La présente thèse poursuit l'objectif général de mieux comprendre l'expérience de la transplantation d'organe de la perspective de dyades comprenant un donneur et un receveur d'une donation vivante de rein. Pour ce faire, nous proposons une exploration en profondeur de la trajectoire de transplantation et des enjeux relationnels des donneurs et des receveurs. Un second objectif, qui s'est développé au cours de la recherche, est de contribuer à une meilleure compréhension des enjeux entourant la recherche qualitative impliquant des dyades. Cette thèse est présentée sous la forme de trois articles. Le premier article vise, par le biais de la méthode du méta-résumé, à dresser un portrait le plus complet possible du processus de donation tel qu'il avait été examiné à ce jour par les écrits empiriques qualitatifs disponibles, et à mettre en lumière les aspects qui avaient encore peu été appréhendés par les chercheurs, notamment l'importance de considérer conjointement au sein d'une même recherche des donneurs et des receveurs d'une donation vivante de rein. Le deuxième article a pour but d'explorer en profondeur l'expérience vécue pour des dyades de donneurs et de receveurs en contexte de donation vivante de rein, et en particulier la trajectoire de transplantation ainsi que les enjeux relationnels. Des entrevues qualitatives ont été menées auprès de cinq dyades (donc cinq donneurs et cinq receveurs). L'analyse phénoménologique interprétative des données recueillies propose un portrait de la trajectoire de transplantation, soit (a) l'expérience de la maladie du receveur, (b) l'expérience d'offrir et d'accepter un rein, (c) la période des tests, (d) la transplantation d'organe à proprement parler et finalement (e) la période post-transplantation. Un apport particulièrement significatif de l'analyse et de l'interprétation de nos données est la mise en relief que le processus de transplantation est mieux compris lorsque l'on considère le contexte social et interpersonnel plus large dans lequel évolue chaque dyade donneur-receveur, et en ce sens, la décision de donner ou d'accepter un rein peut être appréhendée comme un prolongement du rôle social auquel la personne adhère par rapport à autrui dans sa vie quotidienne. Le troisième article, qui a émergé des leçons acquises en réalisant la recherche effectuée dans l'article précédent, vise à décrire et discuter des défis éthiques et des impacts des décisions méthodologiques dans le cadre de recherches qualitatives impliquant des dyades de personnes se connaissant. Sur la base de nos propres défis empiriques et des écrits scientifiques disponibles, des réflexions et recommandations sont suggérées à différents stades d'un processus typique de recherche qualitative, soit (a) le recrutement, (b) le consentement à participer, (c) la collecte de données, (d) la validation des transcriptions par les participants, (e) l'analyse de données, et (f) la dissémination des résultats. Une réflexion en amont des enjeux entourant ces étapes est susceptible de faciliter l'entreprise de recherches qualitatives impliquant des dyades. En conclusion, les résultats de notre analyse soulignent l'importance du rôle social et du contexte interpersonnel plus large dans lequel évoluent les donneurs et les receveurs dans la façon dont ils parviennent à donner une signification à leur expérience. Enfin, si la recherche qualitative impliquant des dyades est en émergence, des défis éthiques et des décisions méthodologiques rigoureuses doivent être considérés en amont. / The global objective of this thesis is to help develop a better understanding of how living kidney transplantation donors and recipients experience the donation process as an interactive dyad. To address this objective, we suggest an in-depth exploration of the transplant trajectory and of the relational issues at play between donors and recipients in the context of a living kidney donation. A secondary objective, which developed along the way, is to contribute to a better understanding of how to conduct qualitative research with dyads. This thesis is comprised of three articles. The first article is a meta-summary that aimed at aggregating results pertaining to both donors and recipients of a living kidney donation to offer a complete picture of the donation process and to highlight avenues that warrant further research, namely looking at both donors and recipients as an interactive dyad within the same study. The objective of the second article was to provide a better understanding of how living kidney transplantation donors and recipients experience the donation process as an interactive dyad, and in particular the transplant trajectory and the relational issues involved. In-depth qualitative interviews were conducted with five dyads (five donors and five recipients). An interpretative phenomenological analysis of the data suggests that the transplant process can be naturally broken down into five phases of the transplant process: (a) the experience of the disease, (b) the experience of offering and accepting a kidney, (c) the screening period, (d) the surgery, and (e) the post-transplantation period. We found that for each donor-recipient dyad, the transplantation process reflects the unique larger social and interpersonal context within which the dyad evolves, and in this sense, the decision to donate or accept a kidney becomes a reflection of the social role one adheres to with respect to another being in everyday life. The third article emerged from the lessons we learned in conducting the research described in the second article and describes both the ethical challenges and methodological decisions involved in conducting qualitative research with dyads who have shared a common experience. Based on our experience and on the available literature, we offer reflections and recommendations that follow the typical chronology of the research process: (a) recruitment, (b) consent to participation, (c) data collection, (d) transcript validation by participants, (e) data analysis, and (f) result dissemination. Reflecting ahead upon issues at each of these stages is likely to be beneficial in conducting rigorous qualitative research involving dyads. In conclusion, our results underline the importance of the unique larger social and interpersonal context within which dyads evolve and achieve a sense of meaning with respect to their own experience of the donation process. Last, as qualitative research involving dyads continues to evolve, ethical challenges and rigorous methodological decisions should be reflected upon ahead of time.

The aim of this qualitative research study was to explore the influences of pornographic material on the sexual exploitation of children. An interpretive research method, based on phenomenological principles, was followed. A total of 18 semistructured interviews were conducted with sentenced sex offenders who had committed an offence against a child (a person under the age of 18). The research findings, obtained through a process of interpretative phenomenological analysis (IPA), highlighted personal and family characteristics that could increase individuals’ susceptibility to the effect of exposure to pornographic material. Moreover, it was found that early, recurrent exposure to pornography results in physical, cognitive and behavioural influences that considerably increase the level of sexual satisfaction and need for instantaneous sexual gratification. This uncontrollable need for sexual gratification often results in destructive behaviour such as addiction to pornographic material, criminal sexual acts involving children and damage to the family system. The effect of sexually explicit material is furthermore intensified by the availability of pornographic material on the Internet, which considerably increases the likelihood of individuals being exposed to a variety of pornographic images, including illegal material such as child pornography. Based on the outcomes of the research study, it can be concluded that pornography does have an effect on human behaviour in relation to the sexual exploitation of children which necessitates the effective regulation of pornographic material, especially on the Internet, and the evaluation of the help profession’s approach to effectively deal with issues stemming from exposure to pornographic material / Psychology / D.Litt. et Phil. (Psychology)

This study explored the attitudes of community members toward the Human Rabies in the Vhembe district of the Limpopo Province, South Africa. This study was underpinned by interpretative phenomenological analysis design. Data were collected using individual interviews of 20 participants and 6 focus groups consisting of six community members each. Both sets of interviews were audio recorded and transcribed verbatim. Data were analysed using interpretive phenomenological analysis framework for data analysis. Three super-ordinate themes emerged from data analysis: attitudes toward the Human Rabies, factors influencing attitudes toward the Human Rabies and tackling the Human Rabies. Results indicate that attitudes toward the Human Rabies has a direct influence on adherence to prevention and care approaches. Attitudes can be influenced by addressing training and educational needs and perceptions of prevention and care approaches. Recommendations are made to enhance adherence to prevention and care approaches for management of the Human Rabies. / Health Studies / M.A. (Health Studies)

Most studies in South Africa focus on male offenders as they make up the majority of the offending population. With female offenders being in the minority, they receive less of the research attention. The aim of this qualitative study was to explore the subjective experience of finding employment with a criminal record from the perspectives of six female former offenders who participated in the study. Participants were asked to share their accounts during semi-structured interviews. The transcripts were analysed using Interpretive Phenomenological Analysis. A total of nine themes were identified, namely; confronting the labour market; it affected my life not my chances; experiences of vocational skills and labour in corrections; current financial status versus previous financial status; those left behind: the impact of incarceration on the family. I am Human too, entering and adjusting in the correctional system, finding God and oneself, and rehabilitation and reintegration programmes. The findings showed that the experience of incarceration cannot be separated from the experience of adjusting back into society and finding employment. Employment and unemployment had an effect on participants’ financial status but also affected self-esteem and the relationship with family. The findings illustrated how participants used different coping methods to deal with not being able to find employment, dealing with the stigma attached to being a former offender as well as adjusting back into the community. The analyses from the interviews were compared to existing literature, thus creating a rich discussion. An overview of the discussion and some recommendations were provided and the limitations of the study were also taken into account. / Psychology / M.A. (Psychology)

Dementia of Alzheimer‟s Type is a degenerative neurocognitive disease accounting for majority of Dementia‟s. It affects millions of people worldwide and thousands of people in South Africa. Apart from the economic burden this illness places on the country, it has detrimental effects for those who provide care for individuals with this illness, who are mostly spouses. The spousal caregivers bears great financial, social and emotional burden which worsens as the disease progresses. The aim of this study is to phenomenologically explore and describe the lived experiences of spousal caregivers in caring for the spouses with Dementia of Alzheimer‟s Type. This South African study was therefore qualitative in nature and was conducted in the province of KwaZulu- Natal, in the city of Pietermaritzburg. Eight participants were interviewed using a semi-structured questionnaire. Data was analysed using interpretative phenomenological analysis (IPA). The main findings of this study are the negative emotional affects that the caregiving role creates. Caregiver stress and strain is experienced as well as the experiences of various losses including lack of intimacy and ruined expectations for the future as the disease progresses. The caregiving role also created negative implications for the social lives of caregivers and coping mechanisms were seen to be very important. / Psychology / M.A. (Psychology)

Text in English / In order to address the paucity of knowledge in regard to the psychological and physiological processes associated with lifelong weight loss (>20 years), this study adopts a qualitative approach informed by phenomenology to explore the experience of lifelong weight loss and maintenance of women who participated in the ITAND Programme. The research questions guiding the exploration of the current research are: (i) Which strategies from the ITAND Programme do women perceive as assisting with initial weight loss? (ii) What are the processes mediating lifelong weight loss? (iii) What strategies and skills mediate the maintenance of lifelong weight loss? (iv) What feelings or beliefs motivate women to continue attempts to lose weight after experiencing multiple failures on diets? and (v) Which psychological, cognitive and behavioural processes are identified as mediating lifelong weight loss? Eight overweight and obese women were invited to write their narratives and engage in interviews in regard to exploring their relationships with food, their bodies and their weight, after a period of more than 20 years following their participation in an integrative, transactional analysis, anti-diet programme (the ITAND Programme). Narratives were used to explore their beliefs about constructs, processes and strategies mediating long-term weight loss maintenance. The participants’ narratives and interviews were analysed through applying narrative analysis and interpretive phenomenological analysis. In addition to a non-diet paradigm, four processes definingweight loss maintenance were identified, including the adult learning process of transformative learning, the psychological process of transactional analysis, the physiological process of intuitive eating and the cognitive-behavioural processes relating to weight loss maintenance. This study contributes an integrative, transactional analysis, non-diet treatment model (ITAND model) which is enabled by the processes of transformative learning, intuitive eating and cognitive-behaviour modification to the successful long- term treatment of overweight and obesity. This model may be applied in whole or in part in a primary health care or community context. The findings of this study may be used to inform future research into the development and implementation of non-diet weight loss maintenance interventions in the treatment of overweight andobesity. / Psychology / D.Litt. et Phil. (Psychology)

Text in English / Learner pregnancy in secondary schools of South Africa is a public health problem that requires the involvement of parents, teachers and health workers in order to promote maternal and child health and retain learners in school. The aim of this study was to explore and describe the experiences of teachers, parents and pregnant learners regarding facilitation of health for pregnant learners and then develop a model to facilitate social support for pregnant learners attending secondary schools in order to attain and maintain health for the mother and her newborn baby and prevent school dropout. A qualitative, exploratory, descriptive and contextual theory generating study was conducted using semi-structured interviews to collect data from ten pregnant learners, ten teachers and five parents who were purposely selected and voluntarily participated. Data was analysed using Tesch’s open coding method where six themes emerged. The themes were then discussed with literature control. The findings revealed that pregnancy amongst secondary school learners in Limpopo Province is a challenge to teachers, parents and pregnant learners regarding social support for pregnant learners to continue attending school and remaining healthy. A concept analysis was performed and revealed facilitation of social support as the main concept, and then other concepts related to it were identified and classified. The model was developed through the steps of theory generation and was then submitted to a panel of experts for evaluation who found it useful to nursing practice and society in general. The model promotes interaction between the role players in education to address learner pregnancy and can also be useful in addressing other challenges in the schools. It is facilitated by a school health nurse but can also be facilitated by a teacher or a social worker in cases where a school health nurse is not available. The guidelines for the implementation of the model were formulated and described. Pregnant learners, as recipient of social support, should submit themselves to the support offered by the social network and communicate their needs openly to the professional nurse, their parents and teachers, so that they can receive adequate social support. / Health Studies / D. Litt. et Phil. (Health Studies) / 1 online resource (xv, 206 pages) : illustrations (some color), maps (some color)

Transverse myelitis (TM) is a rare auto-immune inflammatory disease in which the patient’s immune system attacks their spinal cord resulting in an unpredictable degree of neurologic disability, ranging from complete recovery to quadriplegia. TM patients often experience insufficient assistance towards understanding causes of the illness and have little to depend on in trying to deal with it. This study explores psychological strengths and coping strategies used by TM patients in coping with the illness. A theoretical framework of positive psychology with a strong focus on seven constructs, namely positive coping, searching for meaning, benefit finding, hope, sense of humour, resilience, as well as religion and spirituality is presented. The main data collection strategy for this study was the gathering of stories as a form of conversation. These were subjected to thematic analysis by interpretative phenomenological analysis (IPA) focused on identifiable themes and patterns of living and behaviour. The emerging patterns and identified fortigenic qualities were then considered, analysed and argued in relation to corresponding coping strategies. A model for the psychological coping and well-being of TM patients, based on emphasising the positive and constructive and considering existing models and strategies for the well-being of patients, was developed. The strategic and therapeutic model is presented in easily understandable language for the benefit of any care-giver (e.g. family member, friend or nurse) or the patient him/herself. / Thesis (PhD)--University of Pretoria, 2013. / lk2013 / Psychology / unrestricted

Le deuil normal, ou résilient, a souvent été laissé pour compte dans la littérature, au profit de l’intérêt plus grand porté au deuil pathologique. Cette réalité, qui s’inscrit dans le cadre d’une culture de médicalisation, a pu contribuer à la normalisation de la vision du deuil comme nuisible au fonctionnement et inutilement souffrant. Or, un certain regain d’intérêt pour l’étude des processus du deuil normal est visible dans la littérature, l’idée que le deuil résilient est en fait plus répandu que les deuils plus difficiles n’ayant été que récemment démontrée empiriquement (Bonanno, 2009). Une confusion demeure quant au rôle des émotions liées au deuil, qui sont souvent vues comme des symptômes, étant mal différenciées les unes des autres dans leur nature et leur fonction. Pourtant, la tristesse, apanage d’un deuil résilient et sain, aurait une fonction adaptative, contrairement à la détresse et la dépression, qui évoquent davantage le processus de séparation entre l’enfant et sa figure d’attachement. En effet, l’enfant, lors du départ de la figure d’attachement, vit une émotion débordante et intolérable, la protestation, suivie d’un état de désespoir. Ces émotions seraient ainsi qualitativement différentes, et non seulement quantitativement différentes. Cette thèse vise donc d’une part, via un volet théorique, à proposer un modèle du deuil résilient, mais aussi du deuil pathologique, en lien avec la tristesse, la détresse et la dépression, redonnant à chacune leur juste place. Ces deux types de deuil sont présentés comme les extrêmes d’un continuum entre lesquels toute variation peut exister. La tristesse, dans ce modèle, est dépeinte comme une émotion utile, jouant un rôle dans l’acceptation de la perte et dans la capacité à lui donner un sens. D’autre part, un volet empirique s’intéresse à l’expérience subjective de la tristesse chez des endeuillés résilients adultes ayant perdu un parent. Des entrevues semi-structurées ont été conduites auprès de six participants, et les résultats ont été analysés avec une approche qualitative, l’Analyse Phénoménologique Interprétative (IPA). Les résultats montrent que la tristesse était vécue comme étant tolérable, comme ayant une fonction adaptative et un sens, même si elle reste désagréable à vivre. Comme le deuil n’est pas vécu en vase clos, un surplus de matériel à métaboliser et des circonstances externes variables, ainsi que des variations dans les capacités de mentalisation, peuvent expliquer la présence d’autres expériences émotionnelles et de symptômes somatiques. La tristesse semble toutefois être un ingrédient essentiel d’un deuil résilient, où la personne demeure fonctionnelle et n’est triste que par courtes périodes, venant par vagues. Les implications cliniques et diagnostiques de ces résultats ainsi que du modèle présenté dans cette thèse sont abordées. / Normal, or resilient, grief has often been neglected in the literature, overshadowed by the greater number of studies on pathological grief. This fact, congruent with the trend towards a culture of medicalization, can explain the normalization of the idea of grief as uselessly painful, or even harmful, a nuisance to productivity and functioning. On the other hand, there has been a growing interest in the processes of normal grief in recent years, the idea that resilient grief is more common than pathological grief having only been recently supported by empirical research (Bonanno, 2009). However, the function and nature of grief-related emotions, which are often seen as symptoms, still isn’t clear. Sadness, contrarily to common knowledge, seems to be a healthy characteristic of resilient grief, and could have an adaptive function, whereas distress and depression would evoke the protest and despair phases of the separation between the child and her attachment figure. Thus, these three affective experiences would be qualitatively, and not only quantitatively, distinct. This thesis aims to present, in its first part, a theoretical model of both resilient and pathological grief, elaborating on the function and place of sadness, distress and depression. These two types of grief are presented as the extremes of a continuum, in between which any number of variations could exist. Sadness, in this model, is depicted as a useful emotion that plays a part in the acceptation of loss and in the creation of a meaning. In its second, empirical part, the subjective experience of sadness in resilient grieving adults who lost a parent is observed. Semi-structured interviews were conducted with six participants, and the results were analyzed using Interpretative Phenomenological Analysis (IPA). Results show that sadness was experienced as tolerable, adaptive, and making sense, even if it was painful. As grief is never an isolated experience in life, circumstances and concurrent events, and variations in mentalization abilities, can explain the presence of other emotions or of somatic symptoms. Sadness, however, seems to be an essential ingredient of resilient grief, where the person remains functional, but is sad only by shorts bursts, coming in waves. The clinical and diagnostic implications of these results and of the theoretical model presented in this thesis are discussed.

It is evident from the 2015 national employee strike at organisation A that something should be done immediately to regain stakeholders’ (employees, suppliers and customers) trust. Despite good initiatives to engage and retain talent, some employees are still resigning. The study aimed to understand staff experiences on engagement and retention in a Polokwane based telecommunications organisation. A qualitative research approach and an interpretative phenomenological analysis design were used to explore and interpret the lived experiences. In-depth interviews using open-ended questions were employed to collect data from participants, who were purposefully selected. The researcher interviewed seven employees. The main themes helped to summarise the individuals' responses. The following main themes emerged from the proposed employee engagement (EE) model: (i) communication, (ii) motivation, (iii) relationship, (iv) interest, (v) health and welfare, (vi) development and (vii) monetary value. / Megwanto ya boipelaetšo go bašomi ka kakaretšo ye e bilego gona ka 2015 go khampani ya A e bontšhitše gore go pepeneneng gore se sengwe se swanetše se dirwe go tliša tshepho go batšeakarolo (bašomi, batšweletši le badiriši). Le ge go na le maitapišo a poledišano le go se lobe talente, bašomi ba bangwe ba sa tšwelapele go tlogela mošomo. Lebaka legolo la go dira nyakišišo ke go le leka go kwešiša maitemogelo a bašomi mabapi le tshwaragano le go lota khamphani ya tša megala Polokwane. Mokgwa wa dinyakišišo tše di tseneletšego le go hlathollwa ka mokgwa wa ponagalo le popego o somišitšwe go leka le go hlatholla maitemogelo a bona. Dipoledišano tše di tseneletšego go šomišwa dipotšišo tša go nyaka mmono wa bašomi di dirišitšwe go kgoboketša dipalopalo go tšwa go batšeakarolo bao ba kgethilwego ka nepo. Monyakišiši o boledišane le bašomi ba šupa. Kgwekgwe tša taba di thušitše go akaretša diphetolo go tšwa go batšeakarolo ba go fapafapana. Mohlala wo o šišintšwego wa go kgokogana le bašomi o tšweleditše kgwekgwe tše dilatelago: poledišano, tlhohleletšo, kamano, kgahlego, katlego ya tša maphelo, kgatelopelo le boleng bja matlotlo. / Nadat maatskappy A se werknemers in 2015 landswyd gestaak het, moes ingegryp word om die vertroue van belanghebbendes (werknemers, verskaffers en kliënte) in die maatskappy te herstel. Ondanks daadwerklike pogings om bevoegde werknemers aan te stel en te behou, bedank werknemers steeds. Hierdie studie stel ondersoek in na werknemers se siening van die aanstelling en behoud van personeel in die telekommunikasiemaatskappy waarvan die hoofkantoor in Polokwane is. Oop vrae is in-diepteonderhoude aan opsetlik gekose deelnemers gestel om die data in te win. Die navorser het met sewe werknemers onderhoude gevoer. Hulle antwoorde is volgens temas opgesom. Die volgende temas blyk uit die voorgestelde werknemeraanstelling- of WA-model: (i) kommunikasie, (ii) motivering, (iii) verhoudings, (iv) belang, (v) gesondheid en welstand, (vi) ontwikkeling en (vii) monetêre waarde. / Business Management / M. Com. (Business Management)