Pregnancy and childbirth are important life experiences in a woman’s psychosocial and psychological development. For many women, vaginal birth is still considered an integral part of being a woman and becoming a mother. Furthermore, it is thought to promote maternal well-being through helping women to match their expectations to experiences. For these women, a failed natural birth can be a psychological, psychosocial, and existential challenge that can result in significant and far-reaching consequences for their psychological wellbeing. Research, especially recent research, on the experiences of women who most wanted to, but were unable to deliver their babies naturally is relatively rare. This is surprising given the potential implications of these experiences on a mother’s emotional well-being, as well as for her feelings towards her new baby. Nevertheless, literature on the topic presents a coherent perspective on the problem and indicates that these women experience difficulties in adapting to not being able to fulfill their dream of delivering their baby naturally. There is no existing research on the subjective experiences of South African women who delivered their babies by unplanned Caesarean section. This study therefore aimed to contribute to knowledge that may fill this gap to some extent. Through purposeful sampling, ten mothers who had wanted to deliver their babies naturally, but had not been able to for whatever reason, were selected as the study sample. Various aspects of their birth experiences were explored in indepth phenomenological interviews. This allowed the researcher to probe certain aspects offered by participants in order to understand and explore their contributions in as much depth as possible. A semi-structured, open-ended approach allowed for the exploration of relevant opinions, perceptions, feelings, and comments in relation to the women’s unplanned Caesarean experiences. The transcribed data was synthesized within a framework of phenomenological theory, where women’s experiences were analyzed and explored in an attempt to understand how participants made sense of their experiences. The different aspects of women’s experiences were explored in three substudies. The results are reported in three manuscripts/articles. Research suggests that post-partum adjustment difficulties are influenced by the potentially virulent stress reactions generated in response to a perceived birth trauma. The objective of the first article was to explore women’s labour and birthing accounts with specific regard to the subsequent stress responses experienced. The stress responses experienced by the women in this study both prior to, and during the Caesarean section were predominantly anxiety-based. This was distinguished from the post-partum period, where women described having experienced more depressive symptoms. Post-traumatic stress responses are associated with negative perceptions of the birth, self and infant. The experience of adverse emotional consequences during the post-partum period can undermine a woman’s ability to successfully adapt to her role as a mother, meet the needs of her infant, and cope with post-partum challenges. The second article highlighted the possible impact of women’s unexpected and potentially traumatic childbirth experiences on initial mother-infant bonding. The unplanned Caesarean sections left mothers feeling detached from the birthing process and disconnected from their infants. Passivity, initial separation, and delayed physical contact further compromised mother-infant interaction. Postpartum physical complications and emotional disturbances have important implications for a woman’s perceptions of herself as a mother and her ability to provide for her infant, her self-esteem, and feelings of relatedness with her baby. Adverse responses to a traumatic birth experience could therefore influence the establishment of a maternal role identity, the formation of balanced maternal attachment representations, the caregiving system, and ultimately initial motherinfant bonding. In the third article, women’s experiences were contextualized in relevant coping resources and strategies. The processes occurring during a traumatic birth experience, such as during an unplanned Caesarean section, could be influenced by perceived strengths when coping with the stress related to the incident. The mothers in this study described several factors and coping strategies that they perceived to have been effective in reducing the impact of their traumatic birth experiences. These included active coping strategies, problem-focused coping strategies, and emotion-focused coping strategies. Coping strategies could result in reassessment of the birth process, and be associated with a more positive, acceptable and memorable experience. This study contributes to nursing, midwifery and psychological literature, by adding to the professional understanding of the emotional consequences of surgical delivery on South African childbearing women. This exploration therefore has important implications for preventative measures, therapeutic intervention, and professional guidance. However, the restricted sample may limit the generalizability of results. Further investigation of the experiences of a larger, more biographically and culturally diverse population could be instrumental in the development of knowledge and understanding in this field of study. / Thesis (PhD (Psychology))--North-West University, Potchefstroom Campus, 2013

Pregnancy and childbirth are important life experiences in a woman’s psychosocial and psychological development. For many women, vaginal birth is still considered an integral part of being a woman and becoming a mother. Furthermore, it is thought to promote maternal well-being through helping women to match their expectations to experiences. For these women, a failed natural birth can be a psychological, psychosocial, and existential challenge that can result in significant and far-reaching consequences for their psychological wellbeing. Research, especially recent research, on the experiences of women who most wanted to, but were unable to deliver their babies naturally is relatively rare. This is surprising given the potential implications of these experiences on a mother’s emotional well-being, as well as for her feelings towards her new baby. Nevertheless, literature on the topic presents a coherent perspective on the problem and indicates that these women experience difficulties in adapting to not being able to fulfill their dream of delivering their baby naturally. There is no existing research on the subjective experiences of South African women who delivered their babies by unplanned Caesarean section. This study therefore aimed to contribute to knowledge that may fill this gap to some extent. Through purposeful sampling, ten mothers who had wanted to deliver their babies naturally, but had not been able to for whatever reason, were selected as the study sample. Various aspects of their birth experiences were explored in indepth phenomenological interviews. This allowed the researcher to probe certain aspects offered by participants in order to understand and explore their contributions in as much depth as possible. A semi-structured, open-ended approach allowed for the exploration of relevant opinions, perceptions, feelings, and comments in relation to the women’s unplanned Caesarean experiences. The transcribed data was synthesized within a framework of phenomenological theory, where women’s experiences were analyzed and explored in an attempt to understand how participants made sense of their experiences. The different aspects of women’s experiences were explored in three substudies. The results are reported in three manuscripts/articles. Research suggests that post-partum adjustment difficulties are influenced by the potentially virulent stress reactions generated in response to a perceived birth trauma. The objective of the first article was to explore women’s labour and birthing accounts with specific regard to the subsequent stress responses experienced. The stress responses experienced by the women in this study both prior to, and during the Caesarean section were predominantly anxiety-based. This was distinguished from the post-partum period, where women described having experienced more depressive symptoms. Post-traumatic stress responses are associated with negative perceptions of the birth, self and infant. The experience of adverse emotional consequences during the post-partum period can undermine a woman’s ability to successfully adapt to her role as a mother, meet the needs of her infant, and cope with post-partum challenges. The second article highlighted the possible impact of women’s unexpected and potentially traumatic childbirth experiences on initial mother-infant bonding. The unplanned Caesarean sections left mothers feeling detached from the birthing process and disconnected from their infants. Passivity, initial separation, and delayed physical contact further compromised mother-infant interaction. Postpartum physical complications and emotional disturbances have important implications for a woman’s perceptions of herself as a mother and her ability to provide for her infant, her self-esteem, and feelings of relatedness with her baby. Adverse responses to a traumatic birth experience could therefore influence the establishment of a maternal role identity, the formation of balanced maternal attachment representations, the caregiving system, and ultimately initial motherinfant bonding. In the third article, women’s experiences were contextualized in relevant coping resources and strategies. The processes occurring during a traumatic birth experience, such as during an unplanned Caesarean section, could be influenced by perceived strengths when coping with the stress related to the incident. The mothers in this study described several factors and coping strategies that they perceived to have been effective in reducing the impact of their traumatic birth experiences. These included active coping strategies, problem-focused coping strategies, and emotion-focused coping strategies. Coping strategies could result in reassessment of the birth process, and be associated with a more positive, acceptable and memorable experience. This study contributes to nursing, midwifery and psychological literature, by adding to the professional understanding of the emotional consequences of surgical delivery on South African childbearing women. This exploration therefore has important implications for preventative measures, therapeutic intervention, and professional guidance. However, the restricted sample may limit the generalizability of results. Further investigation of the experiences of a larger, more biographically and culturally diverse population could be instrumental in the development of knowledge and understanding in this field of study. / Thesis (PhD (Psychology))--North-West University, Potchefstroom Campus, 2013

This study focuses on the strengths of early adolescents after losing a parent to suicide. Strengths is a global phenomenon and yet little research has been undertaken in South Africa pertaining to strengths in early adolescence. The goal of the study was to determine how the early adolescent experiences the suicidal death of a parent while simultaneously going through puberty, and what strengths were present to help them make meaning out of what happened in their lives. The research was conducted through a phenomenological design and followed a qualitative research approach within an interpretivist paradigm. The research design and approach allowed the participants to give meaning to the construct by sharing their own experiences. A total of 6 early adolescent girls from the ages of twelve to sixteen years were purposefully selected from the East Rand area, Gauteng. Five of the girls were Afrikaans speaking and one was English speaking. Three of the girls lost a mother to suicide and three of the girls lost a father to suicide. The qualitative data was collected in the form of individual in-depth interviews with the early adolescents. The interviews were voice recorded, transcribed and typed out by online transcribers. The raw data was checked by the researcher for accuracy and categorised to ascertain certain emerging themes. Thematic data analysis was used to transform the transcribed data into meaningful information. Principles and strategies to increase the trustworthiness of the data were done through a process of crystallisation. The researcher's objective was to understand and interpret the meanings the participants gave to their own experiences, to identify the strengths that emerged and make findings available to professionals and parents. The findings of the study revealed that early adolescents do present with certain strengths of an intrapersonal nature that assisted and support them through the grief and bereavement process after the suicide of a parent. / MA (Psychology), North-West University, Potchefstroom Campus, 2014

This study focuses on the strengths of early adolescents after losing a parent to suicide. Strengths is a global phenomenon and yet little research has been undertaken in South Africa pertaining to strengths in early adolescence. The goal of the study was to determine how the early adolescent experiences the suicidal death of a parent while simultaneously going through puberty, and what strengths were present to help them make meaning out of what happened in their lives. The research was conducted through a phenomenological design and followed a qualitative research approach within an interpretivist paradigm. The research design and approach allowed the participants to give meaning to the construct by sharing their own experiences. A total of 6 early adolescent girls from the ages of twelve to sixteen years were purposefully selected from the East Rand area, Gauteng. Five of the girls were Afrikaans speaking and one was English speaking. Three of the girls lost a mother to suicide and three of the girls lost a father to suicide. The qualitative data was collected in the form of individual in-depth interviews with the early adolescents. The interviews were voice recorded, transcribed and typed out by online transcribers. The raw data was checked by the researcher for accuracy and categorised to ascertain certain emerging themes. Thematic data analysis was used to transform the transcribed data into meaningful information. Principles and strategies to increase the trustworthiness of the data were done through a process of crystallisation. The researcher's objective was to understand and interpret the meanings the participants gave to their own experiences, to identify the strengths that emerged and make findings available to professionals and parents. The findings of the study revealed that early adolescents do present with certain strengths of an intrapersonal nature that assisted and support them through the grief and bereavement process after the suicide of a parent. / MA (Psychology), North-West University, Potchefstroom Campus, 2014

This dissertation serves as a report on the qualitative exploration of best practices in animal-assisted therapy (AAT) with children. The aim of the study was to explore and describe best practices in the field of AAT with children in the Western Cape. The research made use of the case study design, which offered the researcher the opportunity to interact with a small number of individuals and look for patterns in the research participants’ words and experiences. Four participants, who were trained mental health professionals and had offered AAT to children, were selected to participate in the research. A literature review of animal-assisted therapy and best practice provided a theoretical basis for the research. The history of AAT, the uses and benefits of AAT and the animals incorporated in AAT were explored. The term “best practice” and its application in mental health and AAT were also discussed. The verbatim transcriptions of the audiotaped data were analysed and interpreted using Interpretative Phenomenological Analysis (IPA) and an AAT conceptual framework (brought about by the literature review). Themes were developed from the empirical data and substantiated by the literature review. Five main themes emerged as a result of the analysis. The first theme, Training of the animal-assisted therapist, focused on both the mental health training and the AAT training of the therapist. The second theme, Training of animals incorporated in animal-assisted therapy, revealed the importance of training the animal to be included in AAT. The third theme, Different client populations in animal-assisted therapy, looked at which populations should be included, excluded or included and carefully managed during AAT. The fourth theme, Ethical considerations in animal-assisted therapy, revealed the importance of considering both the child’s and the animal’s welfare. The fifth theme, Regulation of animal-assisted therapy, gave a more in-depth description of the current regulation of AAT in the Western Cape and provided suggestions for the regulation of AAT. Based on the findings of the five themes, recommendations were made for best practice in AAT with children in the Western Cape. / Thesis (MA (Psychology))--North-West University, Potchefstroom Campus, 2013.

This dissertation serves as a report on the qualitative exploration of best practices in animal-assisted therapy (AAT) with children. The aim of the study was to explore and describe best practices in the field of AAT with children in the Western Cape. The research made use of the case study design, which offered the researcher the opportunity to interact with a small number of individuals and look for patterns in the research participants’ words and experiences. Four participants, who were trained mental health professionals and had offered AAT to children, were selected to participate in the research. A literature review of animal-assisted therapy and best practice provided a theoretical basis for the research. The history of AAT, the uses and benefits of AAT and the animals incorporated in AAT were explored. The term “best practice” and its application in mental health and AAT were also discussed. The verbatim transcriptions of the audiotaped data were analysed and interpreted using Interpretative Phenomenological Analysis (IPA) and an AAT conceptual framework (brought about by the literature review). Themes were developed from the empirical data and substantiated by the literature review. Five main themes emerged as a result of the analysis. The first theme, Training of the animal-assisted therapist, focused on both the mental health training and the AAT training of the therapist. The second theme, Training of animals incorporated in animal-assisted therapy, revealed the importance of training the animal to be included in AAT. The third theme, Different client populations in animal-assisted therapy, looked at which populations should be included, excluded or included and carefully managed during AAT. The fourth theme, Ethical considerations in animal-assisted therapy, revealed the importance of considering both the child’s and the animal’s welfare. The fifth theme, Regulation of animal-assisted therapy, gave a more in-depth description of the current regulation of AAT in the Western Cape and provided suggestions for the regulation of AAT. Based on the findings of the five themes, recommendations were made for best practice in AAT with children in the Western Cape. / Thesis (MA (Psychology))--North-West University, Potchefstroom Campus, 2013.

Objective The present study aimed to explore women's perceptions and experiences of childbirth by unplanned Caesarean section. Background New motherhood is characterised as a profound change, and research suggests that the psychological effects of childbirth can be significant and far–reaching for some women. The processes occurring during a traumatic birth experience could affect a woman's emotional and psychological state, and she may experience considerable adjustment difficulties in adapting to unfulfilled expectations of delivering her baby naturally. Methods In–depth interviews explored 10 women's lived experiences of childbirth, after which thematic content analysis was used to synthesise data. The elements of phenomenological theory served as a broad framework for the structuring, organizing and categorizing of data, with interpretation aimed at gaining a greater understanding of women's internalised childbirth accounts. Findings Women described their contact with medical personnel, as well as the physical, environmental, and emotional aspects of their unplanned Caesarean sections, as distressing and traumatic. A sense of loss of control was the most significant contributor to women's negative childbirth experiences. Feelings of failure and disappointment were primarily related to unmet expectations and a lack of preparedness. Negative experiences were mediated by attentive caregiving, inclusion in decision–making, and support from loved ones. / Thesis (M.Sc. (Clinical Psychology))--North-West University, Potchefstroom Campus, 2011.

Alkoholmisbruik is tans n sosiale kwessie in Suid–Afrika, asook in die res van die wêreld. Die kind in sy middelkinderjare lewensfase se belewenis van sy alkoholmisbruik–gesin kom in verskillende ontwikkelingsterreine na vore, in sy daaglikse interaksie met sy gesin asook in sy wyer skakeling . Alhoewel hy homself gedurende hierdie fase in n losmakingsproses om onafhanklikheid bevind, bly sy gesin steeds vir hom n bron van sekuriteit, hulp en ondersteuning. Vir die navorsingsmetodologie is die proses in tabelformaat weergegee met behulp van n onderverdeling in vier fases. Tydens die eerste fase, die aanvanklike beplanning en probleem–formulering, het hoofsaaklik drie aspekte aandag geniet, naamlik die navorsingsonderwerp, probleem–formulering en die doel met die nodige doelwitte. Die doel van die kwalitatiewe studie wat vanuit die probleem–formulering voortgespruit het, was om plattelandse kinders in die middelkinderjare se belewenis van alkoholmisbruik in hul gesinne waarvan hul deel vorm, te beskryf. Tydens die formele beplanning in die tweede fase is die inligting deur middel van triangulering ingesamel en is op die navorsingsbenadering en –strategieë gefokus. Vanuit verskillende bronne is inligting verken om die plattelandse kind in die middelkinderjare lewensfase wat deel vorm van die alkoholmisbruik–gesin se belewenisse, te beskryf. n Literatuurstudie het die samestelling en uiteensetting moontlik gemaak vir n profielstudie vanuit n paradigmatiese perspektief van die kind. In die derde fase is aandag gegee aan die empiriese ondersoek waartydens triangulering praktykgerig voortgesit is met behulp van sinsvoltooing met vyf kinderrespondente, voltooiing van n selfontwerpte vraelys wat opgevolg is met semi–gestruktureerde onderhoude met vyf ouers en vyf onderwysers. Gedurende die vierde fase het die interpretering en integrering van die bevindinge gerealiseer. Die gevolgtrekkings waartoe gekom is, is veral geleë in die leemte op nasionale vlak en op die platteland ten opsigte van spesifiek die kind se belewenis van sy alkoholmisbruik–gesin asook sy omgewing. Dit het ook duidelik geword dat daar aandag gegee moet word aan alkoholmisbruik as verskynsel en die alkoholmisbruikte–huweliksverhouding en dat onkunde bestaan ten opsigte van ouerskap en die belewenis van die kind as betrokkene by sy alkoholmisbruik–gesin. Om hierdie redes word aanbeveel dat daar gefokus moet word op die kind se proses, maar ook dat ouers, onderwysers en maatskaplike werkers wat deel vorm van die ondersteuningsnetwerk vir hierdie kinders, die nodige kennis en insig deur middel van opleidingsprogramme behoort te ontvang. / Thesis (M.A. (Psychology))--North-West University, Potchefstroom Campus, 2012.

Objective The present study aimed to explore women's perceptions and experiences of childbirth by unplanned Caesarean section. Background New motherhood is characterised as a profound change, and research suggests that the psychological effects of childbirth can be significant and far–reaching for some women. The processes occurring during a traumatic birth experience could affect a woman's emotional and psychological state, and she may experience considerable adjustment difficulties in adapting to unfulfilled expectations of delivering her baby naturally. Methods In–depth interviews explored 10 women's lived experiences of childbirth, after which thematic content analysis was used to synthesise data. The elements of phenomenological theory served as a broad framework for the structuring, organizing and categorizing of data, with interpretation aimed at gaining a greater understanding of women's internalised childbirth accounts. Findings Women described their contact with medical personnel, as well as the physical, environmental, and emotional aspects of their unplanned Caesarean sections, as distressing and traumatic. A sense of loss of control was the most significant contributor to women's negative childbirth experiences. Feelings of failure and disappointment were primarily related to unmet expectations and a lack of preparedness. Negative experiences were mediated by attentive caregiving, inclusion in decision–making, and support from loved ones. / Thesis (M.Sc. (Clinical Psychology))--North-West University, Potchefstroom Campus, 2011.

Alkoholmisbruik is tans n sosiale kwessie in Suid–Afrika, asook in die res van die wêreld. Die kind in sy middelkinderjare lewensfase se belewenis van sy alkoholmisbruik–gesin kom in verskillende ontwikkelingsterreine na vore, in sy daaglikse interaksie met sy gesin asook in sy wyer skakeling . Alhoewel hy homself gedurende hierdie fase in n losmakingsproses om onafhanklikheid bevind, bly sy gesin steeds vir hom n bron van sekuriteit, hulp en ondersteuning. Vir die navorsingsmetodologie is die proses in tabelformaat weergegee met behulp van n onderverdeling in vier fases. Tydens die eerste fase, die aanvanklike beplanning en probleem–formulering, het hoofsaaklik drie aspekte aandag geniet, naamlik die navorsingsonderwerp, probleem–formulering en die doel met die nodige doelwitte. Die doel van die kwalitatiewe studie wat vanuit die probleem–formulering voortgespruit het, was om plattelandse kinders in die middelkinderjare se belewenis van alkoholmisbruik in hul gesinne waarvan hul deel vorm, te beskryf. Tydens die formele beplanning in die tweede fase is die inligting deur middel van triangulering ingesamel en is op die navorsingsbenadering en –strategieë gefokus. Vanuit verskillende bronne is inligting verken om die plattelandse kind in die middelkinderjare lewensfase wat deel vorm van die alkoholmisbruik–gesin se belewenisse, te beskryf. n Literatuurstudie het die samestelling en uiteensetting moontlik gemaak vir n profielstudie vanuit n paradigmatiese perspektief van die kind. In die derde fase is aandag gegee aan die empiriese ondersoek waartydens triangulering praktykgerig voortgesit is met behulp van sinsvoltooing met vyf kinderrespondente, voltooiing van n selfontwerpte vraelys wat opgevolg is met semi–gestruktureerde onderhoude met vyf ouers en vyf onderwysers. Gedurende die vierde fase het die interpretering en integrering van die bevindinge gerealiseer. Die gevolgtrekkings waartoe gekom is, is veral geleë in die leemte op nasionale vlak en op die platteland ten opsigte van spesifiek die kind se belewenis van sy alkoholmisbruik–gesin asook sy omgewing. Dit het ook duidelik geword dat daar aandag gegee moet word aan alkoholmisbruik as verskynsel en die alkoholmisbruikte–huweliksverhouding en dat onkunde bestaan ten opsigte van ouerskap en die belewenis van die kind as betrokkene by sy alkoholmisbruik–gesin. Om hierdie redes word aanbeveel dat daar gefokus moet word op die kind se proses, maar ook dat ouers, onderwysers en maatskaplike werkers wat deel vorm van die ondersteuningsnetwerk vir hierdie kinders, die nodige kennis en insig deur middel van opleidingsprogramme behoort te ontvang. / Thesis (M.A. (Psychology))--North-West University, Potchefstroom Campus, 2012.