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The effect of a prenatal hypnotherapeutic programme on postnatal maternal psychological well-being / Catharina GuseGuse, Catharina January 2002 (has links)
The aim of this study was to develop and evaluate the effect of a prenatal
hypnotherapeutic programme on the maintenance and promotion of postpartum
psychological well-being of a group of first-time mother.
Relevant literature on pregnancy, early motherhood and psychological well-being were
explained in order to abstract important facets and perspectives to use as a background
for the development and implementation of an intervention programme for the facilitation
of psychological well-being of first-time mothers. Theoretical perspectives on, and
practical applications of, clinical hypnosis were further analysed and used as foundation
for the development of the hypnotherapeutic intervention. A hypnotherapeutic
programme was developed, based on existing theoretical knowledge regarding
pregnancy, childbirth and early motherhood, as well as clinical hypnosis, with specific
emphasis on Ericksonian principles and ego state therapy techniques, enriched from the
perspective of psychofortology.
The empirical study consisted of a quantitative component and a qualitative component.
In the quantitative component, a pretest-posttest-follow-up comparative design was
implemented, with random assignment of participants to the experimental and control
groups within the limits of practicalities. Both groups, each consisting of 23 women in
their first pregnancy, completed the following questionnaires: (i) Perception of Labour and
Delivery Scale (PLD), adapted from Padawer et al. (1988). Feelings about the baby and
relationship with the baby (FRB), adapted from Wwllett and Parr (1997), Maternal Self-
Confidence Scale (MSC), adapted from Ruble et al. (1990) and Maternal Self-Efficacy
Scale (MSE) (Teti & Gelfand, 1991), to explore aspects of psychological well-being
related to early motherhood; (ii) The Edinburgh Postnatal Depression Scale (EPDS) ofCox et al. (1987) and the General Health Questionnaire (GHQ) (Goldberg & Hillier,
1979), to investigate aspects of psychological well-being as evident by the absence of
pathology; and (iii) the Satisfaction with Life Scale (SWLS) (Diener et al., 1985), the
Affectometer 2 (AFM) (Kammann & Flett, 1983), the Sense of Coherence Scale (SOC) of
Antonovsky (1979) and the Generalised Self-efficacy Scale (GSE), developed by
Schwarrer, (1993), to measure general psychological well-being. The Stanford Hypnotic
Clinical Scale (SHCS) (Morgan & Hilgard, 1978) was used for the experimental group to
assess hypnotisabili. The qualitative component consisted of in-depth interviews and an
analysis of written responses of mothers in the experimental group. They commented on
their experience of the programme and its impact at two weeks and ten weeks
postpartum.
Results from the empirical study indicated that the experimental group showed
significantly more symptoms of depression and symptomatology during the prenatal
evaluation than the control group. Since the experimental group was possibly more
vulnerable than the control group in a psychological sense, the effect of the intervention
programme could not be deduced from a pure comparison of postnatal evaluation scores
between the groups. Therefore, it was decided to explore the significance of differences
within each of the experimental and control groups, as well as between the experimental
and control group, using the mean difference scores between prenatal and postnatal
evaluation on each variable.
Results indicate that the hypnotherapeutic programme was effective in enhancing most
aspects of psychological well-being within the experimental group. This strengthened
sense of psychological well-being was evident both in the immediate postpartum period
and at ten weeks postpartum. The control group showed a spontaneous increase in
psychological well-being later in the postpartum period. The programme thus assisted
mothers in the more vulnerable experimental group to experience a stronger sense of
psychological well-being sooner after the baby's birth.
The experimental and control groups were further compared on the mean differences in
prenatal versus postnatal scores on measures of psychological well-being. The results
suggest that the hypnotherapeutic intervention contributed to an enhanced sense of
psychological well-being in mothers in the experimental group, in comparison to the
control group, during the early postpartum period, as measured by variables related to
motherhood, absence of pathology and general psychological well-being. At ten weeks
postpartum, the differences between the experimental and control group were less obvious. However, a very important finding was that mothers in the experimental group
continued to show a significant improvement in psychological well-being as indicated by
the absence of pathology. Specifically, there was a continued decrease in depression
and general symptoms of pathology. Findings from the quantitative study were supported
by remarks by mothers in postpartum and follow-up interviews, as well as their written
responses, as part of a qualitative exploration of their experience of the programme and
its impact on them. The findings give compelling evidence that a hypnotherapeutic
intervention, focusing on the enhancement of strengths and inner resources, could
alleviate depression and psychological distress during the perinatal period, as well as
prevent the exacerbation of symptoms.
Findings from the current study indicate that the developed prenatal hypnotherapeutic
programme was effective in enhancing the psychological well-being of mothers
experiencing a first pregnancy. Recommendations for clinical practice and further
research were made, based on the current research findings.
The contribution of the current study lies in the fact that it is the first to explore
pregnancy, childbirth and early motherhood from a salutogenidfortigenic perspective,
and to utilise hypnosis to facilitate psychological well-being in this context. It contributed
to scientific knowledge in the fields of developmental psychology, psychofortology and
clinical hypnosis. / Thesis (Ph.D. (Psychology))--Potchefstroom University for Christian Higher Education, 2003.
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Identification of Ego States and Early Parent-Child RelationshipsMunday, Jim 08 1900 (has links)
The purpose was to verify ego states as objectively identifiable phenomena and the influence of early parent-child relationships on their identification using an audio tape of recorded examples of ego states, Thompson's Ego State Tape (EST), and the Roe-Siegleman Parent-Child Relations Questionaire (PCR). No relationship was found between SAT scores and scores on the EST, nor between PCR and EST scores. It was concluded that possibly (1) no relationship existed between how children perceive their parents and the identification of ego states, and (2) that the PCR might not be sampling child rearing practices relevant to the identification of ego states.
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The effect of a prenatal hypnotherapeutic programme on postnatal maternal psychological well-being / Catharina GuseGuse, Catharina January 2002 (has links)
The aim of this study was to develop and evaluate the effect of a prenatal
hypnotherapeutic programme on the maintenance and promotion of postpartum
psychological well-being of a group of first-time mother.
Relevant literature on pregnancy, early motherhood and psychological well-being were
explained in order to abstract important facets and perspectives to use as a background
for the development and implementation of an intervention programme for the facilitation
of psychological well-being of first-time mothers. Theoretical perspectives on, and
practical applications of, clinical hypnosis were further analysed and used as foundation
for the development of the hypnotherapeutic intervention. A hypnotherapeutic
programme was developed, based on existing theoretical knowledge regarding
pregnancy, childbirth and early motherhood, as well as clinical hypnosis, with specific
emphasis on Ericksonian principles and ego state therapy techniques, enriched from the
perspective of psychofortology.
The empirical study consisted of a quantitative component and a qualitative component.
In the quantitative component, a pretest-posttest-follow-up comparative design was
implemented, with random assignment of participants to the experimental and control
groups within the limits of practicalities. Both groups, each consisting of 23 women in
their first pregnancy, completed the following questionnaires: (i) Perception of Labour and
Delivery Scale (PLD), adapted from Padawer et al. (1988). Feelings about the baby and
relationship with the baby (FRB), adapted from Wwllett and Parr (1997), Maternal Self-
Confidence Scale (MSC), adapted from Ruble et al. (1990) and Maternal Self-Efficacy
Scale (MSE) (Teti & Gelfand, 1991), to explore aspects of psychological well-being
related to early motherhood; (ii) The Edinburgh Postnatal Depression Scale (EPDS) ofCox et al. (1987) and the General Health Questionnaire (GHQ) (Goldberg & Hillier,
1979), to investigate aspects of psychological well-being as evident by the absence of
pathology; and (iii) the Satisfaction with Life Scale (SWLS) (Diener et al., 1985), the
Affectometer 2 (AFM) (Kammann & Flett, 1983), the Sense of Coherence Scale (SOC) of
Antonovsky (1979) and the Generalised Self-efficacy Scale (GSE), developed by
Schwarrer, (1993), to measure general psychological well-being. The Stanford Hypnotic
Clinical Scale (SHCS) (Morgan & Hilgard, 1978) was used for the experimental group to
assess hypnotisabili. The qualitative component consisted of in-depth interviews and an
analysis of written responses of mothers in the experimental group. They commented on
their experience of the programme and its impact at two weeks and ten weeks
postpartum.
Results from the empirical study indicated that the experimental group showed
significantly more symptoms of depression and symptomatology during the prenatal
evaluation than the control group. Since the experimental group was possibly more
vulnerable than the control group in a psychological sense, the effect of the intervention
programme could not be deduced from a pure comparison of postnatal evaluation scores
between the groups. Therefore, it was decided to explore the significance of differences
within each of the experimental and control groups, as well as between the experimental
and control group, using the mean difference scores between prenatal and postnatal
evaluation on each variable.
Results indicate that the hypnotherapeutic programme was effective in enhancing most
aspects of psychological well-being within the experimental group. This strengthened
sense of psychological well-being was evident both in the immediate postpartum period
and at ten weeks postpartum. The control group showed a spontaneous increase in
psychological well-being later in the postpartum period. The programme thus assisted
mothers in the more vulnerable experimental group to experience a stronger sense of
psychological well-being sooner after the baby's birth.
The experimental and control groups were further compared on the mean differences in
prenatal versus postnatal scores on measures of psychological well-being. The results
suggest that the hypnotherapeutic intervention contributed to an enhanced sense of
psychological well-being in mothers in the experimental group, in comparison to the
control group, during the early postpartum period, as measured by variables related to
motherhood, absence of pathology and general psychological well-being. At ten weeks
postpartum, the differences between the experimental and control group were less obvious. However, a very important finding was that mothers in the experimental group
continued to show a significant improvement in psychological well-being as indicated by
the absence of pathology. Specifically, there was a continued decrease in depression
and general symptoms of pathology. Findings from the quantitative study were supported
by remarks by mothers in postpartum and follow-up interviews, as well as their written
responses, as part of a qualitative exploration of their experience of the programme and
its impact on them. The findings give compelling evidence that a hypnotherapeutic
intervention, focusing on the enhancement of strengths and inner resources, could
alleviate depression and psychological distress during the perinatal period, as well as
prevent the exacerbation of symptoms.
Findings from the current study indicate that the developed prenatal hypnotherapeutic
programme was effective in enhancing the psychological well-being of mothers
experiencing a first pregnancy. Recommendations for clinical practice and further
research were made, based on the current research findings.
The contribution of the current study lies in the fact that it is the first to explore
pregnancy, childbirth and early motherhood from a salutogenidfortigenic perspective,
and to utilise hypnosis to facilitate psychological well-being in this context. It contributed
to scientific knowledge in the fields of developmental psychology, psychofortology and
clinical hypnosis. / Thesis (Ph.D. (Psychology))--Potchefstroom University for Christian Higher Education, 2003.
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Use of the Transactional Analysis Ego State Concept to Measure Client Change in PsychotherapyEmerson, Judith 01 May 1990 (has links)
Although transactional analysis (TA) theory has been used by psychotherapists since its introduction by Eric Berne in the 1960s, the ego state functioning constructs, a seminal part of the theory, have not been adequately validated. Previous research has focused on whether therapy using TA methodology works. This study tested the TA ego state constructs by measuring client change occurring during psychotherapy and comparing those changes with predictions from the TA theory.
Fifty-six subjects, who were clients at a university counseling center in the Rocky Mountain region of the United States, were tested before and after therapy using two standardized instruments, the Adjective Check List (ACL) and the Brief Symptom Inventory (BSI) and client and therapist global ratings of success of therapy.
Critical Parent, Nurturing Parent, Adult, and Adapted Child ego state scores from the ACL all changed in the predicted directions and reached statistical significance. Free Child ego state score changes did not reach statistical significance.
Ego state scores correlated with BSI Global Severity Index in predicted directions and all correlations except Critical Parent were statistically significant. Changes in ego state scores did not correlate with client and therapist ratings of success with one exception--Nurturing Parent was related to Client ratings of success. Changes in ego state scores did not correlate with subject pretest symptomatology, number of sessions, or the therapist's level of experience.
Limitations of the study and recommendations for further research are discussed.
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Discovering the essential self by means of subconscious resources : a psycho-educational approachFourie, Aletta Elizabeth 29 February 2008 (has links)
Clients embark in therapy for different reasons and they often do not understand their own behaviour, thoughts and feelings. Some state that they do not feel themselves and ask questions about who they really are. This study explores different therapeutic ways in assisting clients to find answers to this question.
The researcher indicates that the self is an energy system which can be in dissonance. It explores the subconscious as a resource that can be utilized in therapy, assisting clients to discover their essential selves. The study uses an eclectic approach, where the Medical Hypnoanalysis Model is used to identify aspects with regards to the self being dissonant. It is indicated how the hypnotherapeutic techniques within Ego-state therapy and Ericksonian psychotherapy contribute to the exploration of the subconscious and its resources. The study utilizes subconscious resources to assist clients to become more aware of their essential selves and to activate the process of self-actualization. From theory the study constructed a new eclectic approach in assisting clients to discover their essential selves through their subconscious resources. This proves to be of value in approaching therapy from a psycho-educational perspective. The therapeutic process of identifying and accessing subconscious resources takes place within the framework of the SARI-model (a model within the Ego-state therapy theory).
This study presents four case studies and discusses information that can be gained from the subconscious mind of the client and its utilization in therapy. The cases illustrate that the subconscious has the resources available to assist in the identification of the cause of the problem, inner-strengths, a subconscious safe place and possible solutions to the problem. It was indicated that these resources can be used to integrate trauma from the past, resolve negative beliefs and to enhance the establishment of equilibrium within the self as energy system, which leads to the client discovering and becoming the essential self.
The study concludes with a model that can be used to discover the essential self by means of subconscious resources in addressing client's fundamental question of `Who am I really?' / Educational Studies / D. Ed. (Psychology of Education)
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Socialinės sąveikos kliūčių ypatumai trenerio darbe / Social Interaction Obstacles In Coach JobŠtuikys, Arūnas 20 May 2005 (has links)
Success in sport depends on many aspects as training according to B. Libby (1982) is one of the most complicated and a lot of psychological resistance requiring profession. Coach must be a good judge not only of tactics and technique of special kind of sport, but also find ways how to teach sportsmen these things. It is very important for a coach to have skills in leadership and communication, in other words coach should be experienced in case to train different sportsmen uniting them into motivated and harmonic team. According to P. Karoblis, A. Raslanas, K. Steponavičius (2002), ability to adopt other knowledge, experience also to master teoretical, practical knowledge and skills increase activity, independence, creativity, that is professional experience of coaches. In our scientific work we tried to answer the question what peculiarity obstacles of social interaction (stress, conflict, EGO state expression) are in coach job? Our goal was to ascertain peculiarities of social interaction obstacles in coach job, and the task was to investigate stand point of coaches and future coach to the peculiarities of social interaction obstacles. The results of the research showed that both point of view to stress and conflict as the obstacle of social interaction, peculiarities in most case diferent very much. Whereas EGO state expression, as the obstacle of social interaction, peculiarities are connected with the adjusted child‘s, EGO state expression, which is more characteristic... [to full text]
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Discovering the essential self by means of subconscious resources : a psycho-educational approachFourie, Aletta Elizabeth 29 February 2008 (has links)
Clients embark in therapy for different reasons and they often do not understand their own behaviour, thoughts and feelings. Some state that they do not feel themselves and ask questions about who they really are. This study explores different therapeutic ways in assisting clients to find answers to this question.
The researcher indicates that the self is an energy system which can be in dissonance. It explores the subconscious as a resource that can be utilized in therapy, assisting clients to discover their essential selves. The study uses an eclectic approach, where the Medical Hypnoanalysis Model is used to identify aspects with regards to the self being dissonant. It is indicated how the hypnotherapeutic techniques within Ego-state therapy and Ericksonian psychotherapy contribute to the exploration of the subconscious and its resources. The study utilizes subconscious resources to assist clients to become more aware of their essential selves and to activate the process of self-actualization. From theory the study constructed a new eclectic approach in assisting clients to discover their essential selves through their subconscious resources. This proves to be of value in approaching therapy from a psycho-educational perspective. The therapeutic process of identifying and accessing subconscious resources takes place within the framework of the SARI-model (a model within the Ego-state therapy theory).
This study presents four case studies and discusses information that can be gained from the subconscious mind of the client and its utilization in therapy. The cases illustrate that the subconscious has the resources available to assist in the identification of the cause of the problem, inner-strengths, a subconscious safe place and possible solutions to the problem. It was indicated that these resources can be used to integrate trauma from the past, resolve negative beliefs and to enhance the establishment of equilibrium within the self as energy system, which leads to the client discovering and becoming the essential self.
The study concludes with a model that can be used to discover the essential self by means of subconscious resources in addressing client's fundamental question of `Who am I really?' / Educational Studies / D. Ed. (Psychology of Education)
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Fiction writing as symbolic constructivist inquiry in ego state therapyVermooten, Elizabeth 26 November 2008 (has links)
The dissertation primarily involves an exploration of art-like research possibilities via symbolic constructivism, concerning research into a therapeutic process from the position of a beginning therapist. Symbolic constructivism within the broader framework of artistic inquiry forms the methodological paradigm. Symbolic constructivism is regarded as a social constructionist research method, and entails using art-like formats in creating a symbol representing the issue being researched. Fiction writing is thereby used in creating a story as a co-constructed symbol, exploring what happened during a therapy process involving issues regarding trauma and dissociation that I undertook with a female client. The client acts as co-researcher in co-writing and editing the story's content, style and tone. The study also represents my reality in terms of understanding theoretical constructs from epistemologically diverse paradigms, therapeutic processes, doing research and writing a dissertation as it is punctuated at a specific moment in time. As a subtext the dissertation may also be described as a narrative about becoming - becoming a therapist, being a person, and the interface between these two (amongst other) selves. In the dissertation, I therefore hope to present a process-oriented account of personal therapeutic development as well. / Dissertation (MA)--University of Pretoria, 2008. / Psychology / unrestricted
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A hypnotherapy (ego-states) model for survivors of sexual crimes : a psycho-educational perspectiveFourie, Anna Margaretha 28 February 2003 (has links)
Dissociation is commonly associated with sexual crimes or other forms of trauma where a person experienced a threat to the existence or survival of the self. During dissociation the ego may split in such a way that ego-states (subselves or segments of the greater personality) form to encapsulate feelings of guilt, pain, fear, and anger. If dissociation is severe, sufferers will have no conscious recollection of the sexual trauma as it is deeply repressed in the subconscious. This may result in symptoms/pathology later in life.
Research indicated that hypnosis (due to its dissociative nature) is favourable as treatment modality for pathology/symptomatology associated with trauma and dissociation.
This research study investigates the development of ego-states during experiences of sexual trauma and hypnosis (especially Medical Hypno-analysis and Ego-State Therapy) as effective treatment modality within the field of psycho-education. It proposes a hypnotherapy model where the diagnostic tools as indicated by the Medical Hypno-analysis model, are being used to determine the existence of repressed memories related to sexual trauma. The therapeutic processes as indicated by the Ego-State Therapy model, are being used to resolve and work through the core repressed traumatic experiences through the mobilization of associated and related ego-states.
This study presents four case studies and discusses their clinical diagnostic procedures and therapeutic processes. The case studies illustrate that certain symptomatology/pathology experienced later in life may be the result of repressed memories and the formation of maladapted ego-states earlier in life when sexual trauma was experienced. Highly charged emotional and negative beliefs were set in the ego-states and could only be disarmed from their destructive content through regressions and hypnotherapy. A detailed discussion of the proposed hypnotherapy model and its application and concerns regarding its application within the field of psycho-education are also presented.
The results of this study indicate that the proposed hypnotherapy model (the combination of Medical Hypno-analysis and Ego-State Therapy) can be used effectively and successfully when working with survivors and symptomatology/pathology associated with sexual crimes. / Educational Studies / D. Ed.
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A hypnotherapy (ego-states) model for survivors of sexual crimes : a psycho-educational perspectiveFourie, Anna Margaretha 28 February 2003 (has links)
Dissociation is commonly associated with sexual crimes or other forms of trauma where a person experienced a threat to the existence or survival of the self. During dissociation the ego may split in such a way that ego-states (subselves or segments of the greater personality) form to encapsulate feelings of guilt, pain, fear, and anger. If dissociation is severe, sufferers will have no conscious recollection of the sexual trauma as it is deeply repressed in the subconscious. This may result in symptoms/pathology later in life.
Research indicated that hypnosis (due to its dissociative nature) is favourable as treatment modality for pathology/symptomatology associated with trauma and dissociation.
This research study investigates the development of ego-states during experiences of sexual trauma and hypnosis (especially Medical Hypno-analysis and Ego-State Therapy) as effective treatment modality within the field of psycho-education. It proposes a hypnotherapy model where the diagnostic tools as indicated by the Medical Hypno-analysis model, are being used to determine the existence of repressed memories related to sexual trauma. The therapeutic processes as indicated by the Ego-State Therapy model, are being used to resolve and work through the core repressed traumatic experiences through the mobilization of associated and related ego-states.
This study presents four case studies and discusses their clinical diagnostic procedures and therapeutic processes. The case studies illustrate that certain symptomatology/pathology experienced later in life may be the result of repressed memories and the formation of maladapted ego-states earlier in life when sexual trauma was experienced. Highly charged emotional and negative beliefs were set in the ego-states and could only be disarmed from their destructive content through regressions and hypnotherapy. A detailed discussion of the proposed hypnotherapy model and its application and concerns regarding its application within the field of psycho-education are also presented.
The results of this study indicate that the proposed hypnotherapy model (the combination of Medical Hypno-analysis and Ego-State Therapy) can be used effectively and successfully when working with survivors and symptomatology/pathology associated with sexual crimes. / Educational Studies / D. Ed.
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