Only in the past two decades have adults become aware that terminally ill children do know at some level when they are dying. This research used a case study format to investigate the changes in how one child dying of leukemia viewed herself. Specifically, it looked for symbolic and emotional themes which emerged in the material, including Decathexis (separation) and Rebirth. Each of twenty-eight drawings created by this child was analyzed in-depth for content by the researcher. Convergent material from hospital records and a parent journal supplemented the stories and teacher notes accompanying the drawings. Six experts from three countries also categorized each drawing for images of Decathexis and Rebirth. Initially, themes of threats, dreams, trickery and intuition appeared along with fear and sadness. Once the child seemed to clearly understand that she would die, these changed to fading and distancing images, indicative of separation. There was a slight increase in images supporting themes of resignation and happiness. Physical deterioration and resistance appeared throughout the series as distortions of a girl and dilapidated and edged houses. Themes of a new home and travel also appeared throughout. The classification by experts according to Decathexis and Rebirth resulted in unanimous agreement on twenty-five per cent of the pictures and two thirds of the experts agreed on the placement of eighty-six per cent of the pictures. It would appear that on one level the child knew from the beginning that she would die, but at another level she resisted that knowledge for a time. As clear awareness of death was developing, defensive themes such as trickery and dreaming appeared in stories which accompanied the drawings. However, the images, themes and convergent material suggest that she reconciled the dual awareness levels and worked towards acceptance of her fate. / Education, Faculty of / Educational and Counselling Psychology, and Special Education (ECPS), Department of / Graduate

The high levels of HIV/AIDS and violent crime in South Africa mean that millions of children are being forced, and will continue to be forced, to deal with the death of a parent/primary caregiver in their early and middle childhood years. Acknowledging that does not lessen the apprehension and uneasiness which lingers in formal and informal discussions of children, death, dying and grief, nor does it ameliorate the fact that childhood bereavement is becoming a normative childhood experience in South Africa. It is vital, therefore, to understand what are South African children's experiences of bereavement and grief, and to explore what impacts are likely to be exerted on their development. Children do not grieve in the same way; and children's grief is influenced by factors such as environment, unique experiences, developmental level, personality, age and gender. Family, too, is important because it is still the primary institution of society, and it influences substantially how children understand death, bereavement and grief. The school, too, has an impact on childhood grief. The majority of school-going children in South Africa are in primary school grades. Attending primary school corresponds with (most often) middle childhood, which is a critically important developmental stage. The experience of bereavement and grief during middle childhood is challenging precisely because it occurs in such a sensitive emotionally, cognitively and socially developmental period. Childhood grief experienced in that period can have long-term consequences. Important, too, is the fact that school-going children will, more than for younger children, not only experience grief privately but will grieve in public settings such as the school setting. This study, therefore, was concerned with exploring and gaining insight into the dynamics of bereavement and grief as experienced by children, who were in middle childhood, and enrolled in the primary school system. An exploratory design was chosen to explore the issue. A purposive sample was drawn from the school's list of scholars, and included 25 children attending Grades Five to Seven (Senior Primary Phase) at a co-educational, English-medium, state school. Data were collected both qualitatively and quantitatively. Qualitative primary data collection, involving in-depth interviews, was chosen because it allowed the researcher to explore the issue from the children's own perspectives. Each child was interviewed by the researcher over two to three sessions. Quantitative secondary data collection, involving key demographic and academic information extracted from the school's records, was included, and that helped triangulate and contextualise the data collected in the interviews. This study found that children in middle childhood do experience a diverse range of grief responses to the death of their parents/primary caregivers in the school environment, among other places, and some of those grief responses were challenging. Although respondents experienced different and confusing emotions; and although some had had their grief acknowledged by significant others, while others had not, all were able to engage in honest, clear discussions about death and grief. Respondents reported experiencing a range of secondary losses associated with the initial loss on their daily lives, and that was especially so for girl children. Respondents did know how to access support services but had not done so. The respondents also expressed a need to be encouraged to remember and memorialize their dead parent/primary caregiver. The study found, too, that the more prepared and supported the bereaved child was prior to that death, the better s/he coped with the event. Understanding children's bereavement can help those individuals and organisations, which are responsible for children's optimal development, provide children with the necessary support to prevent the child's bereavement and grief from becoming a lasting trauma. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2007.

Sufficient evidence exists to suggest that the death of a parent during the formative years of a child, which includes the senior primary school years, can have a devastating impact on the child's adjustment. Present available statistics in South Africa also suggest that many more school-going children will loose their parents over the next number of years due to a number of environmental factors, and also especially as a result of terminal illnesses such as HIV/AIDS. It was against this background that the study was undertaken. The problem is formulated as follows: <ul><li> what factors and corresponding experiences influence the adjustment of senior primary school children who have been bereft of a parent? </li><li> what guidelines can be prescribed to effectively assist children who have been bereft of a parent? </li><li> to identify and describe bereaved senior primary school children's perceptions of the death of a parent in terms of related factors and corresponding experiences; and </li><li> to describe guidelines for assisting children who have been bereft of a parent based on the findings of the research. <br></li></ul> Because the research is aimed at an in-depth study of the factors and corresponding experiences of bereaved children, the qualitative research methodology is employed. Data is obtained through conducting phenomenological interviews, as well as through direct observation of the bereaved subjects during the interviews. The data is analyzed according to the descriptive research approach. The present empirical research findings are compared with relevant accessible available literature, and unique contributions emerging from the present research is identified. Themes from the present empirical research as well as from the literature study are identified, and these themes form the basis for describing guidelines for the assistance of bereaved children. The present empirical research findings suggest that the support systems of bereaved children are generally not very effective in terms of facilitating the bereavement process of these children. This conclusion was reached as a result of the bereaved children's descriptions of the factors and corresponding experiences related to the death of their parent, during the interviews only, and not through any contact with the support systems, which was beyond the scope of this study. The problem is that although the relevant support systems are available, they don't appear to be very effective in their assistance of bereaved children. Certain components of the relevant support systems also don't appear to be adequately equipped/qualified for their supportive task in these circumstances. The literature suggests that some support systems appear to be uncertain regarding the supportive role that they can play or are expected to play. There also appears to be somewhat inadequate communication and cooperation between the various support systems. Against this background, the suggestion is that a collective, well-organized, well-coordinated approach should be established, in which all the support system components are well qualified and well equipped, and in which they all cooperate in assisting bereft children so that their adjustment does not restrict their normal development. / Thesis (PhD (Educational Psychology))--University of Pretoria, 2007. / Educational Psychology / unrestricted

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