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The field of psychotherapy is not objective. Like any social construction, it is a product of the values of the culture in which it was developed. The theories and principles that form the cornerstones of Western psychotherapy reflect a number of Western ideals and biases, one of which is individualism. As such, it is important that we examine the impact that such a bias can have on clinical judgment, particularly since so many clients come from collectivist cultures, and since inaccurate clinical decisions that derive from flawed etiologies and character assessment can have such serious repercussions. / The following study investigates, both qualitatively and quantitatively, how this individualistic bias in Western psychotherapy influences the clinical judgment and inference-making process. Within a Repeated Measures design, 84 graduate students provided assessments of two different clinical vignettes that were each alternated to reflect a client with either individualist or collectivist values. All participants were also asked to provide qualitative assessments of the casefiles, and a total of seven participants discussed their clinical impressions in greater depth during two different focus groups that were conducted at a later date. The focus groups were organized around four broad-based themes that were intended to clarify the study's earlier findings, and shed light on the processes underlying participants' clinical assessments. / Results from this study suggest that clinicians do tend to view individualism as psychologically healthier than collectivism. While the findings indicate that clinicians tend to pathologize collectivism more in men than in women, factors other than gender also appear to interact with individualism-collectivism values to impact clinical assessment. Implications of these findings, as well as proposed directions for future research within the context of this study's limitations, are discussed.

M.A. / Family therapy came into being in the late 1950's, and was developed by a heterogenous group of investigators, working in distinctly different contexts and with different purposes. One of these intellectuals saw a family as a system, a cadet of ideas. Another one saw families as collections of individuals struggling to balance feelings, irrationalities and desires. (Nichols M.P. 1 Schwartz, R.C. 1995 :ix). From the mid 1970's onwards family therapy as a intervention strategy in social work succeeded and expanded, it was extended to encompass client populations from different cultural backgrounds, and special groups e.g. drug additions. These context suggest that family therapy needs to he practiced within the context of a particular culture. The purpose of this study is to explore the Xhosa families perceptions on family therapy and the role of culture in their life style.

Language and treatment modality are important variables in conducting psychotherapy with students from non-Western countries. Both variables might also have significant impact on therapeutic outcome. Foreign students in America speak at least two languages, and utilizing either their native language or English during sessions might result in different kinds of emotional expressiveness. Indonesian and Malaysian students are from countries where it is uncommon to express emotions publicly. Since language is a part of culture, using English might facilitate a distancing from their cultural context, and might also facilitate more verbal expressions of emotion. On the other hand, using their native language might facilitate a warm and "at home" atmosphere. The purpose of this dissertation is to study the effect of native language and English during interactional group psychotherapy with Indonesian and Malaysian students, and to assess the efficacy of this modality with foreign students. Yalom's interactional group psychotherapy was used with a group of Indonesian, a group of Malaysian, and a group of international students. These three treatment groups were compared to a group of international students who served as a control group. English and the native language were used alternately during the sessions with the Indonesian and Malaysian groups. Only English was used during the sessions with the international student groups. Objective measurements used were the Profile of Mood States, the Personal Orientation Inventory, the Group Environment Scale, the Group Climate Questionnaire, and the Subjective Evaluation Ratings Scale. Subjective measurement was independent judges. Results indicated that Indonesians and Malaysians rated themselves as significantly more active during sessions in English than during sessions in their native language. Raters perceived the Indonesian and Malaysian groups as more cohesive when sessions were conducted in the native language than when conducted in English. This study also indicated that interactional group psychotherapy was effective for foreign students, with some limitations. This treatment method was effective in improving mood states and personality profiles. The method was most effective for the Malaysians. In addition, this study also supported the notion that insight awareness therapy is effective for YAVIS (young, attractive, verbal, intelligent, successful) clients.

Social change in South Africa brings to light the multiplicity of world-views operating in our society, which individuals encountering a variety of social contexts are faced with. This raises questions about the choices black South Africans face in response to influences from Western and traditional African culture. This issue was approached through examining helpseeking choices made between different health care sectors that stem from different world-views. This would indicate whether individuals are drawing on a variety of belief systems. The sources of their beliefs are put into context by looking at the communities of practice that influence their local knowledge. Help-seeking is also influenced by the identities the individual may ascribe to, which are derived from the multiple positions held by them in different social contexts. In this research the use of health-care sectors by four black women attending psychotherapy is examined. Their use of these sectors reflects a potential multiplicity of world views. Semistructured interviews were conducted, focusing on participants' prior experience of different help options, and their current perceptions of traditional African healing and psychology. The texts were analysed using a qualitative hermeneutic method, the reading guide. Data was looked at through three main themes, the individual's relationship to the health care sectors, their knowledge of different world views, and the identities they adopted which may be influential in their choice of a healer. It was found that in two participants there was some movement away from traditional beliefs, with one rejecting the traditional healers who did not help her, once she has discovered therapy, and another identifying herself completely with Western medicine. In contrast, one participant illustrated a rediscovery of traditional healing, whilst still attending psychotherapy. This suggests that shifts in knowledge are not necessarily away from traditional beliefs. It was also found that the two participants who had experienced a broader variety of social contexts and identified with multiple belief systems, tended to use a variety of Western and traditional healing sources and selected the healing option they felt was most appropriate to a particular problem. It is argued therefore that having a variety of knowledge and beliefs places individuals in a more powerful position to determine their choice of action than those with a limited range of knowledge.

Literature reviews (Casas, 1984, 1985; Ponterotto, 1988) on the status of racial/ethnic minority research indicate that one of the problems in coming to definite conclusions about the effectiveness of counseling with the culturally different is the lack of research accounting for heterogeneity within ethnic groups. This study investigates ethnic identity as a possible variable tapping into intra-group variability with persons of Chinese origin currently living in Canada. Specifically, Atkinson, Morten & Sue (1979)'s model of ethnic identity development is examined in relation to its validity with this ethnic group. Atkinson et al.'s (1979) Minority Identity Development model postulates five stages minority persons experience in trying to discern and appreciate themselves based on their culture of origin, the mainstream culture and the relationship and meaning between the two. These stages are Conformity, Dissonance, Resistance and Immersion, Introspection and Synergetic Articulation and Awareness. Based on the model, 81 items were generated, translated and administered to 44 participants via Q-Sort Methodology. Also, relevant demographic information was collected. Factor analysis and qualitative analysis for Q-Methodology as suggested by Talbott (1971) generated four factors. The emerging factors reflected the Conformity, Dissonance, Resistance and Immersion, and Synergetic Articulation and Awareness Stages. Thus, based on the partial support for the five-stage model among persons of Chinese origin; a four-stage model was generated. The analysis of results suggests the following conclusions: (1) heterogeneity within ethnic groups must be accounted for it is accounted for within the mainstream culture; (2) ethno-cultural identity emerges as a viable construct (variable) tapping into intra-group differences; (3) Q-Methodology appears as a culturally non-intrusive method; and (4) ethno-cultural identity may mediate the counseling process. / Education, Faculty of / Educational and Counselling Psychology, and Special Education (ECPS), Department of / Graduate

M.A. / Family therapy is based on First World therapeutic methods and has been used effectively by therapists in that context. Literature (Mason & Rubenstein, 1989:39; Horton & Hunt, 1984:15) reveals that family therapy can also work well in the Third World "if it is not for the blacks but also of the blacks". Innovations are most readily accepted when they fit within the existing culture. These statements suggest that family therapy needs to be practised within the context of a particular culture. The purpose of this study is to establish and present guidelines for the implementation of family therapy in social work in Tsonga families. The study was conducted among social workers in the employment of welfare agencies that have been using family therapy with Tsonga people for three years or more in the Lowveld and Northern regions of the Northern Province. Twelve social workers were selected but only eight participated in the study. Semi-structured interview was used to gather data for the research. The research finding reveals that cultural consideration is essential when working with Tsonga people because they are still adherent to cultural practices. The findings provided a basis through which guidelines for use by social workers in family therapy with Tsonga people were established. The study presents the guidelines as recommendations to be considered when practising family therapy within Tsonga culture.

In this qualitative, interpretive, multi-perspective study a new and promising salutogenic imagery approach developed in Germany, called Value-Oriented Imagery (Wertimagination/WIM®) was researched in regard to its applicability in multicultural (non-European) contexts. A second question researched was whether specific cultural or regional “dialects” would be encountered in the universal inner picture language of persons from other (non-European) cultural backgrounds than the one the approach was developed within. A WIM® study with eighteen participants from African South African, Asian South African and European South African cultural backgrounds was conducted in Johannesburg in 2011 and 2012. The results were analysed and compared with WIM® work experiences from Germany. Subsequently the results of the comparison were discussed in three WIM® expert interviews: with Uwe Boeschemeyer, Stephan Peeck and Andreas Boeschemeyer. The main outcome of this research study is that Value-Oriented Imagery can be seen as a rewarding contribution to South African multicultural (logo)therapy/ counselling contexts. Only minor cultural and regional “dialects” occurred in the universal inner symbols of the RSA study participants, such as the occurrence of more water features, especially waterfalls, and more spontaneous, unintended Healthy Inner Child encounters. The present study suggests that work with Value- Oriented Imagery could make a valuable contribution within any cultural and multicultural (logo)therapy/counselling context. / Psychology / D. Litt. et Phil. (Psychology)

In this qualitative, interpretive, multi-perspective study a new and promising salutogenic imagery approach developed in Germany, called Value-Oriented Imagery (Wertimagination/WIM®) was researched in regard to its applicability in multicultural (non-European) contexts. A second question researched was whether specific cultural or regional “dialects” would be encountered in the universal inner picture language of persons from other (non-European) cultural backgrounds than the one the approach was developed within. A WIM® study with eighteen participants from African South African, Asian South African and European South African cultural backgrounds was conducted in Johannesburg in 2011 and 2012. The results were analysed and compared with WIM® work experiences from Germany. Subsequently the results of the comparison were discussed in three WIM® expert interviews: with Uwe Boeschemeyer, Stephan Peeck and Andreas Boeschemeyer. The main outcome of this research study is that Value-Oriented Imagery can be seen as a rewarding contribution to South African multicultural (logo)therapy/ counselling contexts. Only minor cultural and regional “dialects” occurred in the universal inner symbols of the RSA study participants, such as the occurrence of more water features, especially waterfalls, and more spontaneous, unintended Healthy Inner Child encounters. The present study suggests that work with Value- Oriented Imagery could make a valuable contribution within any cultural and multicultural (logo)therapy/counselling context. / Psychology / D. Litt. et Phil. (Psychology)