Dissertation (Ph.D.)--Auburn University, 2006. / Abstract. Vita. Includes bibliographic references (p.99-112).

M.Cur. / The problem of relapsed psychiatric patients is global, it is high in rural areas where services are not readily available. Lack of knowledge of psychiatric conditions and the management by family of patients play a part in psychiatric patients relapsing. Families reject their family members (patients) when they are in hospital, for what they did when their illness started. Some patients assaulted people, stripped naked in the street. The family then disassociate themselves from the patient because of that behaviour. Studies have indicated that the following reduce the rate of relapse of psychiatric patients: • psycho-education for families regarding the causes of mental illness and its management; and • active involvement of families of patients in the treatment plan of these patients. The researcher’s interest was triggered by the high rate of psychiatric patient relapses in the institution where she works. The researcher decided to investigate the experiences of patients who have relapsed. An investigation was done whereby an explorative, descriptive, contextual and qualitative design was used to find out what the experiences of patients are who have relapsed. Phenomenological interviews were done with seven participants who were purposively selected. Permission was first obtained from the gatekeepers and participants. Thereafter, a pilot study was done with one patient who met the selection criteria for the study. This was done to help the researcher to discover the strong and weak points of the research and to make corrections where necessary. Following Guba’s model (Krefting, 1991:214-222) strategies ensured trustworthiness. Data analysis was done following Tesch’s method of data analysis (Creswell, 1994:154-156). The results showed that patients’ basic needs are neglected in some areas. Emotional dimensions of participants were not catered for by health workers, which resulted in participants getting frustrated and angry. After the data analysis guidelines for psychiatric nurses were described to assist psychiatric patients to mobilise their resources. Recommendations were made regarding the application of the results of the study in psychiatric education, nursing practice and research and for family members. It was concluded that the questions of the study were answered and the objectives were achieved.

M.A. (Psychology) / The aim of this dissertation is to investigate the services and methods provided by the various medical and psychological professions within an inpatient psychiatric hospital setting. While working at a psychiatric hospital, the researcher was struck by the high readmittance rate of patients. This tended to create a general feeling of disappointment, frustration and impotence amongst the professions. The importance of such an investigation was therefore required, in order to help facilitate and improve current methods. A thorough investigation of the literature with regard to the current treatment methods at psychiatric hospitals, both on an international and national level, were undertaken. An in-depth case study was described and analysed to indicate the recurrent procedures, methods and treatment modalities that were being instituted within the hospital setting. The aim of this thesis was also to propose an alternative method to the current procedures, using an in-depth case study to indicate the use thereof.

D.Cur. (Psychiatric Nursing Science) / Please refer to full text to view abstract

Aims: It is argued that one’s sense of self is threatened and eroded by mental illness. According to the narrative perspective, one’s personal life narrative is displaced and maintained by a story of illness. However, dialogical self theorists argue that mental illness limits the number of ‘I’ positions available within an individual, resulting in the positions/voices becoming rigid and being dominated by a singular, monological position. The aims of this qualitative study are to attempt to understand and examine psychiatric inpatients’ personal lived experiences of an art group. The goal of the study is to focus on the impact of the art-making process on these patients with regards to the construction of their sense of self. Design: A qualitative research design was used in the study. Method: Four psychiatric in-patient art group members – three male and one female, between the ages of 27 and 40 – were interviewed. A semi-structured interview schedule consisting of sixteen questions focusing on the interviewees’ experiences of the art group was used. The interviews were analysed using an interpretive phenomenological analysis. Results: Three superordinate themes emerged: What the Participants Gained From the Art Group, Sense of Community and Leaving a Mark, and The Experience of Self in the Art group. All three Superordinate themes fall within the participants’ experience of the art group. Conclusion: All four of the participants expressed positive feelings and enjoyment towards the art group. Participation in the art group provided the participants with a sense of pride, achievement and hope within their lives. As a result of participation on the art group, one of the four participants was able to construct a thin alternative experience and sense of self.