As a whole, eating disorders have been characterised as having the following key features: a persistent over concern with body size and shape; and weight control behaviours such as fasting, exercise, and self-induced vomiting. However, there tends to be a blurred line between those that do and do not meet diagnostic thresholds as the level of psychological distress is comparably similar. This study examined whether psychological inflexibility (from an Acceptance and Commitment Therapy perspective) was associated with eating disorders and whether it mediated the relationship between childhood abuse and invalidation and eating disorders. This was considered to be important because high rates of abuse have consistently been found in this population, yet not everyone goes on to develop an eating disorder. In addition, the role of emotional abuse has been largely neglected. A clinical sample of 190 participants with a clinical or subclinical eating disorder were recruited from eating disorder charities and support forums; they completed a range of questionnaires measuring experiences of abuse and maternal/paternal emotional invalidation in childhood, current levels of cognitive fusion and experiential avoidance and current levels of eating pathology. The sample was split into three groups based on their Eating Disorder Risk Composite scores: elevated, typical and low clinical range. It was found that those in the elevated clinical range (most severe eating pathology) had the poorest emotional processing and significantly higher levels of psychological inflexibility, thought-shape-fusion, depression and anxiety than those in the low clinical range (least severe eating pathology). In terms of predicting current levels of eating pathology, three variables emerged as significant predictors: emotional processing, thought-shape fusion and depression. In terms of predicting current levels of psychological inflexibility, five variables emerged as significant predictors: childhood emotional abuse, emotional processing, thought-shape-fusion, depression and anxiety. The results add novel findings to the literature regarding the role of early experiences on the development of psychological inflexibility, and the role of psychological inflexibility in the maintenance of eating pathology and psychological distress. Clinical implications of these findings in relation to assessment, formulation, intervention and prevention are discussed.

Child maltreatment is not a new issue. It has existed in various forms in every society since the early days in history. However, it is only in the past four decades that abuse and neglect of children has attracted widespread interest among health professionals and the general public. There is now a large body of evidence that identifies four main maltreatment forms: physical, sexual, emotional maltreatment and neglect. Child maltreatment is a substantial public health problem, as it is associated with immediate and long-term health problems. Most research into child maltreatment has been conducted in English-speaking, developed countries. Although there has been a small but steady increase in the number of studies from less developed countries over the past decade, there remains a relative dearth of research in these populations, especially in Asia. Over the years, most research projects around the world tend to be focused on only one type of child maltreatment (usually either child sexual abuse or child physical maltreatment), and many studies do not examine risk factors in depth, or address the possible outcomes of various forms of maltreatment. Children have always held a very important place in the culture and traditions in Vietnam. In 1989, Vietnam was the first Asian country and the second country in the world to sign and ratify the United Nations Convention on the Rights of the Child. Since then Vietnam has adopted various measures to promote children's rights and particularly children's rights to be protected from abuse and exploitation. Despite strong political support for the rights of children, there is little formal research into child maltreatment. From the small amount of available evidence and media reports, it appears that children in Vietnam are vulnerable to maltreatment, just as they are all over the world. It is clear that information about the extent and health consequences of different forms of child maltreatment from scientifically sound studies is still far from sufficient. Thus, more research is essential to ensure effective and culturally appropriate responses to protect children from maltreatment. The primary aim of this research was to examine the nature and co-occurrence of four forms of child maltreatment including sexual, physical, emotional maltreatment and neglect among Vietnamese secondary and high school adolescents in both urban and rural settings, and determine the extent to which such adverse experiences impact on self-reported health risk behaviours and physical and mental health. A mixed methods design including qualitative interviews and focus group discussions, and a cross-sectional survey was employed in this study. Incorporation of qualitative inquiry added a cultural dimension on child maltreatment and informed to develop appropriate quantitative measures. Following 8 focus group discussions and 16 in-depth interviews as well as a pilot study of 299 adolescents in Vietnamese schools, a cross-sectional survey of 2,591 adolescents randomly selected from eight secondary and high schools in one urban district and one rural district was undertaken between 2004 and 2005. Data were collected by self-administered questionnaires in class rooms. Key information included demographics, family characteristics and environment, and four scales measuring sexual abuse, emotional and physical maltreatment and neglect as well as standard brief assessments of health related risk behaviours, mental and general physical health. The study clearly revealed that experiences of different forms and co-occurrence of child maltreatment among school adolescents were prevalent in Vietnam. The prevalence estimates of at least one type of physical and emotional maltreatment, neglect and sexual abuse were 47.5%, 39.5%, 29.3% and 19.7% respectively. A significant proportion of respondents (41.6%) was exposed to more than one form of child maltreatment, of which 14.5% and 6.3% experienced three or four maltreatment forms. Results from multivariate logistic regression analyses showed that the prevalence of child physical and emotional maltreatment and neglect among adolescents was not statistically different between urban and rural districts. However, children from rural schools were more likely to report unwanted sexual experiences than their counterparts in urban schools. There was no significant gender difference in reports of adverse sexual experiences. In contrast, girls were more likely to report emotional maltreatment and neglect whereas boys were more likely to experience physical maltreatment. Furthermore, family environment assessed by parental quarrelling, fighting, perceived quality of parental relationship and emotional support appeared to be the most consistent factors significantly predicting each form of child maltreatment. After controlling for a wide range of potential confounding factors, many significant correlates between each type of maltreatment, each level of maltreatment co-occurrence and each health risk behaviour were found. In general, the pattern of correlations between child maltreatment and health risk behaviours was similar for females and males. Emotional maltreatment significantly correlated with most behaviours examined. Physical maltreatment seems more likely to be associated with involvement in physical fights and being threatened. Sexual abuse was significantly related to smoking, drinking, being drunk, and involvement in fighting. Statistically significant associations between neglect and self-harm such as involvement in fighting, feeling sad and hopeless, suicidal thoughts and attempts were found. Clearly, co-occurrence of child maltreatment was significantly associated with almost all examined health risk behaviours and a dose-response relationship was observed in most of the dependent variables. Regarding continuous measures of mental and physical health, multivariate regression analyses revealed that presence of four types of child maltreatment explained a small but significant proportion of variance (from 5% to 9%), controlling for a wide range of background variables. Additionally, while each form of child maltreatment had independent effects on depression, anxiety problems, low self-esteem and poor physical health emotional maltreatment appeared to be the strongest influence on mental and physical health of both female and male adolescents. Analysis of variance also clearly suggested that exposure to increasing numbers of maltreatment forms significantly increased the risk of mental and physical health problems in a dose-response fashion. The present study extends a small body of previous research examining poly-victimization in developed nations to an Asian country. The data contribute new knowledge on cross-cultural child maltreatment problems. Considerable commonalities as well as some differences in the findings in Vietnam compared with earlier research were found. One important conclusion concerns the significant independent associations between various types of child maltreatment, as well as the cumulative effects of poly-victimization on a wide range of health risk behaviours, depression, anxiety, self-esteem, and general physical health. This pioneering research in Vietnam provides timely and substantial evidence that can be used to raise public awareness of the nature of child maltreatment and the harmful effects of not only sexual and physical abuse but also other forms of emotional maltreatment and neglect which have not received attention before. These results from a community-based sample have demonstrated the urgent need for prevention programs. The current study provides an impetus for more comprehensive research in this sensitive area in the near future so that culturally and politically relevant evidence-based responses to child maltreatment can be developed in Vietnam.

Les troubles bipolaires (TB) sont des maladies psychiatriques dont le déterminisme complexe fait intervenir des facteurs génétiques et environnementaux de susceptibilité. Les efforts d’identification des facteurs génétiques ont produit des résultats discordants et les facteurs environnementaux restent mal connus. Notre équipe a contribué à identifier une forme à début précoce des TB (TB-DP), son caractère fortement familial en faisant un candidat pour faciliter l’identification de gènes de susceptibilité. Ainsi, nous avons réalisé un criblage systématique du génome dans le TB-DP suggérant une liaison avec les régions chromosomiques 2p21, 2q14, 3p14, 5q33, 7q36, 10q23, 16q23 et 20p12. Nous avons montré des associations entre le TB-DP et le gène SNAP25 (rôle dans les mécanismes d’exocytose, région 20p12) et entre les TB et le gène codant l’ASMT (rôle dans la synthèse de la mélatonine). Enfin, une étude d’association pangénomique suggère une association entre le TB-DP et deux gènes de la voie du phosphatidyl-inositol (PLEKHA5 et PLCXD3). Concernant les facteurs environnementaux, les traumatismes affectifs subis dans l’enfance (principalement les abus émotionnels) sont associés aux TB, influencent deux dimensions constitutives des TB (labilité affective et intensité des affects) et interagissent avec le 5HTTLPR pour moduler l’âge de début des troubles. Ces travaux illustrent la pertinence de se focaliser sur le TB-DP pour identifier des gènes de susceptibilité, la nécessité d’explorer plus finement les facteurs environnementaux (notamment les stress précoces) et de considérer les interactions gène-environnement afin de mieux appréhender le déterminisme complexe des TB / Bipolar disorders (BD) are psychiatric diseases with a complex determinism in which genetic and environmental susceptibility factors are involved. Attempts to identify genetic factors have produced conflicting results and environmental factors remain unknown. Early-onset bipolar disorder (EO-BD) is a clinical entity that is characterized by a strong familial aggregation ; a specific focus on this subtype might facilitate the identification of susceptibility genes. A genome-wide scan in EO-BD has suggested eight regions of linkage (chromosomal regions 2p21, 2q14, 3p14, 5q33, 7q36, 10q23, 16q23 and 20p12). We have demonstrated an association between EO-BD and the SNAP25 gene (located at 20p12 and involved in exocytosis). We have demonstrated an association between BD and the ASMT gene (involved in the synthesis of melatonin). Finally, a genome-wide association study has suggested the involvement of two phosphatidyl-inositol pathway related genes in the susceptibility to EO-BD (PLEKHA5 et PLCXD3). Concerning environmental susceptibility factors, childhood affective traumatic events (mainly emotional abuse) are associated with BD, might influence two core dimensions of BD (affective lability and affect intensity) and might interact with the serotonin transporter genelinked polymorphic region to modulate the age of onset of the disorder. These studies illustrate the relevance of focusing on the early onset subgroup of the disease to identify susceptibility genes, the need to further explore early stressors as environmental factors associated with BD and to investigate the complex relationships between these two kinds of susceptibility factors

No description available.

The purpose of this research was to describe and explain crimes against women in the Gauteng Province of South Africa. It was conducted by means of a literature review, followed by empirical research, based on police dockets, against the background of Seligman's theory on learned helplessness. The literature review was used to design a research schedule. The schedule was used for data capturing from police dockets from the Crime Information Analysis Centre (QAQ at their Gauteng Regional office in Johannesburg. From this data, a convenience sample, consisting of 303 cases, was compiled. These cases were reported at the charge offices of Pretoria-Moot Villieria, Pretoria-North, Pretoria-West Eersterust and Hillbrow, for the period between 1 January 1997 and 1 March 1998. Finally, recommendations are made for the design of preventative strategies, and suggestions are made for possible future research. / Die doel van hierdie navorsing was om misdade teen vroue in die Gauteng Provinsie van Suid-Afrika te beskryf en te verklaar. Dit is gedoen aan die hand van literatuurstudie, en is uitgebrei met 'n empiriese ondersoek wat op polisiedossiere ebaseer is, teen die agtergrond van Seligman se teorie van aangeleerde hulpeloosheid. Die literatuurstudie is gebruik om 'n skedule te ontwerp. Die navorsingskedule is gebruik vir datavangs uit polisiedossiere. Die polisiedossiere van die Misdaadinligting-Analisesentrum (MIAS) van Gauteng se streekkantoor in Johannesburg is gebruik vir die samestelling van 'n gerieflikheidsteekproef bestaande uit 303 gevalle. Hierdie gevalle kom uit die aanmeldings by die aanklagkantore van Pretoria-Moot/ Villieria, Pretoria-Noord, Pretoria-Wes, Eersterust en Hillbrow, en wel tussen 1 Januarie 1997 en 1 Maart 1998. Ten slotte word aanbevelings vir die ontwerp van voorkomingstrategie gedoen en voorstelle vir moontlike toekomstige navorsing gemaak. / Criminology / M.A. (Criminology)

Emotional abuse is present in all forms of abuse and neglect, which implies that emotional abuse has a devastating impact on all the developmental factors of the pre-adolescent in the phase where he is striving towards independence and where his relations towards his environment are crucial. The Gestalt approach forms the basis for this recommended program, and makes provision for a holistic approach, which brings the child in contact with himself, his environment and his perception there of. The study focuses on a descriptive research methodology and according to the first five phases of the intervention research design, developed a play therapeutically program for the emotionally hurt pre-adolescent within the Gestalt approach. A literature study was undertaken to establish a theoretic perspective on the following aspects:  The impact of emotional abuse on the pre-adolescent within the boundaries of the family system.  The influence of abuse on the development of the pre-adolescent and how a child can be assisted through play therapy.  A theoretic foundation of the Gestalt approach and the application of this approach within the theoretic play therapeutic process with the pre-adolescent. The above mentioned theoretic perspective answered the first research question. An empirical survey was done to supplement the literature study. A qualitative study was done and the play therapeutic program was implemented. The program was implemented through eight sessions and by utilizing eight activity forms. Through this process direct, systematic and participant observation could be recorded directly on the activity form, which took the format of a case study. The above mentioned empirical research and measuring scales answered the second research question. As a result of the study the conclusion was reached that a play therapeutic program for the emotionally hurt pre-adolescent within the Gestalt approach can be successfully implemented and that the pre-adolescent can be empowered by the use of this program. Two measuring scales confirmed the results of this program. Recommendations with regard to the content of the program as well as further research as a result of the conclusions were formulated. / Religious Studies and Arabic / D.Diac (Play Therapy)

In this study, the research problem sought to explore the degree of implementation of the Domestic Violence Act 116 of 1998 by members of the South African Police Service (SAPS). The Domestic Violence Act clearly stipulates the responsibilities of members of the South African Police Service in terms of the policing and management of domestic violence. Data was collected by means of a literature study and individual interviews conducted with SAPS members at the station level. These police officials are responsible for implementing the provisions set out in the DVA. The researcher also drew on her investigative experience in the SAPS, including the investigation of domestic violence. In addition, the researcher conducted a comprehensive literature study of national legislation, internal SAPS policies and directives that govern and promote the regulation of domestic violence in South Africa, the policing of domestic violence, media and newspaper reports as well as library resources and international studies. The findings of the research indicate that participants had a diverse understanding of domestic violence. This study also serves as testimony that the majority of the participants perceived and experienced the implementation of the DVA by the SAPS in various ways. However, participants understand their role and responsibilities to efficiently implement the provisions of the DVA. It was further determined that most of the participants knew their responsibilities regarding record keeping in incidences of domestic violence, and that members of the SAPS knew the procedure to follow in order to serve protection orders. It is, however, questionable whether they will be able to do so when necessary as most of them have not served it themselves as there are specific members at the station level who have been designated the duty of serving protection orders. However, it became evident that SAPS members are confronted with various challenges, at the station level, which hinder the proper implementation of the DVA. The recommendations made in this study may provide the SAPS with knowledge regarding the challenges and shortcomings that police officials experience in effectively implementing the provisions set out in the DVA, the role and responsibilities of SAPS members to efficiently implement the DVA, as well as the training and resources necessary to effectively execute the DVA. / Police Practice / M. Tech. (Policing)

The purpose of the current study was to investigate the relationship between Borderline Personality Disorder (BPD) symptoms and childhood experiences, and to explore the role of Early Maladaptive Schemas and core beliefs as variables possibly mediating this relationship. Previous research with clinical samples has established a strong link between childhood maltreatment and adult BPD (& other PD) symptoms in clinical samples. However, difficulties with these studies limit the specificity of results. For example, BPD has been shown to be highly comorbid with other axis I and axis II psychiatric conditions. Given that studies examining the relationship between BPD and childhood maltreatment generally fail to control for these comorbid conditions, the specificity of their results must be questioned. Furthermore, it has been well established that childhood familial environment is strongly related to childhood maltreatment. Again studies examining the relationship between BPD and childhood maltreatment have generally failed to concurrently assess childhood familial environments, hence opening the possibility that the relationship between BPD and childhood maltreatment may be due to family functioning rather than childhood maltreatment per se. Finally, studies linking childhood maltreatment with adult BPD have primarily utilized clinical samples. However, the primary use of clinical samples to examine the aetiology of disorders in this context ignores the vast literature showing adequate psychological functio ning for the majority of individuals exposed to childhood maltreatment. Hence, the primary aim of the current study was to examine the relationship between childhood maltreatment and adult BPD symptoms in a primarily non-clinical sample whilst statistically controlling for commonly comorbid axis I and axis II symptomatology and concurrently measuring childhood familial functioning. It was a secondary aim of the current study to examine the mediating effects of beliefs on the relationship between childhood factors (i.e., childhood maltreatment & childhood familial functioning) and adult BPD symptomatology. That is, cognitive-behavioural theorists argue that personality disorders may be triggered by adverse childhood experiences leading to maladaptive beliefs (or schemas) related to the self, others, and the world, and it is these beliefs which lead to the behavioural disturbances evident in personality disorders. One hundred and eighty-five primarily non-clinical participants completed questionnaires measuring a variety of axis I and axis II symptoms, early maladaptive schemas and core beliefs, as well as retrospective reports of family functioning and childhood maltreatment. Results showed a significant relationship between childhood factors and adult BPD symptomatology. For example, the largest correlation between BPD symptoms and a childhood factor was .27 (for childhood emotional abuse). Furthermore, early maladaptive schemas and core beliefs were found to mediate the relationship between childhood factors and adult BPD symptomatology thus supporting cognitive-behavioural theories of personality disorders. However, early maladaptive schemas and core beliefs were also found to mediate the relationship between childhood factors and other Axis I and Axis II symptoms. Hence, it was concluded that while there was some support for a cognitive mediation hypothesis for BPD symptoms, future research is needed in exploring the specificity of the cognitive mediation hypothesis for BPD.

The purpose of this research was to describe and explain crimes against women in the Gauteng Province of South Africa. It was conducted by means of a literature review, followed by empirical research, based on police dockets, against the background of Seligman's theory on learned helplessness. The literature review was used to design a research schedule. The schedule was used for data capturing from police dockets from the Crime Information Analysis Centre (QAQ at their Gauteng Regional office in Johannesburg. From this data, a convenience sample, consisting of 303 cases, was compiled. These cases were reported at the charge offices of Pretoria-Moot Villieria, Pretoria-North, Pretoria-West Eersterust and Hillbrow, for the period between 1 January 1997 and 1 March 1998. Finally, recommendations are made for the design of preventative strategies, and suggestions are made for possible future research. / Die doel van hierdie navorsing was om misdade teen vroue in die Gauteng Provinsie van Suid-Afrika te beskryf en te verklaar. Dit is gedoen aan die hand van literatuurstudie, en is uitgebrei met 'n empiriese ondersoek wat op polisiedossiere ebaseer is, teen die agtergrond van Seligman se teorie van aangeleerde hulpeloosheid. Die literatuurstudie is gebruik om 'n skedule te ontwerp. Die navorsingskedule is gebruik vir datavangs uit polisiedossiere. Die polisiedossiere van die Misdaadinligting-Analisesentrum (MIAS) van Gauteng se streekkantoor in Johannesburg is gebruik vir die samestelling van 'n gerieflikheidsteekproef bestaande uit 303 gevalle. Hierdie gevalle kom uit die aanmeldings by die aanklagkantore van Pretoria-Moot/ Villieria, Pretoria-Noord, Pretoria-Wes, Eersterust en Hillbrow, en wel tussen 1 Januarie 1997 en 1 Maart 1998. Ten slotte word aanbevelings vir die ontwerp van voorkomingstrategie gedoen en voorstelle vir moontlike toekomstige navorsing gemaak. / Criminology and Security Science / M.A. (Criminology)

Emotional abuse is present in all forms of abuse and neglect, which implies that emotional abuse has a devastating impact on all the developmental factors of the pre-adolescent in the phase where he is striving towards independence and where his relations towards his environment are crucial. The Gestalt approach forms the basis for this recommended program, and makes provision for a holistic approach, which brings the child in contact with himself, his environment and his perception there of. The study focuses on a descriptive research methodology and according to the first five phases of the intervention research design, developed a play therapeutically program for the emotionally hurt pre-adolescent within the Gestalt approach. A literature study was undertaken to establish a theoretic perspective on the following aspects:  The impact of emotional abuse on the pre-adolescent within the boundaries of the family system.  The influence of abuse on the development of the pre-adolescent and how a child can be assisted through play therapy.  A theoretic foundation of the Gestalt approach and the application of this approach within the theoretic play therapeutic process with the pre-adolescent. The above mentioned theoretic perspective answered the first research question. An empirical survey was done to supplement the literature study. A qualitative study was done and the play therapeutic program was implemented. The program was implemented through eight sessions and by utilizing eight activity forms. Through this process direct, systematic and participant observation could be recorded directly on the activity form, which took the format of a case study. The above mentioned empirical research and measuring scales answered the second research question. As a result of the study the conclusion was reached that a play therapeutic program for the emotionally hurt pre-adolescent within the Gestalt approach can be successfully implemented and that the pre-adolescent can be empowered by the use of this program. Two measuring scales confirmed the results of this program. Recommendations with regard to the content of the program as well as further research as a result of the conclusions were formulated. / Religious Studies and Arabic / D.Diac (Play Therapy)