As no known research has been done on Satir brief therapy in a maternity setting, an exploratory design using the case study method was used to assess whether women in a maternity hospital experience this form of therapy as beneficial. Purposive sampling was used to obtain a sample of five patients for this study. Therapeutic sessions were held with these women during their stay in hospital, and follow up sessions with four of the five women were held once they had been discharged home to evaluate their experience of the therapy. The fifth woman could not be reached after her discharge from hospital. The results indicate that the use of Satir brief therapy supports the research question and that it can therefore be used to address the psychological and social issues which can affect the mother baby dyad, thus promoting healthy mother - baby bonding. / Social Work / M.A.(Social Science)

Text in Afrikaans / Every person yearns to function as an independent and integrated human being who experiences inner peace and wholeness. The search for a way of life that leads to wisdom and life knowledge has continued through the centuries and according to Hancock (2005:8) it began as early as 40 000 years ago. This research study takes up this search, describing human wholeness from a spiritual, philosophical and psychological perspective, in the context of specific essential characteristics. Together with this, applicable therapeutic approaches were researched to structure an intervention model to achieve wholeness. Wholeness therapy is an eclectic approach based on medical hypnoanalysis with added aspects of the rational-emotive behavioural therapy of Albert Ellis, choice theory of William Glasser and Victor Frankl’s logotherapy. By means of qualitative research a case study from a psychological practice was described, in which a person was enabled to experience wholeness through wholeness therapy which is described in full. / Educational Studies / D.Ed. (Sielkundige Opvoedkunde))

The social work profession requires the accumulation of theory, knowledge, skills and their integration into practice. The department of social work at UNISA trains students according to the person-centred approach (PCA). The question thus arises whether the social workers trained in PCA at UNISA are able to integrate theory into practice in their different areas of employment. Exploring this would give the department of social work an opportunity to re-visit the teaching of PCA and make some improvements if necessary. The qualitative study was conducted with social workers employed in different welfare organizations in Pretoria. The following themes emerged from the analysis: the perceived significance of building relationship with clients, the organizational influence in counselling, unique experiences with regard to colleagues who graduated from other institutions, challenges in handling a conflict or crisis situation, and lastly the nature of statutory cases. The conclusions were drawn and recommendations were presented. / Social Science / M.A. (Mental Health)

This thesis investigates the emergence of an internationally renowned psychiatric community in Uganda. Starting at the beginning of colonial rule in 1894, it traces the changing nature of mental health care both within and beyond the state, examining the conditions that allowed psychiatry to develop as a significant intellectual tradition in the years following Independence in 1962. This ‘golden age’ of psychiatry saw Uganda establish itself as a leader of mental health care in Africa, an aspect of history that is all the more marked for its contrast with the almost complete collapse of mental health care after the expulsion of the Asian population by Idi Amin in 1972. Using a wide range of new source material, including interviews with psychiatrists, traditional healers, and community elders, this thesis pushes the history of psychiatry in Africa beyond the examination of government policy and colonial hegemony. It brings together the history of psychiatry with the histories of missionary medicine, medical education, and international health by asking what types of people, institutions, and organisations were involved in the provision of mental health care; how important the growth of Makerere Medical School was for intellectual and institutional psychiatry; and how ‘African’ mental health care had become by the end of the period. It presents a history of mental health care in a country that has tended to be overshadowed by Kenya in the historiography, yet whose engagement with medical missionaries and efforts to advance medical training meant that the trajectory of psychiatry came to be quite different. Focusing in particular on the significance of western-trained Ugandan medical practitioners for mental health care, the thesis not only analyses African psychiatrists as historical actors in their own right, but represents the first attempt to examine the development of psychiatric education in Africa.

The social work profession requires the accumulation of theory, knowledge, skills and their integration into practice. The department of social work at UNISA trains students according to the person-centred approach (PCA). The question thus arises whether the social workers trained in PCA at UNISA are able to integrate theory into practice in their different areas of employment. Exploring this would give the department of social work an opportunity to re-visit the teaching of PCA and make some improvements if necessary. The qualitative study was conducted with social workers employed in different welfare organizations in Pretoria. The following themes emerged from the analysis: the perceived significance of building relationship with clients, the organizational influence in counselling, unique experiences with regard to colleagues who graduated from other institutions, challenges in handling a conflict or crisis situation, and lastly the nature of statutory cases. The conclusions were drawn and recommendations were presented. / Social Science / M.A. (Mental Health)

Research indicates that the number of individuals diagnosed with neurological, learning and psychiatric disorders has shown a sharp increase in recent years. An increasing acknowledgement of the importance of narratives and discourses in constructing social reality has stimulated much debate on the consequences of diagnosing individuals with such diagnostic labels. The aim of this study was to explore the ways in which such individuals construct meaning from their experiences of adapting to their diagnostic labels by reframing them as interpersonal metaphors. In service of this aim, a social constructionist epistemology was adopted and discourse analysis was used to analyse the results from three participants’ interview data. The results indicate that participants managed to construct meaning from their experiences with their diagnostic labels through a reframing process that serve to promote positive perceptions of self in relation to others. Furthermore, this meaning-construction process appears to be a reflective and interactional one, in that it relies on a negotiation of meanings between people in a retrospective fashion. / Psychology / M.A. (Clinical Psychology)

In this qualitative, interpretive study a new and promising imagery technique, called Wertimagination (WIM®) [Value-Oriented Imagery] was researched. It was developed by the logotherapist Uwe Boeschemeyer in Germany. At the main focus of this study are the psychotherapeutic work experiences of logotherapists applying WIM®. Their perceptions with regard to Wertimagination’s potencies, limitations and its overall contribution to Logotherapy are explored. Eight semi-structured expert interviews were conducted with German logotherapists offering WIM® at their practice. The interview contents are analysed and compared with supplementing perspectives: with Wertimagination experiences reported by other (logo)therapists, by clients and by the developer of the method (Boeschemeyer), extracted from the existing body of literature. The results show that Value-Oriented Imagery by all three researched parties – (logo)therapists, clients and its developer – is experienced to be a high potential logotherapeutic, salutogenetic (resources-oriented) approach contributing inter alia towards a person’s inner meaning finding, selfacceptance and trust in life. / Psychology / M.A. (Psychology)

Text in English / In this study the use of the narrative analogy in couple's counselling has been outlined. A literature study situates the narrative analogy within a wider philosophical framework. The underlying assumptions of the narrative analogy, both in general and in the work with couples, as well as the role of the counsellor using the narrative analogy, are explored. A case example is described to illustrate the use of the narrative analogy. / Social Work / M. Soc. Sc. (Mental Health)

Text in English / As some criticism and hesitations have been expressed with regard to the implementation of provocation in psychotherapy, this study aimed to explore the experiences of clients and a therapist who participated in provocative psychotherapy. In order to do this, a concise theoretical description of the nature of provocative psychotherapy was provided along the lines of the work of Frank Farrelly and Maurizio Andolfi. Participants' experiences of provocation in psychotherapy were consequently presented by means of three case studies. A description of the experience of provocation in psychotherapy was co-created through the identifying of certain themes underlying of the three client groups' and the therapist's descriptions of their experiences. This was done by employing a qualitative research methodology to describe the experiences of clients and a therapist who participated in provocative individual-, couple- and family psychotherapy. / Psychology / M.A. (Clinical Psychology)

Text in Afrikaans / In hierdie navorsing word die interpersoonlike proses waardeur betekenissisteme deur dialoog in die terapeutiese konteks geko-konstrueer word, beskryf en gelllustreer, aan die hand van 'n gevallestudie. Hierdie navorsing is gegrond in 'n kubemetiese epistemologie wat impliseer dat probleme, oplossings en realiteite nie as 'n objektiewe realiteit beskryf kan word nie, maar eerder as 'n konstruksie van die observeerder. Terapie word beskryf as 'n dialektiese proses tussen die terapeut en die klient waarin betekenissisteme geko-konstrueer word. Die proses waardeur realiteite deur vertelling in terapie geko-konstrueer word, word gepunktueer in terme van 'n dialektiese beskrywingsproses tussen die sensoriese ervaring (dit sluit in kognitiewe verstandsprosesse wat deur konstruktivistiese teoriee verklaar word), en die beskrywing daarvan in taal (wat deur sosiale konstruktivisme verklaar word). In hierdie rekursiewe proses word betekenissisteme as intersubjektiewe fenomeen geskep en ervaar deur die individu betrokke in dialogiese en interaksionele prosesse. / This research illustrates and describes, through the use of a case study, the interpersonal process through which meaning systems are co-constructed by means of dialogue in the therapeutic context. The research is founded on the cybernetic epistemology which implies that problems, solutions and realities cannot be described as an objective reality, but rather as a construction ofthe observer. Therapy is described as a dialectic process between the therapist and the client in which new meaning systems are being co-constructed. The process in which realities are co-constructed through narratives, are punctuated in terms of a dialectic process of description between the sensory experience (that includes cognitive mental processes which are explained through constructivism), and the description thereof in language (which is explained through social constructivism). In this recursive process meaning systems as an intersubjective phenomena are created and experienced by the individual in dialogical and interactional processes. / Psychology / M.A. (Kliniese Sielkunde)