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Antibiotic usage in South Africa: a longitudinal analysis of medicine claims data / Winifred Esther AgyakwaAgyakwa, Winifred Esther January 2014 (has links)
The main aim of the study was to determine the prescribing patterns of antibiotics with an emphasis on fluoroquinolones in the private health sector of South Africa. The empirical study followed a quantitative, descriptive, observational method using retrospective, longitudinal medicine claims data provided by a nationally representative Pharmaceutical Benefit Management company (PBM) from 1 January 2005 to 31 December 2012. Penicillins, cephalosporins, carbapenems, aminoglycosides, chloramphenicol, fluoroquinolones, macrolides, tetracyclines, sulphonamides and trimethoprim were considered in the study.
A total of 5 155 262 (44.8%) patients received at least one antibiotic prescription out of the total number of registered beneficiaries included in the database. The average number of antibiotic prescriptions per patient per year ranged from 2.22 ± 1.89 (95% CI 2.22-2.22) in 2005 to 1.98 ± 1.62 (95% CI 1.98-1.99) in 2012. The number of antibiotics per prescription per year remained fairly constant at 1.05 ± 0.19 (95% CI 1.05-1.05) in 2005 to 1.06 ± 0.21 (95% CI 1.06-1.06) in 2012. The prevalence of patients receiving antibiotic prescriptions decreased from 46.1% (n = 789 247) in 2005 to 38.2% (n = 480 159) in 2012. Antibiotics were mostly prescribed for females (54.9%, n = 2 831 686) and in patients aged 0 to 18 years (26.5%, n = 1 366 824) and least in patients above 65 years (9.5%, n = 490 496). The prevalence of patients receiving antibiotic prescriptions was highest in Gauteng (41.9%, n = 2 159 360) and lowest in the Northern Cape (1.7%, n = 87 720). Antibiotics were mostly prescribed during the winter period. Penicillins were the most prescribed antibiotics (43%) and carbapenem the least (0.1%) out of the total number of antibiotics claimed. No practically significant association was found between antibiotic prescribing and gender, age, province and season.
A total of 1 983 622 prescriptions for fluoroquinolones were claimed in patients older than 18 years. The average number of fluoroquinolone prescriptions per patient per year ranged from 1.45 ± 0.92 (95% CI 1.44-1.45) in 2005 to 1.31 ± 0.71 (95% CI 1.31-1.32) in 2012. The highest prevalence of fluoroquinolone prescribing was observed in females (64.1%, n = 850 253) and in patients between 45 and 65 years (38.6%, n = 511 542). The total fluoroquinolone use by the study population decreased from 2.85 DID in 2005 to 2.41 DID in 2012. Norfloxacin was the only first-generation fluoroquinolone prescribed. The second-generation fluoroquinolones accounted for more than 50% of the total DID, with ciprofloxacin being the most used active ingredient in this generation. Moxifloxacin was the most prescribed third-generation fluoroquinolone; its use ranging from 0.51 DID in 2005 to 0.44 DID in 2012. Between 2005 and 2012, a total of 57 325 prescriptions for fluoroquinolones were claimed by patients 18 years and younger. The prevalence of patients receiving fluoroquinolone prescriptions decreased from 3.6% (n = 8 329) in 2005 to 2.9% (n = 3 310) in 2012. Fluoroquinolones were mostly prescribed to females and in patients between 12 and 18 years. In all age groups, prescribing was mainly done by general medical practitioners. Ciprofloxacin was the most prescribed fluoroquinolone, followed by levofloxacin.
In conclusion, this study established estimates on the prevalence of antibiotic prescribing covering an eight-year period. Secondly, baseline estimates for fluoroquinolone prescribing in adults using the ATC/DDD methodology were determined. Fluoroquinolone prescribing patterns in children and adolescents were determined, with specific reference to the comparison between the prescribed daily and recommended daily dosages in the different age groups and by prescribers’ specialties. / MPharm (Pharmacy Practice), North-West University, Potchefstroom Campus, 2015
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The nature of rape incidents involving children ages 7-15 years in the Queenstown district / Sivuyile NqaphiNqaphi, Sivuyile January 2013 (has links)
As an employee in the South African Police Service, Family Violence, Child Protection Unit the researcher has noticed that there is an increase in the number of rape incidents in children. This became evident from the intake statistics which indicate that there is an estimate of 15 children per month from the Queenstown district who reported incidents of alleged sexual abuse and/ or rape at the offices of the Family Violence Child Protection Unit during 2009. The number of intakes at the Family Violence, Child Protection Unit increased even more after an awareness campaign on sexual abuse and rape was launched in the Queenstown area. Out of these office statistics it is clear that the phenomenon of child sexual abuse and rape is a very serious problem in Queenstown. Unfortunately no research is available regarding the unique situation of victims in the specific geographical area that contributes to the high incident levels.
The aim of the research was to explore the nature of rape incidents involving children in the Queenstown area in order to assist social worker in this area to better understand possible risk factors contributing to child sexual abuse, as well as how to address the phenomenon better by means of effective prevention programmes and forensic social work services. Purposive sampling was conducted among forensic social workers and children from the caseload of the researcher who had been raped in the Queenstown area.
This research reveals that children in the Queenstown area do not have adequate knowledge on child sexual abuse and rape. The children in this area are vulnerable because of many circumstances and become, therefore, victims of rape. Looking at the nature of rape incidents in the Queenstown area, there is a definite need for social workers with specialized knowledge, skills and experience regarding forensic social work who can render services to children who were raped. / MSW (Forensic Practice), North-West University, Potchefstroom Campus, 2014
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Ouerlike regte en verpligtinge ooreenkomste kragtens die Childrens Act 38 van 2005 / Ronelle PrinslooPrinsloo, Ronelle January 2014 (has links)
The authority of parents within the parent child relationship has developed from the rigid potestas which the pater in Roman Law could legally exercise to the authority of both parents in Roman-Dutch Law. The relationship had always been based in the biological sphere while the guardianship of the fathers had always been stronger than that of the mother. The position had been altered statutoraly in the Guardianship Act to provide for guardianship for the mother to be equal to that of the father.Under pressure of Constutional norms and prescripts on the one hand and also because of dramatically changed circumstances on the other it has become imperative that the foundation of the relatiopship would be reconcidered to determine its appropriateness for modern circumstances. Parental responsibilities and rights agreements as well as parenting plans to establish such responsibilities and rights in situations where it does not pertain to a perticular parent or a person concerned consequently reflect new and progressive thinking with regard to the nature and content of the relationship. In addition it may be noted that these agreements and plans reflect an inclination on the side of the legislature to move away from expensive, cumbersome and aggresive litigation bt providing the opportunity to persons concerned to come to mutaully acceptable results. It is futher argued that these agreements and plans may be viewed as a first step for the establishment of Family Relationshiop Centres it has developed in Australian Law / LLM (Private Law), North-West University, Potchefstroom Campus, 2014
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'n Motoriese, fisieke en liggaamsamestellingsprofiel en die effek van 'n perseptueel-motoriese ontwikkelingsprogram by graad 1-leerders in die Noordwes-Provinsie / Chanelle KempKemp, Chanelle January 2012 (has links)
Several researchers have reported that the perceptual-motor skills of today’s children are not optimally
developed. Furthermore, childhood obesity has increased worldwide and is a cause for concern due to the
effect that it has on the present and future public health of children. Childhood obesity has a bearing on a rise
in chronic paediatric diseases and an increase in hypertension, as well as on motor and physical deficits. In
spite of the inadequate perceptual-motor development that is reported, few studies have been reported that
examine the effect of school-based movement development programmes to improve the motor proficiency of
school beginners.
Firstly, in this thesis, an attempt was made to establish a general profile of the motor proficiency of Grade 1
learners in the North West Province of South Africa, and to determine possible gender and racial differences.
Secondly, the relationship between the body composition and blood pressure of Grade 1 learners was
examined. Thirdly, the relationship between the body composition and motor, physical and object control
skills of these learners was examined. The fourth objective was to determine the effect of school-based
movement development programmes on the perceptual-motor proficiency of Grade 1 learners.
For objectives one to three, data were collected by means of a stratified randomised sample of 816 Grade 1
learners (419 boys, 397 girls) with a mean age of 6,78 years (+ 0,49) who participated in the NW-CHILD
study. The short form of the “Bruininks-Oseretsky Test of Motor Proficiency-2” (Bruininks & Bruininks,
2005), which consists of eight subcomponents, was used to determine the learners’ motor proficiency and the
“Test of Gross Motor Development-2” was used to determine the learners’ object control skills. Stature, body
mass, skinfolds (subscapular, triceps and calf) and waist circumference were measured according to standard
kinantropometric protocols. International cut-off points for body mass index (BMI) were used to classify
learners in normal, overweight or obese categories. Blood pressure was measured by means of an Omron
705CP-II. With regard to objective 1, it appeared from the results, which were analysed with descriptive statistics and ttesting,
and by making use of the Statistica computer program, that Grade 1 learners exhibit below average
(49,63%) to average (48,16%) motor proficiency. The poorest skills exhibited by the learners were in
strength, fine motor integration and fine motor precision. The motor proficiency of the boys was mostly
average (63,96%) as opposed to that of the girls, which was largely classified as below average (64,74%),
although the girls’ manual dexterity and bilateral co-ordination was significantly better compared to the boys.
The motor proficiency of most of the white children was average (69,27%), compared to 58,73% of the black
children, whose motor proficiency was below average. White children performed significantly better in fine
motor precision, fine motor integration, manual dexterity, bilateral co-ordination, upper limb co-ordination
and strength skills, and black children in balancing and running speed and agility skills.
Concerning objective 2, it appeared from the results, which were analysed with descriptive statistics, the
Spearman correlation coefficients and one-way analysis of variance, that the overall incidence of
prehypertension and hypertension was 8,5% and 24,9% respectively. Both systolic and diastolic blood
pressure exhibited a significant relationship with BMI, body fat percentage and waist circumference. Boys
and girls exhibited the same incidence of hypertension. A higher percentage of the black children were
hypertensive compared to the white children, although the difference in the blood pressure of the groups was
not significant. A high percentage of children of normal weight also exhibited high levels of blood pressure.
As far as objective 3 is concerned, it appeared from the results, which were analysed with descriptive
statistics, Spearman correlation coefficients and one-way analysis of variance, that 1 out of every 10 learners
(11,64%) was overweight (7,84%) or obese (3,80%). Fine motor precision, balance, running speed, agility
and strength exhibited a significant relationship with body mass index (p<0.05), while no clear relationship
was found between object control skills, upper limb co-ordination and body mass index.
For objective 4, two schools were selected from the total sample in one urban area, which consisted of 75
learners (school 1=40 and school 2=35) who had a mean age of 6,66 years (+ 0,24) and who participated in
two different perceptual-motor movement development programmes. The perceptual-motor movement
development programme of School 1 was based on a process-oriented approach, as opposed to the
programme of School 2, which was based on a product-oriented approach. Motor proficiency was measured
by making use of the short form of the “Bruininks-Oseretsky Test of Motor Proficiency-2”. The results,
which were analysed with descriptive statistics, independent t-testing and a covariance of analysis, showed
that both movement development programmes contributed to significant improvements in some of the motor
proficiency subcomponents. However, the process-oriented movement programme contributed to a greater extent to improvement on an individual level, which was attributed to the improved underlying neurological
processes of motor proficiency and bilateral integration that underwent improvement as a result, while the
level of motor proficiency mastery of the product-oriented movement development programme remained
unchanged.
On the grounds of the above results it is advised that educators, such as the Physical Education teachers who
work with Grade 1 learners, take note of the possible deficits with regard to motor proficiency, overweight
and obesity, and implement suitable intervention programmes, taking into consideration the gender and racial
specific differences that were found in this study. The measuring of blood pressure for basic screening
purposes is important in the child population and interventions that include physical activity are advised to
reduce the potential cardiovascular complications of obesity amongst children. It could also be recommended
that school-based movement development programmes, which are presented by specialists, be implemented
in order to improve the motor proficiency of Grade 1 learners and to also contribute to the improvement of
the skills of learners with perceptual-motor and physical proficiency problems. / Thesis (PhD (Human Movement Sciences))--North-West University, Potchefstroom Campus, 2013
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The validity and reliability of the General Child Assessment model as pre-forensic screening instrument for children between three and five years oldDu Plessis, Minette January 2012 (has links)
The forensic assessment of young children is a difficult and often daunting task for professionals working in the field of child sexual abuse. A forensic assessment with pre-school children requires that the professional have knowledge of various aspects of the children themselves and the disclosure of abuse, and remain as neutral and objective as possible while conducting the assessment. Literature indicates that the knowledge of the child’s social, behavioural and developmental level is essential in order to conduct a developmental sensitive forensic interview. Although the term “pre-forensic screening” is relatively new in the field of forensics, Hewitt (1999) and Carnes (2006) refer to “pre-screening” and “developmental, behavioural and social assessment”, respectively.
The study examined the usefulness of the General Child Assessment Model as a pre-forensic screening technique specifically for children aged 3-5 years.
The researcher adopted a qualitative approach to explore the usefulness of the General Child Assessment Model as a pre-forensic screening instrument with professionals working in the clinical as well as forensic field.
Seven semi-structured interviews were conducted with professionals trained in the general child assessment model. The interviews focused on the professionals’ use of the model in general, the value they attached to the model, its usefulness as a pre-forensic screening instrument with children aged 3-5 years, strengths and limitations of the model as a pre-forensic screening instrument, and practical recommendations for using the model in the forensic context.
The data from the semi-structured interviews was analysed and divided into themes and subthemes, which were further described and linked with relevant literature .It became clear that the use of this assessment model had value in the therapeutic as well as forensic context.
The model was described as an important and valuable part of the forensic process as it provides a holistic view of the child in context. The strengths and limitations of the model as a pre-forensic screening instrument were also explored and the participants made practical recommendations to optimise the use of the model as a pre-forensic screening instrument. In addition, a case study was used to evaluate the model as a pre-forensic screening instrument. / Thesis (MSW (Forensic Practice))--North-West University, Potchefstroom Campus, 2013.
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Children's experiences of the repositioning of their psychological birth order in a reconstituted family / Lizelle van Jaarsveld.Van Jaarsveld, Lizelle January 2012 (has links)
The aim of this study is to explore and describe children’s experiences of the repositioning of their psychological birth order in a reconstituted family. The aim of this study is also to contribute to a better understanding of this phenomenon to aid the parents of these children as well as professionals working with such families.
The systems theory was used as the meta-theory of this study. Gestalt field theory formed the connection between the systems theory and Adlerian theory, to portray the interaction between the individual and the different subsystems of which they are part, and formed the lens through which the study was done. Adlerian theory was used to explain the subsystems function in the micro system, with the focus on children’s experiences of the repositioning of their birth order in a reconstituted family.
A qualitative research method with Interpretative Phenomenological Analysis was used as research design. Eight children took part in this study. The researcher used semi-structured interviews to explore their experiences of the repositioning of their psychological birth order and the data was analysed thematically. The researcher had a discussion with the participants’ parents to determine the children’s psychological birth order and to obtain background information regarding the original and reconstituted families.
The findings indicated that children’s experiences in relation to their parents and siblings had the most profound effect on how they experienced the repositioning of their psychological birth order in a reconstituted family. It seemed that participants preferred their parents treating them congruent to their psychological birth order within the reconstituted family and they experienced incongruent treatment to their psychological birth order, as negative. Participants enjoyed being favoured by their parents. If the sibling who caused the repositioning was favoured, or his or her parents unfairly blamed the relevant participant, it contributed to tension in the sibling and child-parent relationships. Participants seemed to associate less time spent with parents as well as less attention from parents with step- and half-siblings in the reconstituted family. Participants expressed less responsibility in the reconstituted family as a favourable aspect and more responsibilities in the reconstituted family as a unfavourable aspect of being repositioned.
In the participants’ experiences, which related to their siblings, the children seemed to defend their psychological positions in their renegotiation for new positions and roles in the reconstituted family often resulting in power struggles and sibling rivalry. Age and gender differences played a role in this process. When participants were ineffective in their negotiation of a new position within the new sibling subsystem, feelings of isolation were reported. Participants experienced frustration when they were unsuccessful in their negotiations regarding former roles associated with their psychological birth order in the new family system. Participants expressed companionship with a step- or half-sibling of the same gender as a favourable experience in their repositioning. The time elapsed since the reconstitution of the family, seemed to play an important role in how children experienced the repositioning of their psychological birth order. / Thesis (MA (Psychology))--North-West University, Potchefstroom Campus, 2013.
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'n Motoriese, fisieke en liggaamsamestellingsprofiel en die effek van 'n perseptueel-motoriese ontwikkelingsprogram by graad 1-leerders in die Noordwes-Provinsie / Chanelle KempKemp, Chanelle January 2012 (has links)
Several researchers have reported that the perceptual-motor skills of today’s children are not optimally
developed. Furthermore, childhood obesity has increased worldwide and is a cause for concern due to the
effect that it has on the present and future public health of children. Childhood obesity has a bearing on a rise
in chronic paediatric diseases and an increase in hypertension, as well as on motor and physical deficits. In
spite of the inadequate perceptual-motor development that is reported, few studies have been reported that
examine the effect of school-based movement development programmes to improve the motor proficiency of
school beginners.
Firstly, in this thesis, an attempt was made to establish a general profile of the motor proficiency of Grade 1
learners in the North West Province of South Africa, and to determine possible gender and racial differences.
Secondly, the relationship between the body composition and blood pressure of Grade 1 learners was
examined. Thirdly, the relationship between the body composition and motor, physical and object control
skills of these learners was examined. The fourth objective was to determine the effect of school-based
movement development programmes on the perceptual-motor proficiency of Grade 1 learners.
For objectives one to three, data were collected by means of a stratified randomised sample of 816 Grade 1
learners (419 boys, 397 girls) with a mean age of 6,78 years (+ 0,49) who participated in the NW-CHILD
study. The short form of the “Bruininks-Oseretsky Test of Motor Proficiency-2” (Bruininks & Bruininks,
2005), which consists of eight subcomponents, was used to determine the learners’ motor proficiency and the
“Test of Gross Motor Development-2” was used to determine the learners’ object control skills. Stature, body
mass, skinfolds (subscapular, triceps and calf) and waist circumference were measured according to standard
kinantropometric protocols. International cut-off points for body mass index (BMI) were used to classify
learners in normal, overweight or obese categories. Blood pressure was measured by means of an Omron
705CP-II. With regard to objective 1, it appeared from the results, which were analysed with descriptive statistics and ttesting,
and by making use of the Statistica computer program, that Grade 1 learners exhibit below average
(49,63%) to average (48,16%) motor proficiency. The poorest skills exhibited by the learners were in
strength, fine motor integration and fine motor precision. The motor proficiency of the boys was mostly
average (63,96%) as opposed to that of the girls, which was largely classified as below average (64,74%),
although the girls’ manual dexterity and bilateral co-ordination was significantly better compared to the boys.
The motor proficiency of most of the white children was average (69,27%), compared to 58,73% of the black
children, whose motor proficiency was below average. White children performed significantly better in fine
motor precision, fine motor integration, manual dexterity, bilateral co-ordination, upper limb co-ordination
and strength skills, and black children in balancing and running speed and agility skills.
Concerning objective 2, it appeared from the results, which were analysed with descriptive statistics, the
Spearman correlation coefficients and one-way analysis of variance, that the overall incidence of
prehypertension and hypertension was 8,5% and 24,9% respectively. Both systolic and diastolic blood
pressure exhibited a significant relationship with BMI, body fat percentage and waist circumference. Boys
and girls exhibited the same incidence of hypertension. A higher percentage of the black children were
hypertensive compared to the white children, although the difference in the blood pressure of the groups was
not significant. A high percentage of children of normal weight also exhibited high levels of blood pressure.
As far as objective 3 is concerned, it appeared from the results, which were analysed with descriptive
statistics, Spearman correlation coefficients and one-way analysis of variance, that 1 out of every 10 learners
(11,64%) was overweight (7,84%) or obese (3,80%). Fine motor precision, balance, running speed, agility
and strength exhibited a significant relationship with body mass index (p<0.05), while no clear relationship
was found between object control skills, upper limb co-ordination and body mass index.
For objective 4, two schools were selected from the total sample in one urban area, which consisted of 75
learners (school 1=40 and school 2=35) who had a mean age of 6,66 years (+ 0,24) and who participated in
two different perceptual-motor movement development programmes. The perceptual-motor movement
development programme of School 1 was based on a process-oriented approach, as opposed to the
programme of School 2, which was based on a product-oriented approach. Motor proficiency was measured
by making use of the short form of the “Bruininks-Oseretsky Test of Motor Proficiency-2”. The results,
which were analysed with descriptive statistics, independent t-testing and a covariance of analysis, showed
that both movement development programmes contributed to significant improvements in some of the motor
proficiency subcomponents. However, the process-oriented movement programme contributed to a greater extent to improvement on an individual level, which was attributed to the improved underlying neurological
processes of motor proficiency and bilateral integration that underwent improvement as a result, while the
level of motor proficiency mastery of the product-oriented movement development programme remained
unchanged.
On the grounds of the above results it is advised that educators, such as the Physical Education teachers who
work with Grade 1 learners, take note of the possible deficits with regard to motor proficiency, overweight
and obesity, and implement suitable intervention programmes, taking into consideration the gender and racial
specific differences that were found in this study. The measuring of blood pressure for basic screening
purposes is important in the child population and interventions that include physical activity are advised to
reduce the potential cardiovascular complications of obesity amongst children. It could also be recommended
that school-based movement development programmes, which are presented by specialists, be implemented
in order to improve the motor proficiency of Grade 1 learners and to also contribute to the improvement of
the skills of learners with perceptual-motor and physical proficiency problems. / Thesis (PhD (Human Movement Sciences))--North-West University, Potchefstroom Campus, 2013
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108 |
The validity and reliability of the General Child Assessment model as pre-forensic screening instrument for children between three and five years oldDu Plessis, Minette January 2012 (has links)
The forensic assessment of young children is a difficult and often daunting task for professionals working in the field of child sexual abuse. A forensic assessment with pre-school children requires that the professional have knowledge of various aspects of the children themselves and the disclosure of abuse, and remain as neutral and objective as possible while conducting the assessment. Literature indicates that the knowledge of the child’s social, behavioural and developmental level is essential in order to conduct a developmental sensitive forensic interview. Although the term “pre-forensic screening” is relatively new in the field of forensics, Hewitt (1999) and Carnes (2006) refer to “pre-screening” and “developmental, behavioural and social assessment”, respectively.
The study examined the usefulness of the General Child Assessment Model as a pre-forensic screening technique specifically for children aged 3-5 years.
The researcher adopted a qualitative approach to explore the usefulness of the General Child Assessment Model as a pre-forensic screening instrument with professionals working in the clinical as well as forensic field.
Seven semi-structured interviews were conducted with professionals trained in the general child assessment model. The interviews focused on the professionals’ use of the model in general, the value they attached to the model, its usefulness as a pre-forensic screening instrument with children aged 3-5 years, strengths and limitations of the model as a pre-forensic screening instrument, and practical recommendations for using the model in the forensic context.
The data from the semi-structured interviews was analysed and divided into themes and subthemes, which were further described and linked with relevant literature .It became clear that the use of this assessment model had value in the therapeutic as well as forensic context.
The model was described as an important and valuable part of the forensic process as it provides a holistic view of the child in context. The strengths and limitations of the model as a pre-forensic screening instrument were also explored and the participants made practical recommendations to optimise the use of the model as a pre-forensic screening instrument. In addition, a case study was used to evaluate the model as a pre-forensic screening instrument. / Thesis (MSW (Forensic Practice))--North-West University, Potchefstroom Campus, 2013.
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Children's experiences of the repositioning of their psychological birth order in a reconstituted family / Lizelle van Jaarsveld.Van Jaarsveld, Lizelle January 2012 (has links)
The aim of this study is to explore and describe children’s experiences of the repositioning of their psychological birth order in a reconstituted family. The aim of this study is also to contribute to a better understanding of this phenomenon to aid the parents of these children as well as professionals working with such families.
The systems theory was used as the meta-theory of this study. Gestalt field theory formed the connection between the systems theory and Adlerian theory, to portray the interaction between the individual and the different subsystems of which they are part, and formed the lens through which the study was done. Adlerian theory was used to explain the subsystems function in the micro system, with the focus on children’s experiences of the repositioning of their birth order in a reconstituted family.
A qualitative research method with Interpretative Phenomenological Analysis was used as research design. Eight children took part in this study. The researcher used semi-structured interviews to explore their experiences of the repositioning of their psychological birth order and the data was analysed thematically. The researcher had a discussion with the participants’ parents to determine the children’s psychological birth order and to obtain background information regarding the original and reconstituted families.
The findings indicated that children’s experiences in relation to their parents and siblings had the most profound effect on how they experienced the repositioning of their psychological birth order in a reconstituted family. It seemed that participants preferred their parents treating them congruent to their psychological birth order within the reconstituted family and they experienced incongruent treatment to their psychological birth order, as negative. Participants enjoyed being favoured by their parents. If the sibling who caused the repositioning was favoured, or his or her parents unfairly blamed the relevant participant, it contributed to tension in the sibling and child-parent relationships. Participants seemed to associate less time spent with parents as well as less attention from parents with step- and half-siblings in the reconstituted family. Participants expressed less responsibility in the reconstituted family as a favourable aspect and more responsibilities in the reconstituted family as a unfavourable aspect of being repositioned.
In the participants’ experiences, which related to their siblings, the children seemed to defend their psychological positions in their renegotiation for new positions and roles in the reconstituted family often resulting in power struggles and sibling rivalry. Age and gender differences played a role in this process. When participants were ineffective in their negotiation of a new position within the new sibling subsystem, feelings of isolation were reported. Participants experienced frustration when they were unsuccessful in their negotiations regarding former roles associated with their psychological birth order in the new family system. Participants expressed companionship with a step- or half-sibling of the same gender as a favourable experience in their repositioning. The time elapsed since the reconstitution of the family, seemed to play an important role in how children experienced the repositioning of their psychological birth order. / Thesis (MA (Psychology))--North-West University, Potchefstroom Campus, 2013.
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The influence of animal-assisted play therapy on the self-esteem of adolescents with special needsSentoo, Gail Soobrayan 01 March 2004 (has links)
This research project focused on the influence of animal-assisted play therapy on the self-esteem of adolescents with special needs. The goal of this study was to ascertain whether principles of animal-assisted play therapy from the gestalt approach would enhance the self-esteem of adolescents with special needs. In order to achieve this goal, the following objectives were set out: to create a theoretical knowledge base through a literature study and consultation with experts, to conduct an empirical study in order to obtain qualitative and quantitative data and to formulate conclusions and recommendations with regard to the use of animal-assisted play therapy with adolescents with special needs. A combination of the quantitative and qualitative approaches was utilized, and applied research was done, as the focus was on practical solutions that is suitable for practice. A research hypothesis was posed, namely: If animal-assisted therapy from the gestalt approach is used with adolescents with special needs, their self-esteem will be enhanced. Two adolescents were selected as respondents through purposive sampling as sub-type of non-probability sampling. An empirical study was conducted through the use of questionnaires and interviewing as data-collection methods. The quantitative data was gathered through the use of self-constructed questionnaires and the Psychosocial Functioning Inventory for High School Children (PFI – HIGH – C) from Perspective College. The researcher utilized the A-B-A research design to conduct a pre-test and a post-test. Qualitative data was gathered through interviewing using the combined animal-assisted and gestalt play therapy techniques Empirical data was gathered and indicated improvement in the self-esteem of both the respondents who were exposed to the play therapy techniques. The research has thus shown that the use of animal-assisted play therapy does enhance the self-esteem of adolescents with special needs, and has benefits for future practice. The hypothesis of the study is thus proven to be true. / Dissertation (MSD (Play Therapy))--University of Pretoria, 2005. / Social Work and Criminology / Unrestricted
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