Heroin dependence, which is escalating within South Africa, has become a symbol of the social disorder of the times - associated with materialism, poverty, crime, the problems of a society in transition, the disadvantaged, and the inner cities. However, that is not to say that all those who misuse heroin develop a problem or become dependent. In reality, only a small minority of heroin users develop a dependence, but for those who do it can result in unpleasant and potentially terrifying experiences/consequences, that can often be extremely difficult to escape from. That is not to say that recovery from dependence to heroin is not possible. Indeed, contrary to the beliefs of many people, the reality is that many people do eventually recover. Despite the vast sums of money devoted to treatment intervention of heroin dependants in the South Africa and worldwide, the processes by which recovery occur remain fairly unclear. Moreover, relatively little is known about the contribution of interventions and processes in facilitating such recovery. The statistical and content analysis of the data revealed that one of the most important factors identified in allowing successful behaviour modification and promoting recovery was psychosocial and pharmacological intervention, which seemed to produce a range of positive effects that facilitated natural healing processes. However, a range of other factors alongside intervention were also important in promoting behaviour modification. This study has provided important information, from forty recovering heroin dependants themselves, on the many factors that are important in achieving abstinence, in allowing recovery to be maintained in the longer term, and in potentially allowing an eventual exit from heroin dependence. A number of difficulties encountered in intervention were also identified. The statistical findings of the study support the `maturing out' hypothesis of heroin dependence (c² = 16.841; r = 0.001; df = 3). Ethnicity, highest level of education, employment status, marital status, biological parents' marital status or whether biological parents were deceased or not did not relate to any of the identified behavioural indices associated with heroin dependence recovery. A framework for the development of a contextual heroin dependence recovery model is also discussed. / Psychology / (M.A.(Psychology))

This study examines the relationship between adolescent depressive symptomology and substance abuse. From a literature study six hypotheses were developed. A quantitative empirical study, undertaken in a South African high school, investigated the level of adolescent depressiVe symptomology and substance abuse, as well as the relationship between the two. The influence of various moderator variables was also examined. In line with most international studies, the relationship between adolescent depressive symptomotogy and substance abuse was found to be significant. This research has shown that adolescent depressive symptomology is significantly and positively correlated with earlier age at onset of substance abuse as well as frequency of usage. There appear to be gender differences in the way adolescents deal with their depression in terms of substance abuse. In addition, risk factors for depression and substance abuse were confirmed. Recommendations have been made based on these results / Educational Studies / M.Ed.

Text in English / An increasingly recognised prevention approach for substance use entails reduction in risk factors and enhancement of promotive or protective factors in individuals and the environment surrounding them during their growth and development. However, in order to enhance the effectiveness of this approach, continuous study of risk aspects targeting different cultures, social groups and mixture of society has been recommended. This study evaluated the impact of potential risk and protective factors associated with family management and relations on adolescent substance abuse in South Africa. Exploratory analysis and cumulative odds ordinal logistic regression modelling was performed on the data while controlling for demographic and socio-economic characteristics on adolescent substance use. The most intensely used substances were tobacco, cannabis, cocaine, heroin and alcohol in decreasing order of use intensity. The specific protective or risk impact of family management or relations factors varied from substance to substance. Risk factors associated with demographic and socio-economic factors included being male, younger age, being in lower education grades, coloured ethnicity, adolescents from divorced parents and unemployed or fully employed mothers. Significant family relations risk and protective factors against substance use were classified as either family functioning and conflict or family bonding and support. Several family management factors, categorised as parental monitoring, discipline, behavioural control and rewards, demonstrated either risk or protective effect on adolescent substance use. Some factors had either interactive risk or protective impact on substance use or lost significance when analysed jointly with other factors such as controlled variables. Interaction amongst risk or protective factors as well as the type of substance should be considered when further considering interventions based on these risk or protective factors. Studies in other geographical regions, institutions and with better gender balance are recommended to improve upon the representativeness of the results. Several other considerations to be made when formulating interventions, the shortcomings of this study and possible improvements as well as future studies are also suggested. / Psychology / M. A. (Psychology)

Text in English / The rationale for the study was to investigate the symbiotic connection of trauma and addiction. The focus is on childhood trauma and the turn to addictive practices to quell the memories and experiences endured as children. Chapter One discusses the methodology regarding the approach of the study and includes an introductory literature review of the phenomena. Additional literature is included in the ensuing chapters. A personal account of the motivation behind the research is chronicled in Chapter Two. In this chapter, I share with the readers my personal experiences around trauma and addiction in my family of origin. The notion of the blending of trauma and addiction is the focus of Chapter Three. It includes the approach to treatment of trauma and addiction as well as addiction counsellor training in the South African context. The storied lives of the participants and their experiences of trauma and addiction are encapsulated in Chapter Four. Finally, Chapter Five rounds off the study with the analyses of the narratives of the unique individuals who contributed to this research undertaking. / Psychology / M.A. (Psychology)

This diploma thesis deals with the topic of social enterpreneurship in the Czech Republic and is specifically focused on the work integration of particular needy groups (such as ex-convicts, long- term unemployed, disabled persons and former alcohol or drug addicts etc.). The aim of the thesis is to identify patterns and regularities between specific groups and types of social enterprises they work for. The secondary data analysis explores social enterprises registered at czech social enterpreneurship website as well as the groups they employ and compares different approches of the enterprises. The qualitative empirical research uncovers enterpreneurs' motives and furthermore explores connections between the types of social enterprises and the target groups they employ.

The purpose of the study was to explore the experiences of female nyaope injectors residing in City of Tshwane Municipality, Gauteng. The study was conducted at COSUP sites namely; Soshanguve, Pretoria CBD, Sunnyside, Mamelodi, Eersterust, and Attridgeville. The study focused on females who have a history of injecting nyaope, accessing substance use related services at a registered service provider within City of Tshwane Municipality, Gauteng. Research design of the study was exploratory, which is basically used to explore a new topic or learn more about phenomenon where little is known. The research approach was purely qualitative methodology. This permitted the researcher to deeply explore the lived experiences of female nyaope injectors residing in City of Tshwane Municipality, Gauteng. A qualitative in-depth interview method was used to collect data from 24 participants who took part in the study. Questions of the interview were semi-structured, in-depth one-on-one interviews and were used to explore the lived experiences of female nyaope injectors residing in City of Tshwane Municipality, Gauteng. The findings of the study revealed that females who are injecting nyaope, are at risk of contracting HIV and other blood-borne infections. The stigma that is perpetuated by families, intimate partners, communities, health care professionals, and police officers is creating a hostile environment for female nyaope injectors; which increases the risk of contracting HIV and other blood-borne infections. Harm reduction services have the potential to address the needs of female nyaope injectors if fully implemented. It can be concluded that there is a need for substance abuse service providers to implement comprehensive harm reduction services to curb HIV prevalence amongst female nyaope injectors. / Health Studies / M.A. (Social Behavioural Studies in HIV/AIDS)

Text in German / Summaries in German, English, Afrikaans and Zulu / So vielfältig die Aufgaben sind, sich ehrenamtlich und damit freiwillig und unentgeltlich zu engagieren, so vielfältig sind die Motive, die dabei eine Rolle spielen können. In dieser Forschungsarbeit wird untersucht, welche Motive ausschlaggebend dafür sind, dass leitende Frauen und Männer unterschiedlichsten Alters über Jahre hinweg treu ihren Dienst in einer Einrichtung für suchtkranke Menschen tun und dabei nicht resignieren. Anhand von geführten Leitfaden-Interviews lässt sich dabei erkennen, inwieweit auch christliche Motive eine Grundlage für den ehrenamtlichen Einsatz darstellen. Dazu gibt besonders Joachim Bauer mit seinen neurobiologischen Untersuchungen der menschlichen Motivationssysteme viele Anhaltspunkte. Die durchgeführten Interviews werden mithilfe einer thematischen Inhaltsanalyse bearbeitet und anschließend bewertet. Abschließend werden Vorschläge zum Umgang mit ehrenamtlichen Mitarbeiterinnen und Mitarbeitern in der Suchtkrankenhilfe formuliert. Diese qualitative Studie leistet einen Beitrag dazu, neue Erkenntnisse über die Motivation ehrenamtlicher Suchtkrankenhelfer zu bekommen, was in dieser Form noch nicht erforscht wurde. / Just as varied as the tasks are for unpaid volunteer work, the potential motives are equally as diverse. This research will examine which motives are critical, for women and men of various ages in positions of leadership, to serve faithfully for years in institutions for addicts and not to resign. From guided interviews, it can be seen to what degree Christian motives form a foundation for this volunteer work. Joachim Bauer’s neurobiological research of “human motivation systems” supplies us with key indicators. The interviews will be performed using a method of thematic content analysis and then rated. In conclusion, proposals for handling volunteers working in the area of assisting addicts will be provided. This qualitative study will contribute new insights about the motivation of volunteers in facilities for addicts in an area that is yet to be explored using this approach. / Net so uiteenlopend as wat die take van onbetaalde vrywilligerwerkers is, is die potensiële beweegredes van hierdie vrywilligers. Hierdie navorsing stel ondersoek in na watter beweegredes krities is en daartoe lei dat mans en vroue van verskillende ouderdomme in posisies van leierskap vir jare getrou dien by instellings vir verslaafdes en nie bedank nie. Uit gestruktureerde onderhoude kan gesien word in watter mate Christelike motiewe of beweegredes die fondasie vir hierdie vrywillerwerk is. Joachim Bauer se neurobiologiese navorsing oor “menslike motiveringstelsels” bied aan ons sleutelaanwysers. Die onderhoude sal gevoer word met behulp van ’n metode van tematiese inhoudsontleding, waarna dit gegradeer sal word. Ten slotte sal voorstelle gegee word vir die hantering van vrywilligers wat met verslaafdes werk. Hierdie kwalitatiewe studie sal bydra tot nuwe insigte oor die motivering van vrywilligers in fasiliteite vir verslaafdes op ’n terrein wat nog nie aan die hand van hierdie benadering ontgin is nie. / Njengoba kunemisebenzi ehlukahlukene njengemisebenzi yamavolontiya angakhokhelwa, izisusa zakhona ezibalulekile zibanzi. Lolu cwaningo luzohlola ukuthi iziphi izisusa ezibalulekile, kubantu besilisa nabesifazane abehluka ngeminyaka ezikhundleni zobuholi, abazinikela emsebenzini ngokwethembeka ngokweminyaka abasuke beyibambile ezikhungweni kulabo asebejwayele noma okusegazini kubo okwenza okuthile kodwa bangawuyeka umsebenzi. Kusukela kuyizinhlolokhono eziqondile, kuyabonakala ukuthi yiziphi izizathu zobuKristu ezakha isisekelo salomsebenzi wokuvolontiya. Ucwaningo luka-Joachim Bauer oluqondene nezinzwa noma imizwa "lwezinhlelo zokugqugquzela abantu" lusinikeza izinkomba ezibalulekile. Inhlolokhono ezokwenziwa kuzosetshenziswa indlela yokuhlaziywa okuqukethwe bese ilinganiswa. Uma ngiphetha, iziphakamiso ngokuphatha amalovontiya asuke esebenza endaweni lapho esiza abasuke sebejwayele noma okusegazini kubi okwenza okuthile luzonikwa. Lolu cwaningo olungqala luzofaka ulwazi olusha olumayelana nokugqugquzelwa kwamavolontiya ezindaweni lapho kuhlala abantu asebejwayele noma okusegazini kubo okwenza okuthile okuyindawo esazohlonzwa kusetshenziswa lendlela. / Christian Spirituality, Church History and Missiology / M. Th. (Christian Leadership)