Thesis (PhD)--Stellenbosch University, 2014. / ENGLISH ABSTRACT: Parental loss and orphanage placement can be stressful and can negatively influence the well-being of children. However, few studies have been conducted on the psychological well-being of Ghanaian orphans placed in orphanages. As a result, the impact of orphanage placement following parental loss in Ghana is not well understood. The present study aimed to explore the psychological functioning and experiences of orphaned children placed in orphanages in comparison to non-orphaned children in Accra, Ghana. A mixed-method design with elements of both quantitative and qualitative approaches was used. For quantitative data, questionnaires were used to source information pertaining to quality of life, stress (symptoms of depression and anxiety), problems experienced during the month, coping strategies, perceived social support, perceived self-efficacy and resilience. For qualitative data, follow-up interviews with selected orphaned participants were used to delve into participants’ experiences of placement in an orphanage. Purposive sampling was used to select participants who were aged between seven and 17 years. The sample comprised 100 orphaned children, placed in four orphanages, and 100 non-orphans sampled from two public schools in Accra. The quantitative data were analysed using the t-test, the chi-square test, Pearson product-moment correlation analyses, one-way analysis of variance (ANOVA) and regression analyses. The qualitative data were analysed through content and thematic analyses. The results revealed that orphaned children showed more anxiety symptoms than non-orphans but both groups of children presented with high levels of depressive symptoms. The predominant problems for both groups of children were problems with school and relationship problems with peers and caregivers. However, for orphaned children, relationship problems with peers were commonly cited whereas for non-orphans, problems cited were relationship difficulties with caregivers. Despite the heightened emotional distress, orphaned children reported high levels of self-efficacy and resilience as well as stronger perceptions of available support from friends than non-orphans. Non-orphaned children perceived significantly stronger support from families than orphaned children. Regression analyses also revealed that for orphaned children, anxiety and support-seeking coping emerged as significant predictors of qualify of life whereas depression emerged as a significant predictor of quality of life for non-orphaned children. Self-efficacy emerged as a significant positive predictor of resilience for orphaned children whereas self-efficacy and perceived social support emerged as significant positive predictors of resilience for non-orphans. The results of the thematic analyses of the follow-up interviews with selected orphans also revealed that orphanage placement evoked both negative and positive experiences. While orphanages provided structure, nurturance, a safe home environment and avenues for positive peer relationships that engendered a sense of belonging, they were also associated with financial constraints and relationship problems with peers and caregivers. In addition, the Christian-religious orientation of the orphaned children appeared to foster orphans’ well-being. The present study provided evidence that both the orphaned and non-orphaned children were vulnerable to psychological distress. Therefore, interventions should be effected to both groups of children. Furthermore, the study showed that orphanages provided sanctuary and nurturance to orphans who lack parental care and could be considered as a viable form of orphan care in Ghana. / AFRIKAANSE OPSOMMING: Ouerverlies en weeshuisplasing veroorsaak stres en kan die welstand van kinders negatief beïnvloed. Min navorsingstudies is egter gedoen oor die psigologiese welstand van Ghanese weeskinders wat in weeshuise geplaas word. Die gevolg is dat die impak van weeshuisplasing ná ouerverlies nie goed in Ghana verstaan word nie. Die studie is daarop gemik om die psigologiese funksionering en ervarings van kinders wat ouerloos gelaat en in weeshuise in Accra, Ghana, geplaas word, te ondersoek en dit met dié van nieweesgelate kinders te vergelyk. ’n Gemengdemetode-ontwerp met elemente van beide kwantitatiewe en kwalitatiewe benaderings is gebruik. Vraelyste is vir die kwantitatiewe data gebruik ten einde inligting te bekom oor lewenskwaliteit, stres (simptome van depressie en angs), daaglikse streswekkers of stressors, behartigingstrategieë, waargenome sosiale steun, waargenome selfbedrewendheid en veerkrag. Vir die kwalitatiewe data is opvolgonderhoude met geselekteerde weesgelate deelnemers gevoer ten einde die deelnemers se geleefde ervarings van plasing in ’n weeshuis indringend te bekyk. Doelgerigte steekproefneming is gebruik om deelnemers tussen die ouderdom van sewe en 17 jaar oud te selekteer. Die steekproef het bestaan uit 100 weesgelate kinders wat in vier weeshuise geplaas is, en 100 nieweesgelate kinders wat as steekproef uit twee openbare skole in Accra geneem is. Die kwantitatiewe data is ontleed met gebruikmaking van die t-toets, die chi-kwadraattoets, Pearson-produkmomentkorrelasieontledings, asook eenrigting-variansie- (VARO) en regressieontledings. Die kwalitatiewe data is aan die hand van inhouds- en tematiese ontledings geanaliseer. Volgens die resultate toon weesgelate kinders meer angssimptome as nieweesgelate kinders, terwyl beide groepe kinders met hoë vlakke van depressiewe simptome presenteer. Die oorheersende daaglikse stressors by beide groepe kinders is probleme by die skool, asook verhoudingsprobleme met die portuurgroep en sorggewers. Wat die weesgelate kinders betref, word verhoudingsprobleme met die portuurgroep egter as die mees algemene probleme aangevoer, terwyl nieweesgelate kinders verhoudingsprobleme met sorggewers aandui. Afgesien van die verhoogde emosionele nood, toon weesgelate kinders hoë vlakke van selfbedrewendheid en veerkrag, asook sterker persepsies van beskikbare bystand deur vriende, as wat die geval is by nieweesgelate kinders. Nieweesgelate kinders neem beduidend sterker bystand van families waar as wat die geval is by weesgelate kinders. Regressieontledings dui ook aan dat angs en bystandsoekende behartigingsgedrag by weesgelate kinders as beduidende voorspellers van lewensgehalte presenteer, terwyl depressie as ’n beduidende voorspeller van lewensgehalte by nieweesgelate kinders presenteer. Selfbedrewendheid presenteer as ’n beduidende positiewe voorspeller van veerkrag by weesgelate kinders, terwyl selfbedrewendheid en waargenome sosiale bystand as beduidende positiewe voorspellers vir veerkrag, by nieweesgelate kinders presenteer. Volgens die resultate van die tematiese ontledings van opvolgonderhoude met geselekteerde weeskinders, ontlok weeshuisplasing beide negatiewe en positiewe ervarings. Weeshuise skep struktuur, koestering, ’n veilige tuisomgewing en kanale vir positiewe portuurgroepverhoudings, en gevolglik ’n gevoel van samehorigheid, ofskoon hierdie instansies ook met finansiële beperkings en verhoudingsprobleme met portuurgroepe en versorgers verbind word. Verder blyk dit dat die Christengeloof-oriëntasie van die weesgelate kinders die welstand van die weeskinders bevorder. Die aangebode studie lewer bewys dat sowel die weesgelate as die nieweesgelate kinders kwesbaar is vir psigologiese nood. Gevolglik word intervensies vir beide groepe kinders aangedui. Die studie toon verder dat weeshuise ’n toevlugsoord en versorgingsplek bied vir weeskinders wat nie ouerlike sorg ontvang nie, en dat dit as ’n lewensvatbare vorm van weeskindsorg in Ghana beskou kan word.

ABSTRACT CREATING AND NURTURING A CULTURE OF ADOPTION AND ORPHAN CARE IN THE LOCAL CHURCH: A MULTIPLE CASE STUDY Randall Damon Burns, Ed.D. The Southern Baptist Theological Seminary, 2015 Chair: Dr. Anthony Wayne Foster This research, a multiple case study, examined three churches to identify the key strategies used to develop and sustain an orphan care culture within their congregations. A minimum of five participants were interviewed at each church. The qualitative research design was achieved by completing semi-structured interviews over the telephone. Following the interviews, I transcribed, coded, and analyzed the data. This research identified four main strategies: teaching, leading, providing opportunities to engage, and developing support structures. Each strategy had sub-strategies. Teaching included awareness, communication, instruction, preaching, theology, Bible study, practical information, and training. Leading included types of leadership and methodology. The strategy providing opportunities to engage included raising awareness about the types of orphan care and making them accessible. Developing support structures included organizational support structures like a resource library and relational support structures like a support group. Key terms: adoption, adoption culture, culture, forming culture, orphan, orphan care, orphan care culture, orphan care strategies.

Thesis (M.A. (Clinical Psychology)) --University of Limpopo, 2008 / The aim of this study was to investigate the psychological difficulties encountered and ways of coping by HIV/AIDS orphans in Limpopo Province. The sample was comprised of 70 children whose parent(s) died of HIV/AIDS related diseases between the ages 05 and 18 years. The data were collected through the use of face to face interview and questionnaires. The study results show that as a results of trauma resulting from taking care and witnessing ill parent(s) die, HIV/AIDS orphans suffer from sadness, helplessness, anger, guilty, aggression and frustration that often lead to withdrawal and subsequent depression, In quantitative study Beck Depression Inventory was also used to determine the levels of depression (mild, moderate, and/or severe levels) and it was discovered that HIV/AIDS orphans experience moderate to severe depression. The study further looked on whether demographic factors including (age, gender, religion, home language, number of siblings, and level of education) have an impact on the experience of depression. Qualitative study findings also discovered that HIV/AIDS orphans do not experience the relationship with their caregivers as being supportive. Furthermore, mixing with non-orphaned peers was reported to be a mission and emotionally distressing. Qualitative study also discovered that HIV/AIDS orphans lack many adults whom they can trust and who they could be able to express their feelings, as result they try to find their own ways of coping with their circumstances. However, quantitative study also looked at three ways of coping (cognitive, behavioural and avoidance ways of coping) that could be used by HIV/AIDS orphans. This was achieved through the use of ways of coping scales. The findings of this study discovered that HIV/IADS orphans use cognitive and avoidance ways of coping more than behavioural ways of coping. Furthermore, the study looked at whether there is a relationship between ways of coping and biographic factors (age, gender, religion, home language, number of siblings, and level of education). It was discovered that HIV/AIDS orphans are psychologically distressed and need to be transferred for psychological therapy after the loss of their parents.

Orphans of British Fiction, 1880-1911 Abstract William David Floyd Orphans of British Fiction, 1880-1911 focuses on the depiction of orphans in genre fiction of the Victorian fin-de-siecle. The overwhelming majority of criticism focusing on orphans centers particularly on the form as an early- to middle-century convention, primarily found in realist and domestic works; in effect, the non-traditional, aberrant, at times Gothic orphan of the fin-de-siecle has been largely overlooked, if not denied outright. This oversight has given rise to the need for a study of this potent cultural figure as it pertains to preoccupations characteristic of the turn of the century. The term “orphan” may typically elicit images of the Dickensian type, such as Oliver Twist, the homeless waif with no family or fortune with which he or she may discern identity and totality of self. The earlier-century portrayals of orphanhood that produced this stereotype dealt almost exclusively with issues arising from industrialization, such as class affiliation, economic disparity and social reform and were often informed by the cult of the ideal Victorian family. Beginning with an overview of orphanhood as presented in earlier fiction of the long nineteenth century, including its metaphorical import and the conventions associated with it, Orphans of British Literature, 1880-1911 goes on to examine the notable variance in literary orphans in genre fiction at the turn of the century. Indicators of the zeitgeist of modernism’s advent, turn-of-the-century orphans functioned as registers of burgeoning cultural anxieties particular to the fin-de-siecle, such as sexual ambiguity, moral and physical degeneration and concerns about the imperial enterprise. Furthermore, toward the century’s end, the notion of the ideal family fell under suspicion and was even criticized as limiting and oppressive rather than reliable and inclusive, casting into doubt the institution to which the orphan historically aspired and through which the orphan state was typically rectified. As a result, in contrast to the sentimental street urchin of early and middle century fiction, fin-de-siecle orphans are often unsettling, irresolute, even monstrous and violent figures.

Introduction: the number of orphans world wide including Malawi, has increased greatly due to the Acquired Immune-Deficiency Syndrome (AIDS). The increased number of orphans has led to the development of community based strategies for continuity of care to orphans. People in various communities offer themselves as volunteers to care for the orphans with an aim to providing the best care possible. Due to the increased number of orphans, the caretakers are challenged in the provision of care, to promote the health status of the children. Purpose: The purpose of the study was to determine the knowledge and health information needs of caretakers in orphan care at the Mphatso day care centre in Lilongwe, Malawi. Methodology: A descriptive qualitative approach was used to determine the knowledge and health information needs of caretakers of orphans. Using a descriptive qualitative research method, the researcher interviewed eight participants working as volunteers at Mphatso Orphan Day Care Centre in Lilongwe, Malawi. Data analysis: In the study, a general content analysis approach was used. In this approach, the audio taped data were transcribed verbatim and translated from Chichewa to English soon after data collection prior to the next day of interview. Transcribing verbatim was done by listening to the tape recorded interviews several times until all the data were captured. Data were thereafter, displayed, reduced and organized into categories and sub categories. Results: Results generated from the study revealed that the caretakers benefit from training prior to the adoption of the caring role. The caretakers were also knowledgeable about the health challenges of the orphans, the concept of caring and health information needs that can help them provide the best care possible to the orphans. Conclusion: Children are facing the tragedy oflosing one or both parents to AIDS. Ifone parent is infected with HIV, there is a high probability that the other parent is also infected and so the entire family faces the threat of illness and later on death. Despite the death of these parents, the children left behind require the continuity of care. Volunteers shoulder the responsibility of caring for the children left by the deceased families. As such, there is need to support those who have dedicated their time to the orphans. Apart from material and financial resources, there is need to support the caretakers of orphans in institutions of care with health information relevant to orphan care. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2009.

Thesis (Ph. D.)--University of Alabama at Birmingham, 2007. / Additional advisors: Gypsy Abbott, Lois M. Christensen, Lynn D. Kirkland, Maryann Manning. Description based on contents viewed Feb. 6, 2008; title from title screen. Includes bibliographical references (p. 101-104).

This study focused on the psychosocial effects of parental loss on children orphaned by HIV/AIDS. The primary aim of the research was to explore the psychosocial effects of parental loss on children orphaned by HIV/AIDS through the eyes of the caregivers. Five participants were selected for this study using convenience sampling. The data was collected using face-to-face semi-structured interviews. The interviews were analysed using thematic content analysis and themes were extracted and presented. The results of this study indicate that children orphaned by HIV/AIDS living in the children’s home experience many psychosocial problems. Further research on the psychosocial issues specific to orphaned children raised in children’s homes in rural areas is recommended / Psychology / M. A. (Clinical Psychology)

The HIV and AIDS epidemic in sub-Saharan Africa calls a great national and global response in order to face the challenges associated with the illness for the individual, households, community and future of nations. The disease has led to an increased number of orphans and other vulnerable children in Botswana where the non-governmental organizations stand for social service delivery to these children. However, this is not without challenges and pressure for adaption from other organizations. The NGO staff members carry out their work within this organizational context between a variety of influences and relations that are reflected in terms of challenges they define. A wide range of strategies are used by the actors and organizations to deal with these barriers. Therefore, it is of importance to explore the NGO staff member’s experiences of their work in relation to an institutional perspective, which this study intends to do. The focus of the analysis was on separating the material into categories that answer the research aim by using influences from the coding process of grounded theory. The results demonstrated that the NGOs work within local and global tensions in their organizational fields including the ability to preserve traditional practices and adapt to international changes. This for the organizations to be able to gain legitimacy, receive funds and continue to provide their services to orphans and other vulnerable children in the country. / HIV och AIDS-epidemin i subsahariska Afrika kräver en omfattande nationell och global respons för att möta de utmaningar som är förknippade med sjukdomen för individen, hushåll, samhället och nationers framtid. Sjukdomen har lett till ett ökat antal föräldralösa och andra utsatta barn i Botswana där icke-statliga organisationer står för utförande av sociala tjänster och vård till dessa barn. Detta är dock inte utan utmaningar och påtryckningar om anpassning från andra organisationer. De icke-statliga organisationernas personal utför sitt arbete inom detta organisatoriska sammanhang mellan en mängd olika influenser och relationer som återspeglas i utmaningar vilka de definierar. Ett brett utbud av strategier används av de aktörer och organisationer för att ta itu med dessa hinder. Därför är det av vikt att utforska icke-statliga organisationer och specifikt personalens erfarenheter av sitt arbete i förhållande till ett institutionellt perspektiv, vilket denna studie avser att göra. Fokus för analysen var att separera materialet i kategorier som svarar på syftet genom att använda influenser från kodningsprocessen av ”grundad teori”. Resultatet visade att organisationerna arbetar inom lokala och globala spänningar i deras organisatoriska fält, inkluderande en vilja att bevara traditionella sedvänjor men samtidigt anpassa sig till internationella förändringar. Detta för att de icke-statliga organisationerna ska kunna uppnå legitimitet, få finansiering och fortsätta att tillhandahålla sina tjänster till föräldralösa och utsatta barn i landet.

D.Ed. (Educational Psychology) / Children do not exist in isolation of their families and communities. Grief and loss therefore affect them on multiple levels, depending on their personal, social, communal, cultural and economic circumstances. The loss of one or both parents to AIDS in South Africa renders orphaned children and adolescents vulnerable. In addition their grief experiences are influenced by the personal, cultural and communal factors which determine how their feelings of grief and loss are understood and expressed. In certain contexts and cultures, their stories of grief and loss remain unheard and unacknowledged. In many instances, these stories are tucked away in the open spaces and silences of their thoughts and expressions. The purpose of this inquiry is to explore, through creative expressive arts in therapy, the stories of grief of adolescents orphaned by AIDS living in a South African children’s home. This critical ethnographic study describes how a qualitative arts based research method was used to integrate creative expressive arts modalities into therapy sessions as a method of data collection for the study. As such, the critical ethnographic design was employed in order to give attention to the cultural context of the 16 adolescent participants and how this context influenced their sharing of their grief experiences, following the loss of one or both parents to AIDS. This was done in order to answer the research question: ‘What is the story of grief as experienced by the adolescents orphaned by AIDS living in a South African children’s home, as explored through creative expressive arts in therapy?’ In light of this, the research aim of the study was to give an ethnographic account of grief as experienced by adolescents orphaned by AIDS living in a South African children’s home, as explored through creative expressive arts in therapy. Group therapy sessions using creative expressive arts facilitated the development of various data sets which were analysed by means of discourse analysis, in order to derive common themes relating to their stories of grief and loss. The adolescents storied their thoughts and feelings about grief in therapy, through creative expressive arts modalities, demonstrating how their bereavement is impacted by the personal, cultural and social context of the South African children’s home in which they live. The findings and practical implications of this qualitative, critical ethnography provide insight into the grief experienced by South African adolescents orphaned by AIDS. This research endeavour will also expose some of the underlying assumptions about grief of adolescents who have lost one or both parents to AIDS. The study will also indicate how their v life circumstances and grief experiences are subject to elements of power, control and even religious orientation in their culture and community. In order to give voice to the grief experiences of children and adolescents as forgotten mourners, recommendations advocate further research be conducted on the grief experiences of adolescents orphaned by AIDS in South Africa. This can be done in the form of in-depth case studies or larger studies which make use of one or more creative expressive arts modalities in therapy.

The purpose of this study was to create knowledge and obtain an understanding of the importance of the staff’s attitude and their way of meeting the emotional needs of the children who were living at the orphanage. The study also aimed to investigate how and to what extent the children receive help from the staff to achieve self-fulfillment and reach their dreams. Qualitative method was used and four individual (semi-structured) interviews were conducted. The analysis was done based on previous research in the area and Maslows hierarchy of needs. The result shows that the staff believes it is of great importance that there should be someone who listens to the children. If there is someone who listens to the children, they get a chance to process any traumatic events they might have experienced and develop hope of reaching their dreams. The conclusion of the study is that the attitude of the staff is very important for the children's well-being and development.