'n Psigo-opvoedkundige program vir adolessente dogters wat 'n terminasie van swangerskap ondergaan het
- Authors: Laas, Mari
- Date: 2012-03-26
- Subjects: Abortion , Counseling of teenagers , Teenage pregnancy
- Type: Thesis
- Identifier: uj:2181 , http://hdl.handle.net/10210/4561
- Description: D.Ed. , The primary theme of this study is the accompanying of the adolescent girl after a termination of pregnancy. A termination of pregnancy is traumatic for any woman, even more so for the adolescent girl who does not necessarily possess the required coping mechanisms to deal with the emotional load that a termination brings with it. Often this girl undergoes a termination in secret, and as a result of the secrecy she does not have any support system. She chooses to keep the termination a secret and therefore she cannot share her fears, heartache, regret, guilt and shame. The relationship in which she was, usually breaks up as a result of the termination, and even that support disappears from her life. She stands alone. She has unanswered questions. She yearns to cry and share her secret - but with whom? After the termination her relationship with herself and with others is poor, and therefore she isolates herself. She does not want to allow herself to have a future, and therefore urgently needs to be guided out of her feelings of hopelessness so that she can dream again, and see a future for herself. The adolescent girl must be led to self-insight, self-awareness and insight into her situation. She must be led to self-assertiveness, empowerment and eventually mental well being. These girls are usually without direction in their lives and caught up in a web of distorted ideas and dysfunctional relationships: her relationship with herself and with others. Her future perspective is also affected. To underpin this situation, I undertook the study and developed a psychosocial programme to support this girl after termination, to assist her to achieve her full potential, as God would wish. The aim of this programme is thus, in co-operation with this adolescent girl, to lead her to mental well being and a new perspective on her future. She must be assured that there is life after a termination of pregnancy. This is done through questioning, listening, discussing, reformulating and reconstructing her circumstances. A person never completes your life's story, but nothing prevents you from reformulating your future, irrespective of what happened in your past. The framework of the programme is compiled from the results of a literature study of published research. This programme was implemented and evaluated on the basis of three interpersonal conversations held with ladies who had undergone termination of pregnancy. Certain needs were identified by these ladies and used as guideline to develop a psycho-social programme to support and lead girls after a termination of a pregnancy. The contribution of this study is in the conceptual framework and programme. The programme has been evaluated in a pilot study.
- Full Text:
- Authors: Laas, Mari
- Date: 2012-03-26
- Subjects: Abortion , Counseling of teenagers , Teenage pregnancy
- Type: Thesis
- Identifier: uj:2181 , http://hdl.handle.net/10210/4561
- Description: D.Ed. , The primary theme of this study is the accompanying of the adolescent girl after a termination of pregnancy. A termination of pregnancy is traumatic for any woman, even more so for the adolescent girl who does not necessarily possess the required coping mechanisms to deal with the emotional load that a termination brings with it. Often this girl undergoes a termination in secret, and as a result of the secrecy she does not have any support system. She chooses to keep the termination a secret and therefore she cannot share her fears, heartache, regret, guilt and shame. The relationship in which she was, usually breaks up as a result of the termination, and even that support disappears from her life. She stands alone. She has unanswered questions. She yearns to cry and share her secret - but with whom? After the termination her relationship with herself and with others is poor, and therefore she isolates herself. She does not want to allow herself to have a future, and therefore urgently needs to be guided out of her feelings of hopelessness so that she can dream again, and see a future for herself. The adolescent girl must be led to self-insight, self-awareness and insight into her situation. She must be led to self-assertiveness, empowerment and eventually mental well being. These girls are usually without direction in their lives and caught up in a web of distorted ideas and dysfunctional relationships: her relationship with herself and with others. Her future perspective is also affected. To underpin this situation, I undertook the study and developed a psychosocial programme to support this girl after termination, to assist her to achieve her full potential, as God would wish. The aim of this programme is thus, in co-operation with this adolescent girl, to lead her to mental well being and a new perspective on her future. She must be assured that there is life after a termination of pregnancy. This is done through questioning, listening, discussing, reformulating and reconstructing her circumstances. A person never completes your life's story, but nothing prevents you from reformulating your future, irrespective of what happened in your past. The framework of the programme is compiled from the results of a literature study of published research. This programme was implemented and evaluated on the basis of three interpersonal conversations held with ladies who had undergone termination of pregnancy. Certain needs were identified by these ladies and used as guideline to develop a psycho-social programme to support and lead girls after a termination of a pregnancy. The contribution of this study is in the conceptual framework and programme. The programme has been evaluated in a pilot study.
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Die ervaring van vroue na 'n spontane abortus
- Janse van Rensburg, Elsie Sophia
- 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.
- Full Text:
- 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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Locus of control and social variables as they relate to depression at abortion
- Authors: Henwick, Athol Frederick
- Date: 2012-01-24
- Subjects: Locus of control , Abortion , Depression in women
- Type: Thesis
- Identifier: uj:1931 , http://hdl.handle.net/10210/4291
- Description: M.A. , Since its legalisation in this country, abortion has become a controversial subject in religious, social and judicial circles. However, little is known about the relationship between depression and the possible side effects that may be produced by the procedure. Indeed, the possible impact of social variables and personality traits have been receiving more attention in recent research in an effort to identify those at risk for negative symptoms. This study was carried out on a group of 42 women from the Soweto and Jeppe Street Marie Stopes clinics. The women were assesse·d according to locus of control, depression and certain psychosocial variables. As expected, the overall levels of depression among these women, who largely represent the underprivileged segment of the community, were very high. Although no significant relationship could be established between locus of control and depression following abortion, certain social variables were identified as possible risk factors for de.ffipession after having an abortion.
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- Authors: Henwick, Athol Frederick
- Date: 2012-01-24
- Subjects: Locus of control , Abortion , Depression in women
- Type: Thesis
- Identifier: uj:1931 , http://hdl.handle.net/10210/4291
- Description: M.A. , Since its legalisation in this country, abortion has become a controversial subject in religious, social and judicial circles. However, little is known about the relationship between depression and the possible side effects that may be produced by the procedure. Indeed, the possible impact of social variables and personality traits have been receiving more attention in recent research in an effort to identify those at risk for negative symptoms. This study was carried out on a group of 42 women from the Soweto and Jeppe Street Marie Stopes clinics. The women were assesse·d according to locus of control, depression and certain psychosocial variables. As expected, the overall levels of depression among these women, who largely represent the underprivileged segment of the community, were very high. Although no significant relationship could be established between locus of control and depression following abortion, certain social variables were identified as possible risk factors for de.ffipession after having an abortion.
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Psychosocial factors affecting choices in unplanned pregnancy
- Hosford, Helen Cristin Farah
- Authors: Hosford, Helen Cristin Farah
- Date: 2012-01-24
- Subjects: Pregnancy , Abortion , Adjustment (Psychology) , Abortion applicants
- Type: Thesis
- Identifier: uj:1930 , http://hdl.handle.net/10210/4290
- Description: M.A. , The aim of this study was to ascertain which variables affect and influence women when making choices in unplanned pregnancy. In addition, to determine if there were any significant differences between the pregnancy and termination of pregnancy (TOP) group, indicating a specific profile for the respective group. Comparatively little research has been conducted on unplanned pregnancy and abortion within South Africa, as compared with international studies. Future longterm studies are recommended. The research conducted was of a quantitative quasi-experimental research design, wherein the researcher compared the following variables between the two groups: Biographic/demographic data, Personality Styles, perceived Family Environments and Coping Resources. Subjects were not randomly assigned, but selected by the nursing staff and researcher. Statistical analysis reflected that the two groups differed significantly on four variables. The majority of women in the TOP group were found to be the sole earners within their families. Conversely, women in the pregnancy group had more financial resources and lower levels of employment. A lack of sufficient finances was shown to be the strongest determining factor for those electing abortions. A compounding factor, were the nature of the relationships from where conception arose, 71% of the women who elected abortion described difficulties with the partnerin- conception. These included poor relationships due to excessive drinking, extramarital affairs, disinterest in the pregnancy, subsequent abandonment and divorce. Although the two groups had similar profiles in terms of the religious variable, many of the women who elected to remain pregnant, cited religion and/or their beliefs as the primary reason for continuing their pregnancies. In contrast, the TOP group reported a higher level of conflict within their family of origin, compared to the pregnancy group. IV No underlying pathology was found to exist in the group electing terminations, with both groups presenting similar personality styles. The two groups were also found to use comparable coping skills and resources. This research indicates, that most of the women experiencing an unplanned pregnancy based their decisions to abort on external variables; such as their relationships, financial position and religious beliefs. Studies indicate that these women are more likely to experience deleterious consequences, than those who make this decision based on their own personal needs. Many of these women made their decisions based on limitations not preference. This study may be considered to show important findings, as it reflects the need for effective pre- and post-abortion intervention/counselling services, which should be easily accessible to the public. The psychological well-being of the individual is critical for the overall well-being of the community, and ultimately therefore, society.
- Full Text:
- Authors: Hosford, Helen Cristin Farah
- Date: 2012-01-24
- Subjects: Pregnancy , Abortion , Adjustment (Psychology) , Abortion applicants
- Type: Thesis
- Identifier: uj:1930 , http://hdl.handle.net/10210/4290
- Description: M.A. , The aim of this study was to ascertain which variables affect and influence women when making choices in unplanned pregnancy. In addition, to determine if there were any significant differences between the pregnancy and termination of pregnancy (TOP) group, indicating a specific profile for the respective group. Comparatively little research has been conducted on unplanned pregnancy and abortion within South Africa, as compared with international studies. Future longterm studies are recommended. The research conducted was of a quantitative quasi-experimental research design, wherein the researcher compared the following variables between the two groups: Biographic/demographic data, Personality Styles, perceived Family Environments and Coping Resources. Subjects were not randomly assigned, but selected by the nursing staff and researcher. Statistical analysis reflected that the two groups differed significantly on four variables. The majority of women in the TOP group were found to be the sole earners within their families. Conversely, women in the pregnancy group had more financial resources and lower levels of employment. A lack of sufficient finances was shown to be the strongest determining factor for those electing abortions. A compounding factor, were the nature of the relationships from where conception arose, 71% of the women who elected abortion described difficulties with the partnerin- conception. These included poor relationships due to excessive drinking, extramarital affairs, disinterest in the pregnancy, subsequent abandonment and divorce. Although the two groups had similar profiles in terms of the religious variable, many of the women who elected to remain pregnant, cited religion and/or their beliefs as the primary reason for continuing their pregnancies. In contrast, the TOP group reported a higher level of conflict within their family of origin, compared to the pregnancy group. IV No underlying pathology was found to exist in the group electing terminations, with both groups presenting similar personality styles. The two groups were also found to use comparable coping skills and resources. This research indicates, that most of the women experiencing an unplanned pregnancy based their decisions to abort on external variables; such as their relationships, financial position and religious beliefs. Studies indicate that these women are more likely to experience deleterious consequences, than those who make this decision based on their own personal needs. Many of these women made their decisions based on limitations not preference. This study may be considered to show important findings, as it reflects the need for effective pre- and post-abortion intervention/counselling services, which should be easily accessible to the public. The psychological well-being of the individual is critical for the overall well-being of the community, and ultimately therefore, society.
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Why do women opt for backstreet abortions?: a sociological study
- Authors: Gumede, Tebogo
- Date: 2008-10-27T06:37:16Z
- Subjects: Abortion , Abortion counseling
- Type: Thesis
- Identifier: uj:13203 , http://hdl.handle.net/10210/1322
- Description: M.A. , In 1996, the South African Government implemented the Choice on Termination (CTOP) Act to curb maternal mortality. This study emerged after an observation by experts in the field that there were a growing number of women who were admitted in antenatal care units with incomplete abortions, commonly known as miscarriage. These experts observed that some of these women, on closer observation, had signs of either scared wombs or had foreign objects in their uteri. This was understandable in provinces where there were fewer health facilities offering TOP serves. In Gauteng, however, it was not understandable because this province has the most designated facilities in the country. It was, therefore, necessary to investigate why women had unwanted pregnancies and, more so, why they opted for back-street abortion services instead of accessing the many available legal services. It was discovered that most of these women had low socio-economic status, did not use contraceptives and did not know about the CTOP Act. The few who did know about the Act, did not use the legal abortion options because of the fear of being judged by health care workers. In addition, some of these women were turned away from health facilities because the list of women waiting for these services, was too long. Involved in assisting these women to terminate their pregnancies illegally were mothers, sisters, boyfriends/partners, traditional healers, pharmacists, nurses and doctors. It is suggested that intense education on the CTOP Act should be rolled out to the whole community; contraceptive services should be improved; health education with the emphasis on reproductive health and services should be expanded to private doctors and midwives. , Dr. Ria Smit Prof. J.M. Uys
- Full Text:
- Authors: Gumede, Tebogo
- Date: 2008-10-27T06:37:16Z
- Subjects: Abortion , Abortion counseling
- Type: Thesis
- Identifier: uj:13203 , http://hdl.handle.net/10210/1322
- Description: M.A. , In 1996, the South African Government implemented the Choice on Termination (CTOP) Act to curb maternal mortality. This study emerged after an observation by experts in the field that there were a growing number of women who were admitted in antenatal care units with incomplete abortions, commonly known as miscarriage. These experts observed that some of these women, on closer observation, had signs of either scared wombs or had foreign objects in their uteri. This was understandable in provinces where there were fewer health facilities offering TOP serves. In Gauteng, however, it was not understandable because this province has the most designated facilities in the country. It was, therefore, necessary to investigate why women had unwanted pregnancies and, more so, why they opted for back-street abortion services instead of accessing the many available legal services. It was discovered that most of these women had low socio-economic status, did not use contraceptives and did not know about the CTOP Act. The few who did know about the Act, did not use the legal abortion options because of the fear of being judged by health care workers. In addition, some of these women were turned away from health facilities because the list of women waiting for these services, was too long. Involved in assisting these women to terminate their pregnancies illegally were mothers, sisters, boyfriends/partners, traditional healers, pharmacists, nurses and doctors. It is suggested that intense education on the CTOP Act should be rolled out to the whole community; contraceptive services should be improved; health education with the emphasis on reproductive health and services should be expanded to private doctors and midwives. , Dr. Ria Smit Prof. J.M. Uys
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