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A model for the facilitation of mental health in young families

  • Authors: Jacobs, Frieda Elizabeth
  • Date: 2016
  • Subjects: Young families - Psychological aspects , Family psychotherapy , Psychiatric nursing
  • Language: English
  • Type: Doctoral (Thesis)
  • Identifier: http://hdl.handle.net/10210/91301 , uj:20090
  • Description: Abstract: The family is the cornerstone of society where children get nurtured and socialised. In order to see the future generation healthy and well balanced, young parents of today need to become mindful of how they live their lives and how they take care of their relationships. This research study approaches the mental health of young families with the emphasis on what is working well in the family and building on these strengths. The family becomes the expert of its own mental health. The overall purpose of the study is to develop a model which will provide a frame of reference for the advanced psychiatric nurse practitioner to facilitate the mental health of young families. For this study the following objectives were formulated:  To explore and describe how the parents and grandparents of young families appreciate their family life.  To develop and describe a model in order for the advanced psychiatric nurse practitioner to facilitate the mental health of young families.  To describe guidelines for the implementation of the model... , D.Cur.
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Die ervaring van vroue na 'n spontane abortus

  • Authors: Janse van Rensburg, Elsie Sophia
  • Date: 2008-11-18T08:27:05Z
  • Subjects: Abortion , Abortion counseling , Nursing psychology , Family psychotherapy
  • Type: Thesis
  • Identifier: uj:14712 , http://hdl.handle.net/10210/1716
  • Description: M.Cur. , The story of loss, after the experience of spontaneous abortion affects the women’s being as a whole. It impacts her emotional, physical, intellectual, social and spiritual dimensions. The woman finds herself robbed of her voice by her social network. She stands isolated in her new reality of loss and bereavement. This research tells the story of the women’s loss after the experience of spontaneous abortion. The objectives of the research are to • explore and describe the women’s experience after a spontaneous abortion, and • describe guidelines for the advanced psychiatric nurse practitioner according to which he/she can provide support to women after the experience of spontaneous abortion and facilitate mental health through the mobilisation of resources. The paradigmatic perspective of this study is guided by the Theory for Health Promotion in Nursing (Rand Afrikaans University, Department of Nursing Science, 2002: 2-8). A functional approach was followed, based on Botes’s model for nursing research (Botes in Rand Afrikaans University: Department of Nursing, 2002: 9-15). A qualitative, descriptive, exploratory and contextual design was used. In-depth, semi-structured, phenomenological interviews were held with seven women who fitted the sample criteria. Consent for the research was obtained from the Rand Afrikaans University as well as informed consent from the women volunteering to participate in the research. Trustworthiness was maintained by using strategies of credibility, applicability, dependability and confirmability, as described by Lincoln and Guba (1985: 289-331). Recorded interviews were transcribed and analysed using Tesch’s data analysis techniques (in Creswell, 1994: 155-136). An independent coder was utilised in coding the data, and a consensus discussion was held between the researcher and the independent coder. A central storyline was identified and themes highlighted. A literature control was undertaken to highlight similarities and differences between this and other research. The results were described in a narrative manner, which included the content as well as the processes of the women’s emotional experiences after the experience of spontaneous abortion. The impact of the loss affected her social dimension in terms of emotional processes as well as emotional expression. Participants experienced a strong need for acknowledgment of their loss and understanding of their reality of loss and bereavement. The spontaneous abortion has an impact on the women’s physical dimension. She experiences physical discomfort. The impact also effects her spiritual dimension by influencing her relationship with herself and God. The impact also touches her social dimension by robbing her of her voice through her social network’s response to the spontaneous abortion. There is also an impact on her relationship with her partner, as men and women experience and express loss differently. In the reality of loss and bereavement, the participants identified hope givers and hope stealers. Hope givers include • a strong connection with women who experienced spontaneous abortion themselves, • strengthening their relationship with God, • time as a healing faktor, • the value of sharing their stories, • the ability to find meaning after spontaneous abortion, and • the need for emotional growth. Hope stealers include • the response from people in her social network with regard to the spontaneous abortion, • experience of loss of control, • insufficient support in their interpersonal relationships and social network, • confronting the finality of the loss, and • being confronted with pregnant women en babies. Guidelines for the advanced psychiatric nurse practitioner to provide support to women after the experience of spontaneous abortion will be described to assist them in mobilising their resources to facilitate the promotion of their mental health.
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Die gesamentlike behandeling van ouer en kind in die terapeutiese spelsituasie

Die persoon in die sisteem : kritiek op gesinsterapie

  • Authors: Marais, Marita
  • Date: 2014-02-13
  • Subjects: Family psychotherapy
  • Type: Thesis
  • Identifier: uj:4005 , http://hdl.handle.net/10210/9360
  • Description: M.A. (Clinical Psychology) , Family therapy offers an alternative to traditional psychotherapeutic ways of treatment. It becomes possible for the clinician to conceptualize the family as a system and to observe the patterns and interrelations in the family. Therapy is thus focused on the family as a whole and not on the individual in isolation. The family therapist sees maladaptive behaviour as functional for the family system in which it occurs, and aims therapeutic interventions at the family as a whole. The danger exists however, that because of his conceptualization, the family therapist can neglect the individual in therapy. The individual is seen mainly as a subsystem of the family and less attention is paid to the psychology of the individual. This can lead to a situation where the world of experience of the individual as well as the meaning of the symptomatology for the individual become neglected. This can lessen the effectiveness of family therapy and can lead to individuals feeling as if their experiences are not understood and their emotions not acknowledged. Through the integration of elements such as empathic understanding and unconditional acceptance from the traditions of individual therapy, it becomes possible for the clinician to attend more to the individual in family therapy.
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Die toepassing van Carkhuff se model vir die ontwikkeling van menslike vindingrykheid op 'n gesinsverrrykingsprojek

  • Authors: Lombard, Antoinette
  • Date: 2015-02-25
  • Subjects: Families , Family psychotherapy , Parenting
  • Type: Thesis
  • Identifier: uj:13353 , http://hdl.handle.net/10210/13367
  • Description: M.A. (Social Work) , Sound family life establishes the basis for social stability and is a prerequisite for a community to function orderly. As a profession, social work focuses on activities related to the provision of needs, associated with family care. It is appropriate to assume that social work is mainly concerned with problems related to marriage and family life. This study draws the attention of the profession to the important role that social work should play in growth-orientated development programmes for the family. The main object of this study falls into two categories, namely to determine whether families with normal or minor problems experience a need towards family enrichment, and to evaluate the effectiveness of a family enrichment project, which includes enrichment programmes for both the marriage and parent-child relationships. Twelve families voluntarily took part in the study for seven weeks, two hours per week. Because of the size of the experimental group, it was divided into two groups of six couples each. A family enrichment project directed at marriage and parent-child relationships was developed. The contents of the project were bases on both knowledge and skill components. The model for Human Resource Development was utilised, providing for the acquisition of skills. A manual based on Carkhuff's teaching model facilitated the family enrichment project. A pre-measurement of marriage relationships, parent-child relationships were investigated through a past-test of the mentioned variables at the conclusion of the project ...
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Emosionele voorbereiding van die adolessent en sy gesin vir die eerste konsultasie met die psigiater

  • Authors: Van Rooyen, June Augusta
  • Date: 2014-07-15
  • Subjects: Adolescence - Psychotherapy , Family psychotherapy , Psychiatric consultation
  • Type: Thesis
  • Identifier: uj:11702 , http://hdl.handle.net/10210/11423
  • Description: M.Cur. , In the out-patient section of the Adolescent Unit at Tara, The H Moross Centre, certain problem areas were identified. In this section, adolescents with mostly behaviour problems are evaluated and where necessary, family therapy service is rendered or the patient may be admitted depending on the type and severity of the problem. The problems experienced in this section became very pressing due to the uneven ratio between the demand for the service and the availability of staff. At the centre of these problems lies the issue of resistance in the family towards change, resulting in broken appointments and premature termination of therapy. A lot of time is also wasted by faulty referrals and data gathering 1s in itself, very time-consuming. A new nursing need emerged out of these problems. Firstly, the emotional preparation of the family and, secondly, as part of her role as member of the therapeutic team, to gather relevant data which will aid the development of an adequate diagnosis of the family. A post was created on an experimental basis for the nurse to conduct an initial interview with families at home. At the same time it was decided to evaluate the effectiveness of this home visit through an empirical study to justify this service.
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Family therapy-strategic and ecosystemic approaches

  • Authors: Hovsha, Rolene
  • Date: 2014-07-28
  • Subjects: Family psychotherapy
  • Type: Thesis
  • Identifier: uj:11912 , http://hdl.handle.net/10210/11640
  • Description: M.A. (Clinical Psychology) , As family therapy has gained acceptance as a treatment modality within the mental health field, increasing attention has been directed towards theory development. With the focus on theoretical issues, including that of epistemology, a division has arisen between strategic and ecosysternic approaches to family therapy. This study was undertaken in order to examine the nature of this debate. The work of Jay Haley was chosen as representative of the strategic approach, and that of Bradford Keeney as representative of the ecosystemic approach to family therapy. The study proceeded on the assumption that fundamental differences exist between the two approaches, which reflect the difference between a lineal and a non-lineal epistemology. In order to place the study in context, the historical development of the family therapy field was reviewed and the conclusion was reached that family therapy represents a method of conceptualising human behaviour, which isdiscontinuous with previous conceptualisations, and which parallels similar shifts in other disciplines. The concept of epistemology within the family therapy field was explored. The lack of clarity which continues to characterise the use of this term within the field, may be attributed, at least in part, to its confusing use by influential writers in the field. The underlying assumptions, central theoretical concepts and methodology of both Haley's strategic therapy and Keeney's cybernetic epistemology, were delineated and the two approaches were then compared along a number of critical dimensions. The investigation established significant conceptual differences between the two approaches and the conclusion was reached that these differences reflect essential epistemological differences. While Keeney's ecosystemic approach is consistent with a non-lineal epistemology, Haley's approach continues to reflect an underlying lineal epistemology
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Gesinsbehandeling in psigiatriese verpleegkunde

Incest approached from a systematic perspective

  • Authors: Sive, Tanya R.
  • Date: 2014-05-08
  • Subjects: Incest - Treatment , Incest - Treatment - Case studies , Family psychotherapy
  • Type: Thesis
  • Identifier: uj:10949 , http://hdl.handle.net/10210/10522
  • Description: M.A. (Clinical Psychology) , TIle phenomenon of incest has been examined from differing perspectives over the past few decades and continues to be viewed from psychodynamic, sociological and systemic viewpoints. The past decade has seen a substantial increase in the volume of literature relating to child sexual abuse which includes incest, confirming that such abuse is a phenomenon which has become virtually endemic to our society. In its examination of incest, this dissertation attempts to, integrate intrapsychic views such as Erikson's (1950) developmental theory with more systemic orientated views such as the interactional view of Watzlawick, Beavin and Jackson (1967). Having criticised traditional views of incest, this dissertation goes further in attempting to integrate both the individual's particular perspective of the traumatic incident of incest during her childhood and how this incident affected her adult life, subsequent interactions and relationships. In integrating the apparently widely disparate approaches, this dissertation attempts to provide an alternative theoretical perspective around the phenomenon of incest. By integrating both psychodynamic (intrapsychic) and interactional (systemic) approaches, this dissertation seeks to avoid the pitfalls of rcification, distortion and reductionism. This dissertation adopted the methodology of a single case study. A clinical x interview was analysed according to Erikson's (1950) developmental stages and these stages were viewed from a systemic perspective. Erikson's developmental stages which are bipolar in nature, were proposed as double binding paradoxical contexts. As such, Erikson's views were seen as metaphors of systemic and heuristic value to the author. This dissertation hypothesised that the therapeutic system was a subsystem in interaction with the abusive subsystem and as such would reflect within its content and process the secrets and interactions of the incestuous family system. In investigating this hypothesis, the interactions between the secret incestuous subsystems and other family subsystems were examined. The findings of this work confirm the hypothesis. It is hoped that the application of this knowledge shall enable therapists and investigators to identify the possibility of incest in the narrative of adults and thereby avoid reports of incest being dismissed, avoided or clouded by scientific discussion. As such, the occurrence of incest, which is often an unmentionable secret, may be addressed and the patterns of incest identified in the initial conversation with the victim.
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Opvoedkundige sielkundige ondersteuning aan moeders wie se adolessente dogters hul swangerskap laat beëindig het

  • Authors: Roux, Harriet Leoné
  • Date: 2012-08-13
  • Subjects: Abortion -- Moral and ethical aspects , Parenting -- Psychological aspects , Mothers and daughters , Family psychotherapy
  • Type: Thesis
  • Identifier: uj:9125 , http://hdl.handle.net/10210/5581
  • Description: M.Ed. , New legislation on the termination of pregnancy (Number 92 of 1996) was approved by President Mandela on 12 November 1996, and came into effect on 1 February 1997. This law allows any pregnant woman above the age of 12, thus including adolescents, to decide to have her pregnancy terminated. Furthermore, the adolescents do not need parental permission to have their pregnancies terminated. The question arising from this is the following: how do the parents, and more specifically the mother, experience the termination of their adolescent daughter's pregnancy? To explore and describe the feelings of these mothers, qualitative, explorative, descriptive and contextual research was utilized in two phases. During Phase I, in depth phenomenological interviews were conducted. During Phase II logical inference was used to generate guidelines for educational psychologists to enable them to assist and guide these mothers whose adolescent daughters had had their pregnancies terminated. The research showed that the following themes were observed recurringly: > Shock, disillusionment and internal conflict due to the decision to have the pregnancy terminated. > Sorrow due to overwhelming emotions after the termination of the pregnancy. > Helplessness due to the inability to deal with the course of events. > Mechanisms of defense in an attempt to protect themselves. The guidelines that have been set, are as follows: > Setting of goals and rational emotive therapy. > Guidelines regarding unconditional acceptance of the mother, the verbalising of emotions and the addressing of irrational thoughts. > Guidelines to empower mothers to assist both themselves and their daughters. > Guidelines to assist mothers to apply the mechanisms of defense in a positive way.
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Selfverwesenlikingsmodel van Virginia Satir by hulpverlening aan alkoholiste binne gesinsverband

Strategic family therapy, structural family therapy and constructivism

The mediating effect of art therapy for traumatic bereavement

  • Authors: Luck, Jane
  • Date: 2008-11-06T07:27:47Z
  • Subjects: Art therapy , Bereavement , Family psychotherapy , Grief therapy
  • Type: Thesis
  • Identifier: uj:14609 , http://hdl.handle.net/10210/1529
  • Description: D.Litt. et Phil. , In this phenomenological study, art therapy is explored and described for its mediating effect on the grieving process of parents who have been traumatically bereaved by the loss of a child. The focus is on the ‘inner world’ of the bereaved parents and their subjective experience of being part of a psychotherapy group that uses artworks, as well as language, to explore and express feelings and to clarify existential meaning systems. Traumatic bereavement can result in detrimental long-term psychological consequences. The therapeutic value of existing grief therapies is currently under debate in the literature. To evaluate art therapy as an alternative therapeutic approach, art therapy sessions were held and a ‘text’, consisting of the participants’ artworks and reflections, established. From this text themes were drawn, which facilitated an in-depth understanding of the participants’ lived experience of traumatic bereavement and elucidated their perceptions of the usefulness of art therapy. Art therapy appears to offer a viable alternative to mainstream, language-based therapies. It provides a context in which creative play can facilitate healing and angry feelings sublimated. It assists the participants to rebuild their fragmented sense of ‘self’ through an exploration of their ‘inner world’ via the symbolic function of the artwork. It facilitates the revisiting of the traumatic event and encourages the reconstruction of new meaning. It promotes adaptive grieving through the expression of emotions and cognitions too painful and/or threatening to be verbalised.
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