The aim of this study is to demonstrate how the complementary concepts of stability and change could manifest during the therapeutic process, specifically with clients showing the symptom of dependency. The study is guided by a literature study on systems/cybernetic theory with a focus on the cybernetic complementarity of stability and change. A brief description is provided of the symptom of dependency from a more traditional lineal perspective as well as a non-lineal (systemic) perspective. A single case study is utilized to describe how both stability and change could manifest in the therapeutic process. From this description the relevance and usefulness of addressing both stability and change during the therapeutic process emerge and are outlined. / Social Work / M. A. (Social Science Mental Health)

The aim of this study is to demonstrate how the complementary concepts of stability and change could manifest during the therapeutic process, specifically with clients showing the symptom of dependency. The study is guided by a literature study on systems/cybernetic theory with a focus on the cybernetic complementarity of stability and change. A brief description is provided of the symptom of dependency from a more traditional lineal perspective as well as a non-lineal (systemic) perspective. A single case study is utilized to describe how both stability and change could manifest in the therapeutic process. From this description the relevance and usefulness of addressing both stability and change during the therapeutic process emerge and are outlined. / Social Work / M. A. (Social Science Mental Health)

The purpose of this study was to identify factors that contribute to the recurrence of child maltreatment within a variety of families. The following discussion addresses the safety and security of children, child protective services, cultural sensitivity, and perception of poverty.

Historically the trend in health care has been the domain of health care professionals such as doctors, nurses and other professionals from the medical fraternity. This created the separation between the mind and body, due to the diagnostic and treatment origins being segregated. This thesis addresses the idea that psychological processes have significant impacts on our physical health {and visa versa). It establishes the notion that health care needs to be understood holistically, from a broader systemic perspective, expanding the working model of health. The second chapter of this thesis addresses the power of the mind and the connection between the mind and body. It establishes the importance of beliefs and perceptions and the huge effect this has on people and their lives. How we choose to perceive a situation will give that situation meaning. The meanings that we give to events usually depict how we will see and respond to that event, sometimes more than the actual event itself. It explains the importance of the mind (psychological issues) as well as the body (physiological issues) when understanding and dealing with health and wellbeing. The following chapter discusses the historical developments of physical and mental health; from Hippocrates and Descartes to a modern holistic approach and attitude. Behaviour Medicine6, explicitly recognises that mind and body are intimately interconnected and that an appreciation of these interconnections and their scientific study is an interdisciplinary field, uniting the behavioural sciences with the biomedical sciences; in the hope that the cross fertilization will yield a more comprehensive picture of health and illness. The 'biopsychosocial model'7 provides a theoretical framework, explaining how an awareness of biological, psychological and social process are all important in understanding disease and recovery, supported by systemic principles. The scientific research and practical implications of psychoneuroimmunology8 (PNI) takes this biopsychosocial model one-step further. It describes how thoughts, perceptions and emotions have interchangeable influences with brain chemistry, which in turn influences the body and neurological systems1 particularly immune system functioning. The concept that we all have an inner ability /intelligence to heal ourselves is also detailed. Miller (1997: 350) discusses this notion, stating that we all have "a healer within." He states that this inner healer can be awakened in order to participate in "our deep healing.11 He claims, "This vital essence has been with us since birth ... Its function is to maintain homeostasis (internal balance). As humans, we can1 through our ability to change our images and beliefs, enhance, or inhibit the power of this inner healer." The concepts discussed thus far in the thesis are then demonstrated practically. The relationship between stress and health is examined and practical ways to maintain a healthier lifestyle is detailed. The researcher then introduces a South African company that is currently working in the field with the concepts of mindbody medicine and psychoneuroimmunology. This led the researcher to find a philosophical container in which to hold the holistic mind body theories and concepts. Anderson & Carter (2003: 222) states, "Social work distinguishes itself by exploring the 'person-environment fit'. This is an area in social work where constructivism may prove supportive. Such an emphasis increases the likelihood that diverse voices and points of view are integrated in social work theory and practice." Therefore/ a constructive epistemology/ philosophy in which meaning is intimately connected with experience, is expanded upon. The mind/body theory and concepts are then linked to Constructivism and Personal Construct Theory (by George Kelly). Constructivism postulates that we all create and interpret our own meaning systems, which become our subjective realities. The link to mind body medicine is pertinent in that both constructivism and mind body medicine share similar ideologies about how realities are construed, and how this in turn effects treatment of disease and maintenance of wellbeing. Cybernetic complementarities then expand our understanding of the mind and body connection in a monolistic framework, where mind and body are recursive partial arcs of a holistic health care system. Constructivism therefore integrates eastern and western concepts, cementing all the concepts used in this thesis, in a holistic manner. It also helps us to understand how some of the mind body techniques may be working within the mind body realm. Given the unique needs of a changing and developing society, as found in South Africa, there is a need to be creative and find alternative ways to cope with our societal stresses and daily occurrences. This is where the researcher feels that the social work profession needs to be involved in working and contributing to our health care services. The development of medical social work is detailed and the latest social work definition discussed. It is reveals how contents of the definition of social work are relevant and are a pertinent fit with mind-body approaches to health and wellbeing. The researcher debates the role of social workers in this field of health care. It is then proposed, in the detailed discussion, that social workers practising in this field should be known as Health Care Social Workers. This field of holistic health care has many proposed strengths and implication, for both Health Care Social Workers and other health care professionals. It will naturally also present challenges that need to be considered and contemplated. The final chapter of this thesis examine these strengths and challenges and their therapeutic implications. The researcher concludes by demonstrating that the literature study on holistic mind and body approaches matches her objectives from the first chapter. / Social work / M.A. (Social Science with specialisation in Mental Health)

Historically the trend in health care has been the domain of health care professionals such as doctors, nurses and other professionals from the medical fraternity. This created the separation between the mind and body, due to the diagnostic and treatment origins being segregated. This thesis addresses the idea that psychological processes have significant impacts on our physical health {and visa versa). It establishes the notion that health care needs to be understood holistically, from a broader systemic perspective, expanding the working model of health. The second chapter of this thesis addresses the power of the mind and the connection between the mind and body. It establishes the importance of beliefs and perceptions and the huge effect this has on people and their lives. How we choose to perceive a situation will give that situation meaning. The meanings that we give to events usually depict how we will see and respond to that event, sometimes more than the actual event itself. It explains the importance of the mind (psychological issues) as well as the body (physiological issues) when understanding and dealing with health and wellbeing. The following chapter discusses the historical developments of physical and mental health; from Hippocrates and Descartes to a modern holistic approach and attitude. Behaviour Medicine6, explicitly recognises that mind and body are intimately interconnected and that an appreciation of these interconnections and their scientific study is an interdisciplinary field, uniting the behavioural sciences with the biomedical sciences; in the hope that the cross fertilization will yield a more comprehensive picture of health and illness. The 'biopsychosocial model'7 provides a theoretical framework, explaining how an awareness of biological, psychological and social process are all important in understanding disease and recovery, supported by systemic principles. The scientific research and practical implications of psychoneuroimmunology8 (PNI) takes this biopsychosocial model one-step further. It describes how thoughts, perceptions and emotions have interchangeable influences with brain chemistry, which in turn influences the body and neurological systems1 particularly immune system functioning. The concept that we all have an inner ability /intelligence to heal ourselves is also detailed. Miller (1997: 350) discusses this notion, stating that we all have "a healer within." He states that this inner healer can be awakened in order to participate in "our deep healing.11 He claims, "This vital essence has been with us since birth ... Its function is to maintain homeostasis (internal balance). As humans, we can1 through our ability to change our images and beliefs, enhance, or inhibit the power of this inner healer." The concepts discussed thus far in the thesis are then demonstrated practically. The relationship between stress and health is examined and practical ways to maintain a healthier lifestyle is detailed. The researcher then introduces a South African company that is currently working in the field with the concepts of mindbody medicine and psychoneuroimmunology. This led the researcher to find a philosophical container in which to hold the holistic mind body theories and concepts. Anderson & Carter (2003: 222) states, "Social work distinguishes itself by exploring the 'person-environment fit'. This is an area in social work where constructivism may prove supportive. Such an emphasis increases the likelihood that diverse voices and points of view are integrated in social work theory and practice." Therefore/ a constructive epistemology/ philosophy in which meaning is intimately connected with experience, is expanded upon. The mind/body theory and concepts are then linked to Constructivism and Personal Construct Theory (by George Kelly). Constructivism postulates that we all create and interpret our own meaning systems, which become our subjective realities. The link to mind body medicine is pertinent in that both constructivism and mind body medicine share similar ideologies about how realities are construed, and how this in turn effects treatment of disease and maintenance of wellbeing. Cybernetic complementarities then expand our understanding of the mind and body connection in a monolistic framework, where mind and body are recursive partial arcs of a holistic health care system. Constructivism therefore integrates eastern and western concepts, cementing all the concepts used in this thesis, in a holistic manner. It also helps us to understand how some of the mind body techniques may be working within the mind body realm. Given the unique needs of a changing and developing society, as found in South Africa, there is a need to be creative and find alternative ways to cope with our societal stresses and daily occurrences. This is where the researcher feels that the social work profession needs to be involved in working and contributing to our health care services. The development of medical social work is detailed and the latest social work definition discussed. It is reveals how contents of the definition of social work are relevant and are a pertinent fit with mind-body approaches to health and wellbeing. The researcher debates the role of social workers in this field of health care. It is then proposed, in the detailed discussion, that social workers practising in this field should be known as Health Care Social Workers. This field of holistic health care has many proposed strengths and implication, for both Health Care Social Workers and other health care professionals. It will naturally also present challenges that need to be considered and contemplated. The final chapter of this thesis examine these strengths and challenges and their therapeutic implications. The researcher concludes by demonstrating that the literature study on holistic mind and body approaches matches her objectives from the first chapter. / Social work / M.A. (Social Science with specialisation in Mental Health)

Afrikaans text / Besorgdheid het in die gemeenskap bestaan oar die toenemende getalle kinders wat binne die stedelike konteks van Pretoria op straat leef en werk. Hierdie navorsing is onderneem om die behoeftes van die kinders aan te spreek en om alternatiewe wyses te vind om met hulle te werk. 'n Konteks is geskep sodat na hulle stemme geluister kon word. nag 'n alternatief tot "tradisionele" vorme van gesinsterapie bruikbaar is, op sekere voorwaardes, soos aangedui in hoofstuk vier. Sleutelwoorde: reflekterende span; "straatkinders"; ekosistemiese benadering; ekologie; epistemologie; konstruktivisme; objektivisme; kubernetika; sisteemteorie; mikro-, meso- en makrosisteme; sirkulere en liniere punktuasie Ekosistemiese beginsels is aanvanklik benut, maar was nie vir die span wat saamgewerk het, betekenisvol nie. 'n Gevallestudie-ontwerp was nuttig om die ontwikkeling en "opleiding" van die span wat sou saamwerk, te beskryf, asook die benutting van ekosistemiese beginsels tydens dienste aan die "straatkinders" en hulle gesinne by ltumeleng. Die navorsing het aangedui dat 'n ekosistemiese benadering tot gesinsterapie as / The community showed concern about the increasing number of children living and working on the streets within the urban context of Pretoria. This researchwas undertaken to address the needs of these children and to find alternative ways of working with them. A context was created so that their voices could be heard. Ecosystemic principles were initially used, but were not meaningful to the team who worked together. A case study design proved useful in developing and "training" of the team who would be working together, as well as applying ecosystemic principles while making services available to the "street children" and their families in ltumeleng. The research indicated that an ecosystemic approach to family therapy could be used as an alternative to "traditional" forms of family therapy, subject to certain conditions, as stipulated in Chapter Four. / Social Work / M.A. (Sosiale Wetenskappe (Geestesgesondheid))

Afrikaans text / Besorgdheid het in die gemeenskap bestaan oar die toenemende getalle kinders wat binne die stedelike konteks van Pretoria op straat leef en werk. Hierdie navorsing is onderneem om die behoeftes van die kinders aan te spreek en om alternatiewe wyses te vind om met hulle te werk. 'n Konteks is geskep sodat na hulle stemme geluister kon word. nag 'n alternatief tot "tradisionele" vorme van gesinsterapie bruikbaar is, op sekere voorwaardes, soos aangedui in hoofstuk vier. Sleutelwoorde: reflekterende span; "straatkinders"; ekosistemiese benadering; ekologie; epistemologie; konstruktivisme; objektivisme; kubernetika; sisteemteorie; mikro-, meso- en makrosisteme; sirkulere en liniere punktuasie Ekosistemiese beginsels is aanvanklik benut, maar was nie vir die span wat saamgewerk het, betekenisvol nie. 'n Gevallestudie-ontwerp was nuttig om die ontwikkeling en "opleiding" van die span wat sou saamwerk, te beskryf, asook die benutting van ekosistemiese beginsels tydens dienste aan die "straatkinders" en hulle gesinne by ltumeleng. Die navorsing het aangedui dat 'n ekosistemiese benadering tot gesinsterapie as / The community showed concern about the increasing number of children living and working on the streets within the urban context of Pretoria. This researchwas undertaken to address the needs of these children and to find alternative ways of working with them. A context was created so that their voices could be heard. Ecosystemic principles were initially used, but were not meaningful to the team who worked together. A case study design proved useful in developing and "training" of the team who would be working together, as well as applying ecosystemic principles while making services available to the "street children" and their families in ltumeleng. The research indicated that an ecosystemic approach to family therapy could be used as an alternative to "traditional" forms of family therapy, subject to certain conditions, as stipulated in Chapter Four. / Social Work / M.A. (Sosiale Wetenskappe (Geestesgesondheid))