Doctoral Degrees (Psychology)

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Browsing Doctoral Degrees (Psychology) by Subject "Adolescent psychology"

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    Attempted suicide among South African adolescents living in a low resource environment : contested meanings, lived experience, and expressed support needs
    (Stellenbosch : Stellenbosch University, 2020-12) Pasche, Sonja Christine; Bantjes, Jason; Stellenbosch University. Faculty of Arts and Social Sciences. Dept. of Psychology.
    ENGLISH ABSTRACT: Adolescent suicide is a serious public health concern, yet we do not understand the reasons South African adolescents give for their suicide attempts and the meanings they attach to their behaviour. Nor do we know how the adolescents’ caregivers and clinicians perceive their attempts, or how these experiences and understandings are framed by the socio-cultural context. The aim of this research was to provide a contextualised understanding of the phenomenon of suicide attempts by South African adolescents living in a low resource environment. I used a multiperspectival research design situated within a theoretical framework of hermeneutic phenomenology. All participants were recruited via the Child and Adolescent Mental Health unit of a large psychiatric hospital located in Cape Town. In-depth semi-structured interviews were conducted with 10 adolescents, their caregivers (n=10), and the clinicians who treated them (n=9). The adolescents also took photographs to illustrate their experience, and these were discussed during a second interview using the technique of photo-elicitation. I analysed data using Interpretative Phenomenological Analysis. All participants foregrounded the relational context of the adolescents’ suicide attempts, especially relationships with family members, which were described as both a mitigating and contributing factor to the suicide attempt. The adolescents explained how caregivers’ failure to acknowledge sexual and physical abuse, which they perceived as betrayal, led to emotional disconnection and subsequently, to precipitating a suicide attempt. In contrast, adolescents said that attachment to younger siblings and pets ameliorated their suicidality. The adolescents recounted how bonding with other suicidal peers reduced feelings of isolation, but that they also learned about suicidal behaviours from each other. Participants also spoke about how the adolescents’ suicide attempts were shaped by the socio-economic context, including exposure to poverty and high levels of violence. Both caregivers and clinicians described feelings of anxiety, powerlessness, and helplessness elicited by the adolescents’ suicidality, echoing the powerlessness reported by the adolescents. Participants did not endorse a purely psychiatric understanding of adolescent suicidal behaviour; instead they described the adolescents’ suicide attempts as an escape from pain, or an attempt to alleviate perceived economic burdensomeness. The adolescents experienced admission to a psychiatric hospital as providing safety, but also as exacerbating a loss of autonomy. Participants discussed how improved connectedness, belonging, communication, and validation of the adolescents’ experiences, to counter the adolescents’ sense of isolation and invisibility, were important for support after the attempt, and for the prevention of adolescent suicide. The participants’ accounts of the adolescents’ suicide attempts were incongruent with existing theories of suicidal behaviour, highlighting the need for adolescent specific, contextualised theories of suicidal behaviour. These findings also suggest that adolescent suicide prevention cannot solely be the responsibility of the mental health care sector, that the wellbeing of caregivers is essential for adolescent suicide prevention, and they emphasise the importance of adolescent-specific services that enhance feelings of autonomy. Potential areas for future research in the field of adolescent suicide prevention include the role of siblings, pets, and feelings of betrayal.
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    Die verband tussen gesinsorg en interpersoonlike skemas in adolessensie
    (Stellenbosch : Stellenbosch University, 2002-12) De Wet, Cecilia; Wait, J.; Stellenbosch University. Faculty of Arts and Social Sciences. Dept. of Psychology.
    ENGLISH ABSTRACT: An increasing number of children in South Africa are deprived of adequate parental care. Factors exacerbating the situation are the deaths of parents due to HIV/AIDS and contextual stressors like poverty and violence. Children removed from family care in accordance with stipulations of the Act on Child Care, were all exposed to factors of inadequate care like a lack of basic means of existence and/or physical, emotional or spiritual neglect or sexual abuse. The current thesis tried to determine to what extend these factors influence the social development of children. Theories of psychosocial development have shown that optimal social development starts with securing a strong positive and reciprocal emotional bond with the primary caregiver. This is the basis of personal security and interpersonal trust upon which further developmental elements like a positive self image, autonomy, pro-social behaviour, emotional well-being, moral values, the ability to find solutions to problems, self control and expectations about the future, will be based. Schema theory has confirmed the importance of positive developmental experiences in establishing positive expectations about social interaction. Negative developmental experiences will lead to dysfunctional schemas and selective processing of information. This will negatively influence emotional well-being, the ability to solve interpersonal problems and realistically assessing the self and others. Dysfunctional interpersonal patterns, inappropriate social behaviour and a less positive expectation of the future, will follow. Patterns of parental care are still important in adolescence and influence body image, sexual identity, academic achievement, career aspirations, values, autonomy and emotional well-being. Negative patterns of parenting, like loveless over-control and child abuse, lead to dysfunctional interpersonal expectations. Residential care increases the risk of diffused bonding, unless sufficient preventive measures are put in place. In the current thesis ten elements of interpersonal schemas were identified according to the above theories. Statistical comparisons of the elements were done using two groups of adolescents. Adolescents in the first group were removed from parental care in accordance with the Act on Child Care, while adolescents in the second group experienced continuous and adequate parental care. The results supported all of the hyphotheses, with a measure of ambivalence about autonomy. Psychosocial history was proved to be a measurable discriminating factor in adolescent interpersonal schemas. Sex proved to be a further discriminating factor in some elements. Girls were influenced most by the presence or lack of family security. In a second section, current programmes for social empowerment in use in children's homes, were evaluated according to the above results. Indications were given about possible adaptations and additions to therapeutic and skills programmes, the role of substitute families and character traits of staff that may help in limiting the risks of residential care.
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    Verliesverwerking na ontvalling : 'n psigo-ontwikkelingsprogram vir adolessente
    (Stellenbosch : Stellenbosch University, 2000-03) De Villiers, Reniette Hofmeyr; Van Der Westhuijsen, T.W.B.; Stellenbosch University. Faculty of Arts and Social Sciences. Dept. of Psychology .
    ENGLISH ABSTRACT: Most researchers agree that for a child the death of a parent constitutes a psychological risk. Some of these children might experience the first onset of psychiatric disorder (depression, anxiety or substance use disorder) prior to age 20, with a peak age of occurrence at 18. Within the South African context children are more and more confronted with parental death due to the upsurge of violence, the increase in HIV, aids and tuberculoses, as well as many fatal traffic accidents. The need for psychological support of these children within the school system was brought to the attention of the researcher by concerned surviving parents. Society tends to expect an early (often premature) return of survivors to the activities of everyday life. The adult or child thus often finds him-/herself isolated in grief. In family context on the other hand, the single parent has to deal with the personal loss of a spouse, the children's loss of a parent and often also the grandparents' loss of a child. Furthermore, roles within the family have to be reallocated so as to accommodate the lost person's functions. The surviving parent is therefore often not adequately available for the child who, having had his/her personal world and belief system shattered, does not always understand the consequences of death, primarily due to cognitive immaturity. They may react with anxiety, irrational beliefs and suppression, thus blocking a healthier course of grief. The aim of this study was to design and implement a psycho-educational grief resolution program and to investigate the effect thereof on the mood states, coping skills and self-concepts of 17 urban adolescents who had experienced parental death. Using the General Systems Theory as metatheory and the Intervention Designand- Development research methodology (Thomas & Rothman, 1994), a model of adolescent grief resolution was devised which served as basis for the design of the program. The participants were requested to reappraise personal resolution of grief tasks and were introduced to cognitive restructuring (for example the relinquishment of suppression and the disputing of irrational beliefs). With a clearer understanding and the skills to control emotions and behaviour, they were encouraged to attribute (now with hindsight) meaning to the experience of having lost a loved one, and to incorporate the event into a personal narrative. Statistical analyses of test-retest results indicated, amongst others, that adolescents tend to prematurely avow acceptance of the loss; that the experimental group demonstrated less fatigue-inertia after attending the program than the control group; and that a high risk group, comprised of members of both the experimental and control groups, showed more depression during the re-test situation. The last finding indicates that a high risk group should rather receive psychotherapy than participate in a psychoeducational program which is not primarily of a psychotherapeutic nature. On the other hand taking part in the program caused those adolescents to become aware of their need for psychotherapy.