Amputation patients have a great deal more than just physical recovery to contend with and the extent and scope of this condition is largely unknown in South Africa. Rehabilitation programmes for amputees, specifically at state institutions are characterised by lack of resources, lack of information provided to patients and the patients themselves seem to experience lack of support on an emotional and psychological level. This study investigates the experience of self of the amputation patient through a review of the literature available and from an ecosystemic-postmodernist viewpoint. In addition, guided imagery is examined as a technique that could add value to rehabilitation programmes for amputation patients. Health care professionals in two state hospitals in Pretoria were interviewed by means of semi-structured questionnaires to obtain additional information on current rehabilitation programmes as well as the experience of the amputation and the subsequent process for the amputee. Themes extracted from these questionnaires were used to design a suggested rehabilitation programme. This programme, based on the findings of the research, suggests certain enhancements to existing programmes and is focussed on supporting the experience of the process for the amputee through inclusion of specific guided imagery texts. / Psychology / M.A.(Clinical Psychology)

This thesis reports on the perspectives and experiences of policymakers, advocates, agency supervisors, and experts in the field of gerontology, about the development of Aging and Disability Resource Centers (ADRC) programs and Options Counseling (OC). By examining the foundations upon which ADRCs and OC are built, this study sought to inform future research about the effectiveness of existing practice, increase understanding of best practices, and clarify whether these emerging services are accomplishing original goals. ADRCs and OC intend to address long-term care issues and healthcare needs by providing a single entry point to the social service system. ADRCs offer information, assistance, and OC to people of all ages, incomes, and disabilities, and promote long-term care options that honor independence and respect for the needs and preferences of individuals, their families, and caregivers. They are the latest iteration of policymakers' efforts to provide affordable home-and community-based care for older persons and their caregivers. A total of fifteen qualitative interviews were conducted and analyzed using grounded theory methods. Key persons interviewed included experts in the area of aging, aging policy, and aging. Participants were recruited through referrals suggested by Portland State University's (PSU) Institute on Aging (IOA) staff. In addition, several key experts known to the researcher through affiliation with PSU's IOA agreed to be interviewed. Snowball sampling was then used to locate additional key experts. Interview participants were classified as advocates, state decision makers, policy makers, or academicians. Advocates included national and state directors of agencies that promote the development and management of effective services to aging adults. State decision makers included state directors, ADRC directors and supervisors, and program analysts. Policy makers interviewed were national program directors responsible for shaping the future of developing programs to assist older adults. Academicians who participated in the study have been instrumental in developing and researching practices that promote well-being for the aging and the aged. These key experts were selected based on their knowledge and ability to inform the strengths, weakness, and development of ADRCs and Options Counseling. Many have been instrumental in health and aging policy and service development and research, and possess insider knowledge not available to the general public regarding attitudes and interests motivating the actors. Findings indicate that ADRCs and OC are designed to manage within existing social service systems. They can benefit some individuals by providing more options and support in accessing public and private services. It remains to be seen whether they have the capacity to ameliorate some existing system-level problems. Findings highlight program strengths and weaknesses, sustainability issues, and policymakers, state decision makers', and providers' commitment to sustaining ADRCs and OC.

Afrikaans text, with Afrikaans and English summaries / Despite legislation to the effect intended to ensure the position of the disabled in society, disabled persons still find themselves largely marginalized in the South African context. During this research a group of about twenty participants, of whom about one-half are disabled, were involved in an inclusive process of art-making. The aim of the research was to challenge the dominant discourse which holds that making art is only for the select, talented few. This research was undertaken according to the scientific guidelines of practical theology. Contextual theology was used as a starting point, with emphasis on the participatory- and narrative approaches. The characteristics of pastoral care created an atmosphere which was conducive to the disabled participants discovering and developing hope for a more rewarding future. The research culminated in an exhibition in a national museum, which could contribute to an additional dimension in the narrative of the disabled participants. / Ten spyte van wetgewing om die inklusiewe posisie van die gestremde in die samelewing te verseker, is gestremdes in die Suid Afrikaanse konteks nog grootliks gemarginaliseerd. Vanuit hierdie gemarginaliseerde posisie vind gestremdes dit moeilik en dikwels onmoontlik om hul unieke potensiaal te ontwikkel om sodoende 'n beter lewenskwaliteit lewe te vestig. 'n Groep van ongeveer twintig deelnemers, waarvan die helfte gestremd is, is tydens hierdie navorsing in 'n inklusiewe konteks van kunsmaak betrek. Die doel van die navorsing is om diskoerse uit te daag wat bepaal dat kunsmaak net vir unieke, talentvolle mense beskore was. Teen die agtergrond van 'n postmoderne epistemologie kon gestremdes sonder vooraf opgestelde reels en regulasies uiting gee aan hul verbeelding en sodoende waaghalsig wees in die proses van kunsmaak. Hierdie navorsing het plaasgevind volgens die wetenskaplike riglyne van praktiese teologie. Kontekstuele teologie is as 'n teologiese vertrekpunt gebruik, met die klem op die deelnemende en narratiewe benaderings. Sodoende is ruimte geskep vir die ontdekking sowel as die ontwikkeling van die potensiaal van die gestremde. Die eienskappe van pastorale sorg het 'n atmosfeer tydens die kunsmaaksessies geskep waarbinne die deelnemers in 'n veilige konteks hoop op 'n bykomstige realiteit en 'n beter toekoms kon ontdek en ontwikkel. Die navorsing het gekulmineer in 'n kunsuitstalling in 'n nasionale museum wat kan bydra tot 'n bykomstige dimensie in die verhaal en identiteit van die gestremdes. / Practical Theology / M. Th. (Practical Theology eith specialisation in Pastoral Therapy)

Afrikaans text, with Afrikaans and English summaries / Despite legislation to the effect intended to ensure the position of the disabled in society, disabled persons still find themselves largely marginalized in the South African context. During this research a group of about twenty participants, of whom about one-half are disabled, were involved in an inclusive process of art-making. The aim of the research was to challenge the dominant discourse which holds that making art is only for the select, talented few. This research was undertaken according to the scientific guidelines of practical theology. Contextual theology was used as a starting point, with emphasis on the participatory- and narrative approaches. The characteristics of pastoral care created an atmosphere which was conducive to the disabled participants discovering and developing hope for a more rewarding future. The research culminated in an exhibition in a national museum, which could contribute to an additional dimension in the narrative of the disabled participants. / Ten spyte van wetgewing om die inklusiewe posisie van die gestremde in die samelewing te verseker, is gestremdes in die Suid Afrikaanse konteks nog grootliks gemarginaliseerd. Vanuit hierdie gemarginaliseerde posisie vind gestremdes dit moeilik en dikwels onmoontlik om hul unieke potensiaal te ontwikkel om sodoende 'n beter lewenskwaliteit lewe te vestig. 'n Groep van ongeveer twintig deelnemers, waarvan die helfte gestremd is, is tydens hierdie navorsing in 'n inklusiewe konteks van kunsmaak betrek. Die doel van die navorsing is om diskoerse uit te daag wat bepaal dat kunsmaak net vir unieke, talentvolle mense beskore was. Teen die agtergrond van 'n postmoderne epistemologie kon gestremdes sonder vooraf opgestelde reels en regulasies uiting gee aan hul verbeelding en sodoende waaghalsig wees in die proses van kunsmaak. Hierdie navorsing het plaasgevind volgens die wetenskaplike riglyne van praktiese teologie. Kontekstuele teologie is as 'n teologiese vertrekpunt gebruik, met die klem op die deelnemende en narratiewe benaderings. Sodoende is ruimte geskep vir die ontdekking sowel as die ontwikkeling van die potensiaal van die gestremde. Die eienskappe van pastorale sorg het 'n atmosfeer tydens die kunsmaaksessies geskep waarbinne die deelnemers in 'n veilige konteks hoop op 'n bykomstige realiteit en 'n beter toekoms kon ontdek en ontwikkel. Die navorsing het gekulmineer in 'n kunsuitstalling in 'n nasionale museum wat kan bydra tot 'n bykomstige dimensie in die verhaal en identiteit van die gestremdes. / Philosophy, Practical and Systematic Theology / M. Th. (Practical Theology eith specialisation in Pastoral Therapy)

Indiana University-Purdue University Indianapolis (IUPUI) / Little is known regarding the psychosocial outcomes of adult siblings of adults with autism. Accordingly, the current study sought to: (1) illuminate factors that predict health-related quality of life, caregiver burden, and reported benefits in adult siblings of adults with autism, using a stress and coping framework and (2) compare outcomes of siblings of adults with autism (n = 31) to siblings of adults with Down syndrome (DS) (n = 54). For the within subject hypotheses, analyses were repeated within the DS group and an overall Disability group (n = 97). The Disability group consisted of participants in the Autism and Down syndrome groups plus twelve individuals in a mixed group of adult siblings of adults with DS who presented with co-morbid symptoms of autism. Variables were organized using The Adult Sibling Caregiver Conceptual Model (ASCCM) into three categories: antecedents (e.g., sibling relationship quality, problem behaviors of the disabled sibling), mediators (e.g., coping strategies, cognitive appraisal types), and psychosocial outcome variables (i.e., mental and physical health-related quality of life, caregiver burden, and reported benefits). For the within subject primary hypotheses, I posited a series of relationships between the antecedents and outcomes based on prior literature on demographic and individual difference predictors (e.g., siblings of adults with autism with fewer problem behaviors would have increased health-related quality of life [HRQOL], decreased caregiver burden, and increased reported benefits) and on stress and coping factors related to the burden of providing care for an individual with autism (e.g., greater use of avoidant coping strategies would be related to lower HRQOL, increased caregiver burden, and decreased reports of benefits). Exploratory hypotheses also were examined (e.g., being married would be associated with increased HRQOL, decreased burden, and increased reported benefits). The within-subject results indicated support for eight of the ten primary hypotheses and five of the six exploratory hypotheses when examined within at least one of the study groups: Autism, DS, or Disability. Overall, sibling caregivers, regardless of their sibling’s disability, reported more favorable psychosocial outcomes when demands were lower (e.g., less severe levels of problem behaviors, fewer autism symptoms exhibited by their disabled sibling, decreased additional pile-up stress), when resources were available to cope with stress (e.g., social support, respite care), and when healthy responses to stress were reported (e.g., use of emotion focused vs. avoidant coping strategies, use of challenge vs. threat appraisal types). Of note, reported benefits, which have rarely been examined in the autism literature, were strongly related to the quality of a sibling relationship across all study groups, and with the helpfulness of received services and perceived social support within the Autism group. The between subject hypotheses also were largely supported. As expected, compared to siblings of those with Down syndrome, siblings of those with autism demonstrated greater levels of caregiver burden and lower mental HRQOL. Moreover, there was a rank ordering in levels of caregiver burden across disability groups; siblings of adults with DS reported the lowest burden, siblings of adults with DS with symptoms of autism reported significantly higher levels of burden, and siblings of those with autism reported the most burden. The results imply that autism, either alone or co-morbid with another diagnosis, presents an increased risk of stress and caregiver burden, not only in parent caregivers, but also in sibling caregivers. Interestingly, there was also evidence for higher levels of stress related growth within the Autism group compared to the DS group. Future research will be needed to generalize the results of this study to broader samples of adult siblings while taking a life course perspective to assess changes in non-disabled siblings’ outcomes over time.

A Performance Management and Development System has become the main focus for many organisations in the Public Service. Organisations are always looking for strategies to effectively enhance the performance of their employees in order to improve the organisational performance. However, despite all these efforts the implementation of the System is still marred by many challenges and as a result it is perceived by many employees as ineffective and inefficient. The focus of this study is, therefore, to identify the different perceptions of employees regarding the System and to investigate the underlying factors influencing the employees’ perceptions regarding Performance Management and Development System at the Matlosana Service Point, DSDWCPD. A triangulation research approach encompassing qualitative and quantitative analysis was employed in this study. The primary data were obtained from a semi-structured questionnaire completed by 50 respondents. Secondary data were drawn from the departmental reports, business plans, performance agreements and other official documents from the North-West University library. The respondents for the questionnaire were sampled utilising the purposive sampling within the non-probability category of samples. The sample comprised social workers, social auxiliary workers, community development practitioners and human resource officers. The sample was purposively sampled due to the fact that the sample frame that was needed for this study included people who were aware of the Performance Management and Development System; were regarded as experienced in the subject matter and who could provide useful information. The data from the questionnaire were analysed by means of conceptual (thematic) analysis, every statement that was relevant to the research questions was created; and meanings were also attached to the categories. The findings of the study show that the employees perceive implementation of the Performance Management and Development System as not complying with the legislation. The implementation of the Performance Management and Development System is not effective and efficient in the Matlosana Service Point. The findings also revealed that the need for training in the System is undisputed as employees felt that the training that they received is not adequate and failed to address their needs. The respondents also felt that the assessments were not properly implemented hence they perceive the System as biased, unfair and subjective and also felt that the assessments were implemented just for compliance purposes. The findings of the study also highlighted the importance of effective communication and feedback in the entire process and in integrating the components of the Performance Management and Development System leading to poor supervision and monitoring of employees’ performance. All these factors revealed a correlation between the negative perceptions of the employees and the Performance Management and Development System in the Matlosana Service point. The study concludes by providing recommendations on a systematic training strategy for changing employees’ perceptions regarding the Performance Management and Development System in order to ensure a common understanding and consistent implementation of the Performance Management and Development System. / M Development and Management, North-West University, Potchefstroom Campus, 2015

A Performance Management and Development System has become the main focus for many organisations in the Public Service. Organisations are always looking for strategies to effectively enhance the performance of their employees in order to improve the organisational performance. However, despite all these efforts the implementation of the System is still marred by many challenges and as a result it is perceived by many employees as ineffective and inefficient. The focus of this study is, therefore, to identify the different perceptions of employees regarding the System and to investigate the underlying factors influencing the employees’ perceptions regarding Performance Management and Development System at the Matlosana Service Point, DSDWCPD. A triangulation research approach encompassing qualitative and quantitative analysis was employed in this study. The primary data were obtained from a semi-structured questionnaire completed by 50 respondents. Secondary data were drawn from the departmental reports, business plans, performance agreements and other official documents from the North-West University library. The respondents for the questionnaire were sampled utilising the purposive sampling within the non-probability category of samples. The sample comprised social workers, social auxiliary workers, community development practitioners and human resource officers. The sample was purposively sampled due to the fact that the sample frame that was needed for this study included people who were aware of the Performance Management and Development System; were regarded as experienced in the subject matter and who could provide useful information. The data from the questionnaire were analysed by means of conceptual (thematic) analysis, every statement that was relevant to the research questions was created; and meanings were also attached to the categories. The findings of the study show that the employees perceive implementation of the Performance Management and Development System as not complying with the legislation. The implementation of the Performance Management and Development System is not effective and efficient in the Matlosana Service Point. The findings also revealed that the need for training in the System is undisputed as employees felt that the training that they received is not adequate and failed to address their needs. The respondents also felt that the assessments were not properly implemented hence they perceive the System as biased, unfair and subjective and also felt that the assessments were implemented just for compliance purposes. The findings of the study also highlighted the importance of effective communication and feedback in the entire process and in integrating the components of the Performance Management and Development System leading to poor supervision and monitoring of employees’ performance. All these factors revealed a correlation between the negative perceptions of the employees and the Performance Management and Development System in the Matlosana Service point. The study concludes by providing recommendations on a systematic training strategy for changing employees’ perceptions regarding the Performance Management and Development System in order to ensure a common understanding and consistent implementation of the Performance Management and Development System. / M Development and Management, North-West University, Potchefstroom Campus, 2015

The focus of this qualitative study is the way siblings of children with autism experience their nuclear family. Five participants in their middle childhood (6 to 12 years), with a younger sibling with autism, participated in the study. Individual unstructured interviews were conducted with all participants to describe their experience of their family. The interviews were, with the consent of the parents and children, video-recorded and transcribed. Eight recurring themes were identified in the transcriptions and studied relative to the existing literature. True to the qualitative nature of this study, the aim was not to generalize the findings, but to give each of the participants the opportunity to tell his/her story. The result of this study is the detailed description of how siblings of children with autism experience their nuclear family. / Social Work / M.Diac.(Play Therapy)

The study was undertaken to deepen understanding of living with a spinal cord injury (SCI) in the rural communities of the Eastern Cape Province, South Africa (RSA). The OR Tambo District Municipality, which was selected for its accessibility to the researcher, is virtually rural, the infrastructure is poorly developed and there is low socio-economic activity in the rural areas of the old Transkei. In the RSA services for management and rehabilitation of SCIs varies from province to province. A Heideggerian phenomenological approach was used to interpret the meaning of living with SCI persons in a rural community. The purpose was to describe and interpret what being-in the-world as a spinal cord injured person meant to the particpants. A key assumption in phenomenology is that understanding human beings and their actions is best achieved through examination of human experiences. Experience, including experience with living with SCI, offers itself as a record of human encounters, the interface between persons and their world, and experience can only be understood in terms of background and the social context of the experience (Pateman & Johnson 2000: 51). Phenomenological interviews with ten people living with SCI explored their experience. The overall goal was to increase awareness of their experiences of living with SCI, and to encourage incorporation of knowledge gained into nursing practice. The central question in the study was `What is it like to live with a spinal cord injury in a rural community? Data were analysed according to Heideggerian hermeneutic phenomenology. Two main themes were identified, namely reconceptualising being-in-the-world as a person with a disability; and being-with-each-other: experiencing being excluded, objectified and marginalized. The participants engaged in a process of reconstructing their identities following the traumatic loss of sensory and motor functioning. Data reflect the social and economic context in which living with SCI is experienced. The respondents' life experiences were influenced by socio-political, economic and historical factors, namely geographic location, poor infrastructure, poverty, low educational status, and unemployment and the community at large. It was noted that participants experienced difficulties in several areas in their daily life realm; naming, coping with health and disability problems, family interactions and relationships, and non-accessibility of amenities, including their own dwellings. In addition, being a person living with an SCI in the rural communities of the OR Tambo District Municipality carries a high physical and social risk due to lack of resources. The inability to live up to generally expected social roles led to role dissatisfaction. There is an urgent need for social support to overcome the negative societal attitudes experienced. They are forced into isolation with a limited social life and are poorly integrated into the communities in which they live. Most of what the participants raised pointed towards inadequate preparation for the outside world. Therefore, a holistic approach to rehabilitation is recommended, as holism means addressing the physical, social, emotional and cognitive needs. Accordingly, the researcher developed guidelines for facilitating community integration. In conclusion, understanding how people experience living with SCI in a rural community is an essential prerequisite to the development of appropriate strategies to facilitate community integration. / Health Studies / D. Litt et Phil (Health Studies)

This empirical and theological project researches physical and emotional weakness in the context of spiritual leadership, in order to discover what consequences these impediments have on church development. Selected representatives (national leaders - or at least regional leaders - of Swiss state and free churches) have therefore been interviewed. It was possible to describe four contrasting typologies which describe the different effects of handicapped leaders and to deduce various consequences for the understanding of church leadership and development. This research is an attempt to contribute to a differentiated practice of dealing with physically and emotionally suffering leaders in the field of church development. It can be seen as a first explorative study of the evaluation of institutional practice. / Philosophy, Practical & Systematic Theology / M.Th. (Practical Theology)