The birth of a child is a life-changing event in a woman's life. However, women's subjective experiences of giving birth have not been extensively researched, while the literature reflects an inherent realist approach. This has resulted in a decontextualised account of this critical event in women's lives. This conceptual study discusses the body of knowledge on the birthing experience from a widened perspective that includes not only the birthing woman, but also the people she interacts with and the context in which birth is embedded. The study comments on the way birth is managed in technological society and how its inherent Newtonian epistemology impacts on a woman's experience of birth. Ecosystemic epistemology is presented as an alternative approach which provides an holistic understanding of this experience. A reconceptualisation is proposed which acknowledges the social construction of birth. Lastly, the alternative birth movement as a more holistic approach to birth is discussed

Couple therapy is a frequently sought domain by couples who experience problems in their relationships. Couple therapy has been researched intensively, but few studies incorporate a holistic account of the therapeutic process. This study aims to explore and integrate the therapist's and the couple's experiences of change in the context of couple therapy. The ecosystemic epistemology and the narrative metaphor forms the foundation from which the therapy and the research is approached. Qualitative research methods are employed from within a naturalistic paradigm which allows for personal and unique meanings to emerge. Rich descriptions of the therapist's and the participant's stories of change are provided. Multiple perspectives are offered in the stories which reveal the reciprocal motions between the therapist's and the couples' change processes. Recurring themes are extracted from the stories which punctuate the pivotal change processes that were experienced by the therapist and the couples during the therapy. / Psychology / M.A. (Clinical Psychology)

Text in English / This exploratory study creates a post-modern narrative context for psychotherapy and extends these ideas to an individual living with a psychiatric disorder, namely obsessive-compulsive disorder. The present study explores OCD through the ecosystemic perspective and aims to obtain a holistic understanding of an individual's experience of living with OCD and to describe the recursive connections between OCD and the individual's ecological context. This investigation includes the re-authoring therapy of Michael White and David Epston and the application of their ideas to the individual's life story. A qualitative method within the naturalistic paradigm is employed focussing on the unique experience of the individual, which allows for an understanding of the individual's personal meaning. The dominant narratives, that emerged from the individual's life story, were deconstructed. Significant shifts in attribution of meaning took place. / Psychology / M.A.(Clinical Psychology)

Research indicates that the number of individuals diagnosed with neurological, learning and psychiatric disorders has shown a sharp increase in recent years. An increasing acknowledgement of the importance of narratives and discourses in constructing social reality has stimulated much debate on the consequences of diagnosing individuals with such diagnostic labels. The aim of this study was to explore the ways in which such individuals construct meaning from their experiences of adapting to their diagnostic labels by reframing them as interpersonal metaphors. In service of this aim, a social constructionist epistemology was adopted and discourse analysis was used to analyse the results from three participants’ interview data. The results indicate that participants managed to construct meaning from their experiences with their diagnostic labels through a reframing process that serve to promote positive perceptions of self in relation to others. Furthermore, this meaning-construction process appears to be a reflective and interactional one, in that it relies on a negotiation of meanings between people in a retrospective fashion. / Psychology / M.A. (Clinical Psychology)

Clinical Psychology / M.A. (Clinical Psychology)

Custody disputes have traditionally been considered a legal matter. More recent trends have seen the recognition of divorce and custody as both legal and psychological events. This necessitated the involvement of professionals of the helping services in custody recommendations. Such a multidisciplinary approach is currently taken by the Office of the Family Advocate, Pretoria, in disputed custody matters. It is suggested that the way in which the problem of custody is currently defined, is on a pragmatic level, and does not include a higher-order awareness as implied by an ecosystemic epistemology. Such an awareness denotes self-reflexivity, and calls for a more aesthetic emphasis. The dialectic between aesthetics and pragmatics is maintained by means of a descriptive look at the various systems involved in a disputed custody case. Adopting an ecosystemic epistemology is recommended, through the metaphor of mediation, as a further evolution of an already changing process. / Psychology / M.A. (Clinical Psychology)

Individual distress in the work-place has been cited as the cause of enormous loss of productivity and income, and has therefore attracted much attention from researchers and therapists alike. However, an extensive literature study reveals that in the field of work-related distress and its management, there appears to be discontinuity, a diversity of opinion and even confusion with regard to definitions, causes and possible remedies for the problem. It is suggested that this situation has been brought about and is being perpetuated by the Newtonian/Cartesian epistemological foundation on which most thinking in the field is based. It is further suggested that an epistemology informed by ecosystemic, constructivist principles could facilitate a way of thinking which would be more useful in this context. A case study was done in accordance with the above-mentioned ideas, which served as an investigation of their usefulness in a situation of reported work-related stress. On the basis of the information which emerged from the study, it is concluded that an ecosystemic approach can indeed provide a useful basis for understanding such situations. Furthermore, it is suggested that there are certain commonalities between such situations which are primarily founded in contexts in which the individual finds himself faced with contradictory demands which are not acknowledged as such. Finally, the point is made that if, in accordance with a constructivist viewpoint, "stress" is understood to be a social construction rather than an absolute condition, then the traditional way of thinking provides us with descriptions of man, society and the relationship between them, which are negative and may also be reflexively destructive. However, since constructivism allows for a different construction to be brought forth, we may utilise ecosystemic thinking to provide a more optimistic view. / Psychology / D. Litt. et Phil. (Psychology)

Couple therapy is a frequently sought domain by couples who experience problems in their relationships. Couple therapy has been researched intensively, but few studies incorporate a holistic account of the therapeutic process. This study aims to explore and integrate the therapist's and the couple's experiences of change in the context of couple therapy. The ecosystemic epistemology and the narrative metaphor forms the foundation from which the therapy and the research is approached. Qualitative research methods are employed from within a naturalistic paradigm which allows for personal and unique meanings to emerge. Rich descriptions of the therapist's and the participant's stories of change are provided. Multiple perspectives are offered in the stories which reveal the reciprocal motions between the therapist's and the couples' change processes. Recurring themes are extracted from the stories which punctuate the pivotal change processes that were experienced by the therapist and the couples during the therapy. / Psychology / M.A. (Clinical Psychology)

Text in English / This exploratory study creates a post-modern narrative context for psychotherapy and extends these ideas to an individual living with a psychiatric disorder, namely obsessive-compulsive disorder. The present study explores OCD through the ecosystemic perspective and aims to obtain a holistic understanding of an individual's experience of living with OCD and to describe the recursive connections between OCD and the individual's ecological context. This investigation includes the re-authoring therapy of Michael White and David Epston and the application of their ideas to the individual's life story. A qualitative method within the naturalistic paradigm is employed focussing on the unique experience of the individual, which allows for an understanding of the individual's personal meaning. The dominant narratives, that emerged from the individual's life story, were deconstructed. Significant shifts in attribution of meaning took place. / Psychology / M.A.(Clinical Psychology)

Research indicates that the number of individuals diagnosed with neurological, learning and psychiatric disorders has shown a sharp increase in recent years. An increasing acknowledgement of the importance of narratives and discourses in constructing social reality has stimulated much debate on the consequences of diagnosing individuals with such diagnostic labels. The aim of this study was to explore the ways in which such individuals construct meaning from their experiences of adapting to their diagnostic labels by reframing them as interpersonal metaphors. In service of this aim, a social constructionist epistemology was adopted and discourse analysis was used to analyse the results from three participants’ interview data. The results indicate that participants managed to construct meaning from their experiences with their diagnostic labels through a reframing process that serve to promote positive perceptions of self in relation to others. Furthermore, this meaning-construction process appears to be a reflective and interactional one, in that it relies on a negotiation of meanings between people in a retrospective fashion. / Psychology / M.A. (Clinical Psychology)