Background: Whereas the role of externalizing disorders is relatively well established in predicting the onset of cannabis use (CU) or cannabis use disorder (CUD), the status of anxiety and mood disorders in predicting CU and CUD remains controversial. Objective: (1) To examine cross-sectional and prospective associations of CU and CUD with a range of mental disorders and whether anxiety and mood disorders are associated with CU/CUD after adjusting for externalizing disorders. Methods: N = 1395 community subjects aged 14–17 at baseline were followed-up at three waves prospectively over 10 years. Substance use, substance disorders and mental disorders were assessed using the DSM-IV/M-CIDI. Results: (1) The baseline prevalence rates where 19.3% at t0 for CU and 2.6% for CUD. Cumulative incidence rates at t3 were 54.3% for CU and 13.7% for CUD. (2) In cross-sectional and prospective analyses other substance use disorders, mood and anxiety disorders were associated with CU and CUD. (3) Associations of panic-anxiety with CU and of depressive and bipolar disorders with CU and CUD were significant after controlling for externalizing disorders. Conclusion: A range of psychopathological conditions, including depressive, bipolar and less consistently anxiety disorders as well as the degree of their comorbidity are significantly associated with incident CU and progression to CUD, even when controlling for externalising disorders. A better understanding of this complex interplay may result in better aetiological models and intervention strategies.

Narrative therapy provides an opportunity for children to identify what is important to them. The aim of therapy in this research is to open up space for Nguni speaking children, who in their culture, are not allowed to express their feelings freely. The researcher has found that stories allow children an opportunity to realise that they are all human and that we have come through a process where we have to acknowledge that our existence today is largely dependent on the fact that we are not denying our stories as Nguni speaking people. From looking at the results of study, it would appear that these children have benefited from the therapy sessions. From three clients a sense of pride and self-worth was often evident at the end of a session and the overall comment made was that each one felt far better than when they had started the sessions. / Educational Studies / M. Ed. (specialisation in Guidance and Counseling)

Narrative therapy provides an opportunity for children to identify what is important to them. The aim of therapy in this research is to open up space for Nguni speaking children, who in their culture, are not allowed to express their feelings freely. The researcher has found that stories allow children an opportunity to realise that they are all human and that we have come through a process where we have to acknowledge that our existence today is largely dependent on the fact that we are not denying our stories as Nguni speaking people. From looking at the results of study, it would appear that these children have benefited from the therapy sessions. From three clients a sense of pride and self-worth was often evident at the end of a session and the overall comment made was that each one felt far better than when they had started the sessions. / Educational Studies / M. Ed. (specialisation in Guidance and Counseling)

Patriarchal discourse has lead to the marginalisation of women, children and teenagers. The aims of this research were to deconstruct patriarchal discourse; to empower teenagers to speak out for themselves; to facilitate teenagers' identifying, questioning and 'interviewing' of important problems in their lives, and to let teenagers' voices be heard by adults. Post-modern social construction discourse, post-modern and feminist theologies were used to challenge patriarchal discourse. A narrative, pastoral approach was used to assist teenagers to accomplish these aims. Using externalisation, three problems (Depression; Drugs and Alcohol; Verbal, Physical and Sexual Abuse) were exposed for what they really are, and how they influence many teenagers' lives. Alternative stories of how teenagers stand up against these problems were told. The teenagers decided to inform parents and teachers of their lived experiences in three letters. These three interesting, innovative letters are included in this dissertation. / Practical Theology / M. Th. (Practical Theology with specialisation in Pastoral Therapy)

Text in Afrikaans / Some of the limited research available on narrative reflecting team therapy was used in this study to develop a reflecting team therapy story. The reflecting team therapy story was developed using qualitative methodology in the form of an experimental text, which was strongly influenced by narrative discourse. The adopted methodology contributed to allowing the reflecting team therapy story as experienced by the client to speak very clearly to us. The following issues, inter alia, emerged: therapy is faster, clients are empowered, gender is important in therapy, the process is promoted by the multiplic ity of interactions and clients experience a scense of enpathy. The reflecting team therapy story can therefore serve as a working document which the reader can co-author. In the true spirit of narrative methology, I believe that every story contains an alternative story. There is no one true and final story. / Van die beperkte beskikbare navorsing oor reflekterende spanwerk is in hierdie studie gebruik om 'n reflekteringspanterapieverhaal daar te stel. Die reflekteringspanterapieverhaal is ontwikkel deur gebruik te maak van kwalitatiewe metodologie, in die vorm van 'n 'experimentele teks', wat sterk deur narratiewe diskoerse belnvloed is. Die veranderde metodologie het daartoe bygedra dat die verhaal van die reflekteringspanterapie soos ervaar deur die klient baie duidelik tot ons spreek. Die volgende sake het onder andere na vore getree: terapie is vinniger, kliente word bemagtig, geslag is van belang by terapie, die proses word bevorder as gevolg van die meervoudigheid van interaksie en kliente beleef 'n gevoel van empatie. Die reflekteringspanterapieverhaal kan dus dien as 'n werksdokument waaraan die leser as ko-redakteur deelneem. In die ware gees van narratiewe metodologie glo ek dat daar in elke verhaal 'n alternatiewe verhaal skuil. Daar is dus geen ware en finale verhaal nie. / Philosophy, Practical & Systematic Theology / M.Th. (Praktiese Teologie)

The prevalence of emotional and behavioural problems in secondary school adolescents is regarded as widely spread globally. Their effects/pitfalls are also a concern that cannot be ignored. Thus, this study dealt with this issue among adolescents, as well as with pitfalls and practices of secondary schools in Ethiopia, with particular focus on East Showa Administrative Zone of Oromiya National Regional state. Consequently, the study intended to: -examine what social competence problems (activity problems, social activities problems and academic performance problems) are experienced by secondary school adolescents of Ethiopia. -determine the relationship between sex groups and social competence problems by secondary school adolescents of Ethiopia. -examine the trends of emotional/internalising and behavioural/externalising problems among secondary school adolescents of Ethiopia. -determine the relationship displayed between sex groups and emotional/internalising and behavioural/externalising problems by secondary school adolescents of Ethiopia. -examine the relationship display between age groups and emotional/internalising and behavioural/externalising problems by secondary school adolescents of Ethiopia. -comprehend the relationship among social competence problems and syndrome problems by secondary school adolescents of Ethiopia. To address the objectives of the study, a descriptive survey and correlational study were employed. To achieve this target, the Amharic and the Afan-Oromo versions of Achenbach’s (2001) youth self-report (YSR) were used to collect data from 714 research participants of secondary school adolescents out of 27,643 in the East Showa Administrative Zone of Oromiya Regional State-Ethiopia, from 8 secondary schools. In analysing the data, basic descriptive statistics such as frequency, percentages, percentiles and T-scores as well as ANOVA were employed. In general, the results of the study demonstrated that the prevalence of emotional and behavioural problems of Ethiopian secondary school adolescents was relatively lower (about 9%) in comparison to many other countries. Moreover, girls showed more internalising problems (11.58%) than boys (9.63%) and vice versa in externalising problems. Consequently, girls accounted for 8.6% who fell into a clinical category whereas amongst boys, 14.83% were classified into such as category. In contrary to the other findings males were scored higher than females in withdrawal/depressed subscales (4.23% and 2.74% respectively). Furthermore, statistically significant relationships between academic competences with activities, social activities, somatic complaints, social problems and externalising problems were discovered. Fulfilling and rendering appropriate guidance and counselling services in the schools comprised the first dimension of the recommendations of this work. Furthermore, establishing school based mental health services to alleviate the problems is another key point of the recommendation to assist adolescents with emotional and behavioural problems in secondary schools of Ethiopia. / Psychology / Ph. D. (Psychology)

Patriarchal discourse has lead to the marginalisation of women, children and teenagers. The aims of this research were to deconstruct patriarchal discourse; to empower teenagers to speak out for themselves; to facilitate teenagers' identifying, questioning and 'interviewing' of important problems in their lives, and to let teenagers' voices be heard by adults. Post-modern social construction discourse, post-modern and feminist theologies were used to challenge patriarchal discourse. A narrative, pastoral approach was used to assist teenagers to accomplish these aims. Using externalisation, three problems (Depression; Drugs and Alcohol; Verbal, Physical and Sexual Abuse) were exposed for what they really are, and how they influence many teenagers' lives. Alternative stories of how teenagers stand up against these problems were told. The teenagers decided to inform parents and teachers of their lived experiences in three letters. These three interesting, innovative letters are included in this dissertation. / Philosophy, Practical and Systematic Theology / M. Th. (Practical Theology with specialisation in Pastoral Therapy)

Text in Afrikaans / Some of the limited research available on narrative reflecting team therapy was used in this study to develop a reflecting team therapy story. The reflecting team therapy story was developed using qualitative methodology in the form of an experimental text, which was strongly influenced by narrative discourse. The adopted methodology contributed to allowing the reflecting team therapy story as experienced by the client to speak very clearly to us. The following issues, inter alia, emerged: therapy is faster, clients are empowered, gender is important in therapy, the process is promoted by the multiplic ity of interactions and clients experience a scense of enpathy. The reflecting team therapy story can therefore serve as a working document which the reader can co-author. In the true spirit of narrative methology, I believe that every story contains an alternative story. There is no one true and final story. / Van die beperkte beskikbare navorsing oor reflekterende spanwerk is in hierdie studie gebruik om 'n reflekteringspanterapieverhaal daar te stel. Die reflekteringspanterapieverhaal is ontwikkel deur gebruik te maak van kwalitatiewe metodologie, in die vorm van 'n 'experimentele teks', wat sterk deur narratiewe diskoerse belnvloed is. Die veranderde metodologie het daartoe bygedra dat die verhaal van die reflekteringspanterapie soos ervaar deur die klient baie duidelik tot ons spreek. Die volgende sake het onder andere na vore getree: terapie is vinniger, kliente word bemagtig, geslag is van belang by terapie, die proses word bevorder as gevolg van die meervoudigheid van interaksie en kliente beleef 'n gevoel van empatie. Die reflekteringspanterapieverhaal kan dus dien as 'n werksdokument waaraan die leser as ko-redakteur deelneem. In die ware gees van narratiewe metodologie glo ek dat daar in elke verhaal 'n alternatiewe verhaal skuil. Daar is dus geen ware en finale verhaal nie. / Philosophy, Practical and Systematic Theology / M.Th. (Praktiese Teologie)

Dominant discourses on power, childhood and gender lead to power inequalities in social relationships in families and schools, allowing abuses of power (the subjugation and marginalisation of women and young people). These dominant structures of belief are often disrespectful of young people's experiences, stories and knowledges. This research attempted to respond to dilemmas in child relationships, to challenge belief structures that construct relationships between adults/young people, and to empower young people to stand up for their beliefs and make their voices heard. The research was guided by a post-modern, narrative pastoral approach. To deconstruct discourses that restrict young people within social institutions, social construction discourse, feminist post-structuralism, narrative theology and feminist theology were used. Narrative practices were used to look at depression, guilt, trouble and anger. Re-authoring conversations were used to construct preferred stories about young people's identities and to explore alternative stories and the not-yet-said on drugs. / Philosophy, Practical & Systematic Theology / M. Th. (Practical Theology (Pastoral Therapy))

Dominant discourses on power, childhood and gender lead to power inequalities in social relationships in families and schools, allowing abuses of power (the subjugation and marginalisation of women and young people). These dominant structures of belief are often disrespectful of young people's experiences, stories and knowledges. This research attempted to respond to dilemmas in child relationships, to challenge belief structures that construct relationships between adults/young people, and to empower young people to stand up for their beliefs and make their voices heard. The research was guided by a post-modern, narrative pastoral approach. To deconstruct discourses that restrict young people within social institutions, social construction discourse, feminist post-structuralism, narrative theology and feminist theology were used. Narrative practices were used to look at depression, guilt, trouble and anger. Re-authoring conversations were used to construct preferred stories about young people's identities and to explore alternative stories and the not-yet-said on drugs. / Philosophy, Practical and Systematic Theology / M. Th. (Practical Theology (Pastoral Therapy))