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A cross-sectional, retrospective study, using data from the Victoria Longitudinal Study, was conducted to investigate the impact of impending death on test performance on the Mini-Mental State Examination (MMSE), a measure of general cognitive functioning. Test score on the MMSE of individuals collected between one to five years before death was compared to the MMSE test score of individuals who are still alive. Results revealed a significant difference between the MMSE total score of individuals who died within three years post-measurement and survivors, and those who died between three to five years after measurement. When the individual items were analyzed, only the "WORLD" and "copy pentagon" items obtained results similar to the total score, providing support for the specificity of impending death effect on fluid abilities. The cause of death (CardioKerebro-vascular disease and non-CardioICerebro-vascular disease), however, did not differentiate the groups, suggesting that the mechanism of impending death may not be disease-related. Our results revealed that the influence of impending death on cognitive functioning could be observed on the MMSE; the source of the influence is still unknown, however. Despite the statistical significance, our findings did not appear to be clinically meaningful. As a result, our findings suggest that it may not be necessary to collect new normative data that are removed of the effects of impending death.

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

Submitted in partial fulfilment of the requirements for the degree of Master of Arts in the Department of Psychology University of Zululand, 2002. / Since 1996, hundreds of thousands of children under the age of 7 have experienced the death of a parent in South Africa. Whilst this loss is considered to pose a risk for future development, the existing studies lack clarity as to how this experience acts upon the adult throughout life. To this end, this inquiry attempts to capture an in-depth understanding of this experience and stimulate awareness regarding the needs of bereaved children. Through a phenomenological approach this investigation focuses specifically on the personal experience of several adults who have experienced the death of a father during their pre-school years. An aspect of the inquiry explores the perceived role the father would have played in the context of their ongoing lives. Eight core themes are derived which reflect the perceptions of this loss. The value of a phenomenological approach with relevance to the study of early bereavement is illumunitated. Some limitations of this study are recognized and suggestions for future research are proposed. Based on the insights gleaned through this study, implications are brought to the fore that pertain to the general experience of early parental bereavement.

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