Thesis (M Social Work)--Stellenbosch University, 2015. / ENGLISH ABSTRACT: Alcohol is the substance that people throughout the world abuse most often. South Africa has one of the highest alcohol use level with more than 30% of the population struggling with alcohol-related problems (Telesure, 2010; Nevid et al., 2008: 297; Pisa et al., 2010:4). Statistics showed that approximately 17,5 million South Africans are affected by alcohol, but many more South Africans’ lives are completely disrupted through constant, direct daily contact with the individual abusing alcohol like a parent or life partner (Telesure, 2010). Due to this, alcohol dependency is classified as a family illness in the medical circles and by society. Alcohol dependency can tear families apart and disrupt family dynamics and –processes including rules, rituals, routines, communication, social life, finances, homeostasis and family roles (Stepping Stones, 2013). Alcohol dependency has a great impact on the functioning and existence of a family and to restore the damage alcohol dependency creates in a family, the family should play an important role in the rehabilitation process of the alcohol dependent. This study, therefore, had the goal to determine the role of a social worker in a rehabilitation centre for alcohol dependents from an ecological perspective. A combination of quantitative and qualitative research was used in this study. Furthermore, an exploratory and descriptive research design was used during the research because the available literature showed a lack of information concerning the role of the social worker in a rehabilitation centre for alcohol dependents. A purposeful sample, namely probability sampling, was used to identify participants. The researcher could, therefore, choose participants who qualified for inclusion. The data was collected using a semi-structured questionnaire during 23 individual interviews. An overview of the participants’ beliefs and opinions concerning the subject of the study was gained. The questionnaire consisted of open- and closed questions and was based on information obtained from the literature study. Data from the semi-structured questionnaire was processed and analysed and the results of this empirical study were used as basis for the conclusion and recommendations made in this study. The main findings showed that there is a need for family counselling during a rehabilitation programme for alcohol dependents since there is a definite lack of involvement of the family during the rehabilitation process for alcohol dependents. Further findings showed that rehabilitation programmes mainly provide individual counselling to alcohol dependents and minimal focus and attention is given to the family and after care services. The most important recommendation of this study is that social workers should use the ecological perspective when providing services to alcohol dependents. This perspective can ensure that the necessary services are delivered to effectively address alcohol dependents during a rehabilitation process. Recommendations also showed that social workers should involve the family more during a rehabilitation programme since the support of a family plays an important role during the rehabilitation process. / AFRIKAANSE OPSOMMING: Wêreldwyd is alkohol die middel wat deur die meeste misbruik word en Suid-Afrika het een van die hoogste alkohol inname syfers, met meer as 30% van die bevolking wat sukkel met alkohol-verwante probleme (Telesure, 2010; Nevid et al., 2008: 297; Pisa et al., 2010:4). Statistiek dui daarop dat sowat 17,5 miljoen Suid-Afrikaners deur die inname van alkohol geaffekteer word, maar baie meer Suid-Afrikaners se lewens word egter totaal ontwrig weens konstante, direkte daaglikse kontak met die individu wat alkohol misbruik soos byvoorbeeld ’n ouer of lewensmaat (Telesure, 2010). Weens hierdie spesifieke rede word alkohol-afhanklikheid in mediese kringe en in die samelewing as ’n gesinsiekte geklassifiseer. Alkohol-afhanklikheid kan gesinne uitmekaar skeur en veroorsaak dat die gesinsdinamika en –prosesse, soos byvoorbeeld die reëls, rituele, roetines, kommunikasie, sosiale lewe, finansies, homeostase en gesinsrolle, totaal ontwrig word (Stepping Stones, 2013). Alkohol-afhanklikheid het sodoende ’n geweldige impak op die funksionering en voortbestaan van ’n gesin, en om die skade wat alkohol-afhanklikheid in ’n gesin veroorsaak te herstel, behoort die gesin ’n belangrike rol te speel in die rehabilitasieproses van die alkohol-afhanklike. Hierdie studie het daarom ten doel gehad om die rol van ’n maatskaplike werker in ’n rehabilitaisiesentrum vir alkohol-afhanklikes vanuit ’n ekologiese perspektief te bepaal. ’n Kombinasie van kwantitatiewe en kwalitatiewe navorsingsbenaderings is in hierdie studie benut. Verder is daar tydens hierdie ondersoek ’n verkennende en beskrywende navorsingsonderwerp gebruik, aangesien die beskikbare literatuur ’n gebrek aan inligting rakende die rol van ’n maatskaplike werker in ’n rehabilitasiesentrum vir alkohol-afhanklikes toon. Daar is gebruik gemaak van ’n doelbewuste steekproefmetode, naamlik die nie-waarskynlikheidsteekproef, om deelnemers te identifiseer. Die navorser kon dus die deelnemers kies wat aan die kriteria vir insluiting voldoen. Die data is ingevorder deur die gebruik van ’n semi-gestruktureerde vraelys, tydens 23 individuele onderhoude. ’n Geheelbeeld van die deelnemers se oortuigings en menings aangaande die onderwerp van die studie is verkry. Die samestelling van die vraelys bestaan uit oop- en geslote vrae en berus op inligting wat uit die literatuurstudie verkry is. Data van die semi-gestruktureerde vraelyste is verwerk en geanaliseer en die resultate van die empiriese ondersoek is as basis gebruik vir die gevolgtrekkings en aanbevelings wat in hierdie studie gemaak is. Die hoofbevindinge dui op ’n behoefte aan gesinsberading tydens ’n rehabilitasieprogram vir alkohol-afhanklikes aangesien daar ’n definitiewe gebrek aan die betrokkenheid van die gesin tydens ’n rehabilitasieprogram vir alkohol-afhanklikes is. Verdere bevindinge dui daarop dat rehabilitasieprogramme grootliks op individuele berading aan die alkohol-afhanklike fokus en minimale aandag word aan die gesin en nasorgdienste gegee. Die belangrikste aanbeveling van hierdie studie is dat maatskaplike werkers die ekologiese perspektief moet gebruik tydens dienste wat aan alkohol-afhanklikes gelewer word. Hierdie perspektief kan verseker dat die nodige dienste gelewer word om alkohol-afhanklikheid tydens ’n rehabilitasieprogram effektief aan te spreek. Aanbevelings dui ook daarop dat maatskaplike werkers die gesin tydens ’n rehabiltiasieprogram meer moet betrek aangesien die ondersteuning van die gesin ’n belangrike rol speel tydens die rehabilitasieproses.

Surveys have shown that alcohol misuse is the biggest substance misuse problem in the world today, affecting millions of people. With the disease being part of a family, all members of the family experience the distress of parental alcohol misuse. While the challenges that these families have to face are many, they seem to have the ability to “bounce back”, in other words, have resilience. There has been limited research to date on family relations and alcohol misuse in South Africa, especially in terms of the parental member as the alcohol misuser. The proposed research aimed to explore and describe the factors that facilitate adjustment and adaptation in families where a member misuses alcohol. The Resiliency Model of Family Stress, Adjustment and Adaptation was used to analyze the factors that enable a family to adapt to the alcohol misuse, as outlined in the broader study at the University of Stellenbosch. An exploratory descriptive research design was employed in the proposed study. For the purposes of this study, the researcher combined qualitative and quantitative research methods in order to use their complementary strengths to enrich the data obtained from the proposed study. Sixty three families were surveyed using a biographical questionnaire and seven pencil-and-paper questionnaires. These families were accessed via drug and alcohol rehabilitation facilities throughout South Africa. The data from the biographical questionnaire was analyzed using descriptive statistics, while the qualitative data was analyzed using content analysis. The quantitative data was analyzed using correlation and regression analysis. The findings of the proposed research allow for better management of the alcohol misuser’s condition through the understanding of what resiliency areas the family may improve upon. Furthermore, the study can be used as a stepping stone for future research of resilience in families living with a parental member who misuses alcohol, and ultimately contributes to the broader context of family resilience research in South Africa. Key words: alcohol misuse, alcohol abuse, alcohol dependence, family, resilience, adjustment, adaptability.

M.A. (Social Work) / The treatment of alcoholism is/provided for by many institutions. Social work is one of the disciplines directly involved and responsible for the treatment of alcoholics. One of a number of problems inherent to service delivering to alcoholics is the problem of premature termination of treatment. In this study the occurrence of premature termination at the West Rand Clinic of the South African National Council on Alcoholism and Drug Dependence is determined and the effect of premature termination of the treatment programme on the alcoholic is explored. To this end, patient files for the period January 1984 to December 1984 are examined. Four groups were identified on the basis of time spend in the treatment programme and stratified samples were drawn from these groups. A telephone schedule, based on relevant literature and the researcher's professional experience, was compiled and interviews were conducted to explore the effect of premature termination on the alcoholic. The findings of the study are summarized in the following conclusions : - The premature termination rate at the West Rand Clinic is congruent with findings of similar research. - Patients who terminated treatment prematurely reported lower levels of well~being than patients-who completed treatment.

A dissertation submitted to the Faculty of Arts, University of the Witwatersrand, Johannesburg, in partial fulfilment of the requirements for the degree of Master of Arts (Clinical Psychology). Johannesburg September 1996. / Research has established that biological, sociological and psychological factors are involved in the presentation of alcoholism.Within the psychological domain, research has consistently found that a relatively small number of trait-clusters represent the personality profiles of a significant proportion of alcoholics. Dependency has consistently emerged as a prominent feature in a number of these profiles. Research into the relationship between dependency and alcoholism is limited. The majority of significant studies on the relationship between alcoholism and personality have failed to investigate the nature or extent of gender differences. Gender differences are influenced by social forces, including the social construction of gender. The social construction of gender is influenced by patriarchal interests and forces. Patriarchy is a social dynamic that encourages, inter alia, the expression of dependency needs and behaviours in women, and discourages their expression in men. Dependent individuals are motivated to enter and maintain nurturing and supportive relationships with others. High dependency needs can have a negative impact on interpersonal relationships, and can result in the failure of these relationships. Such failure is experienced by dependent individuals as emotionally distressing, and results in affective pain. Alcohol, under certain, everyday conditions can temporarily alleviate emotional pain. The current study hypothesized that as a consequence of the above dynamics, dependency is more likely to be a feature in the presentation of women alcoholics than among men alcoholics. This was tested by comparing the mean levels of dependency for women alcoholics with that for men alcoholics, women non-alcoholics and men non-alcoholics. The MCMI-II self-report inventory was used to measure dependency. Data was obtained from an alcoholic outpatient clinic and a general medical outpatient clinic. Women alcoholics were found to report higher levels of dependency than women non-alcoholics. However, they were not found to manifest higher levels of dependency than men alcoholics. / AC2017

Thesis (MSocialWork)--Stellenbosch University, 2003. / ENGLISH ABSTRACT: An exploratory study was conducted to determine the nature and extent of the emotions and emotional experiences of alcoholics and chemically dependent adults. The study was also conducted to explore the theoretical field of music therapy and determine how music can be utilized to social group work with alcoholics and chemically dependent adults. The exploratory study was also conducted to determine how many knowledge social workers have about music therapy, and to what extent they believe it can practically be used in social group work with alcoholics and chemically dependent adults. The researchers' interest in group work and the importance of the use of creative aids during group work is the motivation for this study. The aim of the study is thus to establish guidelines for the use of music in social group work in order to provide effective intervention for alcoholics and chemically dependent adults. The most general personality traits, emotions, defence mechanisms, communication and motivational problems of alcoholics and chemically dependent adults, have been enclosed in the literature study. The corresponding principles, goals and intervention processes of group work and music therapy was also highlighted. Focus was especially placed on the corresponding functions of group work and music namely the handling of defence mechanisms, the exploration and expression of emotions, the improvement of communication, the development of a positive self-esteem, socialisation and the facilitation of personal motivation. The value of group work and music in the addressing of alcoholics' and chemically dependent adults' problems and needs, has been investigated because of the specific corresponding functions of group work and music. The umversum IS social workers at institutions that make use of group work interventions in their treatment programmes for alcoholics and chemically dependent adults. A combination of quantitative and qualitative research methods was used, namely structured interviews as well as structured questionnaires. The results of this study generally confirmed the findings of the literature study. The recommendations can be divided into three areas namely recommendations concerning policy, programmes and training of social workers, recommendations concerning the corresponding functions of group work and music, and recommendations concerning future research. The importance of further research in the testing of the value of music in group work for specific client groups was especially recommended. / AFRIKAANSE OPSOMMING: 'n Verkennende studie is in hierdie ondersoek geïmplimenteer ten einde die aard en omvang van volwasse dwelmafhanklikes se emosies en emosionele belewenisse te beskryf, 'n teoretiese verkenning van musiekterapie te doen en dit in verband te bring met maatskaplike groepwerk, en te bepaal in watter mate musiek tydens groepwerk met volwasse dwelmafhanklikes toegepas kan word. Die verkennende studie is ook geïmplimenteer om te bepaal in watter mate maatskaplike werkers kennis oor bogenoemde vorm van intervensie het en in watter mate hulle van mening is dat die benutting van musiek in groepwerkprogramme vir dwelmafhanklikes in inrigtings uitvoerbaar is. Die motivering vir hierdie studie het na vore gekom weens die navorser se belangstelling in kreatiwiteit in die uitvoer van maatskaplike groepwerk. Die doel van hierdie studie is dus om riglyne daar te stel vir die benutting van musiek in maatskaplike groepwerk ten einde effektiewe intervensie aan dwelmafhanklikes in inrigtingsverband te lewer. Die literatuurstudie het die algemene persoonlikheidstrekke, emosies, verdedigingsmeganismes, kommunikatiewe en motiveringsprobleme van dwelmafhanklikes ingesluit. Die gemeenskaplike beginsels, doelstellings en intervensieproses van groepwerk en musiekterapie is ook in die literatuurstudie uitgelig. Daar is veral gefokus op die gemeenskaplike funksies van groepwerk en musiek naamlik die hantering van verdedigingsmeganismes, die eksplorering en uitdrukking van emosies, die bevordering van kommunikasie, die ontwikkeling van 'n positiewe selfbeeld, sosialisering en die fasilitering van persoonlike motivering. Weens die spesifieke gemeenskaplike funksies van groepwerk en musiek, is daar besluit om die waarde van groepwerk en musiek in die aanspreek van dwelmafhanklikes se probleme, te ondersoek. Die universum is maatskaplike werkers by inrigtings wat intervensie aan dwelmafhanklikes deur middel van groepwerk, bied. Die ondersoek is deur 'n kombinasie van gestruktureerde onderhoude sowel as gestruktureerde vraelyste, gerig. Kwalitatiewe en kwantitatiewe inligting is dus ingesamel. Die resultate van hierdie ondersoek het tot 'n groot mate die bevindinge van die literatuurstudie bevestig naamlik dat dwelmafhanklikes met sekere persoonlikheidseienskappe, emosies, verdedigingsmeganismes en kommunikatiewe probleme presenteer; dat groepwerk 'n gewenste metode om bogenoemde behoeftes en probleme aan te spreek en te hanteer, is; en dat die benutting van musiek in groepsituasies waardevol in die fasilitering van die uitdrukking van emosies, die afbreek van verdedigingsmeganismes en die fasilitering van onder andere ontspanning, kan wees. Die aanbevelings het op drie areas gefokus naamlik algemene aanbevelings rakende inrigtingsbeleid, programme en skoling van maatskaplike werkers, aanbevelings ten opsigte van die gemeenskaplike funksies van groepwerk en musiek, en aanbevelings ten opsigte van verdere navorsing. Daar word aanbeveel dat die benuttingswaarde van musiek in groepwerk met 'n spesifieke kliëntegroep, getoets moet word.

Thesis (MSocialWork)--Stellenbosch University, 2003. / ENGLISH ABSTRACT: An exploratory study was conducted to determine the nature and extent of the emotions and emotional experiences of alcoholics and chemically dependent adults. The study was also conducted to explore the theoretical field of music therapy and determine how music can be utilized to social group work with alcoholics and chemically dependent adults. The exploratory study was also conducted to determine how many knowledge social workers have about music therapy, and to what extent they believe it can practically be used in social group work with alcoholics and chemically dependent adults. The researchers' interest in group work and the importance of the use of creative aids during group work is the motivation for this study. The aim of the study is thus to establish guidelines for the use of music in social group work in order to provide effective intervention for alcoholics and chemically dependent adults. The most general personality traits, emotions, defence mechanisms, communication and motivational problems of alcoholics and chemically dependent adults, have been enclosed in the literature study. The corresponding principles, goals and intervention processes of group work and music therapy was also highlighted. Focus was especially placed on the corresponding functions of group work and music namely the handling of defence mechanisms, the exploration and expression of emotions, the improvement of communication, the development of a positive self-esteem, socialisation and the facilitation of personal motivation. The value of group work and music in the addressing of alcoholics' and chemically dependent adults' problems and needs, has been investigated because of the specific corresponding functions of group work and music. The umversum IS social workers at institutions that make use of group work interventions in their treatment programmes for alcoholics and chemically dependent adults. A combination of quantitative and qualitative research methods was used, namely structured interviews as well as structured questionnaires. The results of this study generally confirmed the findings of the literature study. The recommendations can be divided into three areas namely recommendations concerning policy, programmes and training of social workers, recommendations concerning the corresponding functions of group work and music, and recommendations concerning future research. The importance of further research in the testing of the value of music in group work for specific client groups was especially recommended. / AFRIKAANSE OPSOMMING: 'n Verkennende studie is in hierdie ondersoek geïmplimenteer ten einde die aard en omvang van volwasse dwelmafhanklikes se emosies en emosionele belewenisse te beskryf, 'n teoretiese verkenning van musiekterapie te doen en dit in verband te bring met maatskaplike groepwerk, en te bepaal in watter mate musiek tydens groepwerk met volwasse dwelmafhanklikes toegepas kan word. Die verkennende studie is ook geïmplimenteer om te bepaal in watter mate maatskaplike werkers kennis oor bogenoemde vorm van intervensie het en in watter mate hulle van mening is dat die benutting van musiek in groepwerkprogramme vir dwelmafhanklikes in inrigtings uitvoerbaar is. Die motivering vir hierdie studie het na vore gekom weens die navorser se belangstelling in kreatiwiteit in die uitvoer van maatskaplike groepwerk. Die doel van hierdie studie is dus om riglyne daar te stel vir die benutting van musiek in maatskaplike groepwerk ten einde effektiewe intervensie aan dwelmafhanklikes in inrigtingsverband te lewer. Die literatuurstudie het die algemene persoonlikheidstrekke, emosies, verdedigingsmeganismes, kommunikatiewe en motiveringsprobleme van dwelmafhanklikes ingesluit. Die gemeenskaplike beginsels, doelstellings en intervensieproses van groepwerk en musiekterapie is ook in die literatuurstudie uitgelig. Daar is veral gefokus op die gemeenskaplike funksies van groepwerk en musiek naamlik die hantering van verdedigingsmeganismes, die eksplorering en uitdrukking van emosies, die bevordering van kommunikasie, die ontwikkeling van 'n positiewe selfbeeld, sosialisering en die fasilitering van persoonlike motivering. Weens die spesifieke gemeenskaplike funksies van groepwerk en musiek, is daar besluit om die waarde van groepwerk en musiek in die aanspreek van dwelmafhanklikes se probleme, te ondersoek. Die universum is maatskaplike werkers by inrigtings wat intervensie aan dwelmafhanklikes deur middel van groepwerk, bied. Die ondersoek is deur 'n kombinasie van gestruktureerde onderhoude sowel as gestruktureerde vraelyste, gerig. Kwalitatiewe en kwantitatiewe inligting is dus ingesamel. Die resultate van hierdie ondersoek het tot 'n groot mate die bevindinge van die literatuurstudie bevestig naamlik dat dwelmafhanklikes met sekere persoonlikheidseienskappe, emosies, verdedigingsmeganismes en kommunikatiewe probleme presenteer; dat groepwerk 'n gewenste metode om bogenoemde behoeftes en probleme aan te spreek en te hanteer, is; en dat die benutting van musiek in groepsituasies waardevol in die fasilitering van die uitdrukking van emosies, die afbreek van verdedigingsmeganismes en die fasilitering van onder andere ontspanning, kan wees. Die aanbevelings het op drie areas gefokus naamlik algemene aanbevelings rakende inrigtingsbeleid, programme en skoling van maatskaplike werkers, aanbevelings ten opsigte van die gemeenskaplike funksies van groepwerk en musiek, en aanbevelings ten opsigte van verdere navorsing. Daar word aanbeveel dat die benuttingswaarde van musiek in groepwerk met 'n spesifieke kliëntegroep, getoets moet word.

Thesis (MSocialWork)--Stellenbosch University, 2001. / ENGLISH ABSTRACT: This exploratory and applied study was undertaken to compile a generalized profile, understand the target group's needs and to formulate a set of directives for an intervention program for adolescent children of alcoholics. The Christian Action for Dependence (CAD) views alcoholism as a factor that affects every member of the household and adopts a systemic approach for solving this problem. An earlier study proofed that the organization does not provide sufficiently for the intervention of adolescent children whose parents are members of the self-help groups. In order to address this shortcoming, the Teencads (Teenage Christian Action for Dependence) was established in 1997. It functioned as a penfriend's club. The current study was prompted by the need for greater clarity in planning programs for a group like Teencads. A literature study was undertaken to assess the effect of parental alcoholism on adolescents. The research focused on the developmental tasks of adolescence; looked into the child's emotional reaction to parental alcoholism; highlighted the child's reaction in respect of different relationships and determined the effect of parental alcoholism on the academic performance of the child as well as the connection between parental alcoholism and pathological behavior of the child. Classical adaptive behavior by the children of alcoholics was studied by focusing on the contrast between observed behavior and the adolescent's underlying emotional reaction to parental alcoholism. The purpose of the literature study was to look for effective methods of intervention and intervention strategies, and to examine the aims and objectives of international programs that are currently being implemented. The empirical study focused on the CAD in the Western- and Southern-Cape. Twenty seven adolescents were selected by cluster sampling and the snowball technique. They completed a questionnaire that was compiled from the studied literature. The results of the empirical study strengthened the hypothesis that parental alcoholism has a negative effect on the development of adolescents and that social work intervention is a matter of urgency. Based on the results of the study, the researcher proposed policy guidelines for intervention programs for adolescents in the CAD. Guidelines and suggestions for such programs have been formulated. The recommendations of this study are applicable to adolescent children of all alcoholics. Organizations other than the CAD, as well as other social workers, will be able to use these recommendations in the formulation of intervention programs for adolescent children of alcoholics. / AFRIKAANSE OPSOMMING: 'n Verkennende en beskrywende studie is onderneem om 'n veralgemeenbare profiel van die adolessente kinders van alkoholiste vas te stel, asook om te bepaal wat die behoeftes van hierdie teikengroep ten opsigte van 'n intervensieprogram is. Die uiteindelike doel van die ondersoek was om riglyne vir 'n intervensieprogram ten opsigte van adolessente kinders van alkoholiste te formuleer. Die Christelike Afhanklikheidsdiens (CAD) werk vanuit 'n sistemiese benadering en beskou alkoholisme as 'n probleem wat elke lid van die gesin beïnvloed. 'n Voorafondersoek het bewys dat die organisasie nie voldoende voorsiening maak vir intervensie van adolessente kinders wie se ouers lede van die selfhelpgroepe is nie. In 'n poging om hierdie leemte aan te spreek, is die Teencads (Tiener Christelike Afhanklikheidsdiens) in 1997 gestig en funksioneer dit onder leiding van die ondersoeker as 'n penvriendeklub vir hierdie teikengroep. 'n Behoefte aan meer rigting en duidelikheid ten opsigte van programinhoud, het hierdie ondersoek genoop. 'n Literatuurstudie is onderneem om die invloed van ouer-alkoholisme op adolessente te bepaal. Tydens die ondersoek is die ontwikkelingstake van die adolessente lewensfase in ag geneem; die kind se emosionele reaksie op oueralkoholisme ondersoek; die kind se reaksie in verskillende verhoudings waargeneem; die invloed van ouer-alkoholisme op akademiese prestasie en die verband tussen ouer-alkoholisme en patalogiese gedrag by adolessente vasgestel. Die klassieke aanpassingsrolle wat kinders van alkoholiste vertolk is ondersoek deurdat die navorser spesifiek op die kontras tussen waargenome gedrag en onderliggende emosies by die adolessent klem gelê het. In aansluiting by die doel van die navorsing is daar tydens die literatuurondersoek gefokus op die doelwitte vir 'n effektiewe intervensieprogram; metodes van intervensie; intervensiestrategieë, asook op die inhoud en intervensiemetodes van bestaande internasionale programme. Die empiriese ondersoek was op die CAD in die Wes- en Suid-Kaap gerig. Daar is 27 adolessente deur trossteekproeftrekking en 'n sneeubaltegniek geselekteer om 'n vraelys, gebasseer op die literatuurondersoek, te voltooi. Die resultate van die empiriese ondersoek bevestig die navorser se hipotese dat ouer-alkoholisme 'n negatiewe invloed op die ontwikkeling van adolessente het en dat maatskaplikewerk-intervensie noodsaaklik is. Op grond van die ondersoek en resultate, is 'n beleidsraamwerk ten opsigte van 'n intervensieprogram met kinders van alkoholiste, spesifiek vir die CAD geformuleer en volledige en omvattende riglyne en voorstelle vir sodanige program neergelê. Die aanbevelings van hierdie ondersoek is van toepassing op adolessente kinders van alle alkoholiste en kan dus met vrug deur ander organisasies en maatskaplike werkers gebruik word.

M.A. / Dependency affects the family as a whole and forms part of the transactional patterns that regulates the behaviour of the family members. Seeing that the family and dependent person has a mutual effect on each other relapse prevention is also influenced by the family system. Therefore it is essential that social work intervention with the chemical dependant person focuses on the family as a whole. Relapses seems to be a factor that needs to be taken in to account in the field of chemical dependency because of the very high relapse rates. The dependant behaviour is altered through the anticipation and management of relapses. Through viewing relapse prevention from the systemic context the family system as a whole can be focused on relapse prevention and not just the individual. This study aimed at exploring the role of the family in relapse prevention, thus identifying family factors which are of importance in relapse prevention of the chemical dependent person. A Qualitative research methodology was utilised to explore the diverse experiences of families regarding relapse prevention. The focus of this research is therefore on the family processes through which families create, maintain and discuss their own reality thus was family context, interaction and dynamics studied. The theoretical basis for the intervention with the chemical dependant person is established in the discussion of the relapse prevention model as well as the general systems theory. From this theoretical basis a work protocol was compiled to which data that was gathered and analysed. For the aim of this study a nonpiobability purposive sample was used in the compiling of the two focus groups. The focus groups lend itself to interviewing with small groups where the respondents explore their own reality. The data was gathered by means of field notes and audio tapes which were transcribed. Analysis of data was.done according to schedules and these schedules were compiled according to the literature. The schedules were divided in to the family and relapse prevention categories. Coding was done by the researcher and a co-coder in order to compare the results. In the coding process the researcher and co-coder utilised the schedules to code the transcribed audio tapes and field notes. The information gleaned form the data gathering and analysis was used to identify central themes. These themes were offered as results. The results obtained were compared to relevant literature in order to further the reliability of the research. The reliability of the study was examined in the light of credibility, transferability, dependability, and confirmability. From the study methodological and theoretical conclusions could be drawn. The methodological conclusions have to do with the method of research which was utilised in this study. Regarding the contextual aims and context of the empirical study certain theoretical conclusions were drawn. The results and conclusions indicated certain family factors that play a role in relapse prevention in the family system. Recommendations were offered on the basis of the study and the conclusions drawn. The methodology and context of the empirical study directs the recomMendations drawn thus ensuring the practice orientation of the results and the connection of the results to the goal of this study. This, research indicates that the family plays an important role in relapse prevention of the chemical dependant person as well as the value of the application of the relapse prevention model with a systemic application in the social work intervention with the chemical dependant person.

Department of Psychology / PhD (Psychology)

Educational Studies / M. Ed. (Guidance and Counselling)