This study examines the relationship between adolescent depressive symptomology and substance abuse. From a literature study six hypotheses were developed. A quantitative empirical study, undertaken in a South African high school, investigated the level of adolescent depressive symptomology and substance abuse, as well as the relationship between the two. The influence of various moderator variables was also examined. In line with most international studies, the relationship between adolescent depressive symptomology and substance abuse was found to be significant. This research has shown that adolescent depressive symptomology is significantly and positively correlated with earlier age of onset of substance abuse as well as frequency of usage. There appear to be gender differences in the way adolescents deal with their depression in terms of substance abuse. In addition, risk factors for depression and substance abuse were confirmed. Recommendations have been made based on these results. / Psychology of Education / M.Ed. (Guidance and Counselling)

Murder, rape, corruption and gang wars, sounds like something out of a bad movie but for many it is their way of life and not a movie they can stop. Many people today live with the constant threat of attack and the threat is often not by some stranger but someone they know, their neighbour, their uncle, their father, their domestic worker and on occasion even their own mother. As crime escalates more people are asking the question,"Why this rapid increase in crime and why is there such an increase in the number of violent crimes?" South Africa is well known, unfortunately, for its high crime rate and in particular it's exceptionally high violent crime rate. South Africa is rated in the top 10 for the highest murders per capita (UNDOC 2011). Over the past 20 years the number of violent crimes has progressively increased and the reason for this increase needs to be examined. there appears to be a rapid increase in the number of people presenting personality disorders in society. A number of studies have been conducted on the etiology of anti-social personality disorder and on psychopathology. In the past the majority of these studies had been conducted in developed countries and in the past few years a number of studies have started to be conducted in developing countries. Although very interesting with great insight very few have tried to examined any trends and differences between developed and developing countries. During the course of these studies it has been observed that inmates and people exhibiting Psychopathy traits are more likely to commit violent crimes and in addition reoffend. The thesis proposed examines trends between developed and developing countries to find any links between crime and psychopathology and in addition the etiology, prevalence and prevention of psychopathology. The study will identify a number of models utilised to understand violence in society and personality disorders with particular reference to psychopathy. The study is being done in order to obtain a better understanding of a link between psychopathology and escalating crime in South Africa and what, if anything can be done to decrease this prevelance. This thesis outlines a number of diagnostic tools utilised in order to determine if a person is indeed suffering from psychopathy. Each one of these is discussed and the validity of each considered for both developed and developing countries as a diagnostic tool. The study clearly show that there are a number of unanswered questions around psychopathy within South Africa and that more research within a South African context needs to be conducted if this disorder is to be properly understood. / Psychology / M.A. (Psychology)

Studies indicate that, except for anger, many men tend to avoid expressing their feelings, especially those feelings indicative of personal vulnerability and emotional dependency (Levant, Hall, Williams, & Hasan, 2009). Men are frequently portrayed as lacking the ability to recognise, own and find words with which to express their feeling experiences; this is captured by the term alexithymia (Levant, Hall, Williams, & Hasan, 2009). Defined by ‘restrictive emotionality’, alexithymia literally indicates ‘without words for emotions’. Roland Levant has contended that men who are strongly influenced by ideas of traditional masculinity tend to be alexithymic (Levant, Hall, Williams, & Hasan, 2009). The central aim of this study was to focus on and understand the emotional experiences of participants of all-male or gender-homogenous group psychotherapy of this study. The study used a qualitative approach to understand how men emotionally engage or do not engage and express their emotions. Men who had been in all-male group psychotherapy were purposively selected to participate in this study. In-depth interviews guided by a semi-structured questionnaire were conducted and analysed according to the thematic analytic method. This study explored and described the accounts of lived emotional engagements of male participants in an all-male psychotherapy group. The study sought to highlight the significance of an explicit masculine framework with male emotions within a framework of non-deficit assumptions. The non-deficit approach to men privileges the strengths and unique contributions that men make as partners and fathers (Dollahite & Hawkins, 1998). This study explored and described the accounts of lived emotional engagements of male participants in an all-male psychotherapy group. The study sought to highlight the significance of an explicit masculine framework with male emotions within a framework of non-deficit assumptions. The non-deficit approach to men privileges the strengths and unique contributions that men make as partners and fathers (Dollahite & Hawkins, 1998). This study aspired to demonstrate that a gender-conscious model in working with male emotions enhances men’s capacity for a quality and depth of emotional engagement that echoes the more optimistic research on the male capacity for self-reflection and openness to subjective transformation (Kiselica, 2003). / Psychology / Ph. D. (Psychology)

The purpose of this study was to explore the impact of the latchkey situation on children's relationships. A literature study on the concept `latchkey' children was conducted and it was established that there are only a few studies conducted on the phenomenon. However, most of the literature consulted established that self-care has a negative and positive impact on children's relationships with the self, their parents, siblings, peers and educators. To confirm the findings from the literature study an empirical study was conducted by means of collecting data from three `latchkey' children, three educators and four parents. The empirical research confirmed the findings of the literature study that a latchkey situation has indeed a negative impact on children's relationships with the self and others. The empirical study did, however, not confirm the positive impact of a latchkey situation on children's relationships with the self, parents, siblings, peers and educators. / Educational Studies / M. Ed (Guidance and Counselling)

The aim of this explorative study is to establish if psychiatric disorders influence the criminal capacity of child offenders. A qualitative approach was adopted in the study to develop an in-depth understanding of the issues pertaining to criminal capacity assessments for child offenders with psychiatric disorders. The risks associated with various psychiatric disorders in relation to childhood criminality, and the methods that are used to deal with child offenders who suffer from psychiatric disorders, were also explored. The data collection tool for this study was a semi-structured interview schedule. Telephonic and face-to-face interviews were conducted with child justice and mental health experts from four provinces in South Africa, namely, KwaZulu-Natal, Gauteng, Eastern Cape and Western Cape. These experts included psychiatrists, psychologists, social workers, academic professors of law, a criminologist and an advocate. Snowball sampling was employed and although this is a pure qualitative study, the open coding, axial coding and selective coding process from the grounded theory was applied to analyse and interpret the data. The findings from this study indicate that psychiatric disorders are a risk factor associated with the causation of criminal behaviour. A high prevalence of psychiatric disorders, such as intellectual disability, learning disorder, attention deficit hyperactivity disorder, oppositional defiant disorder and conduct disorder, were generally found in children in conflict with the law. The influence and consequences of these psychiatric disorders, in conjunction with environmental and societal factors, were found to influence criminal behaviour and were highlighted as factors that ought to be taken into consideration when determining the criminal capacity of a child who is in conflict with the law. Findings from the study identified that adequate recognition was not granted to the influence of a psychiatric disorder in the assessment of a child‟s criminal capacity. It was established that, in the criminal capacity assessment, the emphasis should not be on the psychiatric disorder per se, but on the effect that the disorder and associated symptoms may have on the child‟s ability to distinguish between the wrongfulness of their actions and to act in accordance with this understanding. Operational challenges and ambiguities identified in the legislative framework pertaining to child offenders with psychiatric disorders were found to negatively influence criminal capacity assessments for children in conflict with the law. The lack of services available to child offenders with psychiatric disorders, as well as child offenders without psychiatric disorders, was found to hamper the best interest of the children in conflict with the law. Lastly, legislative and service recommendations for good practice to deal with child offenders with psychiatric disorder were identified by the experts. / Criminology and Security Science / M.A. (Criminology)

The ongoing war in the Democratic Republic of Congo (DRC) has caused sustained trauma on a number of levels and stressors that could easily have debilitating consequences on the mental health of Congolese citizens. The literature further reveals that immigration brings with it a host of additional stressors. The stress related to immigration, an appreciation of diverse cultural understandings of mental health, the burdens and costs of adequate mental health policy and provisioning within developing countries, are concepts that are not well understood nor fully documented. The present study explored the cultural understanding and help-seeking behaviours of Congolese immigrants in South Africa. The purpose of the study was to understand the ways in which Congolese cope with stressors related to immigration. Using SocialIdentity Theory as a partial conceptual framework, the role of acculturation processes in their understanding and help-seeking behaviours regarding mental health challenges, were examined. A platform for participants to suggest suitable ways of responding to improving the management of mental challenges in their community was provided. A qualitative approach, based on Participatory Action Research (PAR) and content analysis to explore the emerging narratives, was used with a Gauteng-based sample to gather the accounts of the lived experiences of Congolese immigrants. A snowball sampling technique enabled twenty-seven respondents to participate in one paired conversation and five focus groups. The emerging findings are critically discussed aligned to the six categories of inquiry structured by the interview schedule, namely, coping strategies since immigration, the understanding of mental health challenges, the possible impact of being immersed in the South African culture, perceptions of mental challenges and persons affected within the Congolese community, the preferred help-seeking behaviours regarding mental health challenges and, finally, their recommendations for improving the management of mental health challenges. The layered meta-analysis of the data consisted of interrogating the thematic categories, then conducting an analytical review aligned to both the pertinent research aim and objectives, as well as related theoretical positions and research findings. v | P a g e The key research question underpinning this study was formulated as follows: “Will immigrating from the DRC to South Africa change the understanding and help-seeking behaviours of Congolese?” The study drew on the processes of acculturation from Social Identity Theory to examine these processes. Participants reported experiencing the effects of acculturation but in different ways. Patterns of assimilation, separation and integration were found. The study therefore served to contribute to our understanding of the effects of acculturation with regard to the cultural understanding and help-seeking behaviours of Congolese immigrants in South Africa regarding mental health. Most significantly, the assumption of high levels of trauma and stress within this vulnerable community were unfounded. Rich and complex survival strategies have emerged requiring refinement of our knowledge about migrant communities. The strengths and relative weaknesses of the study are shared as well as a set of recommendations for future research in this domain. / Psychology / M. Sc.(Psychology)

This research worked toward a general aim of analysing the role of salutogenic functioning as moderator variable in coping and noncoping. A sample of forty-one community service doctors (N = 41) employed in KwaZulu-Natal hospitals was obtained. According to the literature, salutogenic properties are expected to act as generalised resistance resources. Based on this assertion, it was assumed that: degree of salutogenic functioning = degree of coping = degree of stress and burnout. The results demonstrated high levels of stress and depersonalisation burnout. Salutogenic functioning tended to be low, especially for sense of coherence. The results indicated, no significant relationship between stress/burnout and salutogenic functioning. Salutogenic functioning was unable to differentiate between copers and noncopers. These results contradicted the literature assertion that high scores on salutogenic functioning correlate with low scores on stress/burnout. It was concluded that variables other than personality moderated for the high levels of stress and burnout in the sample. / Industrial and Organisational Psychology / M.A. (Industrial Psychology)

The study investigated the lived experiences of women suffering from Multiple Sclerosis in Johannesburg and the East Rand. The study aimed at describing how these experiences affect their lives, and how these women cope after being diagnosed. A qualitative approach was utilised following an exploratory, descriptive, phenomenological, contextual research design. An in-depth literature study was conducted for information used as a basis for the study. Data collection included semi-structured interviews and a focus group. Data-analysis revealed a lack of understanding for the emotional, physical and social problems encountered. Recommendations proposed that the community be sensitised to the reality of MS and disabled persons, and that comprehensive support structures be put in place to attend to the needs of women suffering from Multiple Sclerosis. / Health Studies / M.A. (Health Studies)

Unintended and unwanted pregnancies are major reproductive health problems impacting negatively on women’s health globally. When faced with these pregnancies, many women choose termination of pregnancy (TOP) as their recourse. The purpose of the study was to explore and describe physical, psychological and social implications of TOP on the woman’s health. A qualitative and descriptive research design was used. The population comprised women who had TOP three months to one year before the study and were willing to participate in the study. A non-probability purposive sampling was used to select participants for the study. In-depth phenomenological interviews were used for data collection until data saturation was reached with 20 participants. The findings reveal that women had psychological, physical and social implications after TOP which impacted negatively on their health. Recommendations were made to improve the services of women choosing to terminate a pregnancy to lessen negative implications. / Health Studies / M.A. (Health Studies)

The aim of this study was to determine the ability and proficiency of the newly qualified professional nurses in utilising psychiatric nursing skills at Chris Hani District Psychiatric Health Care Services in the Eastern Cape, South Africa. The research method was a qualitative, phenomenological approach. A purposive sample of newly qualified professional nurses and supervisors participated in the study. The data were collected through interviews and focus group discussions, using semi – structured interview guides. Interviews responses were recorded on the interview guide. Data were analysed using the computer software Atlas ti and manually. Positive and negative themes were identified. Ethical considerations were ensured by means of privacy, anonymity and confidentiality. Ethical clearance was obtained from the University of Fort Hare and permission from the Provincial Department of Health and Chris Hani District Health and Mental Health Institution at Queenstown was sought. The findings revealed that newly qualified professional nurses performed well, according to the perception of their supervisors. Newly qualified professional nurses were faced with challenges such as shortage of resources, mental illness not considered as a priority and lack of skills development. The study also revealed that newly qualified professional nurses focussed on the curative aspect of ailments, rather than preventive care. However community health workers (CHW) focussed on the preventive aspect of care. Limitations and recommendations based on the findings of the study are presented.