This study firstly investigates the prevalence of HIV/AIDS and the resulting deaths from an international, African and South African perspective. These statistics provide a backdrop to the phenomenon of grandparent-headed households. The needs of orphans and the characteristics of grandparent-headed households are explained. The researcher describes the services offered to these households by a number of supporting agencies internationally and in South Africa. Erik Erikson’s model of psychosocial development is used as a structure to explain childhood grieving during the various psychosocial development stages, including adolescence. The views and experiences of a number of South African grandparent-headed households are described as well as the views of stakeholders offering support to these families. Lastly the researcher offers guidelines to professionals and lay people who endeavour to empower grandparents who fulfil the role of parents in the context of the HIV/AIDS pandemic. / Educational Studies / M. Ed. (Guidance and Counselling)

This study is an investigation into the effective utilisation of Mmaskitlane, a psychotherapeutic African indigenous narrative play technique. The investigation was carried out with six primary school learners in the Tshwane North District of Education in Gauteng Province. The learners were referred for emotional problems and the play was used to enhance emotional healing. The technique was used in both its forms, namely, one which involves learners hitting one stone with another as they narrate their stories, and the other where learners draw symbols representing the characters in their stories. In order to render culturally appropriate services, therapy was carried out in the clients’ mother tongue which was mainly seTswana. The investigation adopted a constructivist interpretivist paradigm, involving the use of a qualitative research design that made use of multiple case studies. Because the research question explored a relatively new research area and there was the possibility of new literature coming up during the process of the study, case studies allowed for a certain flexibility. Qualitative analysis showed how Mmaskitlane helped participants to express global children’s beliefs, such as blaming themselves for dysfunctions occurring in their families and feeling guilty as a result. Through thematic analysis the clients were able to process and express their negative emotions and as a result catharsis was enhanced. The main focus of the study was on how Mmaskitlane could be best utilised in play therapy to achieve the above-mentioned effects. Ultimately, the findings were twofold, namely, that therapists could either be actively involved as participant players of the game during therapy, or secondly, that those who would rather not play along with the clients could be actively involved as participant observers, engaging only in the question and answer stage of the game. This investigation enabled me to effectively document guidelines for ways in which therapists can use Mmaskitlane effectively in play therapy. / Psychology of Education / D. Ed. (Psychology of Education)

The changing structures of families and the increase in the number of child headed families are progressively becoming noticeable both nationally and internationally. Reviewed literature has confirmed that the increasing trend in orphan status among school going age over the period 2002-2009, is of major concern. A growing body of literature also indicates that child headed families and orphan hood are becoming common phenomena in many African countries in general and South Africa in particular. This scenario presents certain challenges especially on the orphaned children‘s learning and schooling experiences as well as their behavioural and social interaction patterns. The phenomenon calls for greater educational support for such learners at school and home. Increasingly, teachers and schools world over are expected to respond to the changing educational environment and contextual realities of schooling that include the orphaned learners who head households. The aim of this thesis was to address the behavioural challenges that orphaned learners who head household experience and to develop a psycho-educational programme to support their learning. A qualitative instrumental case study research design was used with a study sample of 30 orphaned learners living in child headed household aged 10 to 16 years, ten Life Orientation Teachers, four members of School Management Team, eight members of School Based Support Team (SBST) and four Social Workers who were purposively sampled to participate in the study. The study was conducted in 15 classes located at four schools (3 secondary, 1 primary) in Taledi Area, Mamusa Circuit located in Ipelegeng Township of Schweizer Reneke town under Dr R.S. Ruth Momphati District-North West Province, South Africa. In order to answer the research question, data was collected using a variety of data collection techniques. These were semi structured interviews, observations and documentary analysis. Data obtained was analysed using the interpretational analysis method to determine the common themes and sub themes describing the behavioural challenges that the orphaned learners experience during schooling in the playgrounds and in the classroom. Data analysed revealed that although orphaned learners are socially strong with regard to interaction with their peers, they experience learning difficulties in the classroom leading to underperformance and grade repeating. The study also noted that orphaned learners exhibit negative conduct behaviours and negative social interaction patterns with their LO teachers and members of the school management team. The study also revealed that emotional problems and lack of material support are common phenomena amongst these learners. The study arrived at the recommendation that a psycho-educational programme to address the behavioural challenges be developed to enhance the academic performance of the learners. / Psychology of Education / D. Ed. (Psychology of Education)

Compte tenu des risques non-négligeables liés à la prise en charge des personnes souffrant de maladie d'Alzheimer sur la santé globale et le bien-être des aidants informels, l'OMS recommande fortement la mise en place d'interventions à leur égard. Bien que les programmes en ligne représentent un outil prometteur pour ces aidants surchargés, peu de recherches ont été menées sur leur conception et leur efficacité. Le but de cette thèse de doctorat était de contribuer à la connaissance et la compréhension des processus du développement et d'évaluation de ces interventions. Pour cela, quarante-neuf participants (12 professionnels de la santé, 6 aidants et 31 personnes âgées) ont participé au processus itératif de conception du programme Diapason centrée sur l'utilisateur. La dernière version a été évaluée dans un essai clinique randomisé, basé sur des méthodes de recherche mixtes. Quarante-neuf aidants informels de personnes atteintes de maladie d'Alzheimer ont été randomisés soit dans le groupe expérimental (n = 25) ou soit dans le groupe de contrôle (n = 24). Bien que les résultats portant sur l'efficacité du programme ne soient pas concluants, les personnes du groupe expérimental ont significativement augmenté leurs niveaux de connaissance de la maladie (p = 0,008 d' = 0,79). Par ailleurs, l'analyse qualitative a montré que les enfants des patients avaient donné un avis plus favorable que les épouses sur l'utilité du programme. Les résultats de ces travaux offrent des perspectives prometteuses pour ce type d'interventions, en particulier quand elles sont personnalisables et centrées sur les besoins des aidants. Ce travail permet de mieux appréhender les spécificités méthodologiques liées au développement et à l'évaluation des interventions des aidants. / Given the important consequences of caregiving on the overall health and wellbeing of informal caregivers, the WHO strongly recommends interventions for them. Although Internet-based programs represent a promising tool for overburdened caregivers, little research has been conducted about their design and efficacy. The purpose of this PhD dissertation was to contribute to the knowledge and understanding of the development, evaluation, and implementation process of these programs. For this purpose, we involved forty-nine participants (12 healthcare professionals, 6 caregivers, and 31 healthy older-adults) in the iterative user-centered design process for the development of the Diapason program. The latest version of this program was evaluated in a randomized clinical trial, based on mixed methods research. Forty-nine informal caregivers of persons with Alzheimer's disease were randomly assigned to the experimental (n=25) or control group (n=24). Although the results were non conclusive about the program's efficacy, the experimental group significantly improved their knowledge of the disease (p=0.008 d=0.79). Furthermore the qualitative analysis showed that children of patients were more positive than female spouses caregivers about the usefulness of the program. The findings of this research offer promising perspectives for this kind of interventions, particularly when individualized and centered on the needs of caregivers. This work allows for the understanding and analysis of specific methodological features to develop and evaluate caregivers' interventions.

The aim of this study was to develop, implement and evaluate a psycho-educational programme to enhance the efficacy of parents of adolescents. Thus, the research project can be identified as formative, evaluative research. To this end, an investigation was undertaken to determine how the efficacy of parents of adolescents could be enhanced through an understanding of: * the life phase of adolescence; * the life phase of parents of adolescents; * the role of parents of adolescents; * factors influencing the parenting of adolescents (e.g., generational effects and the influence of family structure on parenting); * the challenges facing adolescents and their parents which may hamper parenting efficacy; * factors which assist parents of adolescents to overcome challenges and improve their parenting efficacy; * parenting skills which foster parenting efficacy; and * the nature of a psycho-educational programme which could enhance the efficacy of parents of adolescents. A literature study provided the theoretical background to the development of the above mentioned programme. In the next phase of the study, a psycho-educational programme was developed based on the literature review, a study of similar programmes and a pilot study conducted with parents. The programme aimed at helping parents to become aware of their parenting practices, to encourage them to increase knowledge and understanding of themselves and of their adolescent children and to develop personal strategies and skills to cope with parenting challenges. The programme was implemented with a group of 21 parents of adolescents (five fathers and sixteen mothers) living in George, South Africa during sessions held once per week over a period of six weeks. Participants were divided into three groups: six single parents; eight parents of nuclear families; and seven parents from blended-extended families. Data was collected qualitatively during each meeting. In addition, focus groups were conducted at the end of the six weeks. The findings indicated that the programme enhanced the efficacy of the participating parents in supporting the development of their adolescent children. / Educational Studies / D.Ed (Psychology of Education)

The aim of this study was to develop, implement and evaluate a psycho-educational programme to enhance the efficacy of parents of adolescents. Thus, the research project can be identified as formative, evaluative research. To this end, an investigation was undertaken to determine how the efficacy of parents of adolescents could be enhanced through an understanding of: * the life phase of adolescence; * the life phase of parents of adolescents; * the role of parents of adolescents; * factors influencing the parenting of adolescents (e.g., generational effects and the influence of family structure on parenting); * the challenges facing adolescents and their parents which may hamper parenting efficacy; * factors which assist parents of adolescents to overcome challenges and improve their parenting efficacy; * parenting skills which foster parenting efficacy; and * the nature of a psycho-educational programme which could enhance the efficacy of parents of adolescents. A literature study provided the theoretical background to the development of the above mentioned programme. In the next phase of the study, a psycho-educational programme was developed based on the literature review, a study of similar programmes and a pilot study conducted with parents. The programme aimed at helping parents to become aware of their parenting practices, to encourage them to increase knowledge and understanding of themselves and of their adolescent children and to develop personal strategies and skills to cope with parenting challenges. The programme was implemented with a group of 21 parents of adolescents (five fathers and sixteen mothers) living in George, South Africa during sessions held once per week over a period of six weeks. Participants were divided into three groups: six single parents; eight parents of nuclear families; and seven parents from blended-extended families. Data was collected qualitatively during each meeting. In addition, focus groups were conducted at the end of the six weeks. The findings indicated that the programme enhanced the efficacy of the participating parents in supporting the development of their adolescent children. / Educational Studies / D.Ed (Psychology of Education)