Background: A national roll-out of antiretroviral therapy in the public sector was started in 2004, and Paarl was one of the first sites to start these services in the Western Cape. Operational research is required to guide the continuous improvement of such services. This research aimed to describe the characteristics of the treatment cohort started at TC Newman CDC’s ARV clinic in Paarl, to determine the retention in treatment rate and to assess the clinical and virological outcomes. Methods: A retrospective descriptive and observational study was done at the TC Newman ARV clinic in Paarl. All adult HIV positive patients that were started on antiretroviral therapy in the given time period were included. Patient and treatment data had been collected in an electronic database (e-register) and were extracted and analysed. Results: Starters: Out of the 2469 patients that were enrolled for ARV treatment between February 2004 and December 2010, 2254 started locally (the rest transferred in). 64% of them were female (decreasing rate over the years). Strugglers: By June 2011 51.5% of patients were still on ARVs, 6.9% patients had died, 16.7% had been ‘transferred out’and 24.7% were reported as ‘Lost to Follow-up’. 40% of the attrition of the cohort occurred in the first 6 months, 70% in the first 18 months. Stayers: Of the 1172 patients retained after start at TC Newman CDC, 1023 (87.3%) were still on Regime 1 and 149 (12.7%) on Regime 2. Conclusions: The results of this treatment cohort (mortality, treatment retention and regimen durability) equal those in other published treatment cohorts, although very limited comparable data are available. However, the high ‘lost to follow-up’ rate is of concern and needs further investigation. Changes in the programme structure and environment tend to have an immediate effect on initiation numbers of new patients.

Since 1904 bedwetting alarms have been developed and scientifically described for the treatment of nocturnal enuresis, also known as bedwetting. Currently, several bedwetting alarms of various designs are available on the overseas market. These can be imported to South Africa at great cost. As affordable alarms were not readily available in South Africa, there was a need to develop and evaluate a new unit. In order to improve the efficacy of this new device, it was accompanied by detailed user guidelines and instructions. The use of this alarm was tested and the observations of thirteen bedwetting children recorded. Additionally, a programme was developed to counsel enuretic children with accompanying problems, and to assist the parents in dealing with their child's bedwetting problem. The observations and findings will be useful in practice and future research. / Psychology of Education / M. Ed. (Educational Psychology - Specialisation in Guidance and Counselling)

Since 1904 bedwetting alarms have been developed and scientifically described for the treatment of nocturnal enuresis, also known as bedwetting. Currently, several bedwetting alarms of various designs are available on the overseas market. These can be imported to South Africa at great cost. As affordable alarms were not readily available in South Africa, there was a need to develop and evaluate a new unit. In order to improve the efficacy of this new device, it was accompanied by detailed user guidelines and instructions. The use of this alarm was tested and the observations of thirteen bedwetting children recorded. Additionally, a programme was developed to counsel enuretic children with accompanying problems, and to assist the parents in dealing with their child's bedwetting problem. The observations and findings will be useful in practice and future research. / Psychology of Education / M. Ed. (Educational Psychology - Specialisation in Guidance and Counselling)

In the past ten years or so there has been a growing concern that the treatment needs of Black and Minority Ethnic (BME) sex offenders in prison are not being appropriately met. Underpinning this concern is the continued under representation of BME sex offenders on the Sex Offender Treatment Programme (SOTP). Although some research has been undertaken into how BME prisoners experience the SOTP and in to its ostensible effectiveness with BME sex offenders, little is known about why the take-up of the SOTP is poor with this group. In this paper we first consider some specific demographic issues that need to be understood in order to reflect more widely on the BME sex offender in prison. We then summarise what is currently known about effective practice with this group, thereafter we consider, in turn, current provision for BME sex offenders in England and Wales and suggestions for developing practice with this group of men. However, before we turn to these issues, it is important to consider briefly issues of terminology. Terminologies in relation to ethnicities and race are fraught with conceptual difficulties. Aspinall has highlighted the limitations of `pan-ethnic¿ groups, such as `BME¿; such groupings are `statistical collectivities¿ and `the groups thus defined will be nothing more than meaningless statistical collectivities that do not represent any of the constituent groups within the term.¿ . However, at the outset of this paper we use the collective term BME - this term is currently used by a number of Government Departments in the UK, including the Prison Service. Later we suggest that a more sophisticated understanding of ethnic cultures may be necessary to develop practice with BME sex offenders.

The thesis deals with the pedagogical aspects of the care for convicts in connection to the use of addictive substances. Its character is theoretical-empirical. The theoretical part is based on professional literature and legislation. It focuses on general information about the Prison Service of the Czech Republic, on the system and the concept of imprisonment, as well as the aspects of pedagogy in penitentiary care. In detail, the thesis deals with a specialized prison ward for convicts with behavioural disorders caused by the use of addictive substances, namely from the point of methodology, regulations, and individual terms such as drugs, professional treatment of convicts, and the course of the conditions of the therapeutic programme. The empirical part aims to find out the course of the rehabilitation of convicts in a specialized ward for convicts with behavioural disorders caused by the use of addictive substances, namely from the point of professional employees. The research is qualitative. Data collection was carried out by semi-structured interviews with a psychologist, a special remedial teacher, an instructor - therapist, an instructor, and an activity instructor. The responses in the research ascertained that the key factor in the successful rehabilitation of convicts is the structure...

This thesis is aimed at the criteria influencing the choice of leisure activities for Plzeň Prison convicted. Is there a correlation between the selection of the type of leisure activities and the type of crime for which the accused was convicted? If so what and why? The theoretical part describes the historical development of the Czech Prison and history of Plzeň Prison and development of leisure activities. It also describes the possible psychosocial factors influencing the selection of these activities. The second practical part of this thesis contains a survey of prisoners Pilsen and its results. The survey was compiled on the basis of the theoretical part of this thesis and related information from the bachelor thesis. The themes of interviews were: social life - facilities, leisure time spent with family and friends, aspects affecting their free time and leisure activities in Plzeň Prison in certain sections. The main objective of the survey was to find out if there is the relationship (correlation) between the selection of leisure activities and crime for which they are placed in prison. In total were interviewed twenty Sentenced Prisoners in Plzeň Prison.) The results of this research are as follows. There wasn't find any correlation between the selection of leisure activity and type of crime. This means according this research we cannot say that convicted person for property crimes prefers educational/soft activities and sentenced for violent crimes sport. But in the details, we can find some specific patterns in selection of leisure activities

The impact of the diagnosis and the reality of being hearing impaired could trigger uncomfortable feelings at different times in the client's life. With the cochlear implant, these feelings will still be a reality, as the implant does not heal the hearing impairment. Psychological interventions could assist the client during this healing process. The process of cochlear implants could also bring other challenges into the client's life. Expectations of quick healing play a major role and should be addressed throughout the process of implantation and rehabilitation. This is another opportunity for the psychologist to intervene. This research shows that the role of the psychologist could be expanded not only to evaluate but also to bring about change. The treatment model gives a logical and workable explanation of how and where the psychologist may intervene in the process of cochlear implantation. This model was tested and adapted by the cochlear implant team at the University of Pretoria over a period of ten years. The model may be used as a template for new teams. Intervening as described in the model presents the opportunity to address various different needs as they occur. The qualitative research design proved to be a fitting method to explore the experiences of the participants from their own viewpoints. The qualitative research is also congruent with a systemic perspective and emphasises social context, multiple perspectives, complexity, recursion and holism. This study aims to develop a complementary psychological treatment programme and create awareness within professionals working with hearing impairment of the complexity of systems. The study shows that one can only understand the behaviour of any given system by tracking changes that occur within that system and its subsystems and by tracking changes between that system and the larger whole. In this study three different therapeutic interventions are used on three different case studies, two children from different age groups and an adult, to accommodate the multiple realities of the different systems. The aim of the study with cochlear implantees and their families is to stimulate new leads and avenues of enquiry that may be used as a basis for further research. / Psychology / Thesis (D.Litt. et Phil. (Psychology))

Although addiction is treated by means of different treatment programmes in South Africa, the researcher discovered that the level of self-actualization and changes in addicts relationships, are questionable. A preliminary literature review indicated that the family of origin could be the cause of addiction. The above prompted the researcher to compile a treatment programme that addresses the family of origin as a cause of addiction. The treatment programme was divided into three phases. Phases one and two were included to provide therapists with guidelines on how to assist clients to reach abstinence, as well as how to function effectively in their life-worlds, while phase three addressed the family of origin as a cause of addiction. The family systems and relations theories served as the theoretical framework of the study. Phase three of the treatment programme was implemented by therapists during an empirical investigation to determine the effectiveness of the treatment programme. / Teacher Education / D Ed. (Psychology of Education)

The impact of the diagnosis and the reality of being hearing impaired could trigger uncomfortable feelings at different times in the client's life. With the cochlear implant, these feelings will still be a reality, as the implant does not heal the hearing impairment. Psychological interventions could assist the client during this healing process. The process of cochlear implants could also bring other challenges into the client's life. Expectations of quick healing play a major role and should be addressed throughout the process of implantation and rehabilitation. This is another opportunity for the psychologist to intervene. This research shows that the role of the psychologist could be expanded not only to evaluate but also to bring about change. The treatment model gives a logical and workable explanation of how and where the psychologist may intervene in the process of cochlear implantation. This model was tested and adapted by the cochlear implant team at the University of Pretoria over a period of ten years. The model may be used as a template for new teams. Intervening as described in the model presents the opportunity to address various different needs as they occur. The qualitative research design proved to be a fitting method to explore the experiences of the participants from their own viewpoints. The qualitative research is also congruent with a systemic perspective and emphasises social context, multiple perspectives, complexity, recursion and holism. This study aims to develop a complementary psychological treatment programme and create awareness within professionals working with hearing impairment of the complexity of systems. The study shows that one can only understand the behaviour of any given system by tracking changes that occur within that system and its subsystems and by tracking changes between that system and the larger whole. In this study three different therapeutic interventions are used on three different case studies, two children from different age groups and an adult, to accommodate the multiple realities of the different systems. The aim of the study with cochlear implantees and their families is to stimulate new leads and avenues of enquiry that may be used as a basis for further research. / Psychology / Thesis (D.Litt. et Phil. (Psychology))

Although addiction is treated by means of different treatment programmes in South Africa, the researcher discovered that the level of self-actualization and changes in addicts relationships, are questionable. A preliminary literature review indicated that the family of origin could be the cause of addiction. The above prompted the researcher to compile a treatment programme that addresses the family of origin as a cause of addiction. The treatment programme was divided into three phases. Phases one and two were included to provide therapists with guidelines on how to assist clients to reach abstinence, as well as how to function effectively in their life-worlds, while phase three addressed the family of origin as a cause of addiction. The family systems and relations theories served as the theoretical framework of the study. Phase three of the treatment programme was implemented by therapists during an empirical investigation to determine the effectiveness of the treatment programme. / Teacher Education / D Ed. (Psychology of Education)