Dissertations / Theses on the topic 'Crisis counselling'

This exploratory study examined outcomes of single telephone counselling calls, with a self-selected sample of 38 clients from a family counselling agency. The sample was interviewed by telephone at two days and six weeks after the call to assess crisis counselling outcomes in affect, identification of the problem and action taken, and client equilibrium. Repeated measures of the 'perceptual concordance' of counsellor and client were taken over a period of six weeks, assessing levels of concordance between client and counsellor about perceptions of counselling, and client equilibrium. The sufficiency of a single counselling session was also assessed. 'Perceptual concordance' was suggested by reduced client stress, high levels of agreement between client and counsellor in the identification of the problem and agreed action, and satisfaction with the counselling. Positive indicators of restored client equilibrium included a maintenance of lower stress levels, changes in behaviour, improvement in perceptions of the seriousness of the problem, satisfaction with life and with the counselling. Further research of equilibrium as a concept, and an indicator of crisis resolution is warranted. The sufficiency of a single session of counselling was supported by 56% of clients. The variety of services used by clients as an outcome of the counselling suggests that it could be beneficial for telephone counselling agencies to offer a follow-up call. Verifying the agreed action and assessing equilibrium could be useful indicators of effective telephone counselling.

Despite a documented increase in the use of online counselling services by youth, little research has been conducted on how counsellors establish rapport in the absence of voice tone and conventional spoken language. As a result, no empirically validated guidelines exist for crisis counselling with youth online. Research shows that youth who access online services are often in extreme distress or suicidal. Youth’s increasing affinity for online communication, coupled with a lack of research in this area, necessitate an examination of how rapport is built online. The current study was a qualitative exploration of client-counsellor interactions in online crisis counselling sessions with suicidal youth. Data sources consisted of transcripts obtained from an online crisis chat service for youth. A collective case study was conducted, using content analysis of client-counsellor interactions followed by an examination of patterns across cases. It was found that tentative language, open-ended questions, and figurative language were used most in the Initial Contact phase and that interventions tended to be connection-building in nature. In the Risk Assessment phase, providing a context for questions, showing acceptance of coping methods, and statements of care were the most frequent interventions, and interventions tended to be connection-building in nature. In the Termination phase, summaries, questions about coping, expressions of care, and emoticons were used; connection-building and action-oriented types of interventions were both used. Overall, it was found that the counsellor tended to mirror the language patterns of the youth and that threats to rapport were handled with genuineness, often using informal language.

The Internet is becoming a more realistic means of accessing support, especially for those who are unable to or are uncomfortable with accessing supports in person. One population that experiences barriers to accessing face-to-face support is youth, and online counselling is an option available for youth to overcome these barriers (King, Bambling, Lloyd, et al., 2006). Online counselling can occur through e-mail and chat services; however, due to the text-based nature of these services, their effectiveness is criticized for having a lack of verbal and nonverbal communication (Cook & Doyle, 2002). Research, however, has suggested that it is possibly this lack of verbal and nonverbal cues that make online counselling effective. Research has also suggested that the effectiveness of counselling can be measured by the working alliance (Fletcher-Tomenius & Vossler, 2009; Hanley, 2009). This study explored if an effective working alliance can be established in online counselling mediums with youth who are in crisis. A quantitative research approach was taken, in which 91 youth completed an online survey that asked how they felt towards online support services. The results of this study suggest that youth respond positively to the lack of verbal and nonverbal cues; youth appear to enjoy an increase sense of anonymity that is created within online support services, which can contribute to open communication. In addition, the results suggest that an effective working alliance is established in online counselling services, as it was found that youth typical felt happy and satisfied with the services they received.
x, 135 leaves ; 29 cm

Rape Crisis Cape Town Trust is an organisation that trains and supervises a team of women counsellors who provide a counselling service to women rape survivors. The aim of this study was to explore the experiences of the counsellors and the counselling co-ordinator regarding their perceptions on whether the training provided by the personal growth and counselling skills course is adequate in dealing with rape and its complexities.

Rape crisis counsellors play a central role in frontline service delivery to sexual violence (SV) survivors, yet their training has received scarce research attention. To fill this gap, this dissertation presents three studies that sequentially examine a volunteer-based rape crisis line (CL) training program. The first study is an evaluability assessment (EA) that assesses the readiness of a community CL training program for research; the second study quantitatively examines the outcomes of the CL training program; and the third study qualitatively investigates the rape crisis counsellors’ training and practice experiences. Data was gathered from a local Rape Crisis Centre (RCC), and a total of 52 women participated in the research. Two-way mixed factorial ANOVAs were used to analyze the quantitative data, and a general inductive approach (Thomas, 2006), informed by a feminist, empowerment perspective (Nagy Hesse-Biber & Yaiser, 2004) was used to analyze the qualitative data. The EA demonstrated that the CL training program was primarily intended to develop volunteers’ basic counselling skills, suicide intervention skills, and feminist attitudes and beliefs. Based on analyses of the EA data, the program was determined to be evaluable. The second study indicated that following the training, the volunteers’ counselling self-efficacy improved, whereas their suicide intervention skills did not change. Volunteers had strong pre-existing feminist attitudes and beliefs that also did not change. The third study revealed several themes that elucidated the program’s processes and outcomes, such as the volunteers’ perception that after the training they gained basic counselling skills, and an increased knowledge of feminism, yet felt unprepared to respond to suicidal callers. Due to their routine interactions with SV survivors and systems, the volunteers also began to perceive SV as a widespread, systemic problem. A thematic analysis of results across studies, and implications of the findings on anti- violence practice and policy are discussed.

This thesis set out to explore the experiences of clients and counsellors in immediate crisis intervention shortly after a major earthquake. It explored the experiences and perceptions of change during counselling for both clients and counsellor, all of which were exposed to the disaster. This study supported the idea of counsellors needing to adapt to the context of post-disaster counselling and addressing client’s immediate needs. Having both been through the same disaster meant counsellors were often going through similar experiences and emotions as their clients during this time. This led counsellors to develop a greater sense of connection and understanding of their client, as well as showing more emotional responsivity and self-disclosure. This was experienced as different to their normal therapy engagement. The implications of these counsellor responses were seen to be helpful, but at times had the potential to be hindering for counselling. Clients valued their counsellor’s techniques and personal qualities but often failed to identify what contribution they, themselves, made to change processes. The differing nature of counselling in post-disaster areas, as gauged by this study may help inform expectations and experiences regarding provision of post-disaster acute interventions.

Although the number of rapes in South Africa is increasing, there are limited resources to which women can turn in their time of need. This is especially true with regard to spousal rape. The lack of supportive interventions exacerbates the posttraumatic stress women experience due to rape. In order to address this concern, this research seeks to identify and evaluate, by means of questionnaires, various therapy methods which are utilised by pastoral counsellors as well as secular service providers within South Africa. Both Christian women and women who are not affiliated with the Christian religion who have in some way sought assistance from the church and who have experienced spousal rape related posttraumatic stress are interviewed and the results are utilized to propose an alternative approach to pastoral counselling with persons who suffer from rape-related posttraumatic stress. Gender sensitivity is crucial to this approach. This thesis consists of seven chapters. In Chapter 1, Spousal Rape – a challenge for pastoral counselling, explains the motivation for the thesis and gives the research framework. Chapter 2 explores the phenomenon of rape, considering stranger, acquaintance, and spousal rapes. Chapter 3 develops the phenomenon of traumatic stress, particularly as it relates to spousal rape, and Chapter 4 covers the questionnaires returned, and interviews of spousal rape victims. The relevance of spirituality is covered in Chapter 5, and in Chapter 6, a counselling model is proposed with regard to the counselling of spousal rape victims. Chapter 7 deals with the transformation and emotional healing of these victims. There are ten appendixes connected, some containing information, consent and interview questionnaires used with the participants and the remainder contain information such as the Sexual Offences Bill, and DSM-IV diagnostic criteria as they relate to this thesis.
Thesis (PhD)--University of Pretoria, 2012.
Practical Theology
unrestricted

Despite the prevalence of rape in South Africa and its association with a high risk of mental health difficulties, little research has examined the specific predictors of post-rape symptom severity or counselling retention rates of treatment-seeking rape survivors. This mixed methods study aimed to investigate predictors of symptom severity and treatment attendance amongst rape survivors attending a crisis counselling service in Cape Town. The quantitative phase of the research was comprised of a retrospective chart review of 482 intake files at three Rape Crisis counselling centres in Cape Town between 2012 and 2016. The qualitative phase involved four focus group interviews with 25 Rape Crisis counsellors at these three counselling centres. Quantitative data were analysed using bivariate statistics, a multiple linear regression and a zero-truncated negative binomial. Multiple linear regression analysis revealed that being English-speaking, reporting being raped (as opposed to reporting a sexual assault or attempted rape), and rape by an unknown perpetrator were associated with increased symptom severity. A zero-truncated negative binomial revealed that increased symptom severity, being male and identifying as a race other than black or coloured were associated with longer time in treatment. Counsellors perceived lower reported symptom severity to be influenced by clients’ ability to identify symptoms, while poverty, poor social support, experiences of other trauma and knowing the perpetrator were perceived to increase symptom severity. Being a survivor of drug-alcohol facilitated rape/incapacitated rape and having practical obstacles to attending treatment were perceived by counsellors to result in shorter treatment attendance. Motivation for attending counselling was also perceived to influence length of attendance. There was both convergence and divergence between the quantitative and qualitative results. The implications of the findings for future research and delivering counselling to rape survivors are discussed. Keywords: Rape; sexual assault; symptom severity; treatment attendance.

The context of this research is the Shigalo Tabernacle Worship Centre, where the researcher is currently ministering. The faith community is within Shigalo Village in the town of Malamulele in the Vhembe District, which has been plagued by numerous forms of violence, inflicting emotional, physical and psycho-spiritual pain on the community. Yet it has been the observation of the researcher that very few members of the community, particularly members who are also members of the faith community, seek professional help – help that is freely offered to the community by medical and other professionals, psychologists, social workers as well as pastors. The narrative that the researcher has identified in his involvement with this faith community was that some members of the faith community choose to rather suffer, by keeping all their physical, emotional, psychological, social and spiritual problems to themselves than to seek professional help. In the community there are various possibilities of seeking professional help – from doctors to psychologists, social workers as well as pastors. The research journey explores and describes how families of Shigalo Tabernacle Worship Centre perceive (view) professional help (counselling). The research sought to understand this perception within the context of their faith and their culture, trying to determine what narratives informed this perception. The objective of the research was first to understand this practice and second to seek ways in which these attitudes and perceptions can be overcome. To do this research, a sample of members was chosen, together with various professional caregivers: Two nurses, two social workers, two educators, two pastoral counsellors, one Medical doctor and a psychologist, who have been in the field of their specializations for more than five years and who are from the Malamulele area within the Thulamela Municipality of Vhembe district. The research was mainly to listen to the stories of the members and complementing these stories with the stories of the professional caregivers, trying to understand how these families constructed their view of faith and how it relates to seeking professional help.
Dissertation (MA Theol)--University of Pretoria, 2017.
Practical Theology
MA Theol
Unrestricted

All thirty women who were to undergo microsurgical treatment for tubal infertility in 1981 and their men were investigated. Over a period of 2 years four interviews were performed with the women and two with their men. A questionnaire, semistructured interviews, symptom checklist and the Eysenck Personality Inventory were used. During this longitudinal study the couples' background, current situation and emotional and social impact of the infertility problem were investigated. The psychological and social effects of the medical investigation and treatment have been described. Expectations and hopes about the future after unsuccessful surgical treatment and the need of professional psychosocial counselling have been noted. Furthermore, the extent of psychological reactions compatible with a crisis pattern has been identified and classified. Finally, overt motives for having a child have been studied. The infertile couples generally did not differ with respect to psychosocial background, current life situation, psychiatric anamnesis or personality characteristics when compared with apparently normal reference groups. Several deleterious emotional and social effects of the infertility were found both before and 2 years after the surgical treatment. The women admitted to suffering such effects more frequently than the men. The partners' feeling for each other were getting worse 2 years after the operation. There was also a tendency to a deterioration in opinions about marital relationships. Most of the mental symptoms recorded could be classified in terms of depression, guilt and isolation, which all are parts of the reactive phase of the common crisis pattern. The crisis of infertility, however, differs from the common traumatic crisis; it is more prolonged and there are often repeated crisis reactions. Negative effects on the couples' sexual life were reported by all individuals. The medical investigation and surgical treatment of infertility influenced the couples' mutual relationship and sexual life negatively. Intrapsychic and interpersonal motives of childwish were dominant among both women and men. A central motive was that a child is an ultimate expression of love between a man and a woman. The motives of the infertile couples generally did not differ from those of the reference groups. Most of the couples had difficulty in working their way through and finding a solution to their infertility problem by their own means. Relatives and friends failed to fulfil a supportive function. The importance of having the possibility of professional psychosocial counselling and support parallel with the investigation and treatment were stressed by all participants.
digitalisering@umu

An exploratory pilot study was conducted to identify specific experiences, perceptions and challenges of participants affected by Turner Syndrome in Hong Kong. It was important to discover how issues concerning fertility, menstruation, ovarian function and ovarian insufficiency and hormone replacement therapy, which are important to these women have impacted their psychosocial wellbeing, psychosocial experiences and their relationships. An ‘across the life span’ approach was used to explore significant issues at various stages or ‘moments’ of their lives, and which they perceive to be important to family and the Chinese culture. The findings of this study has implications for the role of genetic counselling in Turner Syndrome in Hong Kong, to facilitate individuals and their families to meet the challenge. When parents make prenatal decisions for the continuation of pregnancy of a fetus with Turner Syndrome, the quality of genetic counselling is considered to have direct effect on the decision making and continuance of pregnancy. Previous literature indicated that critical criteria for decision making during the prenatal period includes the potential future fertility of the fetus. These issues concerning fertility of patients with Turner Syndrome were explored in this study, in addition to a review of the existing literature. Methodology This was a study of qualitative research, using semi structured interviews. Triangulation techniques were employed in order to gain a rich insight into the care of patients with Turner Syndrome in Hong Kong. For this report, four participants were recruited, who were existing patients of the Department of Reproductive Medicine clinic in Queen Mary Hospital. Each consented to an in depth interview concerning their experiences and challenges of Turner Syndrome in Hong Kong. The narrative of the interview was analysed according to the themes which emerged. A review of medical notes of the participants from the Department of Reproductive Medicine clinic in Queen Mary Hospital, Hong Kong was also conducted. Results Of the participants included in this analysis, one individual with classical features of Turner Syndrome had a 45, X karyotype. The remaining three participants were cytogenetically diagnosed with a mosaicism for Turner Syndrome. It was anticipated that the knowledge gained would improve the provision of information and care by the genetic counsellor and medical practitioner, for patients or parents at initial diagnosis and across their lifespan. The study participants were able to provide rich body of data allowing insight into their lives, experiences and challenges. The pregnancy losses that they have endured, and the hope that all four individuals sustain became evident with each interaction. Significance This study has shown that patients require an in depth knowledge of their condition. They trust the medical professionals who care for them, and their care should be managed with continuity ‘across the life span’ by carers who are experts in Turner Syndrome. Their need for establishment of support groups, and a continuing support structure is essential to their well-being and their psychological health. This is a unique study in Hong Kong with these issues having not been explored previously.
published_or_final_version
Medicine
Master
Master of Medical Sciences

This study focuses on how a Personal Portfolio can facilitate the narration of an adolescent’s life story and the outcome on self understanding. An instrumental case study that was exploritative and descriptive in nature was used to gain insight into the potential value of using a Personal Portfolio to reflect an adolescent’s quest for identity development. Data were collected by means of Personal Portfolio activities, open-ended interviews, tape-recordings of participant interviews, reflective reports written by the research participant as well as observations and field notes recorded in a diary by the researcher. The thematic analysis of the data was done within a constructivist-interpretivist framework. Five core categories: Identity Crisis/Confusion, Identity Exploration,Identifying Developmental Assets, Unresolved Past Issues, and the Experience of Compiling a Personal Portfolio emerged. These core categories were further linked to sub-categories and related themes. This study found that compiling a Personal Portfolio supported the research participant’s quest for identity. In particular, it facilitated a process of self exploration regarding career choice and sexual identity and resulted in increased self-knowledge, an awareness of personal assets and an overall improved sense of self-worth and self-confidence. This study also provided the research participant with a platform to work from and the means to solve some personal problems. The study further more concluded that a Personal Portfolio is a cost effective method that is suitable for use in a diverse South African context which could be utilised by counsellors and educators with their task to assist adolescents with their identity development.
Dissertation (MEd)--University of Pretoria, 2011.
Educational Psychology
unrestricted

Investigación con enfoque cualitativo y diseño fenomenológico, cuyo objetivo fue analizar los procesos subjetivos y de subjetivación durante el proceso de reelección vocacional en jóvenes universitarios. La muestra estuvo conformada por diez estudiantes de universidades privadas limeñas, entre 18 y 21 años de edad, que optaron por la reelección vocacional en una sola ocasión. Se encontró que el proceso de reelección vocacional estuvo conformado por tres momentos: primera elección vocacional, crisis vocacional y reelección vocacional. En un primer momento, los jóvenes se posicionaron subjetivamente de manera pasiva, por lo que sus elecciones respondieron a exigencias sociales y familiares para asegurar un lugar social. No obstante, posteriormente, durante la crisis vocacional, la insatisfacción, el desinterés y el malestar emocional experimentados movilizaron recursos personales para encontrar una profesión que satisficiera sus deseos vocacionales. Finalmente, los jóvenes se reposicionaron creativamente frente a lo social y familiar, apropiándose de sus deseos y construyendo trayectorias vocacionales singulares.
Research with a qualitative approach and phenomenological design, whose objective was to analyze the subjective and subjectivation processes during the process of the switch majors in university students. The sample was ten students from private universities in Lima, between 18 and 21 years old, who opted for the change course only once. It was found that the process of the switch majors consisted of three moments: declaring a major, vocational crisis and switch majors At first, the young people were subjectively positioned in a passive way, so that their choices responded to social and family demands and to ensure a social place. However, later, during the vocational crisis, the dissatisfaction, disinterest, and emotional distress they experienced mobilized personal resources to find a profession that satisfied their vocational desires. Finally, young people creatively repositioned themselves against the social and family, appropriating their desires and building unique vocational trajectories.
Tesis

Thesis (PhD)--Stellenbosch University, 2014.
ENGLISH ABSTRACT: Violence is considered a global mental health problem. The rate of violence in South Africa is amongst the highest in the world and much of this violence is disproportionately skewed towards the poorer and historically disadvantaged communities. Low-income communities continue to bear the brunt of historical legacies of violence which are perpetuated through current ongoing cycles of interpersonal and community violence. While much has been documented about trauma and resilience in environments where the violence or traumatic event has ceased, there is a dearth of literature conceptualising trauma and resilience in contexts where the violence persists. Furthermore, even fewer studies have captured how trauma and resilience are conceptualised from the perspectives of the voices who experience this violence daily. The social constructionist framework of this study aims to contribute to the knowledge of how trauma and resilience is constructed by those who experience ongoing violence, and whether resilience and healing does occur in an environment of continuous traumatic stress. The voices of the participants of the study provide an additional perspective from that of community-based counsellors. Their dual experience of living and working in a violent community gives a rich insight into the relationship between trauma and resilience. The study is located in Hanover Park, a low-income community, notorious for its high levels of community violence. The participants are community-based counsellors who volunteer at Organisation X, a community-based ecological intervention that has been developed in response to addressing the cyclical impacts of ongoing violence and continuous trauma. The research design is a purposive in-depth case study of eighteen counsellors, investigating the narratives of their lives within its real-life context. Follow-up focus groups held with the counsellors were guided by ideas and practices of narrative theory. The narratives were analysed using thematic content and experience-centred form analysis. Multi-level themes related to trauma and resilience were constructed by the participants. It was revealed that the trauma effects related to systemic ongoing violence are viewed as maladaptive features of negative resilience. At the same time positive resilience which promotes healing, empowerment and transformation is possible despite negative and violent environments. The perspectives of community counsellors which offer critically important insight into their experience of the context of violence, and the complex interconnecting of individual, interpersonal and social aspects of trauma and healing in disadvantaged communities, could also inform future evidence-based interventions, provide alternate paradigms within which mental health professionals could position themselves to engage in issues of social justice and psychosocial health.
AFRIKAANSE OPSOMMING: Geweld word wêreldwyd as 'n geestesgesondheidsprobleem beskou. Die voorkoms van geweld in Suid-Afrika, is tans een van die hoogstes in die wêreld en die meeste van hierdie geweld neig om veral die armer en histories benadeelde gemeenskappe negatief te raak. Gemeenskappe in die laer inkomstegroepe is dus die mense wat die spit afbyt, omdat hierdie historiese nalatenskap van geweld deur die huidige voortdurende kringloop van interpersoonlike en gemeenskapsgeweld voortleef. Alhoewel daar alreeds baie dokumentêre bewyse bestaan oor trauma en veerkragtigheid in omgewings waar geweld of traumatiese gebeure beëindig is, is daar 'n gebrek aan literatuur wat trauma en veerkragtigheid vasvang waar geweld die orde van die dag is. Daar is verder nog minder studies wat vaslê hoe trauma en veerkragtigheid uit die oogpunt van die betrokkenes wat geweld daagliks ervaar, gekonseptualiseer word. Die sosiale konstruksionisme raamwerk van hierdie studie beoog om 'n bydrae te lewer oor hoe , indien wel, trauma en genesing beleef word deur diegene wat voortdurende geweld ervaar in 'n omgewing waar aanhoudende traumatiese stres voorkom. Die deelnemers aan hierdie studie verskaf 'n addisionele perspektief van die van gemeenskapsberaders. Hul tweeledige ervaring van leef en werk in 'n gewelddadige gemeenskap verskaf 'n dieper insig in die verhouding tussen trauma en veerkragtigheid. Die buurt waar die studie gedoen is, is Hanover-park - 'n lae inkomste gemeenskap wat berug is vir hoe vlakke van gemeenskapsgeweld. Die deelnemers is beraders uit die gemeenskap wat vrywillige werk doen by Organisasie X - 'n gemeenskapsgebaseerde ekologiese intervensie wat ontwikkel is om die sikliese impak van voortdurende geweld en trauma te verminder. Die navorsingstudie is 'n doelgerigte diepgaande gevallestudie van agtien beraders wat hul lewensverhale binne die werklike konteks ondersoek. Die beraders het die opvolg fokus-groepe gelei deur idees en die narratiewe teorie in die praktyk toe te pas. Die vertellings is geanaliseer deur gebruik te maak van die tematiese inhoud en 'n ervarings-gesentreerde analitiese formaat. Veelvlakkige temas wat verband hou met trauma en veerkragtigheid is deur die deelnemers saamgestel. Dit het aan die lig gebring dat die effek van trauma wat verband hou met voortdurende sistemiese geweld geag word as wanaangepaste kenmerke van negatiewe veerkragtigheid. Terselfdertyd is die positiewe veerkragtigheid wat genesing, bemagtiging en verandering evorder moontlik, ten spyte van negatiewe en gewelddadige omgewings. Die vooruitsigte van die gemeenskapsberaders wat belangrike en kritiese insig in hul ervarings binne geweldsverband bied, die ingewikkelde verbondenheid van die indiwiduele, interpersoonlike en sosiale aspekte van trauma en genesing in benadeelde gemeenskappe kan insiggewend wees vir toekomstige ingryping. Dit kan alternatiewe modelle voorsien waarvolgens beroepslui in die geestesgesondheidveld hulself kan inrig om kwessies van sosiale geregtigheid en psigo-sosiale gesondheids-toestande aan te spreek.

Abstract Keywords: Lay counsellors, training and evaluation. The training of lay counselling is of great significance to the field of Counselling Psychology. Therefore,the Health Professions Council of South Africa (HPCSA) decided to allow for the registration of lay counsellor training courses. However, the criteria for registration need to be formulated. This study evaluated the Wits Crisis course for volunteer counsellors, via illumination of the perceptions of the trainees and a measurement of their self-efficacy and personal relations before and after the training. The study included qualitative and quantitative methodology. Past trained counsellors and trainees were interviewed and then assessed on Self-Efficacy and Personal Relations before and after training. A Wilcoxon Matched-Pairs Signed-Rank significance in self-efficacy or personal relations scores after training. However, the interviews of the participants' perceptions of the course and its impact on them supported the hypotheses. Overall, perceptions were positive. Negative perceptions were highlighted, as this information could add to the knowledge base of the program.
GR 2016

This dissertation is concerned with the restoration of relevance of the Church ministry into the family system, in a given cultural area. The Igbo people of Nigeria are the principal foci for the research. They have experienced difficult times which this research considers to be the source for their emotional depression. One of the greatest problems which a family can face is being in crisis. Under this condition, it is completely disorganized. Such a family cannot think constructively nor plan together as a family for ways ahead, unless they are assisted. The joy and happiness of family life is lost. This study considers emotional depression to be a crisis faced by a dysfunctional family. Despite the presence of many Churches in Igboland, more families are still facing crisis. This points to the idea that the Church is not yet responding well to the caring needs of her members. The researcher believes that if the Anglican Church in Igboland can adopt the concept of the death and resurrection of Jesus after three days, which she teaches, in her caring ministry her services to the families will be more relevant. To succeed in this, the socio-cultural background of the people must be put into consideration. The main discussion on the crisis faced by the Igbo families is in chapters four and five. Chapter two gives the social, political, religious and economic background responsible for the crisis of the Igbos within Nigeria. Chapter three deals with the family system, highlighting both the functional and dysfunctional family system. Chapter six looks into the meaning ofthe Church and pastoral care by the Church, while chapter seven considers ways and means of restoring hope to a depressed family. The researcher believes that a sincere giving of pastoral care and counselling within the Anglican Church in Igboland will bring about the healing, sustaining, reconciling and restoring of the already depressed families. This will mean resurrection of family life. There will be true reconciliation among individuals within a family and between the family and God.
Thesis (M.A.)-University of Natal, Pietermaritzburg, 2001.

This dissertation focuses on the field of psychosocial counselling intended for the people involved in traffic accidents. Traffic accidents often result in considerable whole-society damages and significant reduction in the life quality of affected individuals or their relatives. Traffic accidents may often represent nerve-racking, traumatic events which significantly go beyond the scope of common human experience. People involved in traffic accidents may suffer from mental problems which might impair an area of their social functioning. As a result, traffic accidents have significant impact not only to the lives of persons directly involved, but also to their relatives. Victims´ self-help may fail and, without the expert intervention, may lead to the whole-life misery. One of possible ways of how to help the people involved in the traffic accident is the psychosocial counselling which is the subject of this dissertation. This thesis, among others, aims to analyse the offer of psychosocial consulting services intended for traffic accident participants in the town of České Budějovice. To this end, the combination of qualitative and quantitative data collection techniques, questionnaire survey of experts and organizations and semi-standardized interviews with experts operating in České Budějovice were carried out. Other goals of the thesis included mapping of public awareness concerning the possible utilization of psychosocial counselling for traffic accident participants in České Budějovice, as well as, mapping the interest in using such services on the public{\crq}s part in this town. A public questionnaire survey was performed to reach these objectives. The findings revealed that there is a public demand for services of an organization providing the people involved in traffic accidents with psychosocial counselling. The public awareness of the possibility of using psychosocial counselling in this area, however, proved to be low in České Budějovice. The survey has also shown that the offer of psychosocial counselling focused on traffic accident participants does exist in this town. The dissertation may contribute to higher awareness of not only the professional employees who provide the assistance (psychologists, social workers, non-profit organization employees, physicians, police officers, fire fighters), students of humanities and volunteers involved in giving psychosocial assistance to the victims of disasters, but also of those people involved in traffic accidents whom anyone of us may become.

The Cape Flats is characterised by widespread poverty, unemployment and frequent incidents of domestic and gang related violence. The presence of gangs in and around many of the schools in this area poses a serious problem for the community and the Western Cape Education Department. Schools are disrupted, while principals, teachers and learners are in constant fear and danger of gangsters' bullets. Families in these communities are exposed to chronic traumatisation from both gang and domestic violence. This qualitative study was concerned with exploring a narrative pastoral therapy approach to trauma counselling in schools. It focused specifically on crisis counselling as well as counselling with regard to loss and abuse. Informed by contextual and feminist theology, an action research model was used in this study. I documented my own developing practice by telling the stories of adults and children struggling against the trauma threatening to overwhelm their lives.
Practical Theology
M. Th. (Practical Theology -Pastoral Therapy)

This master's thesis studies effective intervention in chat-based crisis support. This topic is especially relevant, as children, adolescents and young adults have been becoming more interested in such services in the Czech Republic. The theoretical part provides a window into the field of crisis support and elaborates on details of crisis intervention. It presents selected models, approaches, methods, and techniques of crisis intervention. The thesis also describes social support, effectivity, and effective intervention and connects these issues with the topic of crisis intervention. The main aim of this part is to focus on chat-based crisis intervention and its specific features when concerning children and young adults. The empirical part presents a mixed methods study conducted in the Safety line organization, which operates an important nation-wide hotline for children and young adults. In the study, clients and consultants were asked to evaluate the conversation that had just ended by filling out a questionnaire. The chat records were then analyzed in the next part of the study. Key words chat-based crisis intervention, chat counselling, children, adolescents, young adults, effectivity, effective approaches, Safety line / Child Helpline

AIM: This study endeavoured to explore and understand countertransference reactions that occur when the therapist is exposed to clients‘ stories of violent crime. The study focused on the therapist‘s experiential responses resulting from exposure to traumatic stories and the subsequent consequences thereof. This was contextualized from the particular perspective of South African therapists and their above average exposure to crime related trauma. METHODOLOGY: A qualitative research design was used with Smith‘s Interpretive Phenomenological Analysis (IPA) as the methodology of choice. This included a double hermeneutic approach of analysing firstly the perceptions and secondly the meaning of such perceptions within the context of current literature. Nine South African psychologists were purposively selected and interviewed to provide the required data. CONCLUSION: The results of this study show that both concordant and complementary countertransference play a large role in the therapist‘s experience of 'identification with suffering‘ and feelings of avoidance whilst listening to stories of violent crime. Such concordant identification with the client, if not mediated through awareness of one‘s internal dynamics, can result in the therapist‘s over-identification with the client which may be associated with features of vicarious trauma. One way in which such vicarious trauma states may be resolved by the therapist is through the concordant mimicking of the client‘s need to purge and be contained. Experiences linked to vicarious trauma, however, are not a certainty when working with trauma but rather an outcome that depends greatly on a therapist‘s level of experience, self-awareness and ability to implement coping strategies. Through these mediating factors, what may usually be experienced as vicariously traumatic may be transformed into resilience and self-growth. It appears that the implementation of coping strategies (such as normalization and reframing) are also what allow South African therapists to manage in the context of high crime rates and caseloads. Despite the barriers that the public sector poses, the tenacity and hopefulness demonstrated by some of the participants allowed them to overcome some of the difficulties linked to working with trauma.
Thesis (M.Soc.Sc.)-University of KwaZulu-Natal, Durban, 2012.

This thesis focuses on the impact of domestic violence upon Zulu women, and the role that the Christian faith plays in both helping and hindering the survivors. Through an examination of the relationship between religion and power, the thesis notes how the Christian faith can work both to legitimize oppressive structures and practices, and to provide a form of resistance or survival in times of difficulty. The way in which the Bible and theology deal with domestic violence is examined from this perspective. The thesis builds upon earlier work on domestic violence and the church done in South Africa by a range of scholars, but provides new insights into the way that Zulu women deal with domestic violence and their relationship to the Christian faith. Research undertaken in Sweetwaters, outside Pietermaritzburg, identified the following eight concerns to be of importance for these women in terms of domestic violence: lobolo and women as property, unemployment and male frustration, alcohol, children and the wider family, the scandal of divorce in the Zulu community, lack of social support, the cycle of violence, and the impact upon women. In terms of their relationship to the church, they saw Christianity as a power that both hinders and helps. In terms of the former this had to do with abusers in church leadership, theologies of blame, theologies of forgiveness, disinterestedness and silence, and sanctity of marriage. In terms of the way that Christianity helps, this has to do with prayer, bible reading, manyano and izimvuselelo. In the final chapter the thesis suggests that if the church is to make a difference in the lives of the women who are facing the experiences of domestic violence, then it needs to both challenge the negative and strengthen the positive. This could involve working with young men, men and perpetrators, challenging culture where it abuses women, breaking the silence, legal education, affirming the spirituality of the women, counseling, networking, economic empowerment, and training manyano leadership.
Thesis (M.Th.)-University of KwaZulu- Natal, Pietermaritzburg, 2005.