Thesis (PhD)--Stellenbosch University, 2014. / ENGLISH ABSTRACT: This thesis deals with pastoral grief care for children orphaned through HIV and AIDS in Nairobi City County in Kenya (formerly Nairobi Province in Kenya). This concern developed as a result of realising that children’s grief is rarely attended to before, during and after burial in most Kenyan communities. The research question that guided the research was: What theoretical, theological and contextual pastoral intervention strategy can the church use to provide grief care to children orphaned through HIV and AIDS? To respond to this question, the research had four objectives, which helped the researcher to remain focused on the key problem. An empirical research design was adopted to establish the impact the death of parents has on children and to examine how their grief has been responded to, particularly by the church. It was clear that children do experience grief that manifests in various forms including emotional, behavioural, cognitive, spiritual and physical responses. Grief is also heightened by the events that transpire after the death of parents plus the status of the children as double orphans, paternal orphans or maternal orphans. Despite the fact that children are overwhelmed by grief and grief-related issues when their parents die, the family and community as well as the church, rarely provide children with grief care. Through a literature study the research engaged with other disciplines in order to broaden the understanding of children’s grief. The study revealed that children’s development in general is affected by their grief and their stage of development, in turn, has an effect on their grief. However, it should be noted that African cultures have great impact on the development of African children and their grief. It was also noted that African people have their own way of grieving and mourning when a family loses a person through death. Various rituals that are calculated to help the mourning family work to through the grief process are performed. Interestingly, children rarely participate in the performance of such rituals. It was very clear that, in order to provide pastoral grief care to children orphaned through HIV and AIDS, it is of utmost importance to understand the nature of human beings in relation to God. Such an understanding could determine how the church responds to the grieving children’s situation. It is suggested that the church should work closely with the family, community and institutions in order to provide meaningful pastoral grief care within an African setting. It was argued that various rituals performed during funeral ceremonies are of help in grieving and the mourning process; hence it is suggested that children should also be given the opportunity to participate in performing the rituals. It is noted that the Christian and cultural rituals that are relevant to grief care could be employed. Given the above understanding, a pastoral intervention strategy for grief care to children orphaned through HIV and AIDS is proposed. Different interventions that respond to children’s grief and grief-related issues before, during, and after burial are discussed. / AFRIKAANSE OPSOMMING: Hierdie tesis ondersoek die pastorale vertroosting van kinders wat in die Nairobi City County in Kenya (die voormalige Nairobi Provinsie) as gevolg van MIV en vigs wees gelaat is. Dit bied 'n pastorale ingrypingstrategie in reaksie tot die verdriet van kinders wat as gevolg van MIV en vigs as wese atergelaat is. Kommer hieroor het ontstaan by die besef dat die bedroefdheid van kinders in die meeste Keniaanse gemeenskappe selde vóór, tydens of ná ‘n begrafnis aandag kry. Die navorsingsvraag wat die navorsing gerig het, was: Watter teoretiese, teologiese en kontekstuele pastorale intervensiestrategie kan deur die kerk gebruik word om vertroosting vir treurende kinders wat vanweë MIV en vigs wese geword het, te bied? Vier doelstellings is vir die beantwoording van hierdie vraag opgestel om te verseker dat die navorser se fokus op die kernprobleem ingestel bly. ‘n Empiriese navorsingontwerp is gekies om die impak van die dood van ouers op kinders te bepaal en uit te vind hoe hul bedroefdheid, veral deur die kerk, hanteer is. Dit was duidelik dat kinders wel treur, en dat hul droefheid in die vorm van emosionele, gedrags-, kognitiewe, geestelike en fisiese reaksies geopenbaar word. Die intensiteit van kinders se droefheid word ook verhoog deur gebeure wat op die dood van die ouers volg, sowel as die kinders se status as dubbele weeskinders of as vaderlose of moederlose weeskinders. Ten spyte van die feit dat kinders deur hartseer en verdriet-verwante aangeleenthede oorweldig word wanneer hul ouers sterf, bied die familie en die gemeenskap, sowel as die kerk, selde vertroostende sorg aan sulke kinders. Die navorser het ander dissiplines deur middel van ‘n literatuurstudie betrek om begrip van kinderdroefheid te verbreed. Die studie het onthul dat kinders se ontwikkeling in die algemeen deur hul bedroefdheid geaffekteer word en dat hul fase van ontwikkeling weer hul droefheid beïnvloed. Daar moet egter in ag geneem word dat Afrika-kulture ’n groot impak op die ontwikkeling van kinders van Afrika en hul verdriet het. Dat mense van Afrika droefheid en rou op ‘n eie manier bedryf wanneer ‘n familielid te sterwe kom, moet ook in ag geneem word. Daar is ‘n verskeidenheid rituele wat daarop gemik is om die roubeklaers in staat te stel om die rouproses te deurwerk. Kinders neem selde hieraan deel. Dit was duidelik dat dit van uiterste belang is om die natuur van die mens in verhouding tot God te verstaan om vertroostende pastorale sorg aan kinders wat vanweë MIV en vigs wees geword het, te bied. Die verstaan hiervan kan bepaal hoe die kerk op die situasie van kinders wat treur, reageer. Die voorstel is dat die kerk noue samewerking met die familie, die gemeenskap en instellings moet handhaaf om betekenisvolle vertroostende pastorale sorg binne die Afrika-opset te bied. Daar word aangevoer dat die verskillende rituele wat gedurende begrafnis seremonies uitgevoer word, van hulp is in rou en die rouproses, dus word voorgetel dat kinders ‘n geleentheid moet kry om aan die rituele deel te neem. Christelike en kulturele rituele wat van toepassing is kan gebruik word. 'n Pastorale intervensiestrategie vir vertroostende sorg aan kinders wat as gevolg van MIV en vigs wees gelaat is, word aan die hand van die bogenoemde insig voorgestel. Verskillende ingrypings wat op die kind se hartseer en rou-verwante kwessies vóór, gedurende en ná die begrafnis betrekking het, word bespreek.

Health care providers (HCPs) who work in adult palliative care occasionally encounter children who have a parent who is dying. This grounded theory (GT) study examines how adult palliative care providers respond to the needs of children who have a parent in palliative care. I use Adele Clarke’s (2005) situational analysis method, a postmodern iteration of GT. Clarke’s situational map acts as an analytical tool to identify and analyze different actors and elements in the situation of concern. Five semi-structured qualitative interviews were conducted with adult palliative care providers. Provisional theorizing resulted in three sub processes emerging from the data. First, adult palliative care providers must be cautious when identifying and responding to the needs of children who have a parent in palliative care, particularly because of the nefarious presence of dominant grief discourse (DGD). Second, these same adult palliative care providers, who are often distressed when supporting children who have a dying parent, benefit when they get comfortable with being uncomfortable. Third, adult palliative care providers tend to see themselves as part of a larger interdisciplinary team that informs their interactions with children who have a parent in palliative care. The entire analysis is imbued with a critical perspective of DGD, including its race, gender and class dimensions. This critique of DGD is informed by Foucauldian interpretations of discourse, power and subjectivity. Opportunities for resistance and social justice are explored. In accordance with my own research paradigm, I make a concerted effort to render my influence as a researcher visible throughout. / Graduate / 0452 / ianbscott@gmail.com

No description available.

Thesis (M.Psyc.)--University of South Africa, 2001.

Locus of Control (LOC) is operationalized as a dispositional trait remaining stable throughout life, but may also be conceptualized as a domain specific state. Widowed persons' support groups, consisting of recently conjugally bereaved older adults (N=22) and one high functioning, long-term widowed peer group leader, were utilized to test LOC malleability. A significant increase in one State measure subscale, Desire for Control, was noted. Trait LOC remained stable. The change in State and Trait LOC change did not significantly relate to psychological symptom reduction. However, Trait LOC Internality related to fewer symptoms whereas State LOC Internality related to more symptoms.

This thesis is called "Bereavement of eminent personalities: Comparison of Media Representation of Václav Havel and Kim Jong-il in the Czech Media." Its focus is on the media coverage of Václav Havel's and Kim Jong-il's death in the Czech Republic National dailies. The theoretical part deals with how mass media use and process media events, especially the one's related to the death of publicly known persons. The thesis also addresses ritual function of media events and their role in society integration. Another chapter of the thesis explains how media inform the public about deaths of well-known people and what their function is in this context. As Václav Havel was and still is called a national hero, a phenomenon of a hero and its development from history up to date is also presented in the paper. The practical part consists of quantitative content analysis which provides concrete topics that were covered by Czech dailies in regards with Václav Havel's and Kim Jong-il's death. The analysis also answers the following questions: Were there any differences in quantity of articles on each leader and the type of topics in any particular media? Did the Czech media tend to compare the personalities of Václav Havel and Kim Jong-il during their coverage? The additional qualitative analysis also examines whether...

Recent research supports the theoretical premise that healthy forms of bereavement include meaning making as a coping response to loss as well as a move away from Freud’s original postulation regarding the importance of decathexis as necessary to a healthy resolution of grief. However, traumatic bereavement produces particular kinds of difficulties in meaningmaking and the possible resolution of this kind of loss. The study explored responses in relation to the traumatic loss of a child through homicide in a sample of 7 parents (2 couples, 3 mothers) who were identified through the The Compassionate Friends (TCF) chapter in Highlands North, Johannesburg and who volunteered to take part in the study. Semi structured interviews were conducted, recorded, transcribed and subjected to an interpretive thematic content analysis. The thematic content analysis revealed that meaning making responses in relation to the loss of a child through homicide, are complex and that somewhat unexpectedly, parents experienced expectations from society and others to engage in particular kinds of meaning-making as counterproductive and alienating. Issues concerning the simultaneous introjection of and de-cathexis from the lost child also proved enlightening. Meaning-making also involves both some degree of trauma resolution and the recognition of what the loss of the significant other entails. The research also explored the choices and decisions that parents reported as being important in response to the traumatic loss of their child, and therefore suggests some useful pointers for those who encounter traumatically bereaved individuals in the course of their work.

Introdução: luto complicado é caracterizado pela procura persistente pelo falecido, tristeza e dor emocional intensos em resposta à morte de ente querido. Luto complicado é frequentemente pouco reconhecido e subtratado. O Texas Inventory Revised of Grief (TRIG) é um instrumento de alta confiabilidade e validade na medida de avaliação do luto. Nosso objetivo foi traduzir, adaptar e validar o TRIG para Português do Brasil e verificar se o mesmo, em uma população enlutada, é capaz de distinguir entre os que têm e os que não tem luto complicado assim como identificar quais elementos da escala contribuem para isso. Métodos: o trabalho foi realizado em duas etapas: a) tradução e adaptação transcultural do TRIG para o português do Brasil e b) estudo em corte transversal para análise da confiabilidade e validação desse instrumento. Participantes: 165 pacientes adultos foram recrutados de: a) Ambulatório de Luto do Departamento e Instituto de Psiquiatria - Universidade de São Paulo, b) Ambulatório de convênio e Particulares no mesmo departamento e, c) Colegas de trabalho que perderam um ente querido. Todos os pacientes foram entrevistados com o TRIG e de acordo com critérios clínicos, 69 dos 165 pacientes enlutados foram diagnosticados com luto complicado. Resultados: quanto à tradução e adaptação transcultural, o TRIG foi traduzido para o português, feito a retrotradução para o inglês e adaptado à cultura local. Esse processo foi realizado por dois psiquiatras bilíngues. A confiabilidade e consistência interna do instrumento foram medidos pelo coeficiente de Alpha de Cronbach que alcançou 0,735 para parte I e 0,896 para a parte II do instrumento. A sensibilidade, especificidade e ponto de corte para identificar enlutados com e sem luto complicado foram medidos pela Curva ROC. Viu-se que usando o ponto de corte encontrado de 104 (escore total das partes I, II, III + variáveis psicográficas), é possível classificar corretamente 71,3% dos indivíduos com e sem luto complicado. A validação do instrumento foi realizada pela análise fatorial exploratória e confirmatória. Pela regressão logística demonstrou-se que nível educacional, idade do falecido, idade do enlutado, perda de filho(a) e morte do tipo inesperada são fatores de risco para luto complicado. Nossos resultados também sugerem que religião pode influenciar luto complicado. Conclusões: a versão traduzida e adaptada do TRIG para o português é confiável e válida como medida do luto tanto quanto a versão original. O TRIG foi capaz de distinguir pacientes com e sem luto complicado. Nós sugerimos o uso do TRIG com ponto de corte igual a 104 para identificar enlutados com luto complicado / Background: Complicated grief is characterized by persistent yearning for the deceased, intense sorrow and emotional pain in response to death causing significant distress. Complicated grief is often underrecognized and under treated. The Texas Revised Inventory of Grief (TRIG) is a questionnaire that has been demonstrated to have high validity and reliability in the assessment of complicated grief. Our objective was to translate, adapt, and validate the TRIG to Brazilian Portuguese and to verify whether the TRIG, in a bereaved population, is able to distinguish between those with and those without complicated grief and to identify which elements in the scale contribute to this. Methods: Two stages: a) cross-culture adaptation of a questionnaire, and b) crosssectional study of reliability and validity. Setting and Participants: 165 adult patients were recruited from a) the Grief Outpatient Clinic at the Department and Institute of Psychiatry - University of São Paulo, b) private practice at the same department, and c) co-workers who have lost a loved one. All the patients were interviewed with the TRIG. According to clinical criteria 69 of 165 bereaved patients were presenting complicated grief. Results: Cross-culture adaptation: the TRIG was translated from American English, then back-translated and finally compared with the Brazilian Portuguese version by two bilingual psychiatrists. Reliability: the Cronbach\'s alpha coefficients (internal consistency) of the TRIG scales were 0,735 (part I) and 0,896 (part II). Sensitivity, specificity as well as cutoff points to identify complicated and non-complicated grief, were measured using the ROC curve Using the total score of 104 (part I + part II + Part III + psychographics variables), we can correctly classify 71.3% of individuals with and without complicated grief. The construct validity was assessed by exploratory factor analysis and confirmatory analysis. Furthermore, by logistic regression, our study demonstrated that a low education level, age of the deceased and age of the bereaved, loss of a son or daughter, and unexpected death were all risk factors for complicated grief. Our results also suggest that religion may influence complicated grief. Conclusions: The TRIG adapted to Brazilian Portuguese is as reliable and valid as the original version. In the evaluation of Brazilian bereaved, it was able to distinguish individuals with and without complicated grief. And, we suggest a cut-off value of 104 for complicated grief

Submitted by Eunice Novais (enovais@uepg.br) on 2018-06-25T19:39:02Z No. of bitstreams: 2 license_rdf: 811 bytes, checksum: e39d27027a6cc9cb039ad269a5db8e34 (MD5) Beatriz G Lopes.pdf: 1080092 bytes, checksum: 9fffda51f73cd69d456d2c8cc8714ac9 (MD5) / Made available in DSpace on 2018-06-25T19:39:02Z (GMT). No. of bitstreams: 2 license_rdf: 811 bytes, checksum: e39d27027a6cc9cb039ad269a5db8e34 (MD5) Beatriz G Lopes.pdf: 1080092 bytes, checksum: 9fffda51f73cd69d456d2c8cc8714ac9 (MD5) Previous issue date: 2018-05-04 / Estudo qualitativo de natureza interpretativa realizado com mães que vivenciaram a perda de um filho no período perinatal, a fim de apresentar os cenários da mortalidade perinatal, de acordo com a perspectiva materna e evidências epidemiológicas. Os achados deste estudo indicam que 52% das mães participantes da pesquisa foram classificadas como de baixo risco gestacional ou risco intermediário e que 78,27% das mortes dos bebês eram evitáveis. Também, destaca-se que o processo do luto é contínuo, doloroso e perdura, e as dificuldades vivenciadas pelas mães evidenciam que as mesmas não são assistidas integralmente por uma equipe de saúde capacitada para ajudar nessa situação angustiante. Dessa maneira, evidencia a necessidade de uma rede de apoio no momento que a mãe recebe a notícia do óbito do seu filho e que esse cuidado perdure até que a enlutada encontre um significado para sua perda. Assim, conclui-se a importância de uma equipe interdisciplinar, para o cuidado integral e ainda, garantir uma assistência humanizada com qualidade. / A qualitative study of an interpretative nature performed with mothers who experienced the loss of a child in the perinatal period, in order to present the scenarios of perinatal mortality according to maternal perspective and epidemiological evidence. The findings of this study indicate that 52% of the mothers participating in the research were classified as having low gestational risk or intermediate risk and that 78.27% of infant deaths were avoidable. It is also noteworthy that the process of mourning is continuous, painful and lasting, and the difficulties experienced by the mothers show that they are not fully assisted by a health team trained to help in this distressing situation. In this way, it is evident the need for a support network the moment the mother receives the news of her child's death and that this care lasts until the bereaved finds a meaning for her loss. Thus, we conclude the importance of an interdisciplinary team, for the integral care and also, guarantee a humanized assistance with quality.

Made available in DSpace on 2016-04-28T20:40:06Z (GMT). No. of bitstreams: 1 Luciana Mazorra.pdf: 1879271 bytes, checksum: 381d0bb7b790bc51c25a44d746392b6a (MD5) Previous issue date: 2009-05-15 / Conselho Nacional de Desenvolvimento Científico e Tecnológico / The present qualitative study aimed at to investigate the meaning-making of the grief process in adulthood, based on the Dual Process Model and Attachment Theory. Three case studies were carried out with women, between the ages of twenty five to fifty one years old, bereaved due to the death of loved ones in a period of time ranging from eleven months to one year and ten months before their participation in this research. The research data also includes the materials generated by semidirected interviews, the Original Romance Test (RO) and History of my Loss Test (HP). The central meanings found here were: I don t understand what happened; I´m responsible for the death; Someone is responsible for the death; The deceased is responsible for the death; I m not responsible for the death; God was responsible for the death; The death was God s punishment; I took the deceased place; The deceased deceived me and left me; I don t have emotional resources to survive to the loss; I must not feel anger; I grew up with the loss; I m strong; I don t know who I am; I want to live; I want to die; I was born after the loss; Having loved the deceased is comforting; The world is caring and trustworthy; The world is not caring and trustworthy; Death was humiliating; God forgave me. Related to these meanings were sense-making of the loss, identity change, transformation concerning the relationship with the deceased and the world and benefit finding, related to feelings, wishes and psychic mechanisms. The meaning construction was related to some factors: family dynamics; personality and attachment style; circumstances of death; kind of relationship with the deceased and social support. Among these factors, those that facilitate or jeopardize the meaning-making process were identified. The meanings reflect the grief process and being aware of them leads to the understanding of grief manifestations (feelings, behaviors, symptoms) and coping, and are related to elaboration processes or grief complication / O presente estudo qualitativo teve como objetivo investigar a construção de significado no processo de luto na idade adulta, à luz do Modelo Dual do Luto e da Teoria do Apego. Foram realizados três estudos de caso com mulheres, de vinte e cinco a cinquenta e um anos, enlutadas pela morte de um ou mais entes queridos, ocorrida entre onze meses até um ano e dez meses antes de sua participação na pesquisa. Como instrumento de investigação, utilizamos entrevistas semidirigidas, o Romance Original (RO) e História de Minha Perda (HP). Os significados centrais encontrados foram: Não entendo o que aconteceu; Sou responsável pela morte; Outra pessoa é responsável pela morte; O falecido é responsável por sua morte; Não sou responsável pela morte; Deus é responsável pela morte; A morte foi um castigo de Deus; Ocupo o lugar do falecido; O falecido me enganou e abandonou; Não tenho recursos emocionais para sobreviver à perda; Não posso sentir raiva; Cresci com a perda; Sou forte; Não sei quem sou; Quero viver; Quero morrer; Nasci após a perda; Ter demonstrado o amor ao falecido é confortador; O mundo é cuidador e confiável; O mundo não é cuidador e confiável; A morte foi humilhante; Deus me perdoou. Estavam relacionados à busca de sentido para a perda, transformação da identidade e da relação com o falecido e com o mundo, e encontro de benefícios e associados a sentimentos, desejos e mecanismos psíquicos. A construção dos significados estava relacionada a determinados fatores: dinâmica familiar, personalidade e estilo de apego, circunstâncias da morte, relação com o falecido e rede de suporte. Entre esses fatores, apontaram-se os facilitadores e dificultadores da construção de significado. Os significados refletem o processo do luto e seu conhecimento possibilita a compreensão das manifestações (sentimentos, comportamentos e sintomas) e modo de enfrentamento do luto, e estão associados a processos elaborativos ou à complicação do luto