Met die oog daarop om 'n basisteorie vir familiepastoraat te ontwerp, word verskeie basisteoretiese konsepte geidentifiseer en bespreek. Dit is veral die relasionele definiering van families - eerder as die tradisionele biologiese definiering - wat van fundamentele belang vir basisteoretiese besinning is. Hierdie 'ekologiese' verstaan van families, sluit familiesisteme van alle vorms in en hou rekening met huidige sosiologiese realiteite sowel as bepaalde teologiese perspektiewe. In aansluiting by die relasionele definiering van families, het familiepastoraat 'n verhoudingsfokus en werk dit met 'n multidimensionele perspektief wat op al die dinamiese verhoudingsprosesse en -fases binne familiesisteme gerig is. In verbondenheid met die gemeente, benader familiepastoraat families as ekologiese geloofsisteme en funksioneer dit in die lig van die evangelie asook doelbewus binne koninkrykskonteks. In die slothoofstuk word al die sentrale basisteoretiese konsepte geintegreer tot 'n teoretiese geheel. Die basisteorie vir familiepastoraat, wat hier ontwerp word, kan kemagtig soos volg geformuleer word: Familiepastoraat is gesprekmatige verhoudingsorg van die ekologiese familie en dit geskied binne koninkrykskonteks. / For the purpose of developing a basic theory for family pastoral work, several basic theoretical concepts are identified and discussed. The defining of families in terms of relations - rather than the traditional biological defining - is of fundamental importance for basic theoretical reflection. This 'ecological' understanding of families includes families of all shapes and forms, whilst it also reflects sociological realities and it takes into account certain theological perspectives. The aim of family pastoral work is synchronised with the relational defining of families and focus, therefore, on the multiple dynamic relational processes and phases within family systems. For this manifold relational focus, family pastoral work operates with a multidimensional perspective. The basic theory developed for family pastoral work, can be formulated as follows: Family pastoral work is dialogical care of the relationships of ecological families and it operates within context of the Kingdom. / Practical Theology / M.Th. (Practical theology)

Text in Afrikaans / The aim of the study is to describe the ecology of ideas in a family after the traumatic experience of a child. The focus is on developing a new context through which set meanings can expand. Therapeutic conversations and flexible hypnotic techniques, as part of a co-constructured process, are the "instruments" through which new ideas can be formed. The epistemological and theoretical framework of the study is postmodern, social constructionist ideas. Modernistic explanations are provided to fit in with the postmodern "both/and" focus of the study. A social constructionist position implies that the focus is placed on the multiple trauma perceptions of the family and social-cultural domain. Symptoms are viewed as part of the meaning systems in the family. The interconnection between dominant and non-dominant trauma stories is explained. Themes and relationship patterns are exposed and described according to the researcher's own epistemology, reflections and interpretations of the literature. / Clinical Psychology / M.A. (Clinical Psychology)

Text in Afrikaans / Globally divorce is an increasing phenomenon. If not handled correctly it may be significantly destructive for the people involved. The new Children’s Act, Act 38 of 2005 regards the best interests of the child paramount in all matters concerning the care, protection and well-being of a child. It underpins the importance of the full, or specific parental responsibilities of parents, the importance of a conciliatory and non-confrontational approach to the settlement of child-centred disputes. It also mandates that the child has the right to participate in an appropriate way in any matter concerning that child and that his views must be given due consideration. Further Act 38 of 2005, provides for parenting plans to be agreed upon determining the exercise of their respective responsibilities and rights. The goal of this research was to explore, develop and implement a process of family mediation with reference to Act 38 of 2005. Five families affected by divorce and their children were selected as case studies for qualitative research. Applied research was done within the context of intervention research and the first four phases of Rothman and Thomas’ Intervention Research model was used. Problems caused by divorce were identified and the goal was to address the best interests of the child by improving the co-parenting relationship, parent-child relationships and the quality of parenting. Information gathering and synthesis took place by using existing information sources, studying natural examples and identifying functional elements of successful models.An observational system was designed. It included the natural observing of the five case studies, specific procedural elements and intervention. The design criteria were applied to the preliminary intervention concept. / Social Work / D.Diac. (Spelterapie-Rigting)

How African individuals perceive the family life cycle, is the topic of this research. This qualitative study was facilitated with two individuals. Constructivism was used to explore how individuals create their reality. The Person-Centred Approach was studied to understand the importance of the Self- concept in the individual, and the role played by perceptions created in an ever-changing environment. Systems theory helped understand the interaction of family members as a system (family), especially the creation of stability after a state of disequilibrium – in this case, transitions between stages of the life cycle. Only with one respondent were some differences identified compared to the Western view of the life cycle. It was thus concluded that the family life cycle can be used as a guideline during therapy, regarding difficult transitions people (including African people) have to make, for therapists working from both the Person-Centred Approach and the systems perspective. / Social Work / (M.A. (Social Work (Mental Health))

Met die oog daarop om 'n basisteorie vir familiepastoraat te ontwerp, word verskeie basisteoretiese konsepte geidentifiseer en bespreek. Dit is veral die relasionele definiering van families - eerder as die tradisionele biologiese definiering - wat van fundamentele belang vir basisteoretiese besinning is. Hierdie 'ekologiese' verstaan van families, sluit familiesisteme van alle vorms in en hou rekening met huidige sosiologiese realiteite sowel as bepaalde teologiese perspektiewe. In aansluiting by die relasionele definiering van families, het familiepastoraat 'n verhoudingsfokus en werk dit met 'n multidimensionele perspektief wat op al die dinamiese verhoudingsprosesse en -fases binne familiesisteme gerig is. In verbondenheid met die gemeente, benader familiepastoraat families as ekologiese geloofsisteme en funksioneer dit in die lig van die evangelie asook doelbewus binne koninkrykskonteks. In die slothoofstuk word al die sentrale basisteoretiese konsepte geintegreer tot 'n teoretiese geheel. Die basisteorie vir familiepastoraat, wat hier ontwerp word, kan kemagtig soos volg geformuleer word: Familiepastoraat is gesprekmatige verhoudingsorg van die ekologiese familie en dit geskied binne koninkrykskonteks. / For the purpose of developing a basic theory for family pastoral work, several basic theoretical concepts are identified and discussed. The defining of families in terms of relations - rather than the traditional biological defining - is of fundamental importance for basic theoretical reflection. This 'ecological' understanding of families includes families of all shapes and forms, whilst it also reflects sociological realities and it takes into account certain theological perspectives. The aim of family pastoral work is synchronised with the relational defining of families and focus, therefore, on the multiple dynamic relational processes and phases within family systems. For this manifold relational focus, family pastoral work operates with a multidimensional perspective. The basic theory developed for family pastoral work, can be formulated as follows: Family pastoral work is dialogical care of the relationships of ecological families and it operates within context of the Kingdom. / Philosophy, Practical and Systematic Theology / M.Th. (Practical theology)

Este trabalho constitui um estudo acerca da convivência, sentimentos e vivência na adaptação dos casais com um dos cônjuges na expectativa de mudança de vida com o transplante hepático. Para este estudo foram realizadas entrevistas com seis casais na faixa etária entre 24 a 77 anos, com tempo mínimo de convivência de quatro anos e espera na lista de transplante a partir de seis meses. O diagnóstico da doença hepática foi oriundo de distúrbios metabólicos e virais dissociado da dependência química. Foi realizada uma entrevista semidirigida com os cônjuges, individualmente, contendo dados sócio-demográficos e questões que atendem aos objetivos da pesquisa. Foram analisados os conteúdos verbais e não verbais do discurso dos cônjuges categorizando-se as respostas por temas afins, baseando-se na Análise Temática. O estudo aponta que os casais vivenciam tensão e ansiedade enquanto aguardam o transplante; a entrada em lista, na grande maioria, provocou um impacto muito grande; as necessidades apresentadas foram a realização rápida do transplante e dificuldades financeiras em decorrência dos gastos com a doença e a baixa remuneração dos mesmos. As atitudes de paciência, compreensão e mais os sentimentos de confiança, amor e fé religiosa foram apontados como recursos para enfrentar a situação. A relação conjugal, após entrada na lista, trouxe alterações para os casais, abertos para a experiência de mudança, abrangendo os familiares e o grupo social. Os projetos e expectativas apresentados mostraram-se aprisionados à espera do transplante. A conclusão a qual se chegou com esse estudo é que a interação conjugal perpassada pelo processo de adoecer apresenta peculiaridades com nuances individuais e conjugais que, para sua resignificação conjugal, necessita de um cuidado interdisciplinar para possibilitar qualidade de vida ao casal. Espera-se que este trabalho contribua na melhoria do suporte psicológico ao casal frente à expectativa do transplante hepático e ofereça subsídio clínico-teórico aos profissionais interessados na área de saúde mental / This research is an investigation about feelings and adjustment of couples in their expectation of a change life with a liver transplant. For this study were conducted interviews with six couples in the age bracket between 24 to 77 years, with minimum time four years of coexistence, and expects the list of transplant from six months; diagnosis multifactorial decoupled from chemical dependency. It held an interview more or less conducted, individually containing socio-demographic issues that meet the objectives of the research. Were analyzed the contents of the verbal and non-verbal speech of the spouses, analysing for the answers related themes based on the Thematic Review. The study suggests that couples live tension and anxiety while awaiting a transplant, the entry list in the vast majority caused a catastrophic impact, the needs were presented the achievement of rapid and transplantation financial difficulties as a result of spending on disease and low pay . Attitudes of patience, understanding and more the feelings of trust, love and religious faith have been identified as resources to address the situation. The conjugal relationship after entry in the list has brought changes for couples open to the experience of covering the changing family and social group. The projects submitted and expectations have been trapped in hopes of the transplant. The conclusion which was reached in that study is: the interaction conjugal, the process of sicken has peculiarities with nuances that individual and marriage to his resignification conjugal, they needs a careful interdisciplinary quality of life to enable the couple. It is hoped that this work, help in improving the psychological support to the couple before the expectation of liver transplantation and offers clinical-theoretical allowance for professionals interested in the area of mental health

M.Cur. (Psychiatric nursing) / Withdrawal of life-support treatment is a well-known concept which has been studied often, especially from a medical point of view. The life-world of families involved in decision making concerning withdrawal of life-support of a family member is, however, an unknown field. This leads to the reaction and behavior of families to this traumatic process often begin mistakenly described by professionals as "difficult" , "passive" or "incapable of decision making". The patient and his/her family have, to a large extent, the right of self-determination and the right to take part in decision making. In the intensive care unit it often happens, according to Burger (1996:1-175), that the patient is not able to participate actively in the decision making process because of his/her illness and/or medication. The family then steps forward as decision maker and as the patient's "mouthpiece". The situation arises where the family, who must make the decision about withdrawal of life support treatment, are exposed to utterly moral conflict. Burger (1996:163) found that a family that experiences such trauma is not capable of focusing and assimilating knowledge. Members of the family have a great need for support and the intensive care nurse cannot provide that support for different reasons. One of the reasons being limited time and the other not being able to build therapeutic relationships. Because of the above mentioned, the overall objective of this study is to analyse the phenomenon of families who are involved in decision making concerning withdrawal of life-support treatment of a family member. Guidelines have been formulated according to the analysis of this phenomenon for the psychiatric nurse specialist to mobilise resources for the family to promote, maintain and restore their mental health as integral part of health. The research model of Botes (1989:1-283) is used in this study. The study is undertaken from the Judeo-Christian perspective of Nursing for the Whole Person Theory (Oral Roberts University, Anna Vaughn School of Nursing, 1990:136-142). A phenomenon analysis was undertaken in two phases. During the first phase, secondary analysis of primary data was done on the family used in Burger (1996:1-175) and was followed up by phenomenological interviews with families in the same circumstances and according to the same criteria that Burger (1996:1-175) used in her study. Data were analysed in collaboration with an independent coder. The family used for member checking in this study was also used in data control. A literature control was conducted as part of data control. On the ground of the repetitive themes from the secondary analysis and phenomenological interviews with the family involved in member checking, guidelines were formulated in phase two, based on all the data obtained from phase one, for psychiatric nursing specialists to mobilise resources for families in this situation. The proposed guidelines leave the door open for follow-up research where a model for assistance can be formulated for psychiatric nursing specialists to assist these families, since intensive care personnel are either too involved in the process, or do not always know how to build therapeutic relationships and usually also do not have enough time to attend to the patient's family.

Made available in DSpace on 2017-06-01T18:08:24Z (GMT). No. of bitstreams: 1 dissertacao_celia_regina.pdf: 467770 bytes, checksum: 6563d7b5001af8d7dff3a0277aa6a5f2 (MD5) Previous issue date: 2007-12-01 / This research is an investigation about feelings and adjustment of couples in their expectation of a change life with a liver transplant. For this study were conducted interviews with six couples in the age bracket between 24 to 77 years, with minimum time four years of coexistence, and expects the list of transplant from six months; diagnosis multifactorial decoupled from chemical dependency. It held an interview more or less conducted, individually containing socio-demographic issues that meet the objectives of the research. Were analyzed the contents of the verbal and non-verbal speech of the spouses, analysing for the answers related themes based on the Thematic Review. The study suggests that couples live tension and anxiety while awaiting a transplant, the entry list in the vast majority caused a catastrophic impact, the needs were presented the achievement of rapid and transplantation financial difficulties as a result of spending on disease and low pay . Attitudes of patience, understanding and more the feelings of trust, love and religious faith have been identified as resources to address the situation. The conjugal relationship after entry in the list has brought changes for couples open to the experience of covering the changing family and social group. The projects submitted and expectations have been trapped in hopes of the transplant. The conclusion which was reached in that study is: the interaction conjugal, the process of sicken has peculiarities with nuances that individual and marriage to his resignification conjugal, they needs a careful interdisciplinary quality of life to enable the couple. It is hoped that this work, help in improving the psychological support to the couple before the expectation of liver transplantation and offers clinical-theoretical allowance for professionals interested in the area of mental health / Este trabalho constitui um estudo acerca da convivência, sentimentos e vivência na adaptação dos casais com um dos cônjuges na expectativa de mudança de vida com o transplante hepático. Para este estudo foram realizadas entrevistas com seis casais na faixa etária entre 24 a 77 anos, com tempo mínimo de convivência de quatro anos e espera na lista de transplante a partir de seis meses. O diagnóstico da doença hepática foi oriundo de distúrbios metabólicos e virais dissociado da dependência química. Foi realizada uma entrevista semidirigida com os cônjuges, individualmente, contendo dados sócio-demográficos e questões que atendem aos objetivos da pesquisa. Foram analisados os conteúdos verbais e não verbais do discurso dos cônjuges categorizando-se as respostas por temas afins, baseando-se na Análise Temática. O estudo aponta que os casais vivenciam tensão e ansiedade enquanto aguardam o transplante; a entrada em lista, na grande maioria, provocou um impacto muito grande; as necessidades apresentadas foram a realização rápida do transplante e dificuldades financeiras em decorrência dos gastos com a doença e a baixa remuneração dos mesmos. As atitudes de paciência, compreensão e mais os sentimentos de confiança, amor e fé religiosa foram apontados como recursos para enfrentar a situação. A relação conjugal, após entrada na lista, trouxe alterações para os casais, abertos para a experiência de mudança, abrangendo os familiares e o grupo social. Os projetos e expectativas apresentados mostraram-se aprisionados à espera do transplante. A conclusão a qual se chegou com esse estudo é que a interação conjugal perpassada pelo processo de adoecer apresenta peculiaridades com nuances individuais e conjugais que, para sua resignificação conjugal, necessita de um cuidado interdisciplinar para possibilitar qualidade de vida ao casal. Espera-se que este trabalho contribua na melhoria do suporte psicológico ao casal frente à expectativa do transplante hepático e ofereça subsídio clínico-teórico aos profissionais interessados na área de saúde mental

This study was to evaluate current agency programs that were available to aid victims of domestic violence and their effectiveness in reducing the long-term emotional state of victims. This study included participants from various Domestic Violence Programs located throughout San Bernardino, Riverside, and Los Angeles counties.

This project focuses on the impact of family preservation programs on family functioning through a qualitative follow up study of the Child Abuse Prevention Intervention and Treatment (CAPIT) program at Pacific Clinics in Yucca Valley, California. The results found that family functioning (particularly in areas of interpersonal skills and communication) had improved since completion of the program. Improvement was correlated with the service content of the program and with counselor characteristics. Due to limitations, including sample size (n=9), results cannot be generalized.