M.A. (Clinical Psychology) / The advances in psychopharmacology, as well as the establishment of various 'half-way houses' has changed the nature of psychiatric hospitals. Where once, the emphasis was on long-term, custodial care of patients, the, present emphasis is on short term care. Attempts are made to reintegrate patients into society as soon as possible. This approach has been partially successful. However, it appears that many patients, who were previously discharged as being ready to function and cope with everyday life, return to hospital, having decompensated after relatively short periods of time. The reasons for decompensation are manifold, and vary from individual to individual. It is the contention of this writer that one of the reasons for the limited success of treatment of some patients may lie in the nature of the interdisciplinary team approach to treatment currently operative in many psychiatric hospitals. Interdisciplinary teams are usually composed of psychiatrists, psychologists, social workers, occupational therapists and psychiatric nurses. The teams operate on the tacit assumption that no single approach holds the key to successful treatment of a patient...

Dissertation / The impact of stranger rape on the victim and those close to the victim is widely researched. However, little data is available on couples’ experiences of stranger rape and their relationships in the aftermath of such trauma. The researcher aimed to explore and gain an in-depth understanding of the unique experiences and relationship dynamics of couples dealing with stranger rape in order to enhance what is known about these couples. A qualitative research methodology was employed which consisted of conducting unstructured in-depth interviews with each of the three participant couples as well as obtaining individual written reflections from each participant. The study explicated unique descriptions of each couple’s experience of stranger rape, illuminated the interconnectedness and recursiveness between the rape and the couples’ relational and system dynamics and identified possible systemic effects at play in these couples’ relationships in the aftermath of such trauma. Key terms: stranger rape, couples, post-traumatic stress disorder, relational dynamics, systems, family systems theory, qualitative research, hermeneutics, social constructionism, postmodernism / Psychology / M.A. (Clinical Psychology)

Family Therapy training programmes have recently come to appreciate the importance of addressing the personal growth of the trainee-therapist, in addition to the traditional focus on skill development. Suggestions in the available literature on how this "person-of-the-therapist" issue could best be addressed, represent almost exclusively the ideas of authorities (authors, clinicians and trainers) in the field of systemic therapy. Constructivist thought endorsed by the UNISA training programme, encourages and values different viewpoints. According to this view, students and faculty co-construct the training process. The aim of this study is therefore to present the voice of the trainee. Several training contexts, the essential qualities of the different supervisory relationships and difficulties encountered, are explored from the trainee's perspective. It is hoped that this "inside story" about the author's experiences on her journey toward becoming a psychotherapist, will engender sensitivity for and a deeper understanding of the complexity involved in training the person of the therapist. / Psychology / M.A. (Clinical Psychology)

Dissertation / The impact of stranger rape on the victim and those close to the victim is widely researched. However, little data is available on couples’ experiences of stranger rape and their relationships in the aftermath of such trauma. The researcher aimed to explore and gain an in-depth understanding of the unique experiences and relationship dynamics of couples dealing with stranger rape in order to enhance what is known about these couples. A qualitative research methodology was employed which consisted of conducting unstructured in-depth interviews with each of the three participant couples as well as obtaining individual written reflections from each participant. The study explicated unique descriptions of each couple’s experience of stranger rape, illuminated the interconnectedness and recursiveness between the rape and the couples’ relational and system dynamics and identified possible systemic effects at play in these couples’ relationships in the aftermath of such trauma. Key terms: stranger rape, couples, post-traumatic stress disorder, relational dynamics, systems, family systems theory, qualitative research, hermeneutics, social constructionism, postmodernism / Psychology / M.A. (Clinical Psychology)

The study reports on the development of a photo therapy tool for educational psychologists within the South African context. A literature study explores the nature, advantages, characteristics and the application of photo therapy with clients in a therapeutic setting. The developmental intervention research design guided the practical development of an electronic photo therapy tool that can be applied by educational psychologists in a therapy setting with clients. The empirical research is qualitative in nature, as the effectiveness of the newly developed photo therapy tool is evaluated by emerging adults and educational psychologists as an intervention strategy. In order to accomplish this purpose, emerging adults, as well as educational psychologists shared their perceptions of the newly developed photo therapy tool. Thus the usefulness of the photo therapy tool was investigated as an intervention approach. Qualitative data generation techniques, focus group interviews and photographs were utilised. The research results show that the newly developed electronic photo therapy tool has the potential, as a modern therapeutic tool, to be used by educational psychologists as an intervention strategy. The developmental intervention research design is a continuous process, and as the life world is forever changing, improvements to the photo therapy tool can always be added according to new suggestions and ideas. The findings allow theorisation about the significance of the photo therapy tool. The study further determines that there is definite potential in the electronically created photo therapy tool, as both the young adults and the educational psychologists perceived the photo therapy tool as a possible and valuable tool in the therapeutic intervention process. / Psychology of Education / D. Ed. (Educational Psychology)

Family Therapy training programmes have recently come to appreciate the importance of addressing the personal growth of the trainee-therapist, in addition to the traditional focus on skill development. Suggestions in the available literature on how this "person-of-the-therapist" issue could best be addressed, represent almost exclusively the ideas of authorities (authors, clinicians and trainers) in the field of systemic therapy. Constructivist thought endorsed by the UNISA training programme, encourages and values different viewpoints. According to this view, students and faculty co-construct the training process. The aim of this study is therefore to present the voice of the trainee. Several training contexts, the essential qualities of the different supervisory relationships and difficulties encountered, are explored from the trainee's perspective. It is hoped that this "inside story" about the author's experiences on her journey toward becoming a psychotherapist, will engender sensitivity for and a deeper understanding of the complexity involved in training the person of the therapist. / Psychology / M.A. (Clinical Psychology)

M.Cur. (Psychiatric Nursing) / In this research an attempt was made to identify manifestations of depression in black children and give mental health education to their mothers in an attempt to alleviate the state of depression in the children. A questionnaire was structured as a tool for collection data. The instrument was based on a standardized depression scale which was used cross-culturally by the World Health Organization during 1983. The non-probability sampling procedure was carried out utilising a purposive sampling method in compiling an experimental and a control group of mothers of depressed children in a quasi-experimental research design. A mental health education programme on depession was developed which was given to mothers in the experimental group. The individual method of teaching was utilised based on adult education principles. At the end of the mental health education session, each mother got a brochure in the language preferred by the mother. Mothers from the control group did not have any discussions on depression. The study was done over the period of three months from 6 August 1988 to 26 October 1988. The analysis of gathered data was computerised using the Mann-Whitney U-test of SPSSX for the independent group and the Wilcoxon matched-pairs signed-ranks test for the dependent groups. The non-parametric statistics of the Z-va1ue and two-tailed probability was utilised. The findings on the comparison. between the experimental group pretest and the control group pretest revealed that there were not any statistical difference in eight of the ten variables of depression i.e. helplessness, anxiety, sleep disturbance, school problems, interpersonal relations, self concept, guilt feelings and the disturbance of perception. The other two variables, suicide and physical functioning, were not included because they showed significant statistical difference prior to experimentation. There was no significant statistical difference between the eight variables of the state of depression in the findings of the control group pretest with the control group post test. That means that if mothers of depressed children do not receive mental health education, the children's state of depression could remain the same. In conclusion, mental health education to mothers of depressed children seems to have a positive effect on a child's emotional stability. It can contribute substantially to diminishing the occurance of childhood depression.

M.Ed. (Educational Psychology) / Youth form the foundation of society, hence physical as well as emotional stability are vital to their positive development. Currently the changing political and social situation in South Africa is closely associated with unrest and violence. This results in large numbers of black youths being exposed to traumatic incidences. Research indicates that trauma and its related stress can be a causative factor in the development of emotional disturbances and in particular the post traumatic stress disorder. In our new multicultural educational environment it has come to the attention of educational psychologists at educational aid centres that large numbers of traumatised black pupils are in need of assistance. The increasing numbers of traumatised pupils have serious emotional problems, and are now experiencing scholastic problems. The intention of the study was to develop a creative pedotherapeutic programme and to apply it with the purpose of reducing post-traumatic stress symptoms in black pupils. The point of departure of the programme was based on the assumption that the child always requires education. Hence any assistance can only be meaningful in a pedotherapeutic situation. The transcultural nature of the situation was taken into account when applying the programme. Possible obstructions and difficulties were anticipated and corrected by means of creative aid techniques. The programme was applied to four black standard five pupils enrolled at a Model 0 School in Johannesburg. By means of a structured questionnaire symptoms associated with post-traumatic stress disorder, were diagnosed. The creative pedotherapeutic aid programme was then applied during nine sessions extending over a period of nine weeks. The same questionnaire was later applied to determine the extent of the reduction of the stress symptoms. The test results indicated a reduction in intensity of several symptoms as well as symptom reduction in general. It was also reported that the scholastic performances of the four pupils had increased. A higher level of cognitive and emotional functioning was observed.

M.A. (Clinical Psychology) / Disappointments in romantic relationships can have distressing and prolonged cognitive, emotional and behavioural effects. This study explored such disappointments in the form of betrayal, rejection and the accompanying beliefs, emotions and behaviours using the Rational Emotive Behaviour Therapy theoretical framework. A theory-building positivistic case study design was implemented. Five participants completed a quantitative measure of REBT beliefs, the Shortened General Attitudes and Beliefs Scale, and participated in a semistructured interview. The experience of a romantic betrayal or rejection elicited greater irrational than rational beliefs, and more dysfunctional than functional outcomes (emotions and behaviours) for each participant. The implications for clinical practice are discussed using the REBT theoretical framework.

M.Cur. / Violence stalks the streets of our erstwhile civilised cities and towns, and has also involved too many homes, transforming them from places of protection into pits of powerlessness and victimization. No immunization to this epidemic is afforded by culture, social class, economic states, education or ever religious affiliation. It is time to lift the shroud of silence and to shine the spotlight of truth on this social dilemma (Couden, 1999: 5). This research begins with the journey of awareness, which is intended to lead to healing, mental health and wholeness for the victimised women. It is intended to give victimised women a voice, since they are the experts of their own lives. Through sharing of their experiences, it is hoped that such awareness will positively impact our families, communities, churches and the wider society. The objectives of this research are to: • Explore and describe the experiences of victimised women of group interventions in a psychiatric clinic. • Formulate guidelines for the promotion of mental health of victimised women of group interventions. • In phase one of the research, the researcher made conclusions that the group interventions had an effect on victimised women. Group interventions enabled these women to understand that they can do something about being victimised. The main themes that came out were ventilating of emotions, support for each other in the group interventions, a sense of being empowered and a sense of forgiveness towards their perpetrators. In phase two guidelines were described for the advanced psychiatric nursespecialist to facilitate and promote the mental health of victimised women. An empowerment programme based on the suggestions given by Goodman and Fallon (113) described on the survey list by Dickoff et al (1968: 423). Conclusions, limitations and recommendations for the nursing practice, nursing education and research in nursing have been made.