints that need to be eradicated.
- Full Text:
- Date Issued: 2003
The anorexic mask : a case study of a patient with co-morbid nervosa and factitious disorder?
- Authors: Gaylard, Jeanne
- Date: 2003
- Subjects: Anorexia nervosa Anorexia nervosa -- Case studies Factitious disorders Factitious disorders -- Case studies
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3105 , http://hdl.handle.net/10962/d1004511
- Description: This study is a case-study of a patient who was diagnosed as having co-morbid Anorexia Nervosa and Factitious Disorder. It would appear that central to an understanding of both of these disorders is the patient's disturbed relationship to her own body. The existing literature on co-morbid Factitious Disorder and Anorexia Nervosa is rare, with only three cases published. A careful reading of these cases suggests that in all of these cases, Factitious Disorder may have been the primary diagnosis. In this case there was as overidentification with the patient role, and the patient's anorexic symptoms appeared to serve the function of meeting the patient's acute dependency needs. Thus, the patient's Anorexia Nervosa masked the Factitious Disorder and appeared to be secondary to the Factitious Disorder. It is argued that these disorders share several common dynamics, namely the inability to separate from the mother, high parental expectations as well as the use of the body as a transitional or pre-cursor object. In addition there are some common dynamics in the psychotherapy of these patients. All of these factors suggest that in both these disorders the developmental arrest may be located at a pre-verbal level.
- Full Text:
- Date Issued: 2003
- Authors: Gaylard, Jeanne
- Date: 2003
- Subjects: Anorexia nervosa Anorexia nervosa -- Case studies Factitious disorders Factitious disorders -- Case studies
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3105 , http://hdl.handle.net/10962/d1004511
- Description: This study is a case-study of a patient who was diagnosed as having co-morbid Anorexia Nervosa and Factitious Disorder. It would appear that central to an understanding of both of these disorders is the patient's disturbed relationship to her own body. The existing literature on co-morbid Factitious Disorder and Anorexia Nervosa is rare, with only three cases published. A careful reading of these cases suggests that in all of these cases, Factitious Disorder may have been the primary diagnosis. In this case there was as overidentification with the patient role, and the patient's anorexic symptoms appeared to serve the function of meeting the patient's acute dependency needs. Thus, the patient's Anorexia Nervosa masked the Factitious Disorder and appeared to be secondary to the Factitious Disorder. It is argued that these disorders share several common dynamics, namely the inability to separate from the mother, high parental expectations as well as the use of the body as a transitional or pre-cursor object. In addition there are some common dynamics in the psychotherapy of these patients. All of these factors suggest that in both these disorders the developmental arrest may be located at a pre-verbal level.
- Full Text:
- Date Issued: 2003
The challenges of managing HIV/AIDS counsellors in a rural district in the Eastern Cape, South Africa
- Authors: Gerber, Barbara
- Date: 2003
- Subjects: AIDS (Disease) -- Patients -- Counseling of -- South Africa -- Eastern Cape HIV-positive persons -- Counseling of -- South Africa -- Eastern Cape Counselors -- Supervision of -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3171 , http://hdl.handle.net/10962/d1007799
- Description: The pandemic of HIV/AIDS has challenged several aspects of contemporary social life. HIV/AIDS counselling has developed as a social response to provide support for those infected with the disease. Due to the nature and complexity of the disease, HIV/AIDS counsellors encounter a diversity and intensity of emotions when counselling. A support system that includes effective management and supervision may assist in resolving emotions and reactions that HIV/AIDS counsellors may experience as a result of working with HIV/AIDS clients. This study examines the difficulties that both managers and the HIV/AIDS counsellors at a rural district hospital in the Eastern Cape and its surrounding clinics are faced with, in providing the HIV/AIDS counsellors with the support they need. Engestrom's (1987) model of activity theory was used as a conceptual framework guiding both the analysis and interpretation of the data. This model facilitates the identification of tensions and contradictions thereby opening a space for change and transformation within an activity system. Multiple sources of data collection were used that included focus groups with managers and HIV/AIDS counsellors, interviews with senior hospital staff and an official from the Department of Health, Eastern Cape, and a tour of the rural district hospital. The findings suggest that HIV/AIDS counsellors do not feel supported by their managers. Managers in turn are of the opinion that they do not offer the support the HIV/AIDS counsellors' need. The lack of support is attributed to geographic distances between hospitals and the clinics they serve, lack of available transport and the multiplicity of roles of both managers and the HIV/AIDS counsellors. The pandemic of HIV/AIDS has challenged several aspects of contemporary social life. HIV/AIDS counselling has developed as a social response to provide support for those infected with the disease. Due to the nature and complexity of the disease, HIV/AIDS counsellors encounter a diversity and intensity of emotions when counselling. A support system that includes effective management and supervision may assist in resolving emotions and reactions that HIV/AIDS counsellors may experience as a result of working with HIV/AIDS clients. This study examines the difficulties that both managers and the HIV/AIDS counsellors at a rural district hospital in the Eastern Cape and its surrounding clinics are faced with, in providing the HIV/AIDS counsellors with the support they need. Engestrom's (1987) model of activity theory was used as a conceptual framework guiding both the analysis and interpretation of the data. This model facilitates the identification of tensions and contradictions thereby opening a space for change and transformation within an activity system. Multiple sources of data collection were used that included focus groups with managers and HIV/AIDS counsellors, interviews with senior hospital staff and an official from the Department of Health, Eastern Cape, and a tour of the rural district hospital. The findings suggest that HIV/AIDS counsellors do not feel supported by their managers. Managers in turn are of the opinion that they do not offer the support the HIV/AIDS counsellors' need. The lack of support is attributed to geographic distances between hospitals and the clinics they serve, lack of available transport and the multiplicity of roles of both managers and the HIV/AIDS counsellors. Recommendations include the introduction of self-supervision , peer groupsupervision for HIV/AIDS counsellors.
- Full Text:
- Date Issued: 2003
- Authors: Gerber, Barbara
- Date: 2003
- Subjects: AIDS (Disease) -- Patients -- Counseling of -- South Africa -- Eastern Cape HIV-positive persons -- Counseling of -- South Africa -- Eastern Cape Counselors -- Supervision of -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3171 , http://hdl.handle.net/10962/d1007799
- Description: The pandemic of HIV/AIDS has challenged several aspects of contemporary social life. HIV/AIDS counselling has developed as a social response to provide support for those infected with the disease. Due to the nature and complexity of the disease, HIV/AIDS counsellors encounter a diversity and intensity of emotions when counselling. A support system that includes effective management and supervision may assist in resolving emotions and reactions that HIV/AIDS counsellors may experience as a result of working with HIV/AIDS clients. This study examines the difficulties that both managers and the HIV/AIDS counsellors at a rural district hospital in the Eastern Cape and its surrounding clinics are faced with, in providing the HIV/AIDS counsellors with the support they need. Engestrom's (1987) model of activity theory was used as a conceptual framework guiding both the analysis and interpretation of the data. This model facilitates the identification of tensions and contradictions thereby opening a space for change and transformation within an activity system. Multiple sources of data collection were used that included focus groups with managers and HIV/AIDS counsellors, interviews with senior hospital staff and an official from the Department of Health, Eastern Cape, and a tour of the rural district hospital. The findings suggest that HIV/AIDS counsellors do not feel supported by their managers. Managers in turn are of the opinion that they do not offer the support the HIV/AIDS counsellors' need. The lack of support is attributed to geographic distances between hospitals and the clinics they serve, lack of available transport and the multiplicity of roles of both managers and the HIV/AIDS counsellors. The pandemic of HIV/AIDS has challenged several aspects of contemporary social life. HIV/AIDS counselling has developed as a social response to provide support for those infected with the disease. Due to the nature and complexity of the disease, HIV/AIDS counsellors encounter a diversity and intensity of emotions when counselling. A support system that includes effective management and supervision may assist in resolving emotions and reactions that HIV/AIDS counsellors may experience as a result of working with HIV/AIDS clients. This study examines the difficulties that both managers and the HIV/AIDS counsellors at a rural district hospital in the Eastern Cape and its surrounding clinics are faced with, in providing the HIV/AIDS counsellors with the support they need. Engestrom's (1987) model of activity theory was used as a conceptual framework guiding both the analysis and interpretation of the data. This model facilitates the identification of tensions and contradictions thereby opening a space for change and transformation within an activity system. Multiple sources of data collection were used that included focus groups with managers and HIV/AIDS counsellors, interviews with senior hospital staff and an official from the Department of Health, Eastern Cape, and a tour of the rural district hospital. The findings suggest that HIV/AIDS counsellors do not feel supported by their managers. Managers in turn are of the opinion that they do not offer the support the HIV/AIDS counsellors' need. The lack of support is attributed to geographic distances between hospitals and the clinics they serve, lack of available transport and the multiplicity of roles of both managers and the HIV/AIDS counsellors. Recommendations include the introduction of self-supervision , peer groupsupervision for HIV/AIDS counsellors.
- Full Text:
- Date Issued: 2003
The factors mediating change in people practising mindfulness
- Authors: Watkin, Matthew
- Date: 2003
- Subjects: Cognitive therapy Meditation Depression, Mental Anxiety -- Psychological aspects
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3097 , http://hdl.handle.net/10962/d1003737
- Description: This study examines the experience of people who have begun practising mindfulness as it is taught in the Mindfulness-Based Stress Reduction programme (MBSR). The study has two aims: 1) to conceptualise the psychological mechanisms underpinning any change, and 2) to see if the changes produced are the same or similar to those produced in a cognitive therapy programme. The study focuses on two female participants, both with diagnosable psychopathology, who were part of the same MBSR programme at the Cape Town Medi-Clinic. Quantitative self-report measures of depression, anxiety, and medical symptoms were used as a measure of change. In-depth qualitative data which explored psychological, emotional and behavioural changes came from semi-structured interviews taken before, during, and immediately after the MBSR, and at a one-month follow-up. The interview data was supplemented by daily diaries documenting the participants' experiences of mindfulness, together with in-session video recordings. The analysis of these cases provide support for the model proposed by Segal, Teasdale and Williams (2002) of the factors underpinning improvement using mindfulness as a treatment. The changes were found to be similar, but not identical, to those that one would expect in a cognitive therapy programme.
- Full Text:
- Date Issued: 2003
- Authors: Watkin, Matthew
- Date: 2003
- Subjects: Cognitive therapy Meditation Depression, Mental Anxiety -- Psychological aspects
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3097 , http://hdl.handle.net/10962/d1003737
- Description: This study examines the experience of people who have begun practising mindfulness as it is taught in the Mindfulness-Based Stress Reduction programme (MBSR). The study has two aims: 1) to conceptualise the psychological mechanisms underpinning any change, and 2) to see if the changes produced are the same or similar to those produced in a cognitive therapy programme. The study focuses on two female participants, both with diagnosable psychopathology, who were part of the same MBSR programme at the Cape Town Medi-Clinic. Quantitative self-report measures of depression, anxiety, and medical symptoms were used as a measure of change. In-depth qualitative data which explored psychological, emotional and behavioural changes came from semi-structured interviews taken before, during, and immediately after the MBSR, and at a one-month follow-up. The interview data was supplemented by daily diaries documenting the participants' experiences of mindfulness, together with in-session video recordings. The analysis of these cases provide support for the model proposed by Segal, Teasdale and Williams (2002) of the factors underpinning improvement using mindfulness as a treatment. The changes were found to be similar, but not identical, to those that one would expect in a cognitive therapy programme.
- Full Text:
- Date Issued: 2003
The process of coping and self-management in the experience of recovering from chronic fatigue syndrome (CFS)
- Authors: Andrews, Karen Joyce
- Date: 2003 , 2013-05-20
- Subjects: Chronic fatigue syndrome , Chronic fatigue syndrome -- Psychological aspects
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3094 , http://hdl.handle.net/10962/d1003132 , Chronic fatigue syndrome , Chronic fatigue syndrome -- Psychological aspects
- Description: A hermeneutical model of doing research is adopted to investigate the process of coping and self-management in the experience of recovering from Chronic Fatigue Syndrome (CFS). Three research participants who consider themselves as recovering or recovered from CFS were interviewed to obtain data for analysis. The findings are that once the participants cope with the uncertainty about the meaning of the onset of symptoms by defining themselves as ill in somatic terms, the participants use external social and treatment resources to cope with the onset of symptoms and being chronically ill with CFS. As a consequence of feeling stigmatised in relation to social and professional scepticism about initially being ill and subsequently, being chronically ill with CFS, the participants become uncertain about the meaning of having CFS. Coping shifts to using internal resources by adopting self-management practises. In this process, firstly, existing self-management shifts in such a way that the participants view themselves as recovering or recovered from CFS, and secondly, the participants come to the understanding that difficulties with self-management cause and maintain CFS. The findings are discussed to conclude that CFS may be a misdiagnosis of difficulties with self-management. CFS itself may not be an 'objective' disorder, but a constituent of social processes. Becoming diagnosed with CFS arises as a consequence of the search for meaning in relation to the lay and professional assumption that psychological illness does not constitute 'real' illness, operating at both the levels of popular society and the doctor-patient relationship. Difficulties with self-management rather than the diagnosis of CFS provide a more adequate understariding of the participants' illnesses. , KMBT_363 , Adobe Acrobat 9.54 Paper Capture Plug-in
- Full Text:
- Date Issued: 2003
- Authors: Andrews, Karen Joyce
- Date: 2003 , 2013-05-20
- Subjects: Chronic fatigue syndrome , Chronic fatigue syndrome -- Psychological aspects
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3094 , http://hdl.handle.net/10962/d1003132 , Chronic fatigue syndrome , Chronic fatigue syndrome -- Psychological aspects
- Description: A hermeneutical model of doing research is adopted to investigate the process of coping and self-management in the experience of recovering from Chronic Fatigue Syndrome (CFS). Three research participants who consider themselves as recovering or recovered from CFS were interviewed to obtain data for analysis. The findings are that once the participants cope with the uncertainty about the meaning of the onset of symptoms by defining themselves as ill in somatic terms, the participants use external social and treatment resources to cope with the onset of symptoms and being chronically ill with CFS. As a consequence of feeling stigmatised in relation to social and professional scepticism about initially being ill and subsequently, being chronically ill with CFS, the participants become uncertain about the meaning of having CFS. Coping shifts to using internal resources by adopting self-management practises. In this process, firstly, existing self-management shifts in such a way that the participants view themselves as recovering or recovered from CFS, and secondly, the participants come to the understanding that difficulties with self-management cause and maintain CFS. The findings are discussed to conclude that CFS may be a misdiagnosis of difficulties with self-management. CFS itself may not be an 'objective' disorder, but a constituent of social processes. Becoming diagnosed with CFS arises as a consequence of the search for meaning in relation to the lay and professional assumption that psychological illness does not constitute 'real' illness, operating at both the levels of popular society and the doctor-patient relationship. Difficulties with self-management rather than the diagnosis of CFS provide a more adequate understariding of the participants' illnesses. , KMBT_363 , Adobe Acrobat 9.54 Paper Capture Plug-in
- Full Text:
- Date Issued: 2003
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