This study aimed to explore processes encouraging resilience in HIV and AIDS affected Basotho female adolescents in Sedibeng West in the Vaal Triangle area of the Gauteng province; and to identify guidelines to help these individuals to get through their adversities in constructive ways. By using purposive sampling (a non-probability sampling method), 61 high risk, high resilient HIV and AIDS affected Basotho female adolescents in Sedibeng West were identified to participate in the research An extensive literature review revealed the following gaps with regard to the topic of this study: • Shortage of literature regarding the effects that HIV and AIDS have on Basotho female adolescents and how these adolescents cope with these challenges; • Lack of focus on resilience of specific cultural adolescent groups; • Lack of focus on processes that encourage resilience in adolescents; • Need for qualitative studies of resilience and visual qualitative studies in particular. Consequently, a qualitative, visual phenomenological study was done where data was collected by a multi-dimensional data gathering method consisting of open-ended questionnaires, drawings and semi-structured interviews. The findings revealed that HIV and AIDS affected all participants in a substantial way. The following three main processes encourage resilience in Basotho female adolescents: Benefitting from constructive bonds; Making meaning; and Acting constructively. Furthermore, Spiritual beings and Mothers were primarily identified as figures of strength and support during adolescents’ adversity. Based on the findings, the researcher recommends that: • The Department of Education include all aspects concerning HIV and AIDS, as well as aspects concerning Religion and Spirituality in the Life Skills curriculum without making any preference of religion; • a mother figure should be established in every child’s life at a very young age, preferably as early as birth; • young people be taught skills and strategies to build interpersonal relationships and attachment bonds to significant others; • families and schools empower individuals with skills to find meaning in adversity • parents and family members model constructive regulation of behaviour to adolescents.

The apparent increase in the incidence of both anorexia nervosa and bulimia nervosa worldwide has resulted in a surge of interest in effective treatment, prevention programmes and health promotion. Health promotion and the primary prevention of eating and body image problems among young people, and in particular adolescents, is emerging as one of the most desirable achievements in contemporary health and nutrition education. Eating disorders usually have their origin during the teenage years, and as such, high schools provide useful sites for the implementation of prevention programmes. Educators can play an important role in the prevention of eating disorders and act as socialization agents who either reinforce or buffer the dominant societal discourses that shape young women’s views of themselves. There are calls, however, for caution in the design and implementation of school-based eating disorder curricula as school educators may inadvertently do more harm than good. It has also been suggested that female educators, as other women, are likely to possess a degree of normative discontent with their body shape and size, and that this dissatisfaction and negative beliefs about food may be unknowingly transferred to the learners within their care. The current study used an exploratory, descriptive research design to investigate the knowledge, attitudes and behaviours related to eating disorders, body image and weight control of a group of Life Orientation educators. A biographical questionnaire, a questionnaire designed for the purposes of the current research and two standardised paper-and-pencil questionnaires, namely the Body Shape Questionnaire (BSQ) and the Eating Attitudes Test (EAT), were administered to 50 female Life Orientation educators in the Nelson Mandela Metropole. A non-probability purposive sampling technique was used in the selection of participants and descriptive statistics were used to explore and describe the data. The results of the current research study indicated a lack of knowledge in those Life Orientation educators assessed regarding eating disorders and healthy diet. The results also indicated inaccurate knowledge amongst those educators assessed regarding effective and safe teaching practices of eating disorder pathology. The results of the two standardised questionnaires reflected an internalisation of the dominant societal ideals regarding weight and body shape, with 18% of the sample xi demonstrating attitudes and behaviours that could be indicative of eating disorder pathology of either clinical or subclinical proportions. Suggestions were made regarding future research and the need for further training of Life Orientation educators. Finally, the limitations as well as the value of the research were outlined.

M.A. (Clinical Psychology) / This research was undertaken as a result of the researcher dealing with bright children who were not achieving in school. Many of these children seemed to be depressed and lacking in motivation, and the researcher was unable to find recent information directly related to these psychological variables and underachievement. A sample of children were selected from a group of children who had approached the researcher and a colleague for career guidance. Very few of the parents of the children in the sample approached were willing to allow their children to participate in this study, and as a result the study only comprises a small number of subjects. The subjects who did participate in the intervention completed questionnaires related to their motivation levels and their feelings of hopelessness and depression, as these traits were 'considered important in assessing why these children were not succeeding academically. The children then each spent an hour a week for six weeks with the researcher, discussing why they were not achieving at school. These meetings took place for six weeks. The results of this study indicate that the intervention did change some of the levels of motivation, hopelessness and depression for some of the children.

M.Ed. (Psychology of Education) / Please refer to full text to view abstract

M.Ed. / Please refer to full text to view abstract

It takes two to tango! However, family planning programmes in most countries especially in Sub-Saharan Africa have focused almost solely on one - the female-invariably with little impact. The few attempts which have been made to involve males have concentrated on the adult male. It was felt the time had come to involve the adolescent males most of whom are already sexually active and after all are the husbands and fathers of tomorrow. Male high school students (N=240) out of a total of 2101 male students were randomly selected from all the six urban high schools in the Zwelitsha District of Ciskei (now part of the new Eastern Cape Province of RSA) and were surveyed to obtain information on KABP concerning family planning. The study was undertaken to provide information for planning of a family planning health intervention programme by the school health team in an attempt to address the high unplanned teenage pregnancy rate and STDs in the schools. The response rate was 83,3%. Important findings included the following: 90% reported they had already had sexual intercourse; the mean age at first sexual intercourse was 15.4 years; the interval from first intercourse to first contraceptive use was 2 years; knowledge of contraceptives was at times scanty and there were several misconceptions and myths concerning fertility, contraceptives and STDs; majority (71,5%) felt the decision to use contraceptives should be the responsibility of both male and female; 86,4% expressed the desire to use contraceptives in the future and 73,0% felt sex education should start in primary school. The adolescent male is interested in family planning and wants to be an active participant in the programme. Recommendations for improved family planning services in schools are made.

Collection of papers submitted to the Faculty of Medicine, University of Cape Town, in fulfilment of the requirements of Part III of the Degree Master of Medicine in Psychiatry. / The following five papers are included in this collection. Paper 1. Flisher AJ, Joubert G, Yach D. Mortality from external causes in South African adolescents, 1984 - 1986. South African Medical Journal 1992; 81: 77-80. Paper 2. Flisher AJ, Chalton DO. High school dropouts in a working-class South African community: selected characteristics and risk-taking behaviour. Journal of Adolescence (in press). Paper 3. Flisher AJ, Roberts MM, Blignaut RJ. Youth attending Cape Peninsula day hospitals. Sexual behaviour and missed opportunities for contraception counselling. South African Medical Journal 1992; 82: 104-106. Paper 4. Flisher AJ, Parry CDH. Suicide in South Africa. An analysis of nationally registered mortality data for 1984-1986. Acta Psychiatrica Scandinavica (in press). Paper 5. Flisher AJ, Parry CDH, Bradshaw D, Juritz J. Suicide in South Africa - seasonal variation. Acta Psychiatrica Scandinavica (to be submitted) .

Submitted in fuIfilment ofthe requirement for the degree Master of EDUCATION in the Department of Educational Psychology of the Faculty of Education at the University of Zululand, South Africa, 2003. / This study investigated the perceptions of high school learners about HTV7AIDS preventive strategies. The study reveals that the age of the learner, their gender, grade level, and the school they attend influences their perceptions. The study also reveals that the learners hold positive perceptions about abstaining from sex, delaying sex until marriage as well as knowing the HIV/AIDS status of potential partners as of paramount importance while those who do not hold positive perceptions about abstinence hold positive perception about practicing safe sex. The study reveals that there was no relationship between religion and the acceptance of circumcision as a cultural practice through which infection could be avoided; but racial grouping and age greatly influence the acceptance of this alternative strategy.

Dietary intake is a strong determinate of the health of an individual. Healthy eating is an important prevention to non-communicable diseases. If behaviour is to be changed insight into what the attitudes and barriers are to eating healthily amongst adolescents is imperative. This can provide knowledge for future prevention campaigns for healthy eating to prevent overweight and obesity. The purpose of the study was to quantitatively describe what attitudes adolescent females have towards healthy eating and what potential barriers omits them from adopting healthy eating behaviours. Data collection was done using structured questionnaires. Girls (N=73) from 3 public all girls’ high schools within Durban, KZN, participated in this study. The findings revealed that overall adolescent girls have a positive attitude to healthy eating. A lack of time, the foods sold in the school shop and the conveniences of less healthy food have been identified as barriers to healthy eating. / Health Studies / M. A. (Public Health)

Thesis (PhD (Sport Science))--University of Stellenbosch, 2006. / The continued integration of our global society has caused a shift in human social interaction and redefined the contexts of adolescents’ lives. Adolescents are inundated with a variety of choices at a stage of their lives where they are trying to create their own identity. This critical period of development is highlighted by an increased desire to experiment with adult life. Thus is experimentation not uncommon. The study examines the prevalence of a range of health risk behaviours amongst adolescent girls. It focuses on the identification of behaviours such as violence, smoking, alcohol and drug use and abuse, sexual behaviours, dietary behaviours and physical inactivity that place adolescents at increased risk for premature morbidity and mortality. An intervention programme was launched at the schools concerned in an effort to address these behaviour patterns and to inform learners regarding the dangers of these health risk factors. The sample population was selected from three previously disadvantaged high schools in the Worcester region. Due to restrictive circumstances at the schools, the sample could not be randomly selected and therefore the study is based on a quasi-experimental research approach. A sample of 1805 adolescent girls in Grades 8 to 10 completed a questionnaire, which assessed a range of health risk behaviours. This questionnaire was based on the Youth Risk Behaviour Survey (YRBS) and completed by all the respondents during the pre-test. A control and experimental group was selected from the Grades concerned, at the different schools. The experimental group was subjected to a six-months long intervention programme. At the end of the intervention programme a post-test was conducted on both the control and experimental groups. Four months after the post-test the respondents were subjected to the same test, which is now known as the follow-up test. The girls who dropped out of the study as it progressed are referred to as the drop-out group. Information regarding the socio-economic background of the girls, as well as permission to take part in the study, was obtained from the parents by means of a questionnaire. A self-designed questionnaire was used to obtain information regarding the state and status of Physical Education (PE) and movement programmes within Life Orientation at the schools. Teachers who were responsible for Grades 8, 9 and 10, completed the questionnaire. To keep track of body size and growth, mass and length were determined and body mass index (BMI) was calculated. Blood pressure was measured to determine to what extend these girls suffer from hypertension. Skinfold measures were taken to determine the fat percentage. The 20m shuttle run (Bleep test) was used to indirectly determine the physical activity levels of the respondents. The main results are discussed next. The results indicate that more respondents in the post-test (64%) reported that learners carry weapons on school grounds than in the pre-test. According to the results 64% of the respondents indicated in the post-test that learners carry weapons on school grounds compared to 29% of the respondents in the follow-up test (p<0.01). The pre-tests results indicate that 11% of the respondents smoke cigarettes in comparison to 14% in the post-test (p<0.01). Approximately 9% of the respondents in the pre-test indicated that they drank at least one alcoholic drink in the week before the study was undertaken in comparison to the 22% of the post-test (p<0.01). Regarding the smoking of dagga 2% of the respondents indicated in the pre-test that they smoked dagga whereas 9% in the post-test indicated that they did. More sexual active respondents during the follow-up test (57%) indicated that they used condoms during their last sexual experience than in the post-test (46%). The results of the pre-test indicate that approximately 49% of the respondents did something to loose weight or to prevent weight-gain in comparison to the 25% of the post-test and the 31% of the follow-up test. According the results, 35% of the respondents purported to have PE at their school in comparison to 30% during the post-test and 54% during the follow-up test. Although there were some exceptions, in most cases a tendency existed that indicated an increase in the variables measured between the pre-test and post-test. In most cases the results remained constant between the post-test and the follow-up test. This study can therefore be a starting point for further research into the process to combat health risk behaviours amongst adolescent girls. This can be done with educational programmes in cooperation with several role-players in the community.