Alcohol use among women attending antenatal care in Buffalo City, Eastern Cape
- Authors: Bredenkamp, Petrus Johannes
- Date: 2022-04-07
- Subjects: Uncatalogued
- Language: English
- Type: Master's thesis , text
- Identifier: http://hdl.handle.net/10962/234358 , vital:50188
- Description: Alcohol use during pregnancy is known to cause neurodevelopmental disorders in offspring, known as Fetal Alcohol Spectrum Disorders (FASD). High prevalence of FASD has been observed in certain parts South Africa, but many areas of the country remain unstudied, and factors contributing to drinking among pregnant women are poorly understood. This study surveyed 1099 women attending antenatal care at public primary healthcare facilities in the Buffalo City Metropolitan Area in the Eastern Cape. Data was collected using the Alcohol Use Identification Test, a 10-item self-report measure of drinking behaviour in isiXhosa, English, and Afrikaans. Factors associated with alcohol use, risky drinking, binge drinking, and hazardous/harmful drinking were identified using logistic regression. A minority of the sample reported alcohol use (64%). Among those reporting alcohol use, most reported occasional binge drinking (63%) and met criteria for risky drinking (59%) and hazardous/harmful drinking (52%). Living with a regular drinker was significantly associated with alcohol use (OR 1.98, 95% CI 1.51 – 2.58), risky drinking (OR 2.03, 95% CI 1.49 – 2.76), binge drinking (OR 2.21, 95% CI 1.64 – 2.97), and hazardous/harmful drinking (OR 2.0, 95% CI 1.41 – 2.99). However, women who were married/cohabiting were less likely to report alcohol use (OR .71, 95% CI .53 - .95). Experiencing intimate partner violence during the current pregnancy was associated with alcohol use (OR 2.42, 95% CI 1.38 – 4.27) and hazardous/harmful drinking (OR 2.62, 95% CI 1.32 – 5.22). In this study, women who identified as Coloured were more likely to report alcohol use than Women who identified as African (OR 2.74, 95% CI 1.4 – 5.36). These findings simultaneously provide evidence of problematic drinking among pregnant women in a previously understudied area and show that external factors affect women’s drinking behaviour during pregnancy. Interventions aimed at reducing the incidence of FASD should consider alcohol use by pregnant women in the context of their lived experiences. , Thesis (MA) -- Faculty of Humanities, Psychology, 2022
- Full Text:
- Date Issued: 2022-04-07
- Authors: Bredenkamp, Petrus Johannes
- Date: 2022-04-07
- Subjects: Uncatalogued
- Language: English
- Type: Master's thesis , text
- Identifier: http://hdl.handle.net/10962/234358 , vital:50188
- Description: Alcohol use during pregnancy is known to cause neurodevelopmental disorders in offspring, known as Fetal Alcohol Spectrum Disorders (FASD). High prevalence of FASD has been observed in certain parts South Africa, but many areas of the country remain unstudied, and factors contributing to drinking among pregnant women are poorly understood. This study surveyed 1099 women attending antenatal care at public primary healthcare facilities in the Buffalo City Metropolitan Area in the Eastern Cape. Data was collected using the Alcohol Use Identification Test, a 10-item self-report measure of drinking behaviour in isiXhosa, English, and Afrikaans. Factors associated with alcohol use, risky drinking, binge drinking, and hazardous/harmful drinking were identified using logistic regression. A minority of the sample reported alcohol use (64%). Among those reporting alcohol use, most reported occasional binge drinking (63%) and met criteria for risky drinking (59%) and hazardous/harmful drinking (52%). Living with a regular drinker was significantly associated with alcohol use (OR 1.98, 95% CI 1.51 – 2.58), risky drinking (OR 2.03, 95% CI 1.49 – 2.76), binge drinking (OR 2.21, 95% CI 1.64 – 2.97), and hazardous/harmful drinking (OR 2.0, 95% CI 1.41 – 2.99). However, women who were married/cohabiting were less likely to report alcohol use (OR .71, 95% CI .53 - .95). Experiencing intimate partner violence during the current pregnancy was associated with alcohol use (OR 2.42, 95% CI 1.38 – 4.27) and hazardous/harmful drinking (OR 2.62, 95% CI 1.32 – 5.22). In this study, women who identified as Coloured were more likely to report alcohol use than Women who identified as African (OR 2.74, 95% CI 1.4 – 5.36). These findings simultaneously provide evidence of problematic drinking among pregnant women in a previously understudied area and show that external factors affect women’s drinking behaviour during pregnancy. Interventions aimed at reducing the incidence of FASD should consider alcohol use by pregnant women in the context of their lived experiences. , Thesis (MA) -- Faculty of Humanities, Psychology, 2022
- Full Text:
- Date Issued: 2022-04-07
The forensic mental health profile of women offenders in the Eastern Cape, South Africa
- Authors: Nagdee, Mohammed
- Date: 2020
- Subjects: Female offenders -- Mental health , Female offenders -- South Africa -- Psychology , Female offenders -- South Africa -- Mental health , People with mental disabilities and crime , Women murderers -- South Africa , Forensic psychology -- South Africa , Fort England Psychiatric Hospital
- Language: English
- Type: text , Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/10962/167109 , vital:41438
- Description: Introduction There is a dearth of research on mental health issues in women offenders in South Africa, especially regarding their socio-demographic backgrounds, offence characteristics, and forensic mental health profiles. Objectives This study examined the psychosocial and forensic mental health profile of women offenders referred by eastern Cape courts for forensic evaluation. A range of socio-demographic, criminological, clinical and forensic mental health variables were systematically explored. Methods A bi-phasic, mixed methods study design was adopted. The clinical and forensic records of all women referred for forensic evaluation to Fort England forensic psychiatric hospital in the Eastern Cape, South Africa were retrospectively reviewed, comprising 173 individual cases in the study period of 1993-2017. Inferential statistical analyses (chi-squared and multivariate logistic regression) were applied to explore relationships between variables and offending outcomes of nterest. Detailed semi-structured interviews were subsequently conducted with a sub-sample of 8 women with mental disorder and violent offending ackgrounds. Interview transcripts thematically analysed. Results Most women came from impoverished and disadvantaged backgrounds. Whilst the majority were first offenders, a high proportion had violent index offences, with murder, attempted murder and assault with intent to do grievous bodily harm accounting for over half of cases. The majority of victims of violence were well known to the perpetrator, especially as biological children, intimate male partners or close family members. Biological children in their first year of life were particularly vulnerable to being victims of homicidal violence. Disproportionately high rates of pre-offence mental illness, alcohol misuse, HIV infection and prior abuse of the offender (especially by intimate male partners) were present. High rates of severe mental disorders (especially psychiatric comorbidity and psychotic-spectrum disorders), and relatively low rates of personality disorders and substance disorders were diagnosed. The majority of women were declared to lack trial competence and criminal capacity, respectively, following forensic evaluation. Women who had backgrounds of prior abuse themselves had over three mes the odds of subsequent violent offending in general, and almost six times the odds of homicidal offending in particular. Homicidal offences were significantly more commonly committed by women with no prior psychiatric history and no psychiatric comorbidity. Women who committed homicide had over eleven times of killing children as opposed to adults. Women over the age of 30 years, and those without psychiatric comorbidity, were significantly less likely to have killed children. Thematic analysis of interviews emphasized the important roles played by gender, self-image, and mental health in violent offending pathways. Conclusions A complex array of socio-demographic, criminological, clinical and forensic variables interact in women offenders of the Eastern Cape referred by courts for forensic evaluation. Exploration of these factors improves understanding of the broader psychosocial context of female offending, and of the personal experiences of the women themselves. This in turn provides an enhanced gender-focus to guide the progressive changes required in policy, legislative, clinical and research endeavours in this field.
- Full Text:
- Date Issued: 2020
- Authors: Nagdee, Mohammed
- Date: 2020
- Subjects: Female offenders -- Mental health , Female offenders -- South Africa -- Psychology , Female offenders -- South Africa -- Mental health , People with mental disabilities and crime , Women murderers -- South Africa , Forensic psychology -- South Africa , Fort England Psychiatric Hospital
- Language: English
- Type: text , Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/10962/167109 , vital:41438
- Description: Introduction There is a dearth of research on mental health issues in women offenders in South Africa, especially regarding their socio-demographic backgrounds, offence characteristics, and forensic mental health profiles. Objectives This study examined the psychosocial and forensic mental health profile of women offenders referred by eastern Cape courts for forensic evaluation. A range of socio-demographic, criminological, clinical and forensic mental health variables were systematically explored. Methods A bi-phasic, mixed methods study design was adopted. The clinical and forensic records of all women referred for forensic evaluation to Fort England forensic psychiatric hospital in the Eastern Cape, South Africa were retrospectively reviewed, comprising 173 individual cases in the study period of 1993-2017. Inferential statistical analyses (chi-squared and multivariate logistic regression) were applied to explore relationships between variables and offending outcomes of nterest. Detailed semi-structured interviews were subsequently conducted with a sub-sample of 8 women with mental disorder and violent offending ackgrounds. Interview transcripts thematically analysed. Results Most women came from impoverished and disadvantaged backgrounds. Whilst the majority were first offenders, a high proportion had violent index offences, with murder, attempted murder and assault with intent to do grievous bodily harm accounting for over half of cases. The majority of victims of violence were well known to the perpetrator, especially as biological children, intimate male partners or close family members. Biological children in their first year of life were particularly vulnerable to being victims of homicidal violence. Disproportionately high rates of pre-offence mental illness, alcohol misuse, HIV infection and prior abuse of the offender (especially by intimate male partners) were present. High rates of severe mental disorders (especially psychiatric comorbidity and psychotic-spectrum disorders), and relatively low rates of personality disorders and substance disorders were diagnosed. The majority of women were declared to lack trial competence and criminal capacity, respectively, following forensic evaluation. Women who had backgrounds of prior abuse themselves had over three mes the odds of subsequent violent offending in general, and almost six times the odds of homicidal offending in particular. Homicidal offences were significantly more commonly committed by women with no prior psychiatric history and no psychiatric comorbidity. Women who committed homicide had over eleven times of killing children as opposed to adults. Women over the age of 30 years, and those without psychiatric comorbidity, were significantly less likely to have killed children. Thematic analysis of interviews emphasized the important roles played by gender, self-image, and mental health in violent offending pathways. Conclusions A complex array of socio-demographic, criminological, clinical and forensic variables interact in women offenders of the Eastern Cape referred by courts for forensic evaluation. Exploration of these factors improves understanding of the broader psychosocial context of female offending, and of the personal experiences of the women themselves. This in turn provides an enhanced gender-focus to guide the progressive changes required in policy, legislative, clinical and research endeavours in this field.
- Full Text:
- Date Issued: 2020
The lived experiences of women with human immunodeficiency virus (HIV) in Malawi: an interpretative phenomenological analysis (IPA)
- Authors: Nkhalamba, Mathero Michelle
- Date: 2020
- Subjects: HIV-positive women -- Malawi , HIV infections -- Sex factors -- Malawi , HIV infections -- Social aspects -- Malawi , HIV-positive women -- Malawi -- Social conditions , HIV-positive women -- Malawi -- Economic conditions , Poverty -- Malawi , Antiretroviral agents -- Malawi , Phenomenological psychology
- Language: English
- Type: text , Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/10962/145291 , vital:38425
- Description: Research on African women and HIV, particularly research that investigates their experiences of living with the virus, has been relatively peripheral. As a response to the apparent knowledge and research gaps, this project is a qualitative study involving women living with human immunodeficiency virus (WLHIV) and attending an anti-retroviral treatment (ART) clinic at Zomba Central Hospital in Southern Malawi. The study utilised an interpretative phenomenological analysis (IPA) approach, which informed all aspects of the data-collection and data-analysis processes. Using purposive sampling, 12 women were recruited and interviewed on three occasions over a period of six months. The interviews were conducted in Chichewa and audio recorded and later transcribed into English. Fourteen superordinate themes emerged from the analysis representing the women’s prominent life experiences, how they received their diagnosis, and how they contained the trauma of their diagnosis. The analysis also developed themes regarding how they coped with the challenges of living with the human immunodeficiency virus (HIV) and made sense of their experiences. The results showed that the women struggled with multiple challenges experienced through their various identities as WLHIV. The findings also pointed to interlocking disadvantages that put the women at risk of infection, and which were present from childhood. This has implications for more structural and multidisciplinary interventions for WLHIV.
- Full Text:
- Date Issued: 2020
- Authors: Nkhalamba, Mathero Michelle
- Date: 2020
- Subjects: HIV-positive women -- Malawi , HIV infections -- Sex factors -- Malawi , HIV infections -- Social aspects -- Malawi , HIV-positive women -- Malawi -- Social conditions , HIV-positive women -- Malawi -- Economic conditions , Poverty -- Malawi , Antiretroviral agents -- Malawi , Phenomenological psychology
- Language: English
- Type: text , Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/10962/145291 , vital:38425
- Description: Research on African women and HIV, particularly research that investigates their experiences of living with the virus, has been relatively peripheral. As a response to the apparent knowledge and research gaps, this project is a qualitative study involving women living with human immunodeficiency virus (WLHIV) and attending an anti-retroviral treatment (ART) clinic at Zomba Central Hospital in Southern Malawi. The study utilised an interpretative phenomenological analysis (IPA) approach, which informed all aspects of the data-collection and data-analysis processes. Using purposive sampling, 12 women were recruited and interviewed on three occasions over a period of six months. The interviews were conducted in Chichewa and audio recorded and later transcribed into English. Fourteen superordinate themes emerged from the analysis representing the women’s prominent life experiences, how they received their diagnosis, and how they contained the trauma of their diagnosis. The analysis also developed themes regarding how they coped with the challenges of living with the human immunodeficiency virus (HIV) and made sense of their experiences. The results showed that the women struggled with multiple challenges experienced through their various identities as WLHIV. The findings also pointed to interlocking disadvantages that put the women at risk of infection, and which were present from childhood. This has implications for more structural and multidisciplinary interventions for WLHIV.
- Full Text:
- Date Issued: 2020
‘This sea of darkness, craziness and opportunity’: students experiences of depression and social identities at a South African university
- Authors: Craig, Ashleigh
- Date: 2020
- Subjects: Depression, Mental -- South Africa -- Makhanda , Depression in adolescence -- South Africa -- Makhanda , College students -- Mental health -- South Africa -- Makhanda , Group identity -- South Africa -- Makhanda , Phenomenological psychology , Education, Higher -- Social aspects -- South Africa , Rhodes University
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/118632 , vital:34655
- Description: This study explores how the interaction between depression and social identities is experienced by South African university students. Semi-structured interviews were conducted with eight students at Rhodes University who have had depressive experiences and analysed using Interpretative Phenomenological Analysis. The following five superordinate themes emerged out of the data: 1) the self looking in, 2) the self looking out, 3) the misunderstood self, 4) the student self and 5) the loss of self. Findings showed that students’ depression is significantly influenced by their social identities, which are experienced as multi-faceted and ever-changing within the university context. The related therapeutic implications are also discussed.
- Full Text:
- Date Issued: 2020
- Authors: Craig, Ashleigh
- Date: 2020
- Subjects: Depression, Mental -- South Africa -- Makhanda , Depression in adolescence -- South Africa -- Makhanda , College students -- Mental health -- South Africa -- Makhanda , Group identity -- South Africa -- Makhanda , Phenomenological psychology , Education, Higher -- Social aspects -- South Africa , Rhodes University
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/118632 , vital:34655
- Description: This study explores how the interaction between depression and social identities is experienced by South African university students. Semi-structured interviews were conducted with eight students at Rhodes University who have had depressive experiences and analysed using Interpretative Phenomenological Analysis. The following five superordinate themes emerged out of the data: 1) the self looking in, 2) the self looking out, 3) the misunderstood self, 4) the student self and 5) the loss of self. Findings showed that students’ depression is significantly influenced by their social identities, which are experienced as multi-faceted and ever-changing within the university context. The related therapeutic implications are also discussed.
- Full Text:
- Date Issued: 2020
A local portrait of South African counselling psychologists’ endorsement of the values and scope of practice of their profession in relation to their career satisfaction
- Authors: Ngobeni, Nhlori
- Date: 2019
- Subjects: Counseling psychology -- South Africa , Counseling psychologists -- South Africa , Psychology -- South Africa , Psychologists -- South Africa
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/94350 , vital:31038
- Description: The 2011 revision to the scope of practice of counselling psychology in South Africa has renewed debates about what is it that should distinguish counselling psychology as a distinctive area of practice and research in South Africa. This study reports the findings of a survey of a sample of 228 South African registered counselling psychologists, including the extent to which they endorse the traditional values of their category, the extent to which they endorse the current scope of practice for counselling psychology, and measures of career satisfaction. Findings are that women and white practitioners comprise the large majority of the category. Counselling psychologists strongly endorse most of the traditional values of the category and are generally highly satisfied with their careers. Surprisingly, given these findings, only a large minority indicate that they would choose counselling psychology again knowing what they know now. Most significant, the findings of a multiple regression analysis indicate that endorsement of the scope of practice most strongly predicts career satisfaction scores, followed closely by black racial identification, years of experience, and then endorsement of counselling psychology values. Logistic regression analysis to predict which counselling psychologists would choose counselling psychology again knowing what they know now, revealed that only endorsement of counselling psychology values and endorsement of the scope practice made a significant contribution to predictions. This study provides a snapshot of the current status of South African counselling psychology today and it remains that in the next ten years, there will be significant changes as the category changes across the globe.
- Full Text:
- Date Issued: 2019
- Authors: Ngobeni, Nhlori
- Date: 2019
- Subjects: Counseling psychology -- South Africa , Counseling psychologists -- South Africa , Psychology -- South Africa , Psychologists -- South Africa
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/94350 , vital:31038
- Description: The 2011 revision to the scope of practice of counselling psychology in South Africa has renewed debates about what is it that should distinguish counselling psychology as a distinctive area of practice and research in South Africa. This study reports the findings of a survey of a sample of 228 South African registered counselling psychologists, including the extent to which they endorse the traditional values of their category, the extent to which they endorse the current scope of practice for counselling psychology, and measures of career satisfaction. Findings are that women and white practitioners comprise the large majority of the category. Counselling psychologists strongly endorse most of the traditional values of the category and are generally highly satisfied with their careers. Surprisingly, given these findings, only a large minority indicate that they would choose counselling psychology again knowing what they know now. Most significant, the findings of a multiple regression analysis indicate that endorsement of the scope of practice most strongly predicts career satisfaction scores, followed closely by black racial identification, years of experience, and then endorsement of counselling psychology values. Logistic regression analysis to predict which counselling psychologists would choose counselling psychology again knowing what they know now, revealed that only endorsement of counselling psychology values and endorsement of the scope practice made a significant contribution to predictions. This study provides a snapshot of the current status of South African counselling psychology today and it remains that in the next ten years, there will be significant changes as the category changes across the globe.
- Full Text:
- Date Issued: 2019
An interpretative phenomenological analysis of HIV positive individuals’ experiences of being in a support group
- Authors: Brink, Nicole
- Date: 2018
- Subjects: HIV-positive persons -- Social aspects Self-help groups AIDS (Disease) -- Patients -- Counseling of AIDS (Disease) -- Social aspects
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/62988 , vital:28351
- Description: People who have been diagnosed HIV positive often experience distress and anxiety due to uncertainties pertaining to the implications of an HIV positive status. Research has shown that support groups have always been a way for people to cope with the distress and stressful circumstances associated with health conditions such as HIV. This research investigated the role of face to face support groups in the lives of those living with HIV. The primary focus of this research project is to provide an in-depth exploration of HIV positive individuals‟ experiences of being in a support group. The study aims to explore the positive and negative experiences of being in an HIV support group and aims to gain an understanding of the role support plays in the lives of those living with HIV. A qualitative research design was used to explore the above mentioned aim. Semi-structured interviews were conducted with five individuals, (three women and two men) who had experienced HIV support groups. The interviews were transcribed and then analysed according to the principles of interpretative phenomenological analysis (IPA). The findings of this study revealed five super-ordinate themes, which revealed not only the positive and negative experiences of being in a support group, but also the challenges that the participants‟ experienced before joining the group. Getting a sense of the participants‟ experience before joining the group allowed the researcher to get a better understanding of how useful or not the support group has been in helping them deal with the challenges of living with HIV. The themes included: „struggling to survive after diagnosis‟, „struggling to cope: adopting negative coping skills‟, „experiencing a turning-point: a will to survive‟, „attending support group: a sweet experience‟ and lastly, „attending support groups: a bitter experience‟. Findings suggest that for these participants, the advantages outweighed the disadvantages of being in a support group. Therefore this study suggests that face to face support groups are a viable and even necessary option for support. These findings support previous research and literature in regards to the importance of social support in the form of support groups in effectively assisting HIV positive people in their journey to adjust to the consequence of living with HIV.
- Full Text:
- Date Issued: 2018
- Authors: Brink, Nicole
- Date: 2018
- Subjects: HIV-positive persons -- Social aspects Self-help groups AIDS (Disease) -- Patients -- Counseling of AIDS (Disease) -- Social aspects
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/62988 , vital:28351
- Description: People who have been diagnosed HIV positive often experience distress and anxiety due to uncertainties pertaining to the implications of an HIV positive status. Research has shown that support groups have always been a way for people to cope with the distress and stressful circumstances associated with health conditions such as HIV. This research investigated the role of face to face support groups in the lives of those living with HIV. The primary focus of this research project is to provide an in-depth exploration of HIV positive individuals‟ experiences of being in a support group. The study aims to explore the positive and negative experiences of being in an HIV support group and aims to gain an understanding of the role support plays in the lives of those living with HIV. A qualitative research design was used to explore the above mentioned aim. Semi-structured interviews were conducted with five individuals, (three women and two men) who had experienced HIV support groups. The interviews were transcribed and then analysed according to the principles of interpretative phenomenological analysis (IPA). The findings of this study revealed five super-ordinate themes, which revealed not only the positive and negative experiences of being in a support group, but also the challenges that the participants‟ experienced before joining the group. Getting a sense of the participants‟ experience before joining the group allowed the researcher to get a better understanding of how useful or not the support group has been in helping them deal with the challenges of living with HIV. The themes included: „struggling to survive after diagnosis‟, „struggling to cope: adopting negative coping skills‟, „experiencing a turning-point: a will to survive‟, „attending support group: a sweet experience‟ and lastly, „attending support groups: a bitter experience‟. Findings suggest that for these participants, the advantages outweighed the disadvantages of being in a support group. Therefore this study suggests that face to face support groups are a viable and even necessary option for support. These findings support previous research and literature in regards to the importance of social support in the form of support groups in effectively assisting HIV positive people in their journey to adjust to the consequence of living with HIV.
- Full Text:
- Date Issued: 2018
Judging psycholegal reporting in civil court proceedings in the Eastern Cape
- Authors: Marais, Claire Anne
- Date: 2018
- Subjects: Court proceedings -- South Africa -- Eastern Cape , Evidence, Expert -- South Africa -- Eastern Cape , Forensic psychology -- South Africa -- Eastern Cape , Quality Rating Scale (QRS) , Psycholegal reporting -- South Africa -- Eastern Cape
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/62999 , vital:28352
- Description: Purpose: The primary purpose for this research was to evaluate the quality of psycholegal reports, and the qualification of the authors. Previous research had revealed generalised poor practices in psycholegal report writing and the authors seemed unqualified as expert witness. This negatively influenced the impression and usefulness of expert psychological opinion in South African courts. The secondary purpose was to compare the results to those determined by Ireland (2012), which was a useful benchmark study in the UK as her findings corresponded with the literature. Method: This archival research analysed a hand-search sample of 20 reports written by 20 psychologists based nationally. These reports were submitted as expert opinion in civil proceedings in the Grahamstown Division of the Eastern Cape High Court between 2011 and 2016. Ireland and Pinschof’s (2009) measure ‘Quality Rating Scale’ was adapted for a South African context and used to evaluate quantitatively the reports. Focus was on the reports’ contents (fact and opinion), methods, process and overall rating, and the qualification of the authors. Results: Overall, two-thirds of the reports were rated as ‘good’ and ‘very good’. The results were generally more positive than Ireland’s (2012) findings. However, there were practices in the report writing that were deemed detrimental to the quality of the expert’s opinion. This included vague referral questions and unclear basis for concluding opinions and diagnosis. There was also a lack of discussions surrounding the scientific trustworthiness of testing methods and absent ethical considerations. Lastly, the specialised expertise of the experts was not adequately documented. Conclusion: The findings painted a more positive picture of psycholegal reporting in South Africa than illustrated in previous research, which seemingly relied on anecdotes and subjective surveys. This study used a systematic and objective measure. The findings of this study, previous research and ethical Rules of Conduct were used to consider recommendations for psycholegal report writing, and the improvement of the field of psycholegal work. Lastly, the focus of future research was discussed.
- Full Text:
- Date Issued: 2018
- Authors: Marais, Claire Anne
- Date: 2018
- Subjects: Court proceedings -- South Africa -- Eastern Cape , Evidence, Expert -- South Africa -- Eastern Cape , Forensic psychology -- South Africa -- Eastern Cape , Quality Rating Scale (QRS) , Psycholegal reporting -- South Africa -- Eastern Cape
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/62999 , vital:28352
- Description: Purpose: The primary purpose for this research was to evaluate the quality of psycholegal reports, and the qualification of the authors. Previous research had revealed generalised poor practices in psycholegal report writing and the authors seemed unqualified as expert witness. This negatively influenced the impression and usefulness of expert psychological opinion in South African courts. The secondary purpose was to compare the results to those determined by Ireland (2012), which was a useful benchmark study in the UK as her findings corresponded with the literature. Method: This archival research analysed a hand-search sample of 20 reports written by 20 psychologists based nationally. These reports were submitted as expert opinion in civil proceedings in the Grahamstown Division of the Eastern Cape High Court between 2011 and 2016. Ireland and Pinschof’s (2009) measure ‘Quality Rating Scale’ was adapted for a South African context and used to evaluate quantitatively the reports. Focus was on the reports’ contents (fact and opinion), methods, process and overall rating, and the qualification of the authors. Results: Overall, two-thirds of the reports were rated as ‘good’ and ‘very good’. The results were generally more positive than Ireland’s (2012) findings. However, there were practices in the report writing that were deemed detrimental to the quality of the expert’s opinion. This included vague referral questions and unclear basis for concluding opinions and diagnosis. There was also a lack of discussions surrounding the scientific trustworthiness of testing methods and absent ethical considerations. Lastly, the specialised expertise of the experts was not adequately documented. Conclusion: The findings painted a more positive picture of psycholegal reporting in South Africa than illustrated in previous research, which seemingly relied on anecdotes and subjective surveys. This study used a systematic and objective measure. The findings of this study, previous research and ethical Rules of Conduct were used to consider recommendations for psycholegal report writing, and the improvement of the field of psycholegal work. Lastly, the focus of future research was discussed.
- Full Text:
- Date Issued: 2018
A survey of the professional identity of clinical psychologists in South Africa
- Authors: Deane, Tessa Anne
- Date: 2017
- Subjects: Psychologists -- South Africa , Psychology -- Study and teaching (Higher) -- South Africa , Psychology -- Practice -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/5140 , vital:20780
- Description: The mental health care needs of South Africa have shifted significantly in the postapartheid context of changing political and socioeconomic landscapes. However, the extent to which clinical psychologists’ professional identity has responded accordingly has been unclear. By establishing the practice patterns and values that should be central to the profession according to the literature, and ascertaining the extent to which these are reflected among professionals at this time, this study facilitates a re-evaluation of the professional identity of clinical psychologists in South Africa. To this end, an online survey method was used to collect data from a representative sample of 877 participants, i.e. 29,09% of the population of clinical psychologists in South Africa. Statistical analyses were implemented to address a number of key research questions concerning aspects which characterise professional identity, namely: demographic profile; work settings and roles (practices); and theoretical perspective, beliefs and attitudes (values). Findings suggest that, demographically, clinical psychologists do not mirror the clients they serve, and also that there is a large proportion of the population for whom psychological services remain inaccessible and/or inappropriate. Furthermore, the professional identity of clinical psychologists currently does not comprise practices and values which meet the mental health care needs of South Africa. A significant recommendation of the research is its endorsement of the National Health Insurance model given the promise of its role in ensuring psychology remains relevant. It is recommended that future studies expand on these findings qualitatively, and compare clinical psychology with other mental health care fields. Universities are also urged to relook at their training curricula and ensure that trainees are made of aware of issues of policy, and that areas of research and psychological assessment in complex environments are prioritized.
- Full Text:
- Date Issued: 2017
- Authors: Deane, Tessa Anne
- Date: 2017
- Subjects: Psychologists -- South Africa , Psychology -- Study and teaching (Higher) -- South Africa , Psychology -- Practice -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/5140 , vital:20780
- Description: The mental health care needs of South Africa have shifted significantly in the postapartheid context of changing political and socioeconomic landscapes. However, the extent to which clinical psychologists’ professional identity has responded accordingly has been unclear. By establishing the practice patterns and values that should be central to the profession according to the literature, and ascertaining the extent to which these are reflected among professionals at this time, this study facilitates a re-evaluation of the professional identity of clinical psychologists in South Africa. To this end, an online survey method was used to collect data from a representative sample of 877 participants, i.e. 29,09% of the population of clinical psychologists in South Africa. Statistical analyses were implemented to address a number of key research questions concerning aspects which characterise professional identity, namely: demographic profile; work settings and roles (practices); and theoretical perspective, beliefs and attitudes (values). Findings suggest that, demographically, clinical psychologists do not mirror the clients they serve, and also that there is a large proportion of the population for whom psychological services remain inaccessible and/or inappropriate. Furthermore, the professional identity of clinical psychologists currently does not comprise practices and values which meet the mental health care needs of South Africa. A significant recommendation of the research is its endorsement of the National Health Insurance model given the promise of its role in ensuring psychology remains relevant. It is recommended that future studies expand on these findings qualitatively, and compare clinical psychology with other mental health care fields. Universities are also urged to relook at their training curricula and ensure that trainees are made of aware of issues of policy, and that areas of research and psychological assessment in complex environments are prioritized.
- Full Text:
- Date Issued: 2017
The role of psychosocial factors in academic performance of first year psychology students at a historically white university
- Authors: Dlamini, Sipho Solomon
- Date: 2017
- Subjects: Rhodes University -- Students , Academic achievement , Undergraduates -- South Africa , Dropouts -- South Africa , College students -- South Africa , Psychology students -- South Africa , Minorities -- Education -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/5150 , vital:20781
- Description: The success rate of students in higher education has been a cause for concern in South Africa (Letseka & Maile, 2008; Department of Higher Education and Training, 2015). This has been particularly concerning for first-year students, where the rate of attrition is especially high (Letseka, Cosser, Breier, and Visser, 2010). A number of factors have been identified in past research as having an effect on academic performance, which influences attrition and graduation. These factors include age (Justice, & Dornan, 2001), gender (Buchmann, & DiPrete, 2006), socio-economic status which is confounded by race (Letseka & Breier, 2008), type of educational background (Spreen, & Vally, 2006), and whether a student is a domestic or international student (Li, Chen, Duanmu, 2009), social capital (Young & Strelitz, 2014), whether the student is a first language speaker of the language of instruction at the university (Snowball, and Boughey, 2012), student wellbeing (Quinn, & Duckworth, 2007), locus of control (Findley, & Cooper, 1983), and frequency of lecture attendance (van Wallbeek, 2004). The study was conducted at Rhodes University, a small historically white South African institution. For this study, academic performance was measured using the participant’s midyear exam results for an introductory psychology cause, a course that straddles faculties. Of the 690 students registered for the course, 361 (52%) completed an electronic survey that explored the various factors associated with academic performance. A hierarchical regression analysis indicates that pre-university factors (age, gender, race, nationality, language, type of school, and socio-economic status) were the only significant predictors of academic performance, contributing 11% of the effect. Race and nationality, when all the other factors were controlled for, were the only predictors of academic performance. The implications of these findings pose troubling questions of the institutional culture at the university.
- Full Text:
- Date Issued: 2017
- Authors: Dlamini, Sipho Solomon
- Date: 2017
- Subjects: Rhodes University -- Students , Academic achievement , Undergraduates -- South Africa , Dropouts -- South Africa , College students -- South Africa , Psychology students -- South Africa , Minorities -- Education -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/5150 , vital:20781
- Description: The success rate of students in higher education has been a cause for concern in South Africa (Letseka & Maile, 2008; Department of Higher Education and Training, 2015). This has been particularly concerning for first-year students, where the rate of attrition is especially high (Letseka, Cosser, Breier, and Visser, 2010). A number of factors have been identified in past research as having an effect on academic performance, which influences attrition and graduation. These factors include age (Justice, & Dornan, 2001), gender (Buchmann, & DiPrete, 2006), socio-economic status which is confounded by race (Letseka & Breier, 2008), type of educational background (Spreen, & Vally, 2006), and whether a student is a domestic or international student (Li, Chen, Duanmu, 2009), social capital (Young & Strelitz, 2014), whether the student is a first language speaker of the language of instruction at the university (Snowball, and Boughey, 2012), student wellbeing (Quinn, & Duckworth, 2007), locus of control (Findley, & Cooper, 1983), and frequency of lecture attendance (van Wallbeek, 2004). The study was conducted at Rhodes University, a small historically white South African institution. For this study, academic performance was measured using the participant’s midyear exam results for an introductory psychology cause, a course that straddles faculties. Of the 690 students registered for the course, 361 (52%) completed an electronic survey that explored the various factors associated with academic performance. A hierarchical regression analysis indicates that pre-university factors (age, gender, race, nationality, language, type of school, and socio-economic status) were the only significant predictors of academic performance, contributing 11% of the effect. Race and nationality, when all the other factors were controlled for, were the only predictors of academic performance. The implications of these findings pose troubling questions of the institutional culture at the university.
- Full Text:
- Date Issued: 2017
The relationship between the alcohol use patterns and cognitive and symptomatic functioning of Rhodes University students
- Authors: Mayson, Tamara Ann
- Date: 2016
- Subjects: Drinking of alcholic beverages -- South Africa , Rhodes University -- Students -- Alcohol use , Alcohol -- Physiological effect
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3270 , http://hdl.handle.net/10962/d1020327
- Description: Introduction: Studies reveal differential cognitive effects of alcohol use, with moderate to heavy alcohol having some beneficial effects in older adults, whereas in young adulthood, heavier alcohol use produces deficits. The aim of the research was to investigate the relationship between patterns of alcohol use and the cognitive and symptomatic functioning of university students over one year, and to discern which demographic, clinical and alcohol factors might moderate cognitive outcomes. Method: The sample included undergraduate Psychology students from a South African University, aged 18 to 23 years (n = 86). The sample was divided into two alcohol use groups based on four categories from the Alcohol Use Disorders Identification Test (AUDIT) (Babor et al., 2001), including a lighter drinking group (Safe/Hazardous, n = 74) and a heavier drinking group (Harmful/Dependent, n = 12). The two drinking groups were statistically equivalent for distribution of age, gender, English first language, race groups, history of neurological or psychiatric vulnerability, a measure of initial intelligence/cognitive reserve (Peabody Picture Vocabulary Test: PPVT-4) (Dunn & Dunn, 2007) and for a measure of test-taking validity (Immediate Postconcussion Assessment and Cognitive Test: ImPACT Impulse Control) (p = < 0.05 in all instances). Participants were tested on the computerized ImPACT battery (ImPACT, 2007) at three intervals over an academic year (May, August, October 2012). Repeated measures ANOVAs were used to investigate cognitive and symptomatic differences between the two alcohol use groups, in association with moderating factors. Results: The heavier drinking group revealed: (i) poorer performance on ImPACT Visual Motor Speed, Reaction Time and Cognitive Efficiency Index scores, including less ability to benefit from practice over time; (ii) symptom reports of severe Numbness/Tingling, Balance problems and Dizziness. Deleterious cognitive outcome was exacerbated by longer lifetime duration of alcohol use, passing out monthly, beer or wine drinking, smoking or substance use. Conclusion: Deleterious cognitive and symptomatic effects of heavy alcohol use are in evidence for undergraduate university students implicating current and/or cumulative alcohol induced brain impairment. The results of the study are of concern for optimal academic performance of students at an early stage of university level study, who engage in heavier (Harmful/Dependent) drinking patterns, with negative implications for future career attainment.
- Full Text:
- Date Issued: 2016
- Authors: Mayson, Tamara Ann
- Date: 2016
- Subjects: Drinking of alcholic beverages -- South Africa , Rhodes University -- Students -- Alcohol use , Alcohol -- Physiological effect
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3270 , http://hdl.handle.net/10962/d1020327
- Description: Introduction: Studies reveal differential cognitive effects of alcohol use, with moderate to heavy alcohol having some beneficial effects in older adults, whereas in young adulthood, heavier alcohol use produces deficits. The aim of the research was to investigate the relationship between patterns of alcohol use and the cognitive and symptomatic functioning of university students over one year, and to discern which demographic, clinical and alcohol factors might moderate cognitive outcomes. Method: The sample included undergraduate Psychology students from a South African University, aged 18 to 23 years (n = 86). The sample was divided into two alcohol use groups based on four categories from the Alcohol Use Disorders Identification Test (AUDIT) (Babor et al., 2001), including a lighter drinking group (Safe/Hazardous, n = 74) and a heavier drinking group (Harmful/Dependent, n = 12). The two drinking groups were statistically equivalent for distribution of age, gender, English first language, race groups, history of neurological or psychiatric vulnerability, a measure of initial intelligence/cognitive reserve (Peabody Picture Vocabulary Test: PPVT-4) (Dunn & Dunn, 2007) and for a measure of test-taking validity (Immediate Postconcussion Assessment and Cognitive Test: ImPACT Impulse Control) (p = < 0.05 in all instances). Participants were tested on the computerized ImPACT battery (ImPACT, 2007) at three intervals over an academic year (May, August, October 2012). Repeated measures ANOVAs were used to investigate cognitive and symptomatic differences between the two alcohol use groups, in association with moderating factors. Results: The heavier drinking group revealed: (i) poorer performance on ImPACT Visual Motor Speed, Reaction Time and Cognitive Efficiency Index scores, including less ability to benefit from practice over time; (ii) symptom reports of severe Numbness/Tingling, Balance problems and Dizziness. Deleterious cognitive outcome was exacerbated by longer lifetime duration of alcohol use, passing out monthly, beer or wine drinking, smoking or substance use. Conclusion: Deleterious cognitive and symptomatic effects of heavy alcohol use are in evidence for undergraduate university students implicating current and/or cumulative alcohol induced brain impairment. The results of the study are of concern for optimal academic performance of students at an early stage of university level study, who engage in heavier (Harmful/Dependent) drinking patterns, with negative implications for future career attainment.
- Full Text:
- Date Issued: 2016
Experiences of women recently diagnosed with HIV
- Authors: Jurie, Khuselwa
- Date: 2015
- Subjects: HIV-positive women -- South Africa -- Eastern Cape , Stigma (Social psychology) , HIV (Viruses) -- Diagnosis , AIDS (Disease) in women -- Social aspects -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3259 , http://hdl.handle.net/10962/d1017882
- Description: The focus of this study is on the experiences of a small sample of local women who have been recently diagnosed with HIV. The aim of the research was to give these women an opportunity to express their first-hand, personal accounts of living with HIV. Five isiXhosa-speaking women were recruited and interviewed. These accounts were collected and analysed within in the methodological framework of Interpretative Phenomenological Analysis, a qualitative approach that is becoming increasingly popular in the broad fields of health and clinical psychology. Data was analysed for meaningful units, which were interpreted inductively and hermeneutically, and categorised into super-ordinate themes. Five themes within the participants’ experiences of living with HIV were identified: (1) experiences of diagnosis, (2) experiences of stigma, (3) social support, (4) coping strategies, and (5) HIV as one of many assaults to self. Implicated in these experiences are the ways in which these women have appraised themselves and their situation after an HIV-positive diagnosis, appraisals that are shaped by HIV-related stigma. A variety of negative emotional reactions are common following the diagnosis, often compounded by the direct experiences of HIV-related stigma. Women in the study adopted different kinds of coping strategies based on the resources and social support available to them. Also significant is that for these women who had typically endured a variety of traumatic life events, a positive diagnosis was simply one of many life challenges
- Full Text:
- Date Issued: 2015
- Authors: Jurie, Khuselwa
- Date: 2015
- Subjects: HIV-positive women -- South Africa -- Eastern Cape , Stigma (Social psychology) , HIV (Viruses) -- Diagnosis , AIDS (Disease) in women -- Social aspects -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3259 , http://hdl.handle.net/10962/d1017882
- Description: The focus of this study is on the experiences of a small sample of local women who have been recently diagnosed with HIV. The aim of the research was to give these women an opportunity to express their first-hand, personal accounts of living with HIV. Five isiXhosa-speaking women were recruited and interviewed. These accounts were collected and analysed within in the methodological framework of Interpretative Phenomenological Analysis, a qualitative approach that is becoming increasingly popular in the broad fields of health and clinical psychology. Data was analysed for meaningful units, which were interpreted inductively and hermeneutically, and categorised into super-ordinate themes. Five themes within the participants’ experiences of living with HIV were identified: (1) experiences of diagnosis, (2) experiences of stigma, (3) social support, (4) coping strategies, and (5) HIV as one of many assaults to self. Implicated in these experiences are the ways in which these women have appraised themselves and their situation after an HIV-positive diagnosis, appraisals that are shaped by HIV-related stigma. A variety of negative emotional reactions are common following the diagnosis, often compounded by the direct experiences of HIV-related stigma. Women in the study adopted different kinds of coping strategies based on the resources and social support available to them. Also significant is that for these women who had typically endured a variety of traumatic life events, a positive diagnosis was simply one of many life challenges
- Full Text:
- Date Issued: 2015
Exploring problematic experiences : an IPA study of 'Internet Addiction'
- Authors: Allie, Naaheeda
- Date: 2015
- Subjects: Internet addiction , Compulsive behavior , Security (Psychology)
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3256 , http://hdl.handle.net/10962/d1016395
- Description: In the past two decades, a considerable amount of research has been carried out on the phenomenon of excessive Internet use, variously termed Internet addiction, Internet dependency and problematic Internet use. Despite this, there is still little agreement as to what constitutes this phenomenon, whether it should be considered a clinical disorder or not and what leads to this excessive or maladaptive use. The terminology used in this study is that of Problematic Internet Use (PIU). Several theoretical models have been proposed in the understanding of PIU including personality models, operant conditioning models, social cognitive and cognitive behavioural models (Davis, 2001; LaRose, lin & Eastin, 2003; Young, 1999). A proposed gap in the literature is the lack of studies exploring participant experiences of problematic Internet use. It is for this reason that this study aimed at exploring the experiences of a small sample of individuals with self-identified problematic Internet use. The implications of this phenomenological data for the above-mentioned theoretical models were then reviewed. This study used an Interpretative Phenomenological Analysis (IPA) approach in exploring these aims. A sample of four participants was selected through purposive sampling techniques. Four major themes emerged from the analysis namely: Escapism, Social Insecurity and Validation, Perfectionism and Control. These experiences of participants were also explored in terms of the conceptual models reviewed in order to compare how closely they related to participant experiences. A strong inter-relationship was found between the four themes mentioned above. The Internet appeared to provide a sense of control and validation to these individuals while simultaneously rendering them unable to maintain control of their Internet usage in relation to this. This sense of control was experienced through an escape from negative emotions, offline obligations and at times a dissatisfactory position in reality. Of the four models reviewed, the Social Cognitive model proposed by LaRose et al. (2003) appeared to offer the most relevant understanding of PIU to participant experiences. The presence of maladaptive cognitions also appeared to feature strongly as an underlying factor in participants' PIU, as theorised by cognitive behavioural models (Davis, 2001; Young, 1999) Finally recommendations are made for further more detailed exploration of PIU using interpretative, experiential methods.
- Full Text:
- Date Issued: 2015
- Authors: Allie, Naaheeda
- Date: 2015
- Subjects: Internet addiction , Compulsive behavior , Security (Psychology)
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3256 , http://hdl.handle.net/10962/d1016395
- Description: In the past two decades, a considerable amount of research has been carried out on the phenomenon of excessive Internet use, variously termed Internet addiction, Internet dependency and problematic Internet use. Despite this, there is still little agreement as to what constitutes this phenomenon, whether it should be considered a clinical disorder or not and what leads to this excessive or maladaptive use. The terminology used in this study is that of Problematic Internet Use (PIU). Several theoretical models have been proposed in the understanding of PIU including personality models, operant conditioning models, social cognitive and cognitive behavioural models (Davis, 2001; LaRose, lin & Eastin, 2003; Young, 1999). A proposed gap in the literature is the lack of studies exploring participant experiences of problematic Internet use. It is for this reason that this study aimed at exploring the experiences of a small sample of individuals with self-identified problematic Internet use. The implications of this phenomenological data for the above-mentioned theoretical models were then reviewed. This study used an Interpretative Phenomenological Analysis (IPA) approach in exploring these aims. A sample of four participants was selected through purposive sampling techniques. Four major themes emerged from the analysis namely: Escapism, Social Insecurity and Validation, Perfectionism and Control. These experiences of participants were also explored in terms of the conceptual models reviewed in order to compare how closely they related to participant experiences. A strong inter-relationship was found between the four themes mentioned above. The Internet appeared to provide a sense of control and validation to these individuals while simultaneously rendering them unable to maintain control of their Internet usage in relation to this. This sense of control was experienced through an escape from negative emotions, offline obligations and at times a dissatisfactory position in reality. Of the four models reviewed, the Social Cognitive model proposed by LaRose et al. (2003) appeared to offer the most relevant understanding of PIU to participant experiences. The presence of maladaptive cognitions also appeared to feature strongly as an underlying factor in participants' PIU, as theorised by cognitive behavioural models (Davis, 2001; Young, 1999) Finally recommendations are made for further more detailed exploration of PIU using interpretative, experiential methods.
- Full Text:
- Date Issued: 2015
Minding your own game : self-regulation and psychological momentum among golfers
- Authors: Kingma, Graham
- Date: 2015
- Subjects: Golf -- Strategic aspects , Golf -- Psychological aspects , Athletes , Self-control , Golfers -- Conduct of life
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: vital:3260 , http://hdl.handle.net/10962/d1017883
- Description: Psychological momentum (PM) is often regarded as an important phenomenon that influences athlete performance. Nevertheless, conceptualisations of PM are criticised for being speculative, vague and impractical for scientific inquiry. In contrast, self-regulation is a long-standing, well researched concept used to explain performance outcomes, yet not clearly integrated in current PM conceptualisations. Hence, this thesis explores self-regulation relative to PM. Golf was considered to be an appropriate context for the empirical inquiries on the basis that it serves as a metaphor for managing life’s challenges. Three studies were conducted. The first study entailed a systematic conceptual analysis of PM based on previous conceptualisations and studies in relevant scientific literature. Self-regulatory processes were identified among the key psychological mechanisms and moderators related to PM. The second study aimed to identify key self-regulation strategies in PM experiences among 16 golfers. A mixed method approach including novel “walk-along” and “think aloud” data collection techniques was used. An inductive thematic analysis yielded a comprehensive typology golfing strategies. Nevertheless, the study did not find consistent strategy patterns in positive or negative PM phases. The third study explored the self-regulation of identity (ego-regulation) in relation to PM phases. A staggered multiple-baseline single-case research methodology was used with five golfers (three professionals and two amateurs). Ego-regulation was manipulated through a mindfulness-based schema mode program tailored to golf (Mindfulness for Golf; MFG). Pre-, mid- and post-intervention data showed positive changes among the participants on two dimensions of PM as well as performance outcomes. Overall the results suggest that golfers use idiosyncratic self-regulation processes to facilitate performance, but these are not directly linked to PM phases. Nonetheless, there are promising indications that enhancing ego-regulation through the MFG program facilitates positive momentum among golfers. Based on the results of the studies in this thesis, and for the sake of scientific parsimony and pragmatism, it is recommended that self-regulation models incorporating motivation are used to explain momentum in athletic activity. In this view, PM has the function of describing, not influencing, goal-driven performance
- Full Text:
- Date Issued: 2015
- Authors: Kingma, Graham
- Date: 2015
- Subjects: Golf -- Strategic aspects , Golf -- Psychological aspects , Athletes , Self-control , Golfers -- Conduct of life
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: vital:3260 , http://hdl.handle.net/10962/d1017883
- Description: Psychological momentum (PM) is often regarded as an important phenomenon that influences athlete performance. Nevertheless, conceptualisations of PM are criticised for being speculative, vague and impractical for scientific inquiry. In contrast, self-regulation is a long-standing, well researched concept used to explain performance outcomes, yet not clearly integrated in current PM conceptualisations. Hence, this thesis explores self-regulation relative to PM. Golf was considered to be an appropriate context for the empirical inquiries on the basis that it serves as a metaphor for managing life’s challenges. Three studies were conducted. The first study entailed a systematic conceptual analysis of PM based on previous conceptualisations and studies in relevant scientific literature. Self-regulatory processes were identified among the key psychological mechanisms and moderators related to PM. The second study aimed to identify key self-regulation strategies in PM experiences among 16 golfers. A mixed method approach including novel “walk-along” and “think aloud” data collection techniques was used. An inductive thematic analysis yielded a comprehensive typology golfing strategies. Nevertheless, the study did not find consistent strategy patterns in positive or negative PM phases. The third study explored the self-regulation of identity (ego-regulation) in relation to PM phases. A staggered multiple-baseline single-case research methodology was used with five golfers (three professionals and two amateurs). Ego-regulation was manipulated through a mindfulness-based schema mode program tailored to golf (Mindfulness for Golf; MFG). Pre-, mid- and post-intervention data showed positive changes among the participants on two dimensions of PM as well as performance outcomes. Overall the results suggest that golfers use idiosyncratic self-regulation processes to facilitate performance, but these are not directly linked to PM phases. Nonetheless, there are promising indications that enhancing ego-regulation through the MFG program facilitates positive momentum among golfers. Based on the results of the studies in this thesis, and for the sake of scientific parsimony and pragmatism, it is recommended that self-regulation models incorporating motivation are used to explain momentum in athletic activity. In this view, PM has the function of describing, not influencing, goal-driven performance
- Full Text:
- Date Issued: 2015
Understanding how students' relationships with their cellphones inform their experience of social participation online and offline
- Authors: Oosthuizen, Jess
- Date: 2015
- Subjects: Cell phones -- South Africa -- Psychological aspects , Social participation , Cell phones -- South Africa -- Social aspects , College students -- South Africa , Social media addiction
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3264 , http://hdl.handle.net/10962/d1017887
- Description: The pervasive presence of cellphones in the lives of urban young people around the globe has led to widespread research to evaluate the impact that this device has on young people’s overall psychosocial development. This relationship is often characterised as “addictive”. This research study presents a unique South African youth perspective in a field of research that is predominantly conducted in the United States, Europe and Asia. It explores the relationship that students (ages 18–21) at Rhodes University have with their cellphones in order to understand how this device informs their experience of social participation online and offline. Central to the design of this study is a “social media detox” which involved the research participants volunteering to restrict their social media and cellphone use for an agreed-upon period of time. The study employs interpretative phenomenological analysis (IPA) to uncover key themes from in-depth interviews before and after the detox. Eight respondents were interviewed twice; once before and once after their detox. This study provides insights into the integral role of a cellphone as reported from a young adult’s perspective. Communicating on social media platforms using a cellphone has become normalised among this age-group and the respondents described how the cellphone feels like “a part of you”. Unlike interacting face-to-face which is potentially awkward and involves effort, socialising on a cellphone offers the respondents a sense of companionship, control and instant access to their peer groups. The respondents in this study seemed unaware of their own agency in social situations until their participation in the social media detox. By participating in this study, the participants became more aware of how their cellphone use influences social behaviour, both online and offline. The study proposes that the term “addiction” undermines the positive association young people have with their cellphones. Instead, this study suggests that “social fitness” would be a more relevant construct through which to encourage and support young people to exercise agency in their social lives. This exploratory study raises new questions for researchers, programme developers and educators to take up in future studies and programme development
- Full Text:
- Date Issued: 2015
- Authors: Oosthuizen, Jess
- Date: 2015
- Subjects: Cell phones -- South Africa -- Psychological aspects , Social participation , Cell phones -- South Africa -- Social aspects , College students -- South Africa , Social media addiction
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3264 , http://hdl.handle.net/10962/d1017887
- Description: The pervasive presence of cellphones in the lives of urban young people around the globe has led to widespread research to evaluate the impact that this device has on young people’s overall psychosocial development. This relationship is often characterised as “addictive”. This research study presents a unique South African youth perspective in a field of research that is predominantly conducted in the United States, Europe and Asia. It explores the relationship that students (ages 18–21) at Rhodes University have with their cellphones in order to understand how this device informs their experience of social participation online and offline. Central to the design of this study is a “social media detox” which involved the research participants volunteering to restrict their social media and cellphone use for an agreed-upon period of time. The study employs interpretative phenomenological analysis (IPA) to uncover key themes from in-depth interviews before and after the detox. Eight respondents were interviewed twice; once before and once after their detox. This study provides insights into the integral role of a cellphone as reported from a young adult’s perspective. Communicating on social media platforms using a cellphone has become normalised among this age-group and the respondents described how the cellphone feels like “a part of you”. Unlike interacting face-to-face which is potentially awkward and involves effort, socialising on a cellphone offers the respondents a sense of companionship, control and instant access to their peer groups. The respondents in this study seemed unaware of their own agency in social situations until their participation in the social media detox. By participating in this study, the participants became more aware of how their cellphone use influences social behaviour, both online and offline. The study proposes that the term “addiction” undermines the positive association young people have with their cellphones. Instead, this study suggests that “social fitness” would be a more relevant construct through which to encourage and support young people to exercise agency in their social lives. This exploratory study raises new questions for researchers, programme developers and educators to take up in future studies and programme development
- Full Text:
- Date Issued: 2015
University students’ drinking motives : relationship with alcohol use
- Authors: Maphisa, Jabulani Maphisa
- Date: 2015
- Subjects: College students -- Alcohol use -- South Africa -- Grahamstown , College students -- South Africa -- Grahamstown -- Conduct of life , College students -- South Africa -- Grahamstown -- Attitudes , Motivation (Psychology) -- South Africa -- Grahamstown , Social integration -- South Africa -- Grahamstown , Adjustment (Psychology) -- South Africa -- Grahamstown , Conformity -- South Africa -- Grahamstown
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3266 , http://hdl.handle.net/10962/d1019760
- Description: Alcohol use among university students is a worldwide social and clinical reality. Understanding and addressing this phenomena is an imperative recognised by the government of South Africa and its Higher Education institutions, where student drinking has a plethora of negative consequences. This study builds on the work of Young and de Klerk (2012) with Rhodes University students by adding drinking motives to their findings of demographic correlates. The motivational model of alcohol use (Cox & Klinger, 1988) posits that drinking motives are a proximal predictor of alcohol use. The model further delineates four drinking motives (social, enhancement, coping, and conformity) which are hypothesized to lead to phenomenological distinct patterns of alcohol use. An online survey method was utilized to collect data and a representative sample of 501 students participated. Descriptive and inferential statistics were computed to address five research questions: (1) to establishing the current alcohol use trend; (2) to investigate the demographic factors associated with alcohol use; (3) to describe students‘ drinking motives; (4) to explore the correlates of drinking motives; and, finally, the primary aim was (5) to investigate whether students‘ drinking motives predicted alcohol use when controlling for the effects of descriptive drinking norms and demographic variables. The results indicate that 68.5% of participants currently consume alcohol, and 51.0 % of these drinking students consume five or more drinks during a drinking session. 20.7 % of the drinking students used alcohol at the harmful or alcohol dependent levels. Increased alcohol use was associated more with males, undergraduates, early onset drinkers, more disposable income, and students‘ perceptions of their peers‘ drinking. Students endorsed enhancement motives marginally more than social motives, followed by coping and conformity motives. Males, early onset drinkers, black students, and at risk (of alcohol use disorders) students endorsed more motives, especially social and enhancement motives. Of primary concern was the role of drinking motives on alcohol use after controlling for the effects of descriptive drinking norms. The four block hierarchical regression model which was run explained 38% of the variance in alcohol use. Drinking motives, particularly enhancement motives, displayed a statistically significant impact on alcohol use adding 11% to the variance. Additionally, age of alcohol use onset, monthly pocket money, age, and gender predicted alcohol use separately. The results of this study indicate that alcohol use has multi-factorial influences. Of note, the results confirmed the motivational model of alcohol use by indicating that alcohol use is partially motivational and that drinking behaviour is not a unitary phenomenon but instead it represents heterogeneity based on the affective change individuals anticipate to gain by drinking. The high binging rate (51%) among this sample may speak to the greater endorsement of enhancement motives, which have been shown in previous studies to be associated with heavy drinking. Enhancement motives are attempts to attain positive affect which, due to the psychoactive properties of alcohol, require greater consumption and intoxication. Additionally, as a result of the greater quantities of alcohol, individuals who drink for enhancement motives would be more prone to alcohol consequences. The results suggest that a multi-level intervention framework targeting individual students, the university community, and the surrounding community, is indicated. Furthermore, intervention may be tailored-made to address specific drinking motives.
- Full Text:
- Date Issued: 2015
- Authors: Maphisa, Jabulani Maphisa
- Date: 2015
- Subjects: College students -- Alcohol use -- South Africa -- Grahamstown , College students -- South Africa -- Grahamstown -- Conduct of life , College students -- South Africa -- Grahamstown -- Attitudes , Motivation (Psychology) -- South Africa -- Grahamstown , Social integration -- South Africa -- Grahamstown , Adjustment (Psychology) -- South Africa -- Grahamstown , Conformity -- South Africa -- Grahamstown
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3266 , http://hdl.handle.net/10962/d1019760
- Description: Alcohol use among university students is a worldwide social and clinical reality. Understanding and addressing this phenomena is an imperative recognised by the government of South Africa and its Higher Education institutions, where student drinking has a plethora of negative consequences. This study builds on the work of Young and de Klerk (2012) with Rhodes University students by adding drinking motives to their findings of demographic correlates. The motivational model of alcohol use (Cox & Klinger, 1988) posits that drinking motives are a proximal predictor of alcohol use. The model further delineates four drinking motives (social, enhancement, coping, and conformity) which are hypothesized to lead to phenomenological distinct patterns of alcohol use. An online survey method was utilized to collect data and a representative sample of 501 students participated. Descriptive and inferential statistics were computed to address five research questions: (1) to establishing the current alcohol use trend; (2) to investigate the demographic factors associated with alcohol use; (3) to describe students‘ drinking motives; (4) to explore the correlates of drinking motives; and, finally, the primary aim was (5) to investigate whether students‘ drinking motives predicted alcohol use when controlling for the effects of descriptive drinking norms and demographic variables. The results indicate that 68.5% of participants currently consume alcohol, and 51.0 % of these drinking students consume five or more drinks during a drinking session. 20.7 % of the drinking students used alcohol at the harmful or alcohol dependent levels. Increased alcohol use was associated more with males, undergraduates, early onset drinkers, more disposable income, and students‘ perceptions of their peers‘ drinking. Students endorsed enhancement motives marginally more than social motives, followed by coping and conformity motives. Males, early onset drinkers, black students, and at risk (of alcohol use disorders) students endorsed more motives, especially social and enhancement motives. Of primary concern was the role of drinking motives on alcohol use after controlling for the effects of descriptive drinking norms. The four block hierarchical regression model which was run explained 38% of the variance in alcohol use. Drinking motives, particularly enhancement motives, displayed a statistically significant impact on alcohol use adding 11% to the variance. Additionally, age of alcohol use onset, monthly pocket money, age, and gender predicted alcohol use separately. The results of this study indicate that alcohol use has multi-factorial influences. Of note, the results confirmed the motivational model of alcohol use by indicating that alcohol use is partially motivational and that drinking behaviour is not a unitary phenomenon but instead it represents heterogeneity based on the affective change individuals anticipate to gain by drinking. The high binging rate (51%) among this sample may speak to the greater endorsement of enhancement motives, which have been shown in previous studies to be associated with heavy drinking. Enhancement motives are attempts to attain positive affect which, due to the psychoactive properties of alcohol, require greater consumption and intoxication. Additionally, as a result of the greater quantities of alcohol, individuals who drink for enhancement motives would be more prone to alcohol consequences. The results suggest that a multi-level intervention framework targeting individual students, the university community, and the surrounding community, is indicated. Furthermore, intervention may be tailored-made to address specific drinking motives.
- Full Text:
- Date Issued: 2015
"I felt that I deserved it" : an Investigation into HIV-related PTSD, traumatic life events, and the personal experiences of living with HIV : a mixed-method study
- Authors: Boulind, Melissa Jane
- Date: 2014
- Subjects: Post-traumatic stress disorder -- Psychological aspects -- Research -- South Africa -- Kwazulu HIV infections -- Psychological aspects -- Research -- South Africa -- Kwazulu HIV-positive persons -- South Africa -- Kwazulu -- Interviews Psychic trauma -- Research Stress (Psychology) -- Research
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: vital:3211 , http://hdl.handle.net/10962/d1012172
- Description: There appears to be a growing body of literature focusing on PTSD and HIV-related PTSD (the diagnosis of HIV being the significant traumatic event) amongst HIV-positive samples, but only a few African studies that attempt to estimate the prevalence of PTSD amongst HIV-positive people, and even fewer that attempt to estimate the prevalence of HIV-related PTSD. The systemic review presented in this study is currently fully inclusive and is the most up-to-date available. Estimates of the prevalence of PTSD and HIV-related PTSD in South Africa range from 0.7 to 54.1% and, 4.2 to 40% respectively. The current cross-sectional study made use of a mixed-method approach to investigate traumatic life events, PTSD and HIV-related PTSD within a primary health-care centre in KwaZulu-Natal. The quantitative sample consisted of 159 adults (18-50 years) who were compliant on ARV medication. Using the CIDI-PTSD module, the adapted CIDI-PTSD module for HIV, and IES-R, findings indicated that 62% had reported some kind of traumatic event in their lifetime, with 29.6% of participants meeting the criteria for lifetime PTSD, and 40.9% meeting the criteria for lifetime HIV-related PTSD. Altogether, 57.9% of individuals met the criteria for some form of PTSD (either regular PTSD or HIV-related PTSD), and 12.6% met the criteria for both PTSD and HIV-related PTSD. Of the different categories of traumatic events, interpersonal violence has the highest rate of PTSD, followed by a diagnosis of and living with HIV, and then disaster. Furthermore, the IES-R was compared for its usefulness as a screening measure for PTSD against both the CIDI, but results suggest that it is an inferior screening measure to the PDS. The qualitative study consisted of six participants who were examined using IPA methodology informed by the Ehlers and Clark (2000) Model of trauma. Their experiences revealed experiences of stigma, a number of negative appraisals, negative emotions and coping behaviours. Some of the latter might serve as compensatory mechanisms to avoid negative judgements. Hypervigilance seems to be a feature of ARV-compliance that might confer added vulnerability to PTSD and other anxiety disorders.
- Full Text:
- Date Issued: 2014
- Authors: Boulind, Melissa Jane
- Date: 2014
- Subjects: Post-traumatic stress disorder -- Psychological aspects -- Research -- South Africa -- Kwazulu HIV infections -- Psychological aspects -- Research -- South Africa -- Kwazulu HIV-positive persons -- South Africa -- Kwazulu -- Interviews Psychic trauma -- Research Stress (Psychology) -- Research
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: vital:3211 , http://hdl.handle.net/10962/d1012172
- Description: There appears to be a growing body of literature focusing on PTSD and HIV-related PTSD (the diagnosis of HIV being the significant traumatic event) amongst HIV-positive samples, but only a few African studies that attempt to estimate the prevalence of PTSD amongst HIV-positive people, and even fewer that attempt to estimate the prevalence of HIV-related PTSD. The systemic review presented in this study is currently fully inclusive and is the most up-to-date available. Estimates of the prevalence of PTSD and HIV-related PTSD in South Africa range from 0.7 to 54.1% and, 4.2 to 40% respectively. The current cross-sectional study made use of a mixed-method approach to investigate traumatic life events, PTSD and HIV-related PTSD within a primary health-care centre in KwaZulu-Natal. The quantitative sample consisted of 159 adults (18-50 years) who were compliant on ARV medication. Using the CIDI-PTSD module, the adapted CIDI-PTSD module for HIV, and IES-R, findings indicated that 62% had reported some kind of traumatic event in their lifetime, with 29.6% of participants meeting the criteria for lifetime PTSD, and 40.9% meeting the criteria for lifetime HIV-related PTSD. Altogether, 57.9% of individuals met the criteria for some form of PTSD (either regular PTSD or HIV-related PTSD), and 12.6% met the criteria for both PTSD and HIV-related PTSD. Of the different categories of traumatic events, interpersonal violence has the highest rate of PTSD, followed by a diagnosis of and living with HIV, and then disaster. Furthermore, the IES-R was compared for its usefulness as a screening measure for PTSD against both the CIDI, but results suggest that it is an inferior screening measure to the PDS. The qualitative study consisted of six participants who were examined using IPA methodology informed by the Ehlers and Clark (2000) Model of trauma. Their experiences revealed experiences of stigma, a number of negative appraisals, negative emotions and coping behaviours. Some of the latter might serve as compensatory mechanisms to avoid negative judgements. Hypervigilance seems to be a feature of ARV-compliance that might confer added vulnerability to PTSD and other anxiety disorders.
- Full Text:
- Date Issued: 2014
The lived experiences of HIV-positive women in poverty
- Msengana, Sweetlener Thobeka
- Authors: Msengana, Sweetlener Thobeka
- Date: 2014
- Subjects: HIV-positive women -- South Africa -- Grahamstown , HIV infections -- Psychological aspects -- South Africa -- Grahamstown , HIV infections -- Social aspects -- South Africa -- Grahamstown , Poor -- South Africa -- Grahamstown , Poverty -- Social aspects -- South Africa -- Grahamstown , Poverty -- Psychological aspects -- South Africa -- Grahamstown , Stigma (Social psychology) -- South Africa -- Grahamstown
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3240 , http://hdl.handle.net/10962/d1013269
- Description: The focus of this study was on the experiences of a small sample of local women who are HIVpositive and are living in poverty. The researcher was interested in exploring the psychological and social experiences of these women using Interpretive Phenomenological Analysis. This research aimed at giving these women a voice to express their first-hand, personal accounts of living with HIV in poverty. Data was analysed for meaningful units, which were interpreted inductively and hermeneutically, and categorised into super-ordinate themes. Six themes within the participants' experiences of living with HIV were determined, namely: (I) experiences of diagnosis, (2) disclosure experiences, (3) stigma, (4) ARV experiences, (5) experiences of social support and (6) poverty. This research found that after an HIV-positive diagnosis, most women experience a variety of emotional reactions. These reactions however seem to change overtime into positive acceptance of the HIV diagnosis. Most of the women in this study preferred to use partial disclosure than to fully disclose their HJV-positive status openly to families, friends and to their community. Reasons for not using full disclosure included fear of discrimination and stigma, which included a fear of being rejected or being blamed for their status and a fear of losing relationships. It was also evident from the findings that most of the women had experienced stigma directly and therefore partial disclosure was used as a coping mechanism to protect the self from further harm. It was also revealed that stigma not only has a negative impact on disclosure but also on social support and ARV experiences. Because ofHIV-related stigma, lack of social support was a struggle that almost all the women in this study had experienced. Lack of understandings about their medication also had a negative impact of the ARV experiences. Stigmas along with poverty are the major struggles that HIV -positive women have to deal with in their day to day living. The findings of this study reveal a need for further research in this experiential area as well as campaigns and education around issues such as stigma, medication, and emotional difficulties associated with HIV.
- Full Text:
- Date Issued: 2014
- Authors: Msengana, Sweetlener Thobeka
- Date: 2014
- Subjects: HIV-positive women -- South Africa -- Grahamstown , HIV infections -- Psychological aspects -- South Africa -- Grahamstown , HIV infections -- Social aspects -- South Africa -- Grahamstown , Poor -- South Africa -- Grahamstown , Poverty -- Social aspects -- South Africa -- Grahamstown , Poverty -- Psychological aspects -- South Africa -- Grahamstown , Stigma (Social psychology) -- South Africa -- Grahamstown
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3240 , http://hdl.handle.net/10962/d1013269
- Description: The focus of this study was on the experiences of a small sample of local women who are HIVpositive and are living in poverty. The researcher was interested in exploring the psychological and social experiences of these women using Interpretive Phenomenological Analysis. This research aimed at giving these women a voice to express their first-hand, personal accounts of living with HIV in poverty. Data was analysed for meaningful units, which were interpreted inductively and hermeneutically, and categorised into super-ordinate themes. Six themes within the participants' experiences of living with HIV were determined, namely: (I) experiences of diagnosis, (2) disclosure experiences, (3) stigma, (4) ARV experiences, (5) experiences of social support and (6) poverty. This research found that after an HIV-positive diagnosis, most women experience a variety of emotional reactions. These reactions however seem to change overtime into positive acceptance of the HIV diagnosis. Most of the women in this study preferred to use partial disclosure than to fully disclose their HJV-positive status openly to families, friends and to their community. Reasons for not using full disclosure included fear of discrimination and stigma, which included a fear of being rejected or being blamed for their status and a fear of losing relationships. It was also evident from the findings that most of the women had experienced stigma directly and therefore partial disclosure was used as a coping mechanism to protect the self from further harm. It was also revealed that stigma not only has a negative impact on disclosure but also on social support and ARV experiences. Because ofHIV-related stigma, lack of social support was a struggle that almost all the women in this study had experienced. Lack of understandings about their medication also had a negative impact of the ARV experiences. Stigmas along with poverty are the major struggles that HIV -positive women have to deal with in their day to day living. The findings of this study reveal a need for further research in this experiential area as well as campaigns and education around issues such as stigma, medication, and emotional difficulties associated with HIV.
- Full Text:
- Date Issued: 2014
The adaptation of the 'Clinical Outcomes in Routine Evaluation-Outcome Measure' (CORE-OM) from English into a valid Xhosa measure of distress
- Authors: Campbell, Megan Michelle
- Date: 2013 , 2013-06-06
- Subjects: Psychometrics -- Research -- South Africa Psychology -- Mathematical models -- Research -- South Africa Psychological tests -- Research -- South Africa Mental health services -- Research -- South Africa Health services accessibility -- Research -- South Africa Language disorders -- South Africa
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: vital:2894 , http://hdl.handle.net/10962/d1001538
- Description: In South Africa access to mental healthcare resources is restricted for a number of reasons including language barriers that prevent suitable communication between mental healthcare professionals and African language speaking South Africans. The translation of psychometric tools into African languages has been identified as one method in improving access to psychological services for African language speakers. The Clinical Outcomes in Routine Evaluation - Outcome Measure (CORE-OM) has demonstrated its clinical utility within the United Kingdom (UK) National Healthcare Service (NHS) as a standardised psychotherapy outcome measure that evaluates the degree of psychological distress individuals present with at the start of psychotherapy treatment, and the degree of change that has been effected at the termination of therapy. A measure like the CORE-OM holds valuable clinical utility for the South African context. This thesis argues that the availability of a valid Xhosa version of the CORE-OM would allow for improved access to psychotherapy resources for Xhosa speaking individuals, and allow for the evaluation of the effectiveness of psychotherapy interventions conducted in Xhosa. The CORE-OM developers have provided a translation design and set of guidelines to standardise the translation of the CORE-OM into different languages. However this thesis argues that these guidelines are incomplete. Instead International Test Commission (ITC) guidelines are recommended as a culturally sensitive method to supplement current CORE-OM translation guidelines, in order to generate a valid Xhosa measure of distress. A mixed methods approach is applied which first investigates the construct equivalence and bias of the CORE-OM English version within a South African student population sample, both qualitatively and quantitatively, in order to establish the degree of adaptation required to generate a valid Xhosa version of distress. Next the CORE-OM English version is translated into Xhosa using the five-stage translation design prescribed by the CORE System Trust, supplemented by ITC guidelines. All changes made to the CORE-OM during translation into Xhosa are documented. The CORE-OM Xhosa version is then investigated for reliability and validity. This investigation reveals low internal reliability within the subjective wellbeing domain indicating that these items are less meaningful as depictions of distress within the Xhosa language. A reduced version of the CORE-OM demonstrates strong psychometric properties as a valid Xhosa measure of distress.
- Full Text:
- Date Issued: 2013
- Authors: Campbell, Megan Michelle
- Date: 2013 , 2013-06-06
- Subjects: Psychometrics -- Research -- South Africa Psychology -- Mathematical models -- Research -- South Africa Psychological tests -- Research -- South Africa Mental health services -- Research -- South Africa Health services accessibility -- Research -- South Africa Language disorders -- South Africa
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: vital:2894 , http://hdl.handle.net/10962/d1001538
- Description: In South Africa access to mental healthcare resources is restricted for a number of reasons including language barriers that prevent suitable communication between mental healthcare professionals and African language speaking South Africans. The translation of psychometric tools into African languages has been identified as one method in improving access to psychological services for African language speakers. The Clinical Outcomes in Routine Evaluation - Outcome Measure (CORE-OM) has demonstrated its clinical utility within the United Kingdom (UK) National Healthcare Service (NHS) as a standardised psychotherapy outcome measure that evaluates the degree of psychological distress individuals present with at the start of psychotherapy treatment, and the degree of change that has been effected at the termination of therapy. A measure like the CORE-OM holds valuable clinical utility for the South African context. This thesis argues that the availability of a valid Xhosa version of the CORE-OM would allow for improved access to psychotherapy resources for Xhosa speaking individuals, and allow for the evaluation of the effectiveness of psychotherapy interventions conducted in Xhosa. The CORE-OM developers have provided a translation design and set of guidelines to standardise the translation of the CORE-OM into different languages. However this thesis argues that these guidelines are incomplete. Instead International Test Commission (ITC) guidelines are recommended as a culturally sensitive method to supplement current CORE-OM translation guidelines, in order to generate a valid Xhosa measure of distress. A mixed methods approach is applied which first investigates the construct equivalence and bias of the CORE-OM English version within a South African student population sample, both qualitatively and quantitatively, in order to establish the degree of adaptation required to generate a valid Xhosa version of distress. Next the CORE-OM English version is translated into Xhosa using the five-stage translation design prescribed by the CORE System Trust, supplemented by ITC guidelines. All changes made to the CORE-OM during translation into Xhosa are documented. The CORE-OM Xhosa version is then investigated for reliability and validity. This investigation reveals low internal reliability within the subjective wellbeing domain indicating that these items are less meaningful as depictions of distress within the Xhosa language. A reduced version of the CORE-OM demonstrates strong psychometric properties as a valid Xhosa measure of distress.
- Full Text:
- Date Issued: 2013
HIV-related stigma amongst service staff in Grahamstown: a comparison of Hi-Tec security guards and Rhodes catering in the Eastern Cape
- Authors: Mazorodze, Tasara
- Date: 2011
- Subjects: AIDS phobia -- Research -- South Africa -- Grahamstown HIV infections -- Employees -- Research -- South Africa AIDS (Disease) -- Employees -- Research -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3016 , http://hdl.handle.net/10962/d1002525
- Description: Despite the acknowledged reality that HIV-related stigma is a major barrier to effective HIV prevention and treatment, and perhaps because it is complex in nature, few local empirical scales have been developed to measure stigma and to be able evaluate the impact of anti-stigma interventions. Whilst the development of two recent South African HIV-related stigma scales can be celebrated as a major breakthrough, the reliability and validity of these scales across contexts remains largely unknown. This research project employs these two local, and competing, HIV-related personal stigma scales - the first developed by Kalichman et al. (2005) and the second developed by Visser, Kershaw, Makin and Forsyth (2008)-to compare the psychometric properties of the scales and to obtain a measure of HIV-related stigma with a sample of 246 service staff employed at either Rhodes University Catering Division or the Hi-Tec Security company, both organisations located in Grahamstown, a small town in the Eastern Cape, South Africa. Both organisations are major employers of semi-skilled workers in this local context. The results suggest that the Visser et al. scale (2008) reports slightly better psychometric properties than the Kalichman et al. (2005) scale for this sample. Furthermore, the security guards appear to be more stigmatising than the caterers, and it is suggested that this might be a consequence of the combined influences of normative occupational roles and workplace context. Results also show that participants who practices safe sex, know someone with HIV and/or who have been tested for HIV show lower levels of HIV-related stigma. Finally, personal stigma scores are generally lower than attributed stigma scores, which might offer a useful point of intervention.
- Full Text:
- Date Issued: 2011
- Authors: Mazorodze, Tasara
- Date: 2011
- Subjects: AIDS phobia -- Research -- South Africa -- Grahamstown HIV infections -- Employees -- Research -- South Africa AIDS (Disease) -- Employees -- Research -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3016 , http://hdl.handle.net/10962/d1002525
- Description: Despite the acknowledged reality that HIV-related stigma is a major barrier to effective HIV prevention and treatment, and perhaps because it is complex in nature, few local empirical scales have been developed to measure stigma and to be able evaluate the impact of anti-stigma interventions. Whilst the development of two recent South African HIV-related stigma scales can be celebrated as a major breakthrough, the reliability and validity of these scales across contexts remains largely unknown. This research project employs these two local, and competing, HIV-related personal stigma scales - the first developed by Kalichman et al. (2005) and the second developed by Visser, Kershaw, Makin and Forsyth (2008)-to compare the psychometric properties of the scales and to obtain a measure of HIV-related stigma with a sample of 246 service staff employed at either Rhodes University Catering Division or the Hi-Tec Security company, both organisations located in Grahamstown, a small town in the Eastern Cape, South Africa. Both organisations are major employers of semi-skilled workers in this local context. The results suggest that the Visser et al. scale (2008) reports slightly better psychometric properties than the Kalichman et al. (2005) scale for this sample. Furthermore, the security guards appear to be more stigmatising than the caterers, and it is suggested that this might be a consequence of the combined influences of normative occupational roles and workplace context. Results also show that participants who practices safe sex, know someone with HIV and/or who have been tested for HIV show lower levels of HIV-related stigma. Finally, personal stigma scores are generally lower than attributed stigma scores, which might offer a useful point of intervention.
- Full Text:
- Date Issued: 2011
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