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Individuele- en huweliksaanpassing van die nierpasiëntBredekamp, Rosa 06 1900 (has links)
Text in Afrikaans / Summaries in Afrikaans and English / Psigonefrologie behels die studie von psigologiese faktore wat 'n rot speel by eindstadiumnierversaking.
Nierversaking word beskou as 'n lewensbedreigende siekte, wat die lewensverwogting von die pasient verkort
indien hy nie behandeling ontvang nie. Nierversaking kan ingedeet word in drie stadiums: Die pre-dialise, diatise,
en oorplantingstadiums. Die onderskeibaorheid von hierdie stadiums is die gevotg von verski lie in mediese
behandelingsmetodes. Nie een hiervon bring genesing nie, maar vertig simptome van die uremiese sindroom,
verleng die tewensverwagting von die pasient, en is veronderstel om sy lewenskwaliteit te verbeter.
DepresS,ie en angs, is algemene simptome wat by nierpasiente voorkom. Die redes hiervoor, is die pasient se
psigologiese reaksie teenoor nierversaking, dialise, en/of 'n oorplanting. Verder moet hy ook die newe-effekte
van die mediese behandeling trotseer. Aanpassings moet ook gemaak word in terme von beroep~ en sosiate
funksionering. Nie net het eindstodiumnierversaking 'n psigososiate impok op die nierposient nie, maar word
die gesonde moat ook daardeur be"invtoed. Daarom ervoar meeste egpore gesamentlik die impok von
nierversaking op hulle huwelik- en gesinslewe. Vir optimale oanpassing by nierversaking moet egpore sekere
oanpassingstoke bemeester, soos om nierversoking as 'n gedeetde probteem te hanteer, oan te pas by die rot
von pasient en versorger. die verskillende behoeftes oan nobyheid en afstand tussen pasient en versorger,
en die verwisseting in beroepsrolle hanteer, asook effektiewe kommunikasie met mekoar en die mediese span
doarstel, en mekaor deurlopend instrumenteel en emosioneel ondersteun ten einde die huweliksverbintenis in
stand te hou.
Die resultate von hierdie ondersoek dui doarop dat huweliksverondertikes, soos 'n afnome in
ontsponningsaktiwiteite en seksuatiteit, en gelykmakende rolle 'n belangrike rot speel om oanpassing by
nierversaking te vergemaklik. Daarmee soam is gevind dat godsdiens 'n belangrike oanpossende funksie vir
egpore het. Deurgoans speel'n ondersteuningsisteem, wat uit famitie en vriende, onder nierpasiente, die
mediese span en 'n sielkundige bestoan 'n vernome rol om die egpoar met oanpassing te help.
Uiteindelik blyk dit moonttik te wees vir egpare om hulle huwetiksverhouding in stand te hou, of setfs
konstruktief te herstruktureer, asook groter huwelikstevredenheid te ervoar, ondanks die bedreiging von
eindstadiumnierversaking. Meeste egpore ervoar die moeilike tydperk dan ook met 'n verdieping in hulle
huwelik- en geloofslewe. / Psychonephrology is the study of psychological factors which are evident in end-stage renal disease (ESRD).
ESRD is regarded as a life-threatening disease, which shortens the life-expectancy of a patient if he does
not receive treatment. ESRD can be divided into three stages: the pre-dialysis, dialysis and transplant stages.
These stages are signified by differences in medical treatment methods. None of these leads to a cure but
all alle.viate symptoms of the uremic syndrome, increase the life-expectancy of the patient and are supposed
to improve his quality of life.
Depression and anxiety are general symptoms found in end-stage renal patients. The reasons for this are the
patient's psychological reaction to renal disease, dialysis and/or transplant. Patients must also endure the side
effects of medical treatment. Adjustment in vocational and social functioning is also evident. ESRD not only
has a psycho social impact on the patient but also affects the healthy spouse. This is why most married
couples together experience the impact of ESRD in their marital and family life. For optimal adjustment to
ESRD couples need to master certain adaptational tasks, such as treating ESRD as a shared problem, adopt
the roles of patient and caregiver, manage the various needs of closeness and distance between patient and
caregiver and change of career roles, as well as effectively communicating with each other and the medical
team, and instrumentally and emotionally support eac~ other in order to maintain the marital bonds.
The results of this investigation show that marital variables, such as a decrease in recreation and sexuality
and role equality, are important to ease the adjustment to ESRD. It was also found that religion has an
important adaptational function for the married couples. A support system of family, friends, other renal
patients, the medical team and a psychologist are also important to aid the couples' adjustment.
Lastly it should be possible for renal couples to maintain, or even to positively reconstruct their marital
relationship, and to experience marital satisfaction in the face of the threat of ESRD. Apparently most
couples experience this ordeal as a time of intensification of their married and spiritual life. / Psychology / D.Litt. et Phil. (Psychology)
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Reflections of a woman pastoral therapist in private practiceFuller-Good, Yvonne Shirley 06 1900 (has links)
Text in English / Philosophy, Practical and Systematic Theology / M.Th. (Practical Theology, with specialisation in Pastoral Therapy)
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Three men's experience of their journey to and through divorce: the unheard songsHuman, Werner J. 30 November 2006 (has links)
The psychological effects on, and the experience of divorce by women and children are widely researched. However little data is available on how divorce affects men and how they experience a marriage break-up. This study aims to explore and describe the `voices' (experiences) of divorce from three men's perspectives. The randomly selected sample for this study consisted of three participants'. Data was collected in the form of the participants own written testimonials. Out of the written testimonials themes were identified and explored by the researcher. This was done from an ecosystemic epistemological stance within the post-modern paradigm, with the symbolic use of music / popular songs to further `enhance' the exploration and description of the research participants' experiences of divorce. A qualitative methodological design was followed, allowing `unique' and personal `meaning' and experience to emerge. This study's results were presented in the form of `integrative' and descriptive text. Overall the study explicated unique descriptions of men's experiences of divorce with the creative application of music to enhance descriptions and experiences. / Psychology / M.A. (Clinical Psychology)
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Glasser se realiteitsterapie en die toepassing daarvan in terapie met pareMills, Magdalena 30 November 2005 (has links)
The increasing demand for couples therapy and its present low success rate led to the question
whether Glasser's reality therapy, with its innovative approach, could possibly be of value to couples therapy in South Africa. Glasser emphasizes the importance of healthy personal
relationships, freedom of choice and responsibility. In therapy he focuses on the fact that each person has control of what he/she does and thinks and that he/she should take responsibility for it. On the basis of a limited qualitative study, it was found that, with certain reservations, this therapy could make a valuable contribution to the success of couples therapy. Professional persons should be encouraged to apply reality theory in couples therapy, training institutions should train their students in this regard and more comprehensive and in-depth research should be undertaken to determine its value in larger and more representative groups. / Educational Studies / M. Ed.
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Sex-role identity and relationship satisfactionPrinsloo, Casper Hendrik 29 February 2004 (has links)
People spend substantial parts of their life in a close dyadic relationship. The results range from the fulfillment of emotional, intellectual, social and physical needs, to physical and emotional abuse.
The study clarifies the association between sex-role identity type, with its two traits (masculinity and femininity), and relationship satisfaction, at the dyadic level. The latter implies a focus on the identical (or different) levels of presence of the two constructs among partners in couples. Extraneous factors and personal (non-dyadic) effects are covered in addition.
The two main variables are evaluated with the Bem Sex Role Inventory (BSRI) and Spanier's Dyadic Adjustment Scale (DAS). In each case, a second instrument was administered for validation. The survey-type study followed a correlational, cross-sectional design.
The main purposes have been to test new theoretical frameworks against empirical data, and knowledge production.
A three-pronged approach included: an extensive literature review to identify methodological and knowledge gaps; a theory-driven design and methodology to ensure a sound study; and empirical data collection to verify the theoretical position through hypothesis testing.
Likely sources of bias were countered by involving balanced numbers of male and female, and homosexual and heterosexual respondents, from non-student populations, over a wide age range, and living in close relationships spanning at least two years.
The correlational design and relatively small sub-samples dictated the application of descriptive frequencies, and chi-square, variance (ANOVA) and regression analyses, as statistical techniques.
The findings emerged as more similar than different for homosexual and heterosexual participants. This implies that homosexuals are not a deviant group, but equally able to achieve happiness. Congruent (identical) sex-role identity traits between partners were not strong(est) in predicting satisfaction. However, femininity and androgyny, as highest adaptive type, and identical sex-role identity types between partners did. As a result, the initial sex-role identity congruence theory has been modified into the adaptive femininity trait theory.
Married heterosexual women face a predicament. While for them an undifferentiated sex-role identity type correlates with their husbands' happiness, and their own unhappiness, the inverse applies to their femininity and androgyny.
The practical implications of this and other conclusions are also detailed. / Psychology / D. Litt et Phil (Psychology)
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Sex-role identity and relationship satisfactionPrinsloo, Casper Hendrik 29 February 2004 (has links)
People spend substantial parts of their life in a close dyadic relationship. The results range from the fulfillment of emotional, intellectual, social and physical needs, to physical and emotional abuse.
The study clarifies the association between sex-role identity type, with its two traits (masculinity and femininity), and relationship satisfaction, at the dyadic level. The latter implies a focus on the identical (or different) levels of presence of the two constructs among partners in couples. Extraneous factors and personal (non-dyadic) effects are covered in addition.
The two main variables are evaluated with the Bem Sex Role Inventory (BSRI) and Spanier's Dyadic Adjustment Scale (DAS). In each case, a second instrument was administered for validation. The survey-type study followed a correlational, cross-sectional design.
The main purposes have been to test new theoretical frameworks against empirical data, and knowledge production.
A three-pronged approach included: an extensive literature review to identify methodological and knowledge gaps; a theory-driven design and methodology to ensure a sound study; and empirical data collection to verify the theoretical position through hypothesis testing.
Likely sources of bias were countered by involving balanced numbers of male and female, and homosexual and heterosexual respondents, from non-student populations, over a wide age range, and living in close relationships spanning at least two years.
The correlational design and relatively small sub-samples dictated the application of descriptive frequencies, and chi-square, variance (ANOVA) and regression analyses, as statistical techniques.
The findings emerged as more similar than different for homosexual and heterosexual participants. This implies that homosexuals are not a deviant group, but equally able to achieve happiness. Congruent (identical) sex-role identity traits between partners were not strong(est) in predicting satisfaction. However, femininity and androgyny, as highest adaptive type, and identical sex-role identity types between partners did. As a result, the initial sex-role identity congruence theory has been modified into the adaptive femininity trait theory.
Married heterosexual women face a predicament. While for them an undifferentiated sex-role identity type correlates with their husbands' happiness, and their own unhappiness, the inverse applies to their femininity and androgyny.
The practical implications of this and other conclusions are also detailed. / Psychology / D. Litt et Phil (Psychology)
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Three men's experience of their journey to and through divorce: the unheard songsHuman, Werner J. 30 November 2006 (has links)
The psychological effects on, and the experience of divorce by women and children are widely researched. However little data is available on how divorce affects men and how they experience a marriage break-up. This study aims to explore and describe the `voices' (experiences) of divorce from three men's perspectives. The randomly selected sample for this study consisted of three participants'. Data was collected in the form of the participants own written testimonials. Out of the written testimonials themes were identified and explored by the researcher. This was done from an ecosystemic epistemological stance within the post-modern paradigm, with the symbolic use of music / popular songs to further `enhance' the exploration and description of the research participants' experiences of divorce. A qualitative methodological design was followed, allowing `unique' and personal `meaning' and experience to emerge. This study's results were presented in the form of `integrative' and descriptive text. Overall the study explicated unique descriptions of men's experiences of divorce with the creative application of music to enhance descriptions and experiences. / Psychology / M.A. (Clinical Psychology)
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Glasser se realiteitsterapie en die toepassing daarvan in terapie met pareMills, Magdalena 30 November 2005 (has links)
The increasing demand for couples therapy and its present low success rate led to the question
whether Glasser's reality therapy, with its innovative approach, could possibly be of value to couples therapy in South Africa. Glasser emphasizes the importance of healthy personal
relationships, freedom of choice and responsibility. In therapy he focuses on the fact that each person has control of what he/she does and thinks and that he/she should take responsibility for it. On the basis of a limited qualitative study, it was found that, with certain reservations, this therapy could make a valuable contribution to the success of couples therapy. Professional persons should be encouraged to apply reality theory in couples therapy, training institutions should train their students in this regard and more comprehensive and in-depth research should be undertaken to determine its value in larger and more representative groups. / Educational Studies / M. Ed.
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The creation and manifestation of reality through the re-enactment of subconscious conclusions and decisionsOpperman, Michiel Christiaan 31 March 2005 (has links)
The Creation and Manifestation of Reality-theory was developed for this study. This theory provides an answer to why high functioning people experience problems at work, develop relationship problems, and other dysfunctions that occur in their lives. It provides an explanation as to why this happens: at a certain point in our existence a critical incident (or Initial Sensitising Event) or a series of repeated incidents is perceived by the person as traumatic. During this time of high emotion the child forms a subconscious conclusion, followed by a subconscious decision. The Hypnotic Blueprint is an accumulation of all the different subconscious conclusions and decisions formed over time at a time of intense emotionality, during which the psyche feared for its survival, repressed, gated and banished into the borders of the person's subconscious mind. Numerous other incidents occur through life that reinforce and bolster the original Hypnotic Blueprint. Simultaneously, conflicting ego-states are formed, attempting to balance the state of disequilibrium.
Later in life, the original Blueprint is triggered, through the Symptom Activating Event, at a sub-conscious level and starts to operate in the person's life, attracting the circumstances and people who best replay or re-enact the original trauma on a symbolic level. This pattern will be recreated in the person's life, and will most often be the reason why the person enters therapy, or the presenting problem. Life acts as a mirror of the inner world or the psyche of the person. The inner world is mirrored by the other world, or reality. By changing our inner reality, we impact or transform our outer reality.
To complete the Creation and Manifestation of Reality-theory, the Imago Developmental Stages identified by Harville Hendrix, were integrated, namely Attachment, Exploration, Identity and Competence. The therapeutic modality suggested is de-hypnotising.
The study does not intend to measure the success of the therapy, but rather to establish and test the validity of the Creation and Manifestation of Reality-theory on case studies, using the Life History approach. / Educational Studies / DED(PSYCHOLOGY OF EDUCATION)
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The creation and manifestation of reality through the re-enactment of subconscious conclusions and decisionsOpperman, Michiel Christiaan 31 March 2005 (has links)
The Creation and Manifestation of Reality-theory was developed for this study. This theory provides an answer to why high functioning people experience problems at work, develop relationship problems, and other dysfunctions that occur in their lives. It provides an explanation as to why this happens: at a certain point in our existence a critical incident (or Initial Sensitising Event) or a series of repeated incidents is perceived by the person as traumatic. During this time of high emotion the child forms a subconscious conclusion, followed by a subconscious decision. The Hypnotic Blueprint is an accumulation of all the different subconscious conclusions and decisions formed over time at a time of intense emotionality, during which the psyche feared for its survival, repressed, gated and banished into the borders of the person's subconscious mind. Numerous other incidents occur through life that reinforce and bolster the original Hypnotic Blueprint. Simultaneously, conflicting ego-states are formed, attempting to balance the state of disequilibrium.
Later in life, the original Blueprint is triggered, through the Symptom Activating Event, at a sub-conscious level and starts to operate in the person's life, attracting the circumstances and people who best replay or re-enact the original trauma on a symbolic level. This pattern will be recreated in the person's life, and will most often be the reason why the person enters therapy, or the presenting problem. Life acts as a mirror of the inner world or the psyche of the person. The inner world is mirrored by the other world, or reality. By changing our inner reality, we impact or transform our outer reality.
To complete the Creation and Manifestation of Reality-theory, the Imago Developmental Stages identified by Harville Hendrix, were integrated, namely Attachment, Exploration, Identity and Competence. The therapeutic modality suggested is de-hypnotising.
The study does not intend to measure the success of the therapy, but rather to establish and test the validity of the Creation and Manifestation of Reality-theory on case studies, using the Life History approach. / Educational Studies / DED(PSYCHOLOGY OF EDUCATION)
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