Dissertations / Theses on the topic 'Depression in adolescence - Research - South Africa'

HIV/AIDS has presented humanity with various challenges, one of which is the manner in which it has affected family structure and patterns. Parental illness and eventual death due to the HIV/AIDS pandemic is escalating. One of the major challenges of HIV/AIDS in southern Africa is the increase in the number of orphaned and vulnerable children. As a result new family forms are emerging such as the "skip-generation" family in which children or adolescent siblings head the family. It is anticipated that HIV/AIDS in South Africa will progressively increase the number of such families. During this time of profound family change, the family as an institution has remained remarkably resilient. The present study utilised the Family Resilience Framework and the Resiliency Model of Family Stress, Adjustment and Adaptation to explore and describe the resilience of HIV/AIDS’ adolescent headed families. A qualitative, exploratory-descriptive research design, which was assessed against Guba’s (1985) model of trustworthiness, was employed and the participants were sampled using non-probability purposive sampling. The Masizakhe Community Project volunteers (an AIDS Community Project in Kwazakhele, Port Elizabeth receiving support from the iThemba AIDS Foundation) assisted in identifying participants according to the predetermined inclusion criteria. The sample consisted of four female, adolescent heads of HIV/AIDS’ affected households, who volunteered at the Masizakhe Community Project and resided in Kwazakhele. The data that was collected via audio-recorded semi structured interviews were transcribed verbatim and subjected to Interpretive Phenomenological Analysis. Family resilience factors that emerged included intrafamilial strengths (family cohesion, organisation, hardiness, and adaptability); social support resources (especially from the community project, friends, and community members); family appraisal processes; and problem solving and coping strategies. Extended family support was partial and largely financial. The findings from this study provided insights into the resilience of adolescent-headed families; provided guidance for the development of intervention programmes to assist these families; and affirmed the existing strengths of the families. Furthermore, it has contributed to the research and literature on family resilience and formed the foundation for future research projects.

Thesis (PhD)--Stellenbosch University, 2012.
Includes bibliography
ENGLISH ABSTRACT: Background/Aims: Obesity has increased rapidly in South African children and adolescents with significant variability observed among racial groups. Genes that regulate appetite have been studied in different populations worldwide, but their role in obesity among South African adolescents is unknown. The present study aimed at investigating the role of these genes, and their combined effect with physical activity in the development of obesity among South African adolescents. Methods: A total of 1564 South African school learners of Caucasian (n= 146), Mixed Ancestry (n= 872) and Black African (n= 537) ethnic groups were recruited for a research project that aimed to elucidate diabetes and the metabolic syndrome in children and adolescents attending schools in periurban areas of the Western Cape. The present case-control study included 227 obese-overweight (115 Black Africans and 112 Mixed Ancestry), and 204 normal weight (94 Black Africans and 110 Mixed Ancestry) adolescents learners. The learners were genotyped for nine polymorphisms (LEP: 19G>A, Lys36Arg, Val94Met; LEPR: Lys109Arg; Gln223Arg, Lys656Asn; CART: c.160-33G>A, c.499delA, and c.517A>G; GHRL: Leu72Met; and MC3R: Thr6Lys, Val81Ile) using allele-specific restriction enzyme analysis and automated sequencing. Genotype and haplotype associations with anthropometric variables such as body mass index (BMI), waist, hip, and mid-upper-arm circumferences (WC, HC, MUAC), and metabolic traits (fasting blood glucose, high density lipoproteincholesterol, total cholesterol), and blood pressure were further conducted. Furthermore, the type and frequency of physical activity was assessed by means of structured questionnaires; and its effect on obesity-related variables investigated in learners that were genotyped for the MC3R Thr6Lys and Val81Ile polymorphisms. Results: In a stepwise backward logistic regression analysis (containing age, gender, and LEP, LEPR, CART and GHRL polymorphisms), CART c.517A>G was independently significantly associated with obesity (OR= 5.98; 95%CI= 2.02, 21.27). CART c.517G carriers had higher MUAC (b coefficient= 1.88; 95%CI= 0.31, 3.44) while the LEPR 109Arg allele was significantly associated with decreased BMI (b coefficient = -2.36; 95%CI= -4.24, -0.47), WC (b coefficient = -5.66; 95%CI= -9.89, -1.44) and MUAC (b coefficient = -1.61; 95%CI= -3.00, -0.22); after adjusting for age, gender, and ethnicity. The haplotype containing the three LEP polymorphisms (A-A-A compared to the reference G-A-G haplotype) increased BMI (p= 0.0155), MUAC (p= 0.0146), and HC (p= 0.0128). The minor alleles of the MC3R polymorphisms decreased BMI, HC, WC, MUAC and TC; whilst only the Thr6Lys was associated with systolic and diastolic blood pressure (p= 0.0047 and 0.0027, respectively) in Mixed Ancestry learners. Doing house chores was associated with lower total cholesterol, independently and in the presence of the 81Ile allele (b coefficient = -0.355; 95%CI= 0.148, 0.561). Conclusion: To our knowledge, this is the first study that reports CART c.517A>G polymorphism as a risk factor for obesity in adolescents. Furthermore, the present study demonstrated that the MC3R polymorphisms had a positive effect on total cholesterol, which was further enhanced in physically active individuals. Similar to other studies, LEPR Lys109Arg and LEP polymorphisms were associated with variations in obesity-related variables among Black African and Mixed Ancestry South African learners.
AFRIKAANSE OPSOMMING: Agtergrond/Doelwitte: Vetsug het drasties toegeneem in Suid-Afrikaanse kinders en adelossente met ‘n beduidende variasie opgemerk tussen verskillende rassegroepe. Gene verantwoordelik vir regulering van eetlus is reeds wêreldwyd in verskillende bevolkingsgroepe bestudeer, maar hul rol in oorgewig Suid-Afrikaanse adolessente is onbekend. Die huidige studie was daarop gerig om ondersoek in te stel na die rol van hierdie gene en hul gekombineerde effek met fisiese aktiwiteit in die ontwikkeling van vetsug onder Suid-Afrikaanse adolessente. Metodes: ‘n Totaal van 1564 Suid-Afrikaanse leerders van Kaukasiese Afkoms (n=146), Gemengde Afkoms (n=872) en Swart Afkoms (n= 537) was gewerf in die navorsingsprojek wat ten doel gehad het om kinders en adolosente met diabetes en die metaboliese sindroom te identifiseer wat skole bygewoon het in semi-voorstedelike gebiede van die Wes-Kaap. Die huidige gevalle studie het 227 vetsugtige-oorgewig (115 Swart Afkoms en 110 Gemengde Afkoms) en 204 normale gewig (94 Swart Afkoms en 110 Gemengde Afkoms) leerders ingesluit. Die leerders was gegenotipeer vir nege polimorfismes (LEP: 19G>A, Lys36Arg, Val94Met; LEPR: Lys109Arg; Gln223Arg, Lys656Asn; CART: c.160-33G>A, c.499delA, and c.517A>G; GHRL: Leu72Met; and MC3R: Thr6Lys, Val81Ile) met die gebruik van alleel-spesifieke restriksie ensiem analises en geoutomatiseerde DNA volgorde bepalings tegnieke. Genotipiese en haplotipiese assosiasies met antropometriese veranderlikes soos liggaamsmassa indeks (BMI), middel-, heup- en mid-boarm omtrek (WC, HC, MUAC), metaboliese tendense (vastende bloed glukose, hoë-digtheid lipoproteïen-cholesterol, totale cholesterol) en bloeddruk was ook uitgevoer. Die tipe en frekwensie fisiese aktiwiteit was geassesseer deur middel van gestruktureerde vraelyste; en die uitwerking daarvan op vetsugverwante veranderlikes ondersoek in leerders wat vir die MC3R Thr6Lys en Val81Ile polimorfismes gegenotipeer was. Resultate: Statistiese ontleding (‘‘stepwise backward logistic regression analysis”), wat ouderdom, geslag en polimorfismes (LEP, LEPR, CART GHRL) ingesluit het, het getoon dat CART c.517A>G betekenisvol onafhanklik geassosiasieer was met vetsug (OR= 5.98; 95% CI= 2.02, 21.27). CART c.517G draers het ‘n hoër MUAC waarde gehad (b koeffisient = 1.88; 95%CI= 0.31, 3.44), terwyl die LEPR 109Arg alleel betekenisvol geassosieer was met verlaagde BMI ((b koeffisient = -2.36; 95%CI= -4.24, -0.47), WC (b koeffisient = -5.66; 95%CI= -9.89, -1.44) en MUAC (b koeffisient = -1.61; 95%CI= -3.00, -0.22) na die aanpassing van ouderdom, geslag en etnisiteit. Die haplotipe met die drie LEP polimorfismes (A-A-A teenoor die G-A-G verwysingshaplotipe) het die BMI (p= 0.0155), MUAC (p= 0.0146) en HC (p= 0.0128) verhoog. Die mindere allele van die MC3R polimorfismes het die BMI, HC, WC, MUAC en TC verlaag; terwyl slegs die Thr6Lys polymorfisme met sistolies en diastolies bloeddruk (p= 0.0047 en p= 0.0027, onderskeidelik) geassosieer was in Gemengde Afkoms leerders. Die verrigting van algemene huistake was geassosieer met laer totale kolesterol vlakke, onafhanklik en in die teenwoordigheid van die 81lle alleel (b koeffisient= -0.355; 95%CI= 0.148, 0.561). Gevolgtrekking: Na ons wete is hierdie die eerste studie wat die CART c.517A>G polimorfisme as ‘n risikofaktor vir vetsug in adolessente aantoon. Die huidige studie toon ook dat die MC3R polimorfisme ‘n positiewe effek op totale kolesterol gehad het, wat ook verder versterk was in fisiese aktiewe individue. Soortgelyk aan ander studies, was die LEPR Lys109Arg en LEP polimorfismes geassosieer met variasies in vetsug-verwante veranderlikes onder Suid-Afrikaanse Swart en Gemengde Afkoms leerders.
This research was supported by a grant from the University Research Fund of the Cape Peninsula University of Technology, Harry Crossley, University of Stellenbosch, Faculty of Health Sciences, Medical Research Council, and the National Health Laboratory Services, South Africa.

Thesis (MEdPsych (Educational Psychology))--Stellenbosch University, 2008.
A depressive mood disorder has been for the past decade the mood disorder with the highest prevalence in the general population. Independent studies done in South Africa indicated a prevalence of depression between 13% to 53%. These results do not concur with official published statistics indicating a prevalence of depression in 16% of the general population over a lifetime. Depression is probably under diagnosed by general practitioners and only a small proportion of adolescents with depression are recognised and even less receive any support for their depression. The aim of this study was to explore the following: the prevalence of symptoms of depression in grade 10 learners in schools in Stellenbosch, gender differences regarding the prevalence of depression symptoms in grade 10 learners, the prevalence of specific symptoms of depression and to explore similarities between symptoms of depression and the adolescent developmental phase. The study was conducted by means of the Beck Depression Inventory. The survey was conducted with 201 grade 10 learners with the necessary permission. The results regarding the prevalence of depression symptoms and gender differences regarding the prevalence of depression correlate with international statistics. This study found that more respondents indicated one or more symptom of depression at the given time than indicated by the literature. It was also found that some adolescent developmental tasks are similar to some symptoms of depression. Further research in South Africa regarding the prevalence of symptoms of depression was recommended.

M.A.
In the face of economic hardship, social, political and cultural change, matriculants in South Africa are confronted with increased pressure when exploring and deciding on their career paths. This task in itself is complex and is expected to culminate in a career decision upon leaving school, even when subject to these and other extrinsic limitations over which the individual has no control. For example, the serious lack of career guidance programs in the large majority of our schools (Mathabe & Temane, 1993). Regardless, school pupils in South Africa are expected to make their preliminary choice in Standard 7 when they choose their matric subjects. Three years later they are expected to leave school with a career decision. These same individuals are also struggling to meet the challenges of adolescence and are searching for an identity they can call their own. It is surmised that those pupils who have not yet made a career decision are more likely to experience feelings of depression than those with definite career plans. This study regarding the relationship between depressive symptomatology and career choice, had the following objectives: A comprehensive literature review focusing on depression, depressive symptomatology, the aetiology of depression, theory and research with reference to the adolescent in particular. A further literature review focusing on various theories of career choice and research with particular reference to career indecision. A quantitative and qualitative investigation of career choice and depressive symptomatology in matriculants in South Africa. The initial part of the study focuses on the theoretical review of depressive symptomatology and career choice, to firstly define the concepts as operationalised in this study and secondly to explore the theory and research to date with reference to the factors contributing to and maintaining feelings of depression and career indecision in adolescents. The researcher reviews and discusses phenominological differences and similarities between the adult and adolescent experience of depression, with particular reference to depressive symptomatology, the approach used in this research. Career choice is also defined and discussed with reference to the developmental stage of adolescence. Various theoretical approaches with regard to depression and career choice are reviewed and discussed. Identity development, and the related concepts of self esteem and self efficacy are discussed, as well as the role of cultural factors, with reference to both depressive symptomatology and career indecision Matriculants from four different regions in Gauteng took part in the study. The sample comprised pupils from both genders and various population groups. Each pupil filled in a questionnaire developed by the researcher, the Beck Depression Inventory (BDI) and the Career Decision Scale (CDS). The data collected from the self developed questionnaire provided insight into various factors of career choice such as realistic goals and dream goals, perceived restrictions and elements of self esteem. This data was described and interpreted in a qualitative analysis and from such the researcher inferred predominant themes and concepts with suggested avenues for further research. The quantitative data collected from the results of the BDI and CDS were statistically described and analyzed. From this data the statistically significant findings were presented and discussed with reference to theory and research. The researcher found that depressive symptomatology and career indecision are significantly related with the incidence of feelings of depression being related to career indecision and career indecision possibly giving rise to symptoms of depression. The study can be criticized for not including a measure of self esteem, a factor closely related to depressive symptomatology and career choice. A further criticism is that the most highly represented cultural groups were the English and Zulu speaking pupils, future studies should include pupils from all cultural groups. The qualitative analysis is subject to an interpretative bias, which may be subjective and influenced by the researcher's own views. The recommendations that were made as a result of this study are as follows: More research is needed into career choice and the incidence of depressive symptomatology with coenizance of levels of self esteem, a more representative sample and perceptions as regards career choice and limitations to certain vocations. The implied direction of the relation between career indecision and depressive symptomatology requires in depth research to further investigate the findings of this research. If career indecision does indeed give rise to feelings of depression, then programs that are being developed and those that are already in place should take cognizance of these results and include preventative measures in any future programs. The implied higher incidence of depressive symptomatology and career indecision in the black population requires further investigation and if the findings in this study are further supported, preventative action is desperately needed. Fifty percent of the pupils show signs of moderate to severe depression. Further research is needed to reaffirm these results and, if substantiated, urgent preventative measures should be taken.

Thesis (Ph.D.)--University of the Witwatersrand, Faculty of Health Sciences, 2012.
Background: the subject of the mental health of young people in Sub-Saharan Africa has received very little research attention. Despite the fact that many in this region face ubiquitous material deprivation, childhood adversity, violence, AIDS and orphanhood which could result in distress, there is very little scientific understanding of the precursors of psychological distress. Understanding and intervening in young people is important as psychological distress is believed to precede one of the most common health problems facing young people, that is, risky sexual behaviours. This thesis aims to document and describe the prevalence of depressive symptoms in a sample of young people, develop an explanatory model for factors associated with depressive symptoms and distress, and explore links with risky sexual behaviours. Method: This thesis is based on two studies that were both conducted in the Eastern Cape Province of South Africa. Study 1 was an analysis of cross-sectional and longitudinal data collected amongst young people aged 15 to 26 who were enrolled in a cluster randomised controlled trial evaluating an HIV prevention intervention. The study sample was drawn from volunteers who normally resided in villages and townships in and around the area within 1.5 hours drive radius of Mthatha. Volunteers were mostly recruited through schools. In each of the seventy study sites, approximately twenty males and twenty females were included resulting in the enrolment of 2,801 volunteer participants. Quantitative data were collected by a fieldworker-administered questionnaire in 2003/4 and 2004/5, and analysed separately for men and women, using STATA IC 11.0. A crosssectional analysis of 2003/4 data was undertaken to investigate factors associated with depressive symptoms. Presence of depressive symptoms was established through a self report measure - the Centre for Epidemiological Studies on Depression Scale. Participants who scored above a cut-off point of 16 were considered to have depressive symptoms. Results for factors associated with the presence of depressive symptoms are presented in Paper I. The association between baseline depressive symptoms and sexual risk taking at baseline (2003/4) and twelve months later (2004/5) was explored. Here, participants with depressive symptoms were treated as an exposed group and were compared to those who scored below 16 on the symptom checklist within the same cohort. These results are presented in Paper II. In Study 2, phenomenological experiences of distress were explored. In-depth face-toface, one-on-one interviews with forty young people were conducted in isiXhosa between 2007 and 2008. Participants for Study 2 were recruited in Butterworth from the townships. The sampling approach was a non-random, non-probability approach, with participants who self-selected and volunteered on the basis of their interest in the research topic. The sample came from a town that was included in Study 1 and generally shared similar socio economic conditions, cultural experiences, and history as the other community sites that participated in Study 1. Criteria for inclusion into the study included having no known clinical diagnosis of a mental health problem. Participants were aged 16 to 26 years. Each interview took about forty five minutes to an hour. Data were analysed using the constant comparison approach and following recommendations for qualitative phenomenological studies. Findings from this study are presented in two papers. Paper III of this thesis presents a conceptual model based on discussions of perceived sources of distress by participants. Paper IV discusses the role of undisclosed paternal identity in causing distress. Findings: In Study 1, the prevalence of self-reported depressive symptoms was 21% among women and 14% among men. Child abuse and neglect (aOR 1.34 95% CI 1.116, 1.55), substance use (aOR 1.98 95% CI 1.17, 3.35), perceptions of less cohesion in the community (aOR 1.2395% CI 1.07, 1.40), intimate partner violence victimisation (aOR 2.2195% CI 1.16, 3.00) and sexual violence before the age of eighteen (aOR1.45 95% CI 1.02, 2.02) were associated with depressive symptoms in women. For men, factors associated with depressive symptoms were child abuse and neglect (aOR 1.61 95% CI 1.38, 1.88), having lost a mother (aOR 2.24 95% CI 1.25, 4.00), alcohol abuse (aOR 1.63 CI 1.13, 2.35), having been forced by a woman to have sex (aOR 2.36 95% CI 1.47, 3.80) and conflict in the current sexual relationship (aOR 1.07 95% CI 1.01, 1.12). Findings on the associations between depressive symptoms and risky sexual behaviours show that women with depressive symptoms at baseline were more likely to have dated a man five years or older than them in their lifetime (aOR 1.37 95% CI 1.03-1.83), had transactional sex (aOR 2.60 95% CI 1.37-4.92) and experienced intimate partner violence (IPV) at baseline (aOR 2.56 95% CI 1.89-3.46). Women with depressive symptoms were more likely to have experienced IPV a year later (aOR 1.67 95% CI 1.18-2.36) after adjusting for baseline IPV experiences. At baseline, in men, an association between depressive symptoms and perpetration of intimate partner violence (aOR 1.50 95% CI 0.98-2.28) and rape was evident (aOR 1.81 95% CI 1.14-2.87). Men who had depressive symptoms were also less likely to report correct condom use at last sex, at both baseline and twelve months later (aOR 0.50 95% CI 0.32-0.78 and aOR 0.60 95% CI 0.40-0.89). Study 2 showed that family-based adversity, most notably perceptions of mother’s distress, conflict over financial resources, undisclosed paternal identity and parental substance abuse caused distress in young people. A culture of silence in families on issues considered pertinent by participants, such as paternal identity appeared to intensify distress. From this study, sexual relationship problems, including intimate partner violence, an unacknowledged pregnancy, and violent transactional sexual relationship themes dominated women’s narratives of distress. In their narratives, men described violence and sexual risk taking as expressions of anger directed towards women. They described using substances and sexual philandering as ways to express distress, and as coping mechanisms, although they in turn became sources of distress. xiv Discussion, conclusions and recommendations: This research reports a high prevalence of depressive symptoms among young people in South Africa and supports international patterns of a higher prevalence in women than men. Findings presented in this thesis have important implications as they show that structural factors that cause different forms of disempowerment are implicated in some of the psychological distress experienced by young people. For instance, gender power inequity, violence, cultural expectations of respect from youth and women, compounded by financial dependence on relatives were sources of vulnerability especially in the face of maternal orphanhood. When ones mother was perceived to be under distress and honest and effective communication within families was lacking this caused distress. Depressive symptoms were associated with risky sexual behaviours commonly found among rural young people such as intimate partner violence, boys’ sexual victimisation by women, relationship conflict and involvement in transactional sex. Though HIV prevalence among young men is lower than in women in South Africa, consistent failure to use a condom at last intercourse among men with depressive symptoms may ultimately increase risk for HIV infection. Hence, sexual health youth-friendly clinics should be aware of the links between depressive symptoms and sexual expression. The strength of this thesis is in the mixed method approach to exploring psychological distress through qualitative and quantitative data. The quantitative study used a large sample and had a prospective component, which enabled the impact of depressive symptoms on sexual risk-taking to be studied in temporal sequence. This is valuable and unusual in a dataset. However, it has a volunteer sample and its findings cannot necessarily be generalised to all young South Africans. Nevertheless, there is no reason to expect the associations described to significantly differ from those that would be found in a non-volunteer sample. Qualitative research is inherently non-generalising, but the methodology used here enables a depth of understanding an exposure of nuance that is not attainable through quantitative methods. Prevention of depressive symptoms among young people in South Africa should start with interventions to reduce exposure to childhood adversity. Some of this distress could be reduced if relationship violence was prevented for women, pregnancies acknowledged and disputes resolved on time by the putative fathers. This research suggests that a reduction in young people’s depressive symptoms could have positive benefits for reduction of HIV risk taking behaviours.

M.A.
Hubley (1990) notes that Acquired Immunodeficiency Syndrome (AIDS) is a relatively recently recognized disease. It is caused by infection with the Human Immunodeficiency Virus (HIV), which attacks selected cells in the immune system and produces defects in functioning. These defects may not be apparent for years. They lead, however, to a severe suppression of the immune system's ability to resist harmful organisms. This leaves the body open to an invasion by various infections, which are therefore called opportunistic diseases, and to the development of unusual cancers. The virus also tends to reach certain brain cells. This leads to so-called neuropsychiatric abnormalities or psychological disturbances caused by physical damage to nerve cells. Many of those infected with HIV may not even be aware that they carry and can spread the virus. Combating it is a major challenge to biomedical scientists and health-care providers. HIV infection and AIDS occur among the most pressing public policy and public health problems world-wide. Since the first HIV/AIDS cases have been reported in 1981, through mid-1993, more than 600 cases were reported in South Africa. This is only the tip of the iceberg of HIV/AIDS infection as it was estimated that between 2 and 2.5 million South Africans had been infected with the virus through the early 1990s but not yet developed the clinical symptoms. In terms of the historical data from previous surveys (ie. the results of the 1996 survey) in South Africa confirmed the trend of a growing HIV/AIDS epidemic. HIV infection has increased in all provinces, but Kwa-Zulu Natal and Mpumalanga had the highest HIV prevalence rates of 18,23% compared to 1994's '14,35% and 16-18%, compared to 12-16% respectively (see table 1).. Of particular concern are the pregnant women in South Africa under twenty years where a prevalence of 12,78% has been found. Thirty per cent of babies born to HIV positive women in South Africa are infected. Of the 3638 births in VVitbank — a rather small town in Mpumalanga-.Province — in 1996, 219 of the women were tested HIV positive (Masiphile Vol. 1: 1997).

An investigation into the prevalence and causative factors of adolescent depression in the greater Johannesburg area was undertaken. Present-day South African socio-economic pressures together with the normal demands and difficulties of adolescence, led to an investigation into which factors were having a bearing on adolescent depression and whether more male than female adolescents were depressed. A literature study was done and major factors, which could potentially influence the development of depression, were identified. The results of the empirical investigation indicated that negative family relations and negative peer relations play a significant role in the development of adolescent depression. Other identified factors did not appear to have a statistically significant bearing on adolescent depression. No significant statistical difference was found between the prevalence or severity of male and female adolescent depression. Educational implications of the findings are discussed and guidelines are given to teachers and parents.
Teacher Education
M.Ed. (Guidance and Counselling)

M.A.
"Stroke is one of the leading causes of death and disability in all races in South Africa" (Fritz & Penn, 1992, p 1). It has devastating effects, and may impact on every aspect of the person's functioning. Research shows that depression is common after stroke, becoming more of a problem with time, and having a greater effect on quality of life than the actual disability (Lezak, 1995). Despite such evidence psychologists have played a very limited role in the rehabilitation of this group. Those with communication problems especially have been excluded from research and therapy, which usually require competence with language to be successful. This study attempts to find an alternative method of research and therapy in order to include this group. Following the model of learned helplessness (Seligman, in, Bleiberg, 1986), it was proposed that the unavoidable, inescapable effects of stroke lead to feelings of helplessness, which are also impossible to escape, and the person soon looses the motivation to attempt to control the situation. This then leads to depression. A method of therapy which breaks this cycle, and allows for the person to experience how their actions do have an effect on their lives is needed. In addition to this, an alternative means of self expression for those with communication difficulties needs to be provided. Art therapy was found to address the problems presented by this group (Dailey, 1984). It has proved useful with other populations that have not been able to benefit from traditional psychotherapy. It becomes an alternative means of self expression for those whose communication ability is compromised. It is accessible to most people, as it only requires the ability to make marks on paper. A theme centred, art therapy approach was therefore chosen for the study. The aims of the study were; to create a therapeutic milieu which allowed for self expression, specifically the expression of emotions, which included all the participants; to investigate the effects of introducing an opportunity for self expression on self concept and group process; and to look at the themes which emerge from the art. The participants were members of a pre-existing support group for stroke survivors. A quasiexperimental design was used. The Draw a Person Test, was administered pre and post intervention. Additional information was gathered using the Beck's Depression Inventory and a demographic questionnaire. This study uses a qualitative method, which includes information regarding the researcher's experience, and is interpreted from the researcher's perspective. It was found that art therapy had a positive effect on self concept. It influenced group process, as participants who were previously marginalised became more central. Numerous themes emerged, some which were specific to individuals, but others that were of relevance to the group as a whole. It proved rewarding for the researcher, both as a therapist and in terms of her relationship with her father who is a stroke survivor with aphasia. Art therapy therefore seems to be a useful tool to be used with this group that has traditionally been excluded from therapy and research. It is suggested that further research would be useful, and suggestions regarding future research are discussed.

D.Litt. et Phil.
Although rapid progress was made in the past decade in the development of short term treatment approaches, relatively little attention was given to the treatment of Dysthymic Depression as a separate disorder. It is therefore important that medical doctors and other health professionals recognize this disorder as a separate disorder from Major Depression and adjust their treatment of this disorder accordingly (Keller, 1994). Although Dysthymia is seen as 'n low grade disorder and not as severe as Major Depression, this disorder also has a hampering effect on the quality of the individual's life. It affects relationships with meaningful others, mental and physical well - being as well as productivity (Keller, 1994; Klerman & Weissman, 1992). With the hampering effect on the individual's life, Dysthymic Depression is also costly and is a substantial burden for the family and the community. According to Rupp (1995) appropriate treatment of individuals with affective disorders will be costeffective. , The prevalence of depression in primary care make this disorder an ideal target for treatment-(Robinson, 1995). In this regard, Robinson (1995) mentions that treatment for these disorders is less intensse and'more short term that specialized treatments. In the past few years there have been a.shift from long term treatment strategies to short term structured handbook orientated treatment programs for disorders like depression. Pantalon, Lubetkin & Fishman (1995) emphasize the need for objective and •knowledgeable guides for the treatment of mental disorders. According to these researchers selfhelp books and guides are effective together with cognitive behavioral therapy. The aim of this study was therefore the development of a short term cost effective handbook orientated treatment program for Dysthymic Depression as well as the effectiveness of the treatment program. Antoher aspect of this treatment program that makes it unique, is the exercise component that is incorporated into the program with the cognitive behavioral approach. A group of 23 Dysthymic patients have been evaluated to establish the degree of depression, personality pathology that is present and the course of the therapeutic intervention. This group , received treatment over a period of 8 weeks. A second group of 22 patients served as a control group. The control group received medication and other therapy. The results of this study indicate that not only 'did the intensity of the depression lift, but certain indexes of psychopathology were also reduced. The indexes of psychopathology that indicated an reduction, were the Avoidant, Self-defeating, Schizotypal, Borderline, Anxiety, Somatoform, Dysthymic as well as Major Depression disorders. The effectiveness of the therapy sessions were also monitored over the , period of 8 weeks and indicated a reduction in certain negative factors, namely: Aggression, Anxiety, Fatigue, Sadness and Skepticism. While these factors indicated a reduction in prevalence the following factors indicated an increase in preValence over the 8 therapy sessions: . Surgency, Elation, Concentration, Social Affect, Egotism and Vigor. Although the test sample were relatively small, it is accepted that it was representative of the universum of the Gauteng region where this sample was taken from. From the results obtained from this study it seems that - this handbook orientated treatment program was not only effective for Dysthymic Depression, but also for certain indexes of psychopathology over the 8-week therapy sessions. From the analysis of the components of the therapy sessions, is clear that the model of the Dysthymic individuals showed an improvement with the handbook orientated treatment program.

D.Cur.
The purpose of this study was to generate an interpersonal communication skills approach for adolescents. Through this approach adolescents will be given an opportunity to formulate new stories on their interpersonal communication skills in the form of stories about constructive communication skills. This will enable adolescents to maintain their important interpersonal relationships. Adolescence is a period characterised by the occurance of many adjustments and changes. Continually higher demands are made from adolescents in terms of career choices, the choice of friends, release from parents and parental homes, development of autonomy and the successful completion of the adolescent developmental phase. The climate of reconciliation in the post apartheid South Africa pressurise adolescents even more. Sources of support is consequently of great importance to adolescents during this phase of change. Sources of support for example the families of adolescents, members of the community and especially the peer group plays a significant role. interpersonal relationships with the aforementioned groups of persons and individuals must be maintained in order to ensure continued support during and in order to successfully complete the developmental phase of adolesence. This requires constructive interpersonal communication skills. It is however evident that adolescents do not posess all of the required constructive communication skills which would enable them to maintain these important interpersonal relationships. The abovementioned lead to the following questions which were addressed in phase one, -two and -three of this research: Over which interpersonal communication skills do adolescents posess? Which specific interpersonal communication skills needs to be addressed in the interpersonal communication skills approach in order to maximise adolescent's ability to communicate interpersonally with a view to improve, maintain and restore their mental health? Which guidelines can be given for the operationalising of the interpersonal communication skills approach for adolescents? A qualitative, investigative, descriptive and contextual design was followed. The research was conducted in three phases with a pre-phase which preceeded phase one of the research. A topical scenario to be utilised in the course of the research was established in the pre-phase of the research through group interviews with adolescents. In phase one of the research role play was conducted and written dialogue was obtained based on the scenarios identified in the pre-phase. An interpersonal communication skills approach was generated in phase two of the research. In phase three of the research certain guidelines were described for the operationalising of the approach. The researcher concluded from the results obtained in phase one of the research that the interpersonal communication of adolescents included in this research were characterised by an entanglement within four repetative circular interpersonalcommunication patterns. These four repetative circular interpersonal communication patterns are initiated and maintained by certain feelings, thoughts and behaviour. The four repetative circular interpersonal communication patterns are the following: Recurrent circular interpersonal patterns of defocusing and externalizing the topic under discussion; Recurrent circular interpersonal patterns of struggling for power between the adolescent and the other conversationist; Recurrent circular interpersonal patterns of not listening to the other conversationist; and Recurrent circular interpersonal patterns of not focusing on feelings while conversating.

D.Cur.
South Africa, like many other countries, is charged with ensuring that her adolescents are mobilised to believe in the power of their own dignity in order for their life-world to change. Hundreds of thousands of adolescents were forced to experience political upheavals, violence, neglect, incarceration and family disorganisation. Many of these adolescents were forced onto the margins of society in their strive for understanding and survival. Many dropped out of school, are unskilled and therefore unemployed. They feel hopeless as they struggle for a place in society, because society has no faith in them - "they are lost to society". The purpose of this study was to generate a psychiatric nursing model to facilitate the reintegration of marginalised adolescents into the community. This study therefore has profound social, political and economic implications for the South African community. Through this model, which is a theoretical framework to be utilized by the advanced practitioner in psychiatric nursing, adolescents will be empowered to believe in themselves, to engage in meaningful relationships and activities with their families, peer groups and the broader community. The model provides a theoretical framework that attempts to rekindle and inspire the adolescents from a state of hopelessness and disillusionment, to integrated individuals who are respected, valued and accepted as integral members of their families, peer groups and communities. The model will assume a problem solving and preventative approach. Based on this discussion, the following questions were addressed in this research: What obstacles exist that hamper marginalised adolescents' reintegration into the community? What could be done to assist marginalised adolescents' reintegration into the community? A theory generative, qualitative, contextual, exploratory and descriptive design was followed. The research was conducted in four steps with a pilot-study that preceded step one of the research. In step one, focus group discussions were conducted with five groups of respondents to explore and describe obstacles that hamper the reintegration of marginalised adolescents into the community, as well as their views on how marginalised adolescents can be assisted to be reintegrated into the community. Data was analysed using Tesch's method. Based on the results of analyzed data, disempowerment, characterized by hopelessness, alienation/isolation, anger, frustration and worthlessness - related to poor socialisation, lack of support and services, family disorganisation, peer pressure and fragmented services - was identified as a main theme among stumbling blocks. Empowerment, characterized by improved self-image, feelings of worth, belief in own dignity - related to a sense of wellbeing, belonging and respect - resulting in personal growth and societal change with ultimate reintegration, was identified as major strategy to address marginalisation. In step two, the defined concepts were related to each other to show interrelationships. Classification of central and relational concepts followed to formulate relationship-statements, the result being to depict related concepts in structural form. In step three, a visual model to be utilized as a theoretical framework by the advanced psychiatric nurse practitioner to facilitate the marginalised adolescents as recipients and the advanced psychiatric nurse as agent, was designed to facilitate reintegration into the community. The model was evaluated by a panel of experts. Step four dealt with guidelines to operationalise the model in practice, education and research. Recommendations and limitations of the research were also discussed.

M.Cur.
The birth of a baby is a life-changing event in a person's life. During this time there are expectations of positive feelings. The new mother experience ambivalent feelings about the new phase in her life. These feelings can range from a feeling of excitement, postpartum-tears, anxiety about the baby's care, depression and psychosis with an onset in the postpartum period. The goal of this research was to identify indicators for postpartum depression, that are present during pregnancy, during the delivery and in the postpartum period, in order to identify and treat a high risk client for postpartum depression in time. In this way mental health will be promoted. In the first part of the research, an exploratory, descriptive design was used within the context of a private and provincial baby clinic on the Westrand. The research firstly consisted of a literature study about the indicators for postpartum depression. A questionnaire was compiled from this literature study and it was used to collect data in a private and provincial clinic. A descriptive and explanatory design was used in the second part of the research study, to determine a connection between the indicators of postpartum depression and a diagnosis of postpartum depression. The test sample comprised of all the women who visited a postpartum baby clinic (private as well as provincial) in the postpartum period, who's baby was six months or younger. The questionnaire was completed with their visit to the baby clinic and then returned to the respective fieldworkers.

M.A. (Counselling Psychology)
According to the psychiatric and psychological literature, researchers adopt controversial standpoints regarding the classification of Dysthymia Disorder. Some researchers regard Dysthymia Disorder as an independent diagnostic entity, while others consider it a variant of Unipolar Major Depression. The aim of this research is to determine, by means of a comparative investigation, the clinical personality disorder differences or similarities which occur in patients with the two disorders. As a point of departure, this study examines those aspects of the DSM-III-R and the views of the future DSM-IV concerning Dysthymia Disorder and Unipolar Major Depression, as well as recent theoretical approaches to these disorders. Divergent findings in respect of different factors for the two syndrome disorders are described. The different sub-uypea of Dysthymia and the overlap among these sub-types as well as the overlap between the two disorder-groups are focused on. Attention is given to the relationship between depression and personality disorders. For the experimental investigation, 100 patients from TARA the H. Moross-centre, Weskoppies Hospital and Vista Private Clinic, and 20 patients from three private practices, are consulted and tested. Because of the difference in application of criteria by different researchers, only patients the criteria of the DSM-III-R for Unipolar Major and Dysthymia Disorder are used as test subjects.

M.A.
HIV and AIDS are a growing problem with multiple implications on various fields in our society. It looks as if we are conscious only of the tip of the iceberg. This study commits itself to suggest alternatives other than medical support to ensure longevity in HIV and AIDS persons. From within a psychological framework certain psychological and social factors are identified that could possibly have an influence on immunology in the form of CD4 and CD8 counts. The results suggest that definite links exists between certain psychological factors and physical markers of immunology (CD4 and CD8 counts). A Factor analysis show that Social factors (measured with the FES scale) possibly lead to emotions that resort under psychological factors (Conflict, Course of illness and Independence). These factors unleash the need of self- expression. If this need to selfexpression are not relieved it leads to psychological factors (Anger, Depression and Tension). These factors have a marked short-term effect on CD4 count as well as a long-term effect on CD8 count. The result is a circular response comprising of psychological factors (Anger, Depression and Tension) that lead to feelings of avoidance and fatalism. In turn these factors lead to feelings of hopelessness resulting in a strengthening effect on another set of psychological factors (Conflict, Course of illness and Independence). OptimismNigor repeatedly played a leading role in the Course of illness, influencing the cognitive attitude of respondents. Initially 71 respondents took part in the study but comprehensive data over the sixmonth period could only be obtained for 40 respondents. The results suggest that a specific dynamic are concealed in the process between mind, body and illness and needs to be explored through further research. .

M.A. (Psychology)
Noller and Callan ( 1991) are of opinion that the success with which the adolescent copes with the main tasks of adolescence is determined by the family environment. Any failure of the adolescent to cope with his developmental tasks effectively, will prevent him from coping successfully with life's demands in future, and cause psychological and social problems (Jooste, 1989). The purpose of this cross-cultural study was to investigate those family qualities that contribute to successful coping with demands of life. The investigation was done within different culture groups as well as within different socio-economic status (SES) groups ...

M.A. (Psychology)
Research investigating the connection between Functional Hemispherical Asymmetry (FHA) and perception of affect in clinical as well as normal populations, is characterised by contradictory findings with regard to the role of the different hemispheres, especially as regards the perception of various valencies of emotions. Although a majority of studies indicates that the right hemisphere (RH) is superior in the perception of all valencies and emotions - positive as well as negative - there are numerous studies indicating a possible differential processing of positive and negative emotions by the hemispheres. Although various researchers try to lay the above contradictory findings and the general lack of consensus at the door of methodological problems/inequalities or error variances, the literature is increasingly pointing to the existence of evidently reliable individual differences between people as regards their hemispherical functioning. The problem investigated in the current study, is to determine the possible role of the organismic variables in FHA, i e variables seated in the individual who is making the observation. In this study, the focus is specifically on the role of sex and the temperament dimension of introversion-extraversion. The objectives of this study are to determine whether there are significant differences in the direction of these hemispherical differences, as well as the relative performance, of groups divided according to sex and temperament characteristics, and whether the relevant organismic variables offer a possible means of explaining the contradictions in research results on FHA and the perception of emotion. In this study, the measuring of FHA is operationalised in terms of the differential performance, measured in terms of accuracy and speed of observation (response latency) of the hemispheres in the perception of different valencies of emotional stimuli (positive versus negative, and approach versus avoidance emotions).. The subject population comprised a group of students selected in terms of sex and temperament (introversion-extraversion). Selection in terms of introversion-extraversion was done on the basis of subjects' performance in the Personality Questionnaire Form B (Schepers, 1991): persons falling in the lower and upper three stanines of the scale respectively were identified as introverts and extraverts. Only right-handed subjects with no history of brain injury were used for the study. Differential hemispherical performance in terms of response accuracy and latency was determined by means of the Divided Visual Field Technique (DVFT). Although the reliability data of this technique are generally not entirely satisfactory when measured in terms of psychometric test standards, an effort was made to enhance the reliability of the technique in this study by controlling specific stimulus and response variables (inter alia the exposure time and the use of both hands for a response) during the experimental design.

M.A.
This study was conducted to ascertain whether there is a significant relationship between, parental pressure, stress levels and athletic performance in high school track and field athletes. The question can be asked whether parental pressure will result in increased stress levels in the athlete and therefore poorer performance? Sixty-six high school track and field athletes, between the ages of 13 and 18 years, were selected for the study. The athletes were taken from training groups and an Afrikaans high school to Provide a sample that included both elite and social athletes. The IPAT-Anxiety Scale, Sport Competition Anxiety Test (SCAT), SASOL junior tables and three self-designed questionnaires were used to determine the athletes' stress levels, amount of parental pressure and performance measurements. Significant relationships were found between parental pressure, increased stress levels and poorer performance. The more parental pressure experienced by the athlete the higher his stress levels and consequently the poorer his performance.

M.A.
Clayton (1996) cites studies of stress experienced by the elderly, such as rape (Frank et al. 1984) o catastrophic financial loss (Ganzini et al. 1990) (such as in burglary or hijacking) that have indicate( that these stresses may result in the onset of major depressive disorder and generalised anxiety disorder response is depression. This study will attempt to compare elderly persons (Group 1) having been admitted to an old age facility less than two years prior, with a matched sample of same (Group 2) having been resident a the same facility for longer than that. This subdivision into Groups 1 and 2 will be the independen variable. The dependent variables will be various psychometric measures, being the Rotter Locus o Control Test, Beck Depression Test, Wallston Health Locus of Control Test and the Simmons Self. Image Scale. Respondents will also have an erythrocyte sedimentation test performed, which is simple non-specific blood test that is also an excellent measure of overall health and concomitarr stress levels. Manipulation of the results will support or refute the detailed hypotheses as set out it the Methodology chapter. The aim of this study is to build on studies such as those of Meyerson anc Haggerty (1962) (in Ader, 1981) and Heyman (1992) by introducing the differentiating factor 01 institutionalisation and locus of control as a factor to be considered in primary health care.

This study examines the relationship between adolescent depressive symptomology and substance abuse. From a literature study six hypotheses were developed. A quantitative empirical study, undertaken in a South African high school, investigated the level of adolescent depressiVe symptomology and substance abuse, as well as the relationship between the two. The influence of various moderator variables was also examined. In line with most international studies, the relationship between adolescent depressive symptomotogy and substance abuse was found to be significant. This research has shown that adolescent depressive symptomology is significantly and positively correlated with earlier age at onset of substance abuse as well as frequency of usage. There appear to be gender differences in the way adolescents deal with their depression in terms of substance abuse. In addition, risk factors for depression and substance abuse were confirmed. Recommendations have been made based on these results
Educational Studies
M.Ed.

M.A.
The young offender's criminal behaviour exerts enormous damage to the social and economical aspects of the country. Exploring the identity construction of young offenders, the decisions and choices they make in breaking into strangers' houses, stealing and hijacking other people's cars, is the focus of this study. Attention will also be focused on exploring how the criminal "career" affects and is affected by their identity construction. It is also the purpose of this study to explore what could be attracting the young offender to embark on a criminal expedition, in spite of the consequences of such activities, which appear to be uninviting and uncomfortable. The study comes about as a result of the misery and 6 trauma experienced by victims of the young offender's criminal activities (Clifford, 1974). People spend a lot of money improving the security systems in their properties with the purpose of barring the offenders from entering their premises, or taking the cars away from them. This, however, does not seem to work most of the time as it has in some cases contributed to the offenders also improving their skills on how to commit crime. There is increased surveillance in department stores, insurance premiums are high and there is an increase in the cost of goods and services. It seems that as crime escalates, more young people are sent to prison. Society also feels that prison is the best option for the young offender. Others would like the death sentence to be imposed to deal with the crime problem. At the moment, prisons are overcrowded with young people, who will be released in a few years' time. The question is whether, at the time of their release will they be able to be reintegrated back to society. What kind of people are we expecting them to be when they become adults? What role will they play in the functioning of the community? Probably the community needs to be informed about what happens in prison, for there is a general assumption that prison is a rehabilitative institution. It is seen as a place where we get rid of troublemakers, who on their release have become good citizens with a brighter future. People perceive a prison as a place that rehabilitates offenders and helps reintegrate them back into society. Whether the prison pursues and achieves this purpose needs to be seen. However, the high rate of recidivism leaves much to be desired. Cronje'et al. (1976) in their study found that a large number of young offenders became recidivists or recidivism can be traced back to juvenile offences

This study evaluates a sex education programme administered in an Indian high school. To this end, a literature search, empirical study and qualitative data were used to measure the effectiveness of the Education for Living programme. Adolescents are blamed for having pennissive attitudes, or for indulging in amoral sexual behaviour without considering the consequences. The fact is, sexual development of young people is affected in a fundamental sense by what is taking place around them. Many of the taboos, which operated in society years ago, have disappeared. This study looks into the history of the South African Indian community. In particular, this study focuses on the community's values, attitudes and traditional practices toward sexuality, sex and marriage. It further highlights how the processes of westemisation and modernisation have eroded many of these aspects of traditional Indian culture. The study concludes by examining the emergence of new-found patterns of behaviour and attitudes. It is not the intention of this study to provide any conclusive documentation on the subject of the Indian adolescent. However the major findings of this study have been fommlated as recommendations and implications for further research. Since sexuality is an ever-changing, life-long experience, there is a need for continuous acquisition of accurate sexual knowledge. Carefully designed programmes may serve to allay fears, dispel myths, diminish confusion, enhance communication within families and promote health and wellbeing across generations.
Social Work
M.A. (SS) (Mental Health)

Divorce has become so prevalent in our present day society, that it is regarded as one of the most sressful and complex mental health crises facing children today. As parents are often under tremendous stress during the time of divorce, they may be incapable of provding the support and guidance children need. The purpose of this study is to present a group counselling intervention programme to assist children of divorce and to create a supportive group atmosphere in which children can share divorce-related feelings, clarify common misconceptions and reduce feelings of isolation. Findings of this study indicate that the acquisition of problem-solving communication and anger control skills help to reduce feelings of depression and anxiety, improve the self-concept and ultimately promote post-divorce adjustment.
Psychology of Education
M. Ed. (Guidance and Counselling)

D.Ed.
The overall objective of this research is the description of an educational psychological therapeutic approach for the use of educational psychologists in private practice in the treatment of adolescents with emotional and behavioral problems.Two research questions arose out of the need for the development of an integrated educational psychological therapeutic approach, namely: In what way can the educational psychological perspective, existentialphenomenological psychology, transpersonal psychology and Medical Hypnoanalitical approach be integrated in order to develop a holistic view of humanity through which conscious and subconscious meanings in a person's experience world (psychodynamic, perinatal and transpersonal experiences) could be described to reflect the personal, unique, unrepeatable and original qualities of the individual? Based on the description of a holistic view of human nature which serves as the foundation for the development of a therapeutic approach through which the client with emotional and behavioral problems could be understood within the referential framework of his own experiences, the researcher poses the question: What constitutes the therapeutic approach through which the therapist could gain insight into the conscious and subconscious meanings in the experience world (psychodynamic, perinatal and transpersonal experiences) of a person in order to address the true causes underlying the pro lematic symptoms?

The aim of the research was to establish the emotional experiences of adolescents who experience a discrepancy between their self-concept and ideal self-concept. An empirical investigation was carried out in order to establish the relationship that exists between the self-concept and the ideal self-concept of adolescents and certain emotions they experience. The investigation further identified the emotions that are prominent in the case of a discrepancy between the self-concept and the ideal self-concept. A Self-concept, Ideal Self-concept and Emotional Profile Index Questionnaire were completed by 250 adolescents. Trust and sociability showed the strongest positive correlations and depression, distrust and aggression the strongest negative correlations with aspects of the self-concept. In most instances no relationship existed between the ideal self-concept of adolescents and the emotions they experience. In terms of a discrepancy between the self-concept and the ideal self-concept, results indicated that trust was the most prominent positive emotion and depression, aggression and distrust the most prominent negative emotions.
Psychology of Education
M. Ed. (Guidance and Counselling)

This study explored the lived experience of spouses living with depressed partners. A qualitative phenomenological, 
exploratory study design was used to explore the lived experience of the spouses, identifying the coping strategies and challenges that they face as they live with the depressed partners. A purposive sample of seven spouses living with their depressed partners who were being treated in outpatient department were recruited to participate in the study.

In-depth, face-to-face interviews were conducted, audiotaped with the participants&rsquo
permission and transcribed verbatim. The data from the transcripts, field notes, and demographic questionnaires was organized ready for analysis. Thematic data analysis was used to code the data, and group the codes to form categories. The categories were further regrouped to form themes. The themes were conceptualized and contextualized to uncover the meaning that the spouse carers attached to the lived experience.

It emerged that most of the spouses described their partners and the relationship negatively due to the burden of care. The male carers as compared to the female carers expressed the negativity more and it impacted on the quality of care they were providing to the depressed partners. It was revealed that inadequate professional support was linked with the ineffective coping strategies employed by the spouse carers. Hence, most of the spouse carers presented with symptoms of depression and were at the stage of impoverishment according to the adaptive potential assessment model. A recommendation to involve spouse carers in the treatment plan and improve the support system to the spouse carers was made to the stakeholders of health service providers at the primary health level.

Adolescent substance abuse is a major problem facing the world today. In order to understand the reasons for adolescent substance abuse behaviour, various theoretical perspectives were utilised and strategies to curb substance use were also identified. The study was conducted in the rural areas of Zeerust, North West province of South Africa. The participants included 12 male adolescents, whose ages ranged from 12 to 15 years. A qualitative, explorative research design was employed. Data was gathered using semi-structured interviews, genograms and observations. Thematic analysis was used to analyse audio-taped data. The study found that substances abused by the participants include alcohol, nicotine, cannabis and heroin. Their reasons for using these substances include individual, family and environmental factors. However, peer group pressure was identified as the primary factor for adolescent substance use. This study emphasises the painful nature of substance abuse among adolescents, yet at the same time it succeeds in highlighting the strategies that can be employed to address substance abuse among adolescents. In addition, this study recommends a concerted effort by all the stakeholders in addressing the substance abuse problem.
Psychology
M.A. (Psychology)

Text in English
Literature notes an increase in the number of children and adolescents diagnosed with bipolar disorder. Several challenges faced by clinicians who diagnose and treat early-onset bipolar disorder have been discussed with particular emphasis being placed on its pharmacological management. The contributions made by psychologists including psychosocial interventions, have been explored in this regard; however, there still exists a paucity of voices in the field of psychology that discuss the experiences surrounding the management of this disorder. Most studies on early-onset bipolar disorder do not distinguish between childhood and adolescent presentations. Adolescence has been recognized herein, as a distinct developmental and transitional phase and thus, it forms the basis of this inquiry. This qualitative study thus explores clinical psychologists’ experiences ofmanaging adolescents diagnosed with bipolar disorder and will be approached from a social constructionist perspective which was selected as a means of exploring the meanings that individuals attribute to their experiences as they engage with others in their environment. A literature review evaluated the current available literature on juvenile bipolar disorder. Clinical psychologists in private practices were interviewed using semi-structured interviews. The participants were selected using purposive sampling. Two pilot studies were used to pre-test the study. One participant took part in pilot study 1 and one in pilot study 2. Thereafter, four semi-structured interviews were held with four participants who took part in the main study. Themes were drawn from the data and were explored using thematic content analysis. An analysis of the themes revealed several shared experiences in clinical psychologists’ management of juvenile bipolar disorder which were similar to what is reflected in the current available literature on early-onset bipolar disorder.
Psychology
M.A. (Clinical Psychology)

The purpose of the study was to explore and describe the perceptions of adolescents about sexuality and sexually transmitted infections, which probably contribute towards the high incidence of sexually transmitted infections amongst this group.The study was designed as a qualitative, exploratory and descriptive research. A focus group interview and unstructured observation were used to collect data, using a nonprobability snowball sample. The group consisted of 12 male and female adolescents residing in a specific geographical area in Pretoria and attending different high schools. Recommendations made focus on: the approach to sex education programmes factors that need to be addressed in order to improve adolescent sexual health empowerment strategies of teachers, parents and community leaders on adolescent sexuality and sexually transmitted infections so that in turn, they should be able to empower adolescents on their sexual roles and thus make informed choices The impact of implementing the recommendations will benefit individuals, families and communities.
Health Studies
M.A.(Health Studies)

Reports on the escalation of violence in South African schools have been a cause for concern. The Media have reported a high incidence of adolescent anger towards and fights with peers, family members and school teachers. Alcohol and drug abuse, risky sexual behaviours and gang related activities are also noted as a concern among school-going adolescents. These behaviours are precursors to mental health problems among school-going adolescents and prompted the researcher to carry out an investigation on how high schools promote the mental health of their learners. A sequential explanatory mixed methods approach was used to explore the experiences of school-going adolescents, school teachers and school health nurses in dealing with social and emotional problems in high schools. An event history calendar was used to collect both the quantitative and qualitative data. Quantitative data was used with school going adolescents, whereas, qualitative data in the form of focus groups was used with school nurses and individual interviews was used with school teachers. Qualitative individual interviews were also used with a subset of school going adolescents to augment the quantitative results. The two sets of data were analysed independently and only at interpretation of findings were they collated and integrated. Quantitative data analysis was done using descriptive and inferential statistics whilst content analysis and thematic analysis were used with qualitative data. Major findings of the study revealed that adolescents’ problems manifested themselves as inappropriate handling of emotions which resulted in drug and alcohol abuse, risky sexual behaviours and gangsterism which adversely impacted on the adolescents’ social-emotional well-being and mental health. A universal prevention and promotion programme through social and emotional learning to address the social and emotional ailments of adolescents that impede mental health promotion in high schools was proposed. The “TEAM” intervention proposes the promotion of positive peer relationships through the use of positive gangs in a safe, caring and cooperative school climate. The intervention would also capacitate adolescents with prosocial skills and values that would yield positive outcomes for greater academic and life successes generally. The study recommends the use of the proposed ‘TEAM’ intervention in schools for mental health promotion.
Health Studies
D. Litt. et Phil. (Health Studies)

The "Dancing with Change" Programme (DWCP) is an ecosystemically informed substance abuse intervention programme that was developed by the participants and myself with the aim of building resilience towards substance abuse among youth. The DWCP was conducted in the school setting, with ten volunteer Grade 7 learners over a ten-week period for an hour a week. The learners' parents participated in an initial needs assessment and in a feedback session at the end of DWCP, together with the life skills teacher and headmaster who observed and contributed to the process. An independent observer, present at each session, served to increase the dependability and confirmability of the evaluation findings. The DWCP appeared to have achieved its goals as defined by the participants. The evaluation findings are presented as a guide for people working in the field of adolescent substance abuse that synthesises best practice and lessons learnt in the field.
Psychology
M.A.(Clinical Psychology)

Text in Afrikaans
The researcher has identified the research problem for the study as the underlying dynamics of physical violence amongst adolescent girls in the school system. The purpose of this study was to investigate these dynamics. The researcher viewed the girls from a holistic perspective and tried to explore and describe the girls' behavior by bringing their environment into consideration. A qualitative study was used to determine the dynamics of physical violence among adolescent girls in the school system. Data was collected by means of semi-structured interviews. From this data it is evident that the dynamics of physical violence among girls is a multi-dimensional and complex phenomenon and cannot be attributed to a single factor. Because of this the researcher tried to make recommendations that touched each level of the girls' functioning. In such a way the researcher tried to address the problem holistically.
Social Work
M.Diac. (Spelterapie)

The formulation of the perceptions of the adult role among adolescent Greek girls in Johannesburg, is a complex matter. The girls are influenced by their Greek cultural upbringing, while also experiencing the effects of inherent gender inequalities in the education system. This study investigated the perceptions of the adult role among adolescent Greek schoolgirls in Johannesburg and the implications for educational provision. A literature survey investigated the formation of gender identity among adolescent girls. Existing research on the issues of gender in education was reviewed. A qualitative study of the life-world of eight adolescent Greek schoolgirls was conducted. Data elicited from semi-structured interviews were analysed, discussed and synthesised. The major findings emanated. The girls were influenced in their adult role perceptions by their cultural backgrounds, but all expressed a desire to strive for new levels of independence. Guidelines for relevant educational provision were proposed.
Educational Studies
M. Ed. (Comparative Education)

High school students need to be equipped with the competencies that may enable them to adapt to the increasing demands of learning in the school and beyond. To this end, the main research question of this study was, namely How can the self-regulated learning of adolescents be developed at high school? The aim of the study was to design, implement and evaluate a study skills programme for high school students. The social-cognitive theory, in particular the self-regulated Learning (SRL) theory, was used as the conceptual framework on which this study was based. An explanatory, sequential, mixed-methods research design was implemented. Purposeful sampling was used to select the participants in the three phases of the research project. Two classes of Grade 10-students (an experimental and a comparison group) from one school participated in the study, as follows: (i) in the first quantitative phase both classes wrote a pre-test, using the Learning and Strategies Inventory - High School Version (LASSI-HS); (ii) this was followed by a qualitative phase over 10 weeks. During this time a programme was implemented with the experimental group, once per week for 30 minutes (during school hours), and a 30 minute session in the afternoons. Individual work was also done with eight students, who were purposefully sampled. Between one and four sessions were held with each of the eight students. During the 10 weeks data were collected continuously by means of individual interviews with the eight students, as well as from their journals. In addition, the researcher collected data by means of field-notes. (iii) After the 10 weeks, the final quantitative phase involved both the experimental and the comparison groups in the writing of a post-test. The results indicated that the programme to enhance the students’ goal-setting, self-monitoring and self-evaluation strategies was successful. The students also indicated an improvement in their attitudes, motivation, information-processing, and in selecting the main ideas in their study material. However, shortcomings were noted in certain areas. Based on the literature and the empirical findings of the study, an improved programme for the development of the adolescents’ SRL in high school was designed. The programme recommended the early commencement of the programme, and that the two problem areas that were identified, namely time-management and motivational strategies be emphasised.
Psychology of Education
D. Ed. (Psychology of Education)

The susceptibility of adolescents to chemical addiction has become a major international concern. Approximately 25% of people in Central Asia and Eastern Europe who inject chemical substances are under the age of 20 years (Youth at the United Nations, 2006), while up to 75% of unintentional injuries among adolescents in America are related to substance abuse (Page & Page, 2003:196). On the national level, approximately 25% of adolescents under the age of 20 are involved in substance abuse (Western Cape Department of Social Services and Poverty Alleviation Transformation Plan, 2006:13). Focusing on the Western Cape, a report from the South African Epidemiology Network (2007:3) highlights that the youngest patient in in-patient treatment was nine years of age, and among 2 798 persons who received in-patient treatment, 27% were under the age of 20, more than any other age group in treatment. Treatment of adolescent chemical addiction should include preparation for treatment, treatment, and also aftercare services to ensure that the addicted adolescent develops skills to maintain sobriety (Meyer, 2005:292-293). Section Six of the South African Prevention and Treatment of Drug Dependency Act (1992) prescribes that chemically addicted persons should have access to professional aftercare services to ensure that treatment is not terminated prematurely. The motivation for this study was based on the fact that, despite this statutory requirement, the Western Cape Drug Forum (2005:3) identified the need for the development of aftercare services in 2005, indicating the lack of focus on aftercare as part of treatment. This concern was confirmed by practitioners in the field of adolescent chemical addiction and findings resulted from previous research regarding relapse experiences of chemically addicted adolescents (Van der Westhuizen, 2007:129-130).
Social Work
D. Phil. (Social Work)

Text in Afrikaans. Abstracts in Afrikaans, English and Zulu
This study explored how nine adolescent learner-participants with cerebral palsy or other physical disabilities responded to an emotional support programme (EOP) of 20 intervention sessions, aimed at developing their emotional intelligence. The research study highlighted the utilisational value and importance of emotional intelligence, which is associated with problem-solving skills, career success, selfactualisation, stress management and the like. The rationale for compiling the EOP was in accordance with the rationale for the research study, being embedded in diverse learning needs, support for learners, and the design of learner opportunities. The study focused among others on the development and implementation of an EOP based on Bar-On as conceptual model (2000), together with the five core competencies of social and emotional learning (SEL), namely: responsible decision-making, emotional self-awareness, self-management, social awareness, and relationship skills. The Lions Quest SEL-programme, Skills for Adolescence, formed the basis of the EOP, although the researcher had to adapt it for her learner-participants’ special educational needs. The EOP was further extended with the knowledge obtained through the literature study regarding emotional intelligence and adolescence, and was aligned with the aims of the South African school curriculum in respect of emotional intelligence skills, as stated in the aims of the subject Life Skills. The researcher’s embedded, mixed-method research design allowed the larger qualitative component to include the smaller quantitative component, so that the specific phenomenon could be understood from different participants’ perspectives. Qualitative data was collected by means of metaphor interviews and collage activities. The quantitative research component of the study refers to the standardised Bar-On Emotional Quotient Inventory: Youth Version (EQ-i:YV) together with the researcher’s own structured questionnaire. The researcher did not interpret the data obtained from the quantitative data collection instruments in isolation, but used it to expand and verify the results of her qualitative generated data. The integrated data results of the learner-participants brought the answer to the research problem: most of the adolescent learner-participants with special educational needs who had participated in the EOP, did indeed benefit through their involvement, and their emotional intelligence (the phenomenon under scrutiny) had improved.
Die studie ondersoek hoe nege adolessente leerder-deelnemers met serebrale en fisieke gestremdhede op ’n emosionele ondersteuningsprogram (EOP) van 20 intervensiesessies reageer met die doel om hulle emosionele intelligensie te ontwikkel. Die benuttingswaarde en belangrikheid van emosionele intelligensie word deur die navorsingstudie uitgelig. Hoë emosionele intelligensie word geassosieer met probleemoplossingsvaardighede, werksukses, selfverwesenliking en streshantering, onder andere. Die rasionaal vir die samestelling van die EOP stem ooreen met die rasionaal vir die navorsingstudie en is gevestig in uiteenlopende leerbehoeftes, ondersteuning aan leerders, en die skep van leergeleenthede. Die studie fokus op die samestelling en implementering van ’n emosionele ondersteuningsprogram (EOP) gebaseer op Bar-On (2000) se konstruk van emosionele intelligensie as konseptuele model van die studie saam met die vyf kernbevoegdhede van sosiale en emosionele leer (SEL), naamlik: verantwoordelike besluitneming, emosionele selfbewussyn, selfbestuur, sosiale bewussyn en verhoudingsvaardighede. Die Lions Quest SEL-program, Skills for Adolescence, vorm die grondslag van die EOP, alhoewel die navorser baie aanpassings vir haar leerder-deelnemers se spesiale onderwysbehoeftes moes maak. Die EOP is verder uitgebrei deur die kennis wat die navorser tydens die literatuurstudie ingewin het ten opsigte van emosionele intelligensie en adolessensie, en sluit aan by die Suid-Afrikaanse skoolkurrikulum-doelwitte wat verband hou met emosionele intelligensie-vaardighede soos uiteengesit in die doelwitte vir die vak Lewensvaardighede. Die navorser se ingebedde, gemengdemetode-navorsingsontwerp laat toe dat die groter kwalitatiewe komponent die kleiner kwantitatiewe komponent insluit, sodat die spesifieke fenomeen vanuit verskillende deelnemers se perspektiewe verstaan kon word. Kwalitatiewe data is deur middel van die metafooronderhoud en collage-aktiwiteit ingesamel. Die kwantitatiewe navorsingskomponent van die studie verwys na die gestandaardiseerde Bar-On Emotional Quotient Inventory: Youth Version (EQ-i:YV) tesame met die navorser se eie gestruktureerde vraelys. Die navorser het die data wat sy uit die kwantitatiewe datainsamelingsinstrumente verkry het, nie net in isolasie geïnterpreteer nie, maar dit ook gebruik om die resultate van haar kwalitatief-gegenereerde data uit te brei en te verifieer. Die geïntegreerde data-resultate van die leerder-deelnemers bied die antwoord op die: die meerderheid van die adolessente leerderdeelnemers met spesiale onderwysbehoeftes wat aan die EOP deelgeneem het, het inderdaad gebaat by hulle deelname, en hulle emosionele intelligensie (die fenomeen wat ondersoek is) het verbeter.
Ucwaningo luhlola ukuthi ngabe ukuzibandakanya kwabafundi abangabadlalindima abayisishiyagalolunye abasesigabeni sobubhungu/sobutshitshi abakhubazeke ngokwengqondo noma ngayiphi indlela emzimbeni baphendule kanjani kuhlelo oluxhasa ngokommoya (emotional support programme) kumihlangano engama- 20 yokunceda, ehlose ekuqiniseni ubuhlakani bommoya. Isifundo socwaningo siveze ukubaluleka kokusebenzisa kanye nokubaluleka kobuhlakani bommoya, okuhambisana namakhono okuxazulula izinkinga, impumelelo yobizo lomsebenzi, ukuzibonakalisa, ukulawula ingcindezi yengqondo kanye nokunye. Isizathu sokuhlela i-ESP sasihambisana nenhloso yesifundo socwaningo, esitholakala kwizidingo zemfundo ezahlukahlukene, kanye nokuhleleka kwamathuba omfundi. Ucwaningo lubheke hlangana nokunye nokuthuthukiswa kanye nokusetshenziswa kohlelo lwe-ESP olususelwa ku-Bar-On njengemodeli yegama (2000), kanye namanye amacebo abalulekile amahlanu ohlelo lokufunda kwabantu kanye nokufunda ngokwemizwa (SEL), wona yilawa alandelayo: Ukumelana nezinqumo ozithethe, ukwazi imizwa yakho, ukuziphatha ngokwakho, ukuxwayiswa komphakathi kanye namakhono okwenza ubudlelwano. Uhlelo lwe- Lions Quest SEL, Skills for Adolescence, akha isisekelo se-ESP, yize umcwaningi kwakufanele aluguqule lolu hlelo ukwenzela ukuba luhambisane nezidingo ezikhethekile zemfundo yafundi abadlala indima. . Uhlelo lwe--ESP lwaqhubeka nokukhuliswa ngolwazi olwalutholakala ngocwaningo lombhalo wobuciko obumayelana nobuhlakani bokusebenzisa imizwa kanye nesigaba sobutshitshi/sobubhungu, kanti lolu hlelo lwaluhambisana nezinhloso zekharikhulami yezikole zaseNingizimu Afrika mayelana namakhono okusebenzisa obuhlakani bokusebenzisa imizwa, njengoba kushiwobkwizinhloso zesifundo samaKhono Empilo (Life Skills). Isakhiwo somcwaningi esequkethwe, sohlelo-oluvangene locwaningo siye savumela isigaba esikhulu socwaningo olugxile kukhwalithi (qualitative) ukuba sixube isigaba esincane esigxile kumanani (quantitative), ukuze kuzwisiseke uhlelo oluthize ngokwemiqondo yabadlalindima abehlukahlukene. Idatha yohlelo lwequalitative yaqoqwa ngokusebenzisa izinhlolombono zokungathekisa kanye nemisebenzi yokuhlanganisa imifanekiso eminingi. Isigaba socwaningo olugxile kumanani sichaza uhlelo olufanayo lwe--Bar-On Emotional Quotient Inventory: Youth Version (EQi:YV) kanye nemibhalo yemibuzo ehlelwe wumcwaningi. Umcwaningi akazange achaze idatha etholakele kumathuluzi okuqoqa idatha encike kumanani yodwa, kodwa le datha iye yasetshenziselwa ukukhulisa kanye nokuqinisekisa imiphumela yakhe eyakhiwe ngokwendlela yekhwalithi. Imiphumelo ehlangene yedatha yomfundi ongumdlalindima ilethe impendulo kwinkinga yocwaningo: Iningi labafundi abadlala indima abasesesigabeni sobubhungu/sobutshitshi abadinga imfundo ekhethekile abazibandakanye ohlelweni lwe-ESP, ngempela baye bazuza ngokuzibandakanya kwabo, kanti-ke izinga labo lokusebenzisa ikhono lobuhlakani bemizwa buye bathuthuka kakhulu (the phenomenon under scrutiny).
Inclusive Education
D. Ed. (Inklusiewe Onderwys)

This research aimed to investigate how life coaching influenced five female high school learners (aged 16 and 17 years old) at an independent school in Gauteng province. The learners attended four life-coaching sessions with an experienced and accredited life coach over a period of eight weeks. Data was collected from a literature review of previous research on life coaching and coaching in general, interviews with the learners both before and after the life coaching experience and from journal entries kept by the learners during the process. All learners learnt through the process and experienced positive changes in their lives. This included improved balance in their lives; improved time management, reduced stress and more positive mind-sets. They were able to set goals and achieve some success during the process. They expressed increased confidence in themselves and their abilities to overcome challenges in their lives and recommended life coaching for other learners.
Educational Management and Leadership
M. Ed. (Educational Management)