This study aimed to construct, and implement an in-school "art expression" based programme designed to aid in mitigation of psychological stress, behavioural difficulties, and self-negativity frequently experienced by marginalised children. It was developed for application within schools that cater for children exposed to neglect and/or abuse resulting from poverty in South Africa. This programme outline was developed and implemented through intensive exploration and review of previously effective art therapy, art expressive methods and techniques in similar contexts, together with the knowledge and experience of a qualified art therapist and educational psychologist. Data was collected through open-ended informal qualitative interviews, observations, and photographs of artworks produced during sessions. These were then analysed in conjunction, using the content analysis method, visual interpretive measures and thematic analysis. This enquiry documented the process of art creation through "art expression", and its ability to ameliorate psychological difficulties affecting marginalised children in South Africa. Following the establishment of trust between the researchers and the participants, the results found that the use of different art modalities demonstrated predominantly positive results in varying degrees. It is hoped that this study can be used to further practical interventions of this nature in comparable milieus in South Africa.

D.Ed. / The underlying dynamics of Cases A and B have been integrated into a comprehensive description in this chapter. The cross case analysis allowed the researcher to determine the similarities and differences in these two cases. These research findings were then verified against a detailed literature control. The research, as verified by current literature, shows that women who were sexually abused as children all suffer from an Identity Problem. Most literature on the treatment of sexual abuse victims stresses the need to address the women's low selfesteem. Yet, the treatment is geared at her present low self-esteem believed to be a result of the abuse. The research findings agree that sexually abused women have low self-esteem, although their Identity Problem is not a result of the abuse, but an intensification of an already present low self-esteem and Identity Problem. The research findings indicate that their Identity Problems started before the abuse, as early as in the womb. The present Identity Problem renders the young girl more vulnerable to the abuse. The treatment of women who were sexually abused as children should be aimed at reconstructing their Identity's and specifically at treating the root cause of the problem, which is not the abuse itself. Women who were sexually abused as children are prone to feelings of worthlessness and responsibility. Powered by their Identity Problem, a Spiritual Walking Zombie Syndrome develops. Sexually abused women have an overwhelming sense of being responsible for others. And if they cannot keep others happy, which is impossible, they feel like failures and think they are worthless. The feeling of being responsible starts before the sexual violation and the abuse only intensifies these feelings. The research finds that sexual abuse can be a physical, subconscious threat to a person. Subconscious reactions to life threatening incidents differ from individual to individual. If one has accepted death one tends to act dead-like. On the other hand, if one expects death one lives in fear of dying and life is full of disasters. The research also finds that as a result of pre-natal and early childhood experiences, sexually abused women tend to act immaturely when compared to their chronological age. Their immaturity is evident in their dress, their constant self-rejection and by their dysfunctional relationships. From the research findings it is clear that each individual plays out her own life script. This life script determines how she reacts to herself and her environment. Women who were sexually abused as children have a similar life script, which in turn makes them more prone to abuse. Sexually abused women deny themselves the right to be themselves. Their perceived shameful existence, of relegating themselves, starts prior to the abuse. Treatment should therefore address these destructive life scripts and not treat the presenting symptoms. Chapter 7 proposes recommendations for the treatment and prevention of sexual abuse.

No description available.

Child sexual abuse and its potential negative psychological effects exists the world over. In view of the unique history of South Africa, characterised by inequality and incumbent socio-economic ills, a history of CSA is likely to add to a tapestry of cultural, political, social and economic afflictions for a great number of affected adolescents. Additionally, HIV/AIDS estimates indicate that a growing number of children are infected and orphaned daily. The present research therefore investigated the prevalence of child sexual abuse and explored the relationship between a history of sexual abuse and psychological adjustment, in South African adolescents. The sample included 330 Grade 9 learners from two high schools in the rural, urban and peri-urban areas of KwaZulu-Natal. A self-report questionnaire was used to collect data related to experiences of abuse. To assess adjustment, the Reynolds Adolescent Adjustment Scale Inventory was also incorporated into the questionnaire. The current study showed a 57.6% prevalence rate of sexual abuse amongst the sample. There were no statistically significant differences between sexually abused adolescents and those without a history of abuse on the psychological adjustment scale. However, there was a significant association between gender, age at time of abuse, being abused by a step-parent, late disclosure, and interface with the police, in relation to psychological adjustment problems. / Thesis (M.A.)-University of KwaZulu-Natal, Pietermaritzburg, 2009.

Child sexual abuse and its potentially traumatizing consequences, over both the short- and longer term, has been increasingly recognized in the literature as a possible pathway to the development of intra- and interpersonal maladjustment, affecting the mental well-being of those affected. There is a paucity of local research investigating the systemic impact of a child's sexual abuse upon the caregiving and family systems in which the child is integrally embedded. The current research was conducted primarily in response to this, with the intention of illuminating the experiences of caregivers and families managing their child's experience of sexual abuse. More specifically, the research was interested in the experiences and perceptions of caregivers of children who had been sexually abused by an extrafamilial person. The phenomenological approach informed the planning, implementation, analysis and interpretation phases of the research. The sample included six mothers / female caregivers who had discovered their child's sexual abuse no less than three months and no longer than twelve months prior to the research being conducted. Maternal caregivers were the primary source of information regarding their own experiences, as well as spokespersons for the caregiving family unit and its members. Two semistructured interviews were planned for each respondent, the first interview aimed at eliciting their experiences and perceptions, and the second interview aimed primarily at providing debriefing and feedback. In view of the highly sensitive nature of the interview topic, the second interview was structured primarily out of ethical concerns for the respondent's well-being as a consequence of the interviewing. Results of the interviews suggest that these caregivers were faced with a host of complex experiences related to three broad thematic areas, namely: their involvement with the criminal justice system; managing the child's and family's distress; and themes around coping and support. A number of sub-themes were identified within and across these three broad thematic areas, representing a complex interaction between dominant experiences. Caregivers were typically faced with a series of dilemmas and decisions in their interactions with their child, family, and the criminal justice system. Based upon the findings, a number of suggestions have been made in terms of policy and protocol development for intervening with such families and their children. / Thesis (M.A.)-University of KwaZulu-Natal, Pietermaritzburg, 2005.