Two studies were conducted. A longitudinal study (12 months) was designed to describe the physiological and psychological recovery patterns in a group of pediatric patients who were recently treated for a malignancy. An intervention program (12 week rehabilitation exercise program), was used to separate the effects of deconditioning from the disease and/or its treatment in children who had been out of treatment for a malignancy for at least one year. In the twelve month study, 10 pediatric patients recently out of treatment and 10 healthy controls were tested at 0, 6, 12 weeks and 6 and 12 months. In the twelve week study, 18 patients and 52 healthy controls were assigned to an exercise or no exercise group and were tested at 0, 6 and 12 weeks. At each test session, all subjects were tested for measures of height, weight, sum of skin folds, blood pressure, and pulmonary function. Each subject completed a 30s Wingate test on a cycle ergometer, for measures of anaerobic capacity, and a maximal oxygen consumption test (15 or 20 W/min, ramp protocol) to volitional fatigue for measures of aerobic fitness. A measurement of self-esteem and self-confidence were tested using the Harter scale Self-Perception Profile for Children and Adolescents. All subjects were also evaluated at 0 and 12 weeks (again at 6 and 12 months in the 12 month study) using Doppler and M-mode echocardiography to note cardiovascular changes during semi-supine exercise. Results of both studies show no significant differences between the patients and the healthy controls in any of the physiology, psychology, or cardiology measures. The patients did demonstrate a similar response to exercise in many measures but their values were reduced in magnitude. The patients consistently performed below both the healthy controls in all physiological and cardiology measures but these trends were not statistically significant. It would appear that the majority of children and adolescent patients who were followed in this study are functioning remarkably well both physically and psychologically compared to their healthy controls. / Graduate and Postdoctoral Studies / Graduate

This study was requested by Dr. Ira B. Korman, Administrator, Woodland Park Mental Health Center. Woodland Park Mental Health Center currently provides a program of short-term evaluation and crisis care for adolescents. The staff there find it is difficult to locate suitable out-of-home placements for certain of their adolescent patients concluding hospitalization. Their concern for this group of hard-to-place patients has led to this inquiry, the purposes of which are to (1) assess need, (2) design a residential program, and (3) consider the feasibility of its implementation.

No description available.

No description available.

The current study evaluated a treatment designed specifically for children with attention-deficit/hyperactivity disorder (ADHD) and anxiety. The experimental treatment involved a combination of parent management training for ADHD and family-based treatment for anxiety. Sessions lasted approximately 90 minutes, and the treatment consisted of 10 weekly sessions. 8 children ages 8-12 with ADHD, Combined Type (ADHD-C) and at least one of three anxiety disorders (separation anxiety disorder, generalized anxiety disorder, social phobia) were selected for the study. Children were assessed with semi-structured diagnostic interviews and other standardized measures to determine study eligibility. The current study utilized a noncurrent multiple baseline design to evaluate treatment efficacy. Upon selection into the study, children were randomized to one of three baseline control conditions (i.e., 2, 3, or 4 weeks of waiting) in order to insure that change in behavior was associated with implementation of the treatment. Treatment commenced after the respective baseline periods. Families were assessed throughout treatment but more comprehensive assessments were conducted at pre-treatment, mid-treatment, and 1-week post-treatment. Results highlighted significant improvement in anxiety-related symptoms but more modest gains for ADHD-related symptoms. / Ph. D.

Distribution of a questionnaire explored the types and determinants of psychotherapeutic intervention with children. The sample consisted of 76 licensed professionals in the fields of psychology, social work, and counseling. Family therapy was the preferred type of psychotherapy; however, psychotherapists employed different therapeutic interventions as the clients age varied. The primary determinant in intervention was the professionals perception of the nature of the child's problem. Developmental knowledge was not considered a significant tool in selecting and implementing therapeutic intervention. Professionals who intervene with children did not believe that their educational programs had prepared them to do so. These results are discussed in terms of the need for specialized training for psychotherapists who intervene with children. / M.S.

Play is one of the effective ways of assisting children to deal with their emotional problems in therapy. There are many methods and techniques that are scientifically proven that are used in play therapy. There are some indigenous types of play that have not yet been scientifically proven to be therapeutically effective. Mmaskitlane is one of these indigenous plays. The motivation of this study was firstly, to make a literature study against which Mmaskitlane was compared to commonly used play techniques. Then an empirical study was done to explore the therapeutic effects of the play. It was used in combination with the Children Apperception Test (CAT), Draw a Person (DAP) and the Rational Emotive Therapy (RET), during play therapy with learners experiencing emotional problems. The findings from this study indicate that the use of Mmaskitlane may be a valuable therapeutic tool in supporting learners with emotional problems. / Psychology / M. Ed. (Guidance and Counselling)

Thesis (MEdPsych (Educational Psychology))--University of Stellenbosch, 2005. / The main focus of this study is an exploration of the sandplay process of a thirteen-year old girl as it unfolded during the creation of twelve sand worlds. The girl is from a historically disadvantaged background and was experiencing emotional and learning difficulties. Sandplay therapy involves letting the client play with sand, water and a variety of realistic miniature figures to build an image in a tray of a specific size while the therapist witness this process. The interaction with the sand, water and miniatures allow the client to access unconscious issues and give them concrete form through the images portrayed in the tray. By creating a series of sand worlds the client can confront and contain their conflicts and touch a transpersonal aspect called the Self. Self-trays are characterized by signs of centering and have a spiritual quality. The case study is single-subject qualitative research design and data was produced from assessments, interviews, observation, video and audio recordings, a school report and photographs. The assessments and interviews were mainly used to conceptualize the case and to inform treatment. It appears as if the girl has a learning difficulty that seemed to have been the source of her feelings of anger, frustration and rejection. She also appears to be functioning at a concrete operational level. An interpretation of the photographs indicated a progressive movement from an unstructured first sandworld to a structured, organized last one. Signs of centering could be observed in the last three trays.

The purpose of this study was to determine the effectiveness of Intensive Filial Therapy in: (a) improving the self-concept of child witnesses of domestic violence; (b) reducing internalizing behavior problems, such as withdrawal, somatic complaints, anxiety and depression, of child witnesses of domestic violence; (c) reducing externalizing behavior problems, such as aggression and delinquency, of child witnesses of domestic violence; (d) reducing overall behavior problems of child witnesses of domestic violence; and (e) increasing communication of empathy between mothers and child witnesses of domestic violence. A second objective of this study was to compare the effectiveness of Intensive Filial Therapy with Intensive Individual Play Therapy and Intensive Sibling Group Play Therapy with child witnesses of domestic violence. The experimental group consisted of 11 child witnesses of domestic violence whose mothers received 12 Intensive Filial Therapy training sessions within a three week period and had 12 mother-child play sessions. The Intensive Individual Play Therapy comparison group, consisting of 11 child witnesses, and the non-treatment control group, consisting of 11 child witnesses, were utilized from the Kot (1995) study. The Intensive Sibling Group Play Therapy comparison group was utilized from the Tyndall-Lind (1999) study. Children in all studies completed the Joseph Preschool and Primary Self-concept Screening Test and the Child Behavior Checklist. Mothers who received Intensive Filial Therapy training conducted pretest and posttest play sessions for the Measurement of Empathy in Adult-Child Interaction. Analyses of Covariance revealed the children in the experimental group significantly increased in self-concept, and significantly reduced overall behavior problems. A comparison of t-test scores of the pretests and posttests revealed mothers in the experimental group significantly increased communication of empathy to their children.

Although several guidelines are available for designing observational procedures in both basic and applied settings, few researchers have experimentally examined and compared different direct observation methods. Such methods may have a direct impact on practitioners' ability to effectively assess strengths and challenges, set treatment goals, adjust intervention procedures, and monitor progress. The current study compared 1 and 5 min observations to 10 min observations throughout baseline and intervention phases of a parent training program for toddlers with autism. Results showed similarities with regards to variability, level, and trend in the 5 and 10 min data samples; however, clear differences were seen in the 1 min data sample, which typically showed very low occurrences of responding and displayed steady and flat trends. The findings have implications for the development of time-efficient direct observation procedures utilized in parent training programs for children with autism.