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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
231

Perceptions and understandings about mental health problems of children and adolescents in Zambia : implications for innovative curriculum development for PHC practitioners.

Mudenda, John. January 2007 (has links)
An exploratory study covering phase 1 stages 1, 2 and 3 only was undertaken in this large hybrid research project to determine perceptions and understandings of the practitioners and the community about mental health problems of children and adolescents in Zambia because so far there is little known about this phenomenon. The aim of this exploratory study was to gain new insights into the phenomenon by undertaking a preliminary investigation to determine priorities for the future post doctoral research before a more structured study to develop the PHC innovative curriculum. The process first 'explored' social reality on the ground to better comprehend the perceptions and understandings of mental health problems of CA and the curricula model preferences as perceived by the practitioners and the community respectively. This was done to appreciate the "reality of practice" on the ground using the Systems, Ecological, and Biopsychosocial theories which underpinned the four field areas of the study which are: Mental Health, Curriculum Development, INSET and Action Research (AR). The total project is open-ended with three (3) phases and eight (8) stages, from the initial exploration of perceptions (phase 1), through reports to government and stakeholders, curriculum development and piloting with health educators (phase 2) and finally implementing the reconstructed curriculum and integration (phase 3) in such a way as to empower primary health workers to themselves do further research. This thesis, covering the initial explorations of perception, encompasses ONLY the first phase and three stages of this larger qualitative research project because of the Higher Education requirements and funding to try to complete in 4 years. This entails literature review of all 4 field areas because in order to orientate the first phase and three stages of such research and to see the implications of results, it is necessary to have a good grounding in all four. The research study process commenced with an orientation and introduction of the context and purpose of the study, followed by the search conferences and focus group meetings using Qualitative Research Design and Methodology. Search conferences, focus group discussions, hospital registers and clinic records were the three sources of data collection. Analysis of Qualitative and Quantitative Data used NVIVO and SPSS 13.0 Statistical Data Analysis Soft ware respectively. The study showed that mental health problems of Children and Adolescents perceived by the community and the practitioners were also referred and recorded in various hospital registers. The analysis of data from hospital records on referred cases further showed that there are serious psychotic mental health disorders in children and adolescents referred for further consultations to hospitals from the community, some of which are: acute psychotic states, with some associated with HIV/Aids. In addition to these psychotic states, epilepsy, drug and alcohol abuse, child defilement, rape cases, mental retardation and conversion disorders particularly in female children/adolescents appeared to be relatively significant mental health concerns and problems in the researched community sites. The conclusion of the study suggests that there were more environment related factors perceived to cause mental health challenges to children and adolescents. This finding further suggests that there are similarities of cases referred from the community with those seen in clinical practice areas. The significance of these findings in the reality of practice, implies that the preferred PRISMS curriculum model to be developed later as a post doctoral activity for 'INSET' of PHC practitioners in Zambia should have deliberate blending of curriculum content with more socio-environment related issues than the current traditional curricula models which are more clinical in structure, process and content. / Thesis (Ph.D.)-University of KwaZulu-Natal, Durban, 2007.
232

Patterns of reduction of distress in clinical conditions using eye movement desensitisation and reprocessing (EMDR).

Bodill, Brigitte. January 2009
patterns, severe personality patterns, depressive constructs, other clinical syndromes, severe clinical syndromes and dissociation following EMDR treatment. Thirty-two people, ranging from 23 to 65 years old, underwent the full EMDR protocol treatment for up to three traumas. The findings regarding clinical personality patterns revealed that EMDR is most effective in reducing the symptoms of dependent personality pattern because 76% of participants with clinically significant dependent personality pattern before EMDR treatment no longer had a clinically significant score (>75) on the MCMI-III at the end of EMDR treatment; compared to 75% with masochistic personality pattern, 77% with negativistic personality pattern, 69% with avoidant personality pattern, 40% with depressive personality pattern and 29% with schizoid personality pattern. These gains were maintained on the MCMI-III at follow-up by 76% with dependent personality pattern, 64% with masochistic personality pattern, 46% with negativistic personality pattern, 38% with avoidant personality pattern, 30% with depressive personality pattern and 29% with schizoid personality pattern. The analysis of the severe personality patterns at the end of EMDR treatment revealed that the scores on the MCMI-III reduced from within one standard deviation above the mean (60-74) to below the mean (<60) for 84% of participants with borderline personality pattern, compared to 68% with paranoid personality pattern and 52% with schizotypal personality pattern. These gains were maintained on the MCMI-III at follow-up by 84% with borderline personality pattern, 68% with paranoid personality pattern and 48% with schizotypal personality pattern. The analysis of the depressive constructs revealed that EMDR is most effective in reducing symptoms of major depression as 86% of participants with clinically significant major depression before EMDR treatment no longer had a clinically significant score (>75) on the MCMI-III at the end of EMDR treatment; compared to 73% with dysthymia and 40% with depressive personality pattern. These gains were maintained on the MCMI-III at followup by 86% with major depression, 58% with dysthymia, and 33% with depressive personality pattern. The findings regarding the other clinical syndromes revealed that 91% of participants with clinically significant post traumatic stress before EMDR treatment, no longer had a clinically significant score (>75) on the MCMI-III at the end of EMDR treatment, compared to 75% of participants with anxiety. These gains were maintained on the MCMI-III at followup by 91% of participants with post traumatic stress and 69% of participants with anxiety. The analysis of the severe clinical syndromes at the end of EMDR treatment revealed that the scores on the MCMI-III reduced from within one standard deviation above the mean (60-74) to below the mean (<60) for 78% of participants with delusional disorder, compared to 67% with thought disorder, 32% with bipolar (manic), 28% with alcohol dependence and 28% with drug dependence. These gains were maintained on the MCMI-III at follow-up by 67% of participants with delusional disorder, compared to 63% with thought disorder, 53% with bipolar (manic), 48% with alcohol dependence and 57% with drug dependence. The analysis of the effects of EMDR on dissociation revealed that there was a significant decrease in symptoms of dissociation on the DES at the end of EMDR treatment and these gains were maintained at the follow-up measurement at the end of the study. Whilst the findings of the present study cannot be generalised due to the small sample size, the findings do suggest that EMDR is successful in the treatment of a number of clinical conditions in addition to post traumatic stress; with further research being strongly indicated in order to further explicate the efficacy of EMDR across different psychiatric conditions. / Thesis (Ph.D.)-University of KwaZulu-Natal, Durban, 2009.
233

The role of trauma support work in peace-building.

Khuzwayo, Khethokuhle. 23 September 2014 (has links)
Current studies in peace-building suggest that effective peace-building approaches comprise of intervention strategies that value the interconnectedness of trauma and peace-building processes. However current research reports suggest that there is limited evidence supporting this notion. In addition, there is little information as to how to effectively integrate the two themes to achieve lasting peace. The research study aims to articulate the role of an integrated approach to peace-building to inform current practice and it serves to encourage the donor community to support initiatives which recognise the link between trauma and peace building. The research took a close look at experiences of participants who attended trauma recovery workshops conducted by Sinani (an isiZulu word meaning “we are with you”), the KwaZulu-Natal Programme for Survivors of Violence, the name of the Non-Governmental Organisation (NGO) for which the researcher works. In particular, it explored how participants who had attended these workshops could serve as catalysts to peace by examining their experiences of violence in relation to trauma and peace-building. In addition it attempted to explore experiences of participants who did not attend Sinani trauma recovery workshops and the possible implication this would have for trauma and peace-building. Furthermore it analysed recent research papers and reports which addressed trauma and peace-building from a psycho-social perspective. The proposed hypothesis is that if trauma support work is ignored in post conflict peace-building processes, certain survivors of past violence are at risk of becoming perpetrators of future violence. Integrating trauma support work in peace-building interventions will yield lasting peace. The emerging findings suggest several factors contribute to violence and peace-building. Children’s exposure to violence, the extent of trauma and certain aspects of the criminal justice system have been described by participants as factors that contribute to violence. Equally participants suggested a competent leadership collective, functioning safety and security structures as valuable contributions to peace. Other valuable insights were shared by participants on the role of spirituality as well as indigenous cultural rituals valuable in the trauma and peace-building field. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2013.
234

The internationalisation of Australian firms: how networks help bridge the psychic distance between a firm and a market

Van Ruth, Frances January 2008 (has links)
This research explores the internationalisation of Australian firms in Latin America. Latin America attracts seven per cent of worldwide inward foreign direct investment (FDI) stocks but accounts for less than one per cent of Australian FDI stocks abroad. This discrepancy led me to ask why and how some Australian firms have entered the region when most of those that have gone abroad went elsewhere. Drawing on constructs from the Uppsala model and the network perspective of internationalisation I created an integrated research framework that encompassed both the internal and the external drivers of internationalisation. I used a multiple case study research design based on in-depth interviews with ten firms to explore the mechanisms by which Australian firms overcome their perceived psychic distance to Latin America. I conducted interviews with key decision makers at both headquarters and subsidiaries in Australia, Brazil, Chile and Mexico. / My findings demonstrate that firms simultaneously draw on internal and external resources to facilitate their internationalisation. By leveraging their networks firms are able to succeed in psychically distant markets despite an initial lack of experiential knowledge. My findings reveal that firms obtain market-specific knowledge vital for internationalisation via their networks. Internationalisation knowledge on the other hand is mainly acquired through first-hand, in-country experience. / In this research I systematically document the types of institutional, business and social networks that impact internationalisation and categorise the numerous roles they fulfil. In addition to providing market-specific knowledge, network connections ‘unlock doors’, provide reassurance and comfort, provide credibility and help find employees, agents and local partners. Using networks to facilitate internationalisation accelerates the process in comparison to the traditional ‘trial and error’ method associated with in-country experiential learning. / The integrated framework I develop provides a more holistic understanding of how firms internationalise than previous models. My research has implications beyond the Australia-Latin America context as an example of the increasing phenomenon of FDI from and to non-traditional markets.
235

TIED TO THE COSMOS BY THE HEARTSTRINGS : AN EXPLORATORY CASE STUDY OF ART THERAPY WITH AN INDIVIDUAL DIAGNOSED WITH SCHIZOPHRENIA

Hirschhorn, Yael, yaelhirschhorn@hotmail.com January 2002 (has links)
The focus of this thesis is to investigate the use of art therapy in the treatment of an individual diagnosed with schizophrenia. In this qualitative narrative single case study, eleven art therapy sessions are described using non-directive spontaneous art making with a 37-year-old man residing in a psychosocial rehabilitation program. The research study describes this client�s delusional world, and explores the struggle of making sense of his traumatic experiences in early childhood. The themes that emerge in this exploratory study are many and grief and bereavement are the focus as the client uncovers the connections between the past and the present. The process of the art therapy sessions and the progression in the imagery from chaos to serenity is described as the client moves from darkness into light, and as we witness his exploration of space in the images of the whirlwind that reappear throughout the sessions.
236

The effects of early life trauma on the neurochemistry and behaviour of the adult rat /

Uys, Joachim De Klerk. January 2006 (has links)
Dissertation (PhD)--University of Stellenbosch, 2006. / Bibliography. Also available via the Internet.
237

Personal traumatic experience of HIV/AIDS challenges pastoral care

Mkhathini, Maxwell Menzi. January 2006 (has links)
Thesis (MA(Practical Theology))--University of Pretoria, 2006. / Includes bibliographical references (p. 81-84) Available on the Internet via the World Wide Web.
238

Orphans within our family : intergenerational trauma and homeless Aboriginal men.

Menzies, Peter M. January 2005 (has links)
Thesis (Ph. D.)--University of Toronto, 2005.
239

Speaking the unspeakable : war trauma in six contemporary novels /

Mackinnon, Jeremy E. January 2001 (has links) (PDF)
Thesis (Ph.D.) -- University of Adelaide, Dept. of English, 2001. / Includes bibliographical references (leaves 246-258).
240

Gender variance and mental health a national survey of transgender trauma history, posttraumatic stress, and disclosure in therapy : a project based upon an independent investigation /

Wharton, Virginia Wyatt. January 2007 (has links)
Thesis (M.S.W.)--Smith College School for Social Work, Northampton, Mass., 2007 / Thesis submitted in partial fulfillment for the degree of Master of Social Work. Includes bibliographical references (leaves 40-44).

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