Dissertations / Theses on the topic 'Genetic counseling – Psychological aspects'
To see the other types of publications on this topic, follow the link: Genetic counseling – Psychological aspects.
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 dissertations / theses for your research on the topic 'Genetic counseling – Psychological aspects.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse dissertations / theses on a wide variety of disciplines and organise your bibliography correctly.
1
Hayat, Roshanai Afsaneh. "Psychological and Behavioral Aspects of Receiving Genetic Counseling for Hereditary Cancer." Doctoral thesis, Uppsala universitet, Vårdvetenskap, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-128870.
Full textAbstract:
The overall aims of this thesis were to investigate psychological and behavioral effects of receiving cancer genetic counseling for breast, ovarian and colorectal cancer and/or with a family history of these cancer types and to determine whether counselees’ informational needs were met. Study I was performed 3-7 years post-counseling. Participants (n=214) reported a relatively high level of anxiety but a low level of depression compared to cancer patients in general. However, there was no indication that the distress experienced was due to the counseling. Moderate changes in life and family relations, high level of adherence to recommended controls and satisfaction was reported. Study II was a randomized control trial (RCT) intervention study which involved 147 counselees. An increase in the level of knowledge and correct estimation of personal risk was reported in both the intervention and control groups, although this increase declined at later follow-up. Enhanced information led to significantly greater satisfaction with the given information, and the way of informing relatives. Most counselees had shared information with their at-risk relatives. Study III focused on sharing information with at-risk relatives among participants in study II and their relatives (n=81). Counselees were interviewed and answered a questionnaire, whilst their relatives only answered the questionnaire. Counselees reported positive/neutral feelings about communicating genetic information and mostly interpreted their relatives’ reactions as positive/ neutral. Also, approximately 50% of relatives reported positive/neutral reactions and were generally satisfied with the received information. Study IV was conducted in Sweden and Norway based on 235 counselees. Counselees expected counselors to be skillful and thoughtful, take them seriously and provide risk estimations and medical information. Most important issues to counselees were satisfactorily addressed by the counselors. Analyzing importance rankings resulted in five categories of needs: a need for facts, caring communication and medical information, need for understanding and support in sharing genetic information, practical care and medical/practical information. In conclusion, no adverse psychological or behavioral effect on counselees was observed. Apparently, genetic counseling is managed properly and counselors successfully address counselees’ needs. Providing extended information does not seem necessary, however, tailoring information to individual counselees needs may create a more effective counseling.
2
Tedgård, Ulf. "Prenatal diagnosis of haemophilia psychological, social and ethical aspects /." Malmö : Dept. of Pediatrics, University Hospital of Malmö, University of Lund, 1999. http://catalog.hathitrust.org/api/volumes/oclc/57455671.html.
Full text
3
Wade, Walsh Margo. "Women Receiving Genetic Counseling for Breast Cancer Risk: Cancer Worry, Psychological Distress, and Risk Recall Accuracy." Thesis, University of North Texas, 1999. https://digital.library.unt.edu/ark:/67531/metadc2185/.
Full textAbstract:
This follows an earlier study of the same data set, which, through its findings, presented new questions that are investigated in this study. Both studies used a prospective controlled design, wherein women receiving genetic counseling for breast cancer risk were randomized into two groups. Subjects receiving an audiotaped recording of their genetic consultation (tape group) were compared to subjects who also had a genetic consultation but did not receive an audiotaped recording of it (no-tape group). Participants were drawn from attendees at the genetic clinics of two London hospitals and included 115 women with a family history of breast cancer. Cancer worry and psychological distress were assessed before genetic consultation (baseline), and at one- and six-month follow-ups by post. Objective risk was estimated by the geneticist during the consultation, and subjective risk was assessed at one month follow-up. The goals of the current study were to investigate relationships between cancer worry, psychological distress, and recall of genetic risk for breast cancer in a sample of women receiving genetic counseling for breast cancer risk, and to investigate the role sociodemographic variables on cancer worry, psychological distress, or risk recall for these women. Results for this sample of women with a family history of breast cancer found that there were consistent relationships between cancer worry, psychological distress, objective risk, and subjective risk before and after genetic consultation. This suggests that women=s psychological responses are appropriate to their level of cancer risk. There were no differences found between the tape and no-tape groups for objective or subjective risk, or for nearness of recall accuracy or degree of under-/over-estimation. Provision of an audiotaped recording of the genetic consultation did not appear to enhance recall of risk information. The role of sociodemographic variables on the psychological and risk variables assessed in this study was very minor. Age was mildly correlated with cancer worry, and employment was predictive of cancer worry only at baseline.
4
Williamson, Nancy D. "Psychological Responses of Fathers and Mothers to Amniocentesis." Master's thesis, University of Central Florida, 1985. http://digital.library.ucf.edu/cdm/ref/collection/RTD/id/15675.
Full textAbstract:
University of Central Florida College of Arts and Sciences ThesisAmniocentesis is one of the most widely used prenatal diagnostic techniques for congenital disorders. It was hypothesized that the spychological responses of mothers and fathers to amniocenthesis during high-rish pregnancies would be positively correlated on scales of Symptomatology (Anxiety, Depression, Anger, and Somatic Complaints) and Well-Being (Relaxed, Contented, Friendliness, and Somatic Well-Being). It was also hypothesized that Symptomatology would be negatively correlated with Well-Being. Nineteen couples, who were referred by their physicians, voluntarily participated in the study. Each partner completed the Symptom Questionnaire (Kellner, 1983), a self-rating scale of Symptomatology and Well-Being, in addition to the Pre-Amniocentesis and Post-Amniocentesis Questionnaires (original questionnaires developed for this study) at intervals prior to and following the procedure, while awaiting results. A Pearson product-moment correlation of the total scores revealed a positive correlation (p < 0.5) between the scores of fathers and mothers on the Symptomatology Scale, both pre- and post-amniocentesis (r = .47 and .47). In addition, there was a significant negative correlation (p < .05) between Symptomatolgy and Well-Being scores for both mothers (r = -.55 and -.60) and fathers (r = -.48 and -.74) at the pre- and post-amniocentesis periods, respectively. The hypothesis cannot be completely accepted because the positive correlation does not exist at the post-amniocentesis level. Mothers appear to experience more Symptomatology and less Well-Being than fathers at the post-amniocentesis level. The results are interpreted to suggest that fathers and mothers may both benefit from pre- and post-amniocentesis supportive intervention.
M.S.;
Masters
Arts and Sciences;
Clinical Psychology;
42 p.
vii, 42 leaves, bound : ill. ; 28 cm.
5
Elliott, Diana. "The impact of genetic counselling for familial breast cancer on women's psychological distress, risk perception and understanding of BRCA testing." University of Western Australia. School of Population Health, 2008. http://theses.library.uwa.edu.au/adt-WU2008.0190.
Full textAbstract:
[Truncated abstract] Background: A review of the literature indicated there was a need for more long-term randomised controlled studies on the effects of BRCA counselling/testing on high risk women, including improved strategies for risk communication. Reviews have also shown women are confused about the significance of inconclusive or non informative results with a need for more research in this area. Aims: The general aim of this study was to evaluate the impact of breast cancer genetic counselling on psychological distress levels, perception of risk, genetic knowledge and understanding of BRCA testing/test results in a cohort of 207 women from high risk breast cancer families who were referred for genetic counselling in Perth during the period 1997 to 2001. Short- and long-term impact of BRCA genetic counselling/testing was determined in women with and without cancer in a randomised controlled trial as part of which women were randomised to either receive immediate versus delayed genetic counselling. This included family communication patterns before BRCA testing, anticipated outcomes of testing on oneself and family including intentions for result disclosure. Comprehension of index and predictive BRCA testing with possible results was assessed both in the short- and the long-term and understanding of individual or family BRCA test results was evaluated at long-term. The effect of genetic counselling on breast cancer risk perception in unaffected women was evaluated. This study considered a theoretical framework of educational learning theories to provide a basis for risk communication with possible relevance for future research. ... Only 25% of the original study population (52/207) reported BRCA results and women's understanding of results is concerning. Key findings were: 1. The majority of affected women received an inconclusive result. 2. Out of twelve unaffected women who reported results, seven were inconclusive which are not congruent with predictive testing. This implies that these women did not understand their test result. 3. A minority of untested relatives did not know whether a family mutation had or had not been found in their tested family member or what their actual test result was. This implies either a lack of disclosure or that woman did not understand the rationale for and significance of testing for a family mutation. 4. Three relatives did not understand a positive result was a mutation. Conclusion: The implication of this research for breast cancer counselling and testing services is that women who wait for counselling are no worse off in terms of short- or long-term general psychological distress than women who receive the intervention early. There is a suggestion that unaffected women without the disease found counselling more advantageous than affected women. The meaning of BRCA results as reported by women is concerning particularly women's understanding of negative and inconclusive results and further research is needed in this area. Too much information presented at counselling may affect women's comprehension of risk, BRCA testing and future test results and further research is required to evaluate the effects of information overload.
6
Steggles, Naomi. "Psychological aspects of genetic testing for cancer." Thesis, University College London (University of London), 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.271020.
Full text
7
Lesniak, Karen. "Psychological and Sociodemographic Predictors of Psychological Distress in BRCA1 and BRCA2 Genetic Testing Participants within a Community Based Genetic Screening Program." Thesis, University of North Texas, 2000. https://digital.library.unt.edu/ark:/67531/metadc2565/.
Full textAbstract:
Mutations in BRCA1 and BRCA2, the first two breast cancer susceptibility genes identified, carry as much as an 85% lifetime risk of developing breast, ovarian or other cancers. Genetic testing for mutations in these two genes has recently become commercially available. There have been varying amounts of psychological distress noted among women with a family history of breast cancer. Distress has been observed to impact psychological functioning, activities of daily living, and the practice of breast cancer surveillance behaviors. Within the genetic screening process, psychological distress has been shown to impact the decision to undergo genetic screening, the comprehension and retention of risk assessment information, as well as affecting the subject following the receipt of the genetic test results. Little work has been done to examine predictors of distress within at risk subjects. This study examines psychological distress among 52 community women presenting for BRCA1 and BRCA2 genetic mutation testing. Predictors of distress included family cancer history, education, age, Ashkenazi ethnicity, and Internality and Powerful Others Health Locus of Control. Vulnerable sub-groups of patients include younger women, women with higher levels of education and women of Ashkenazi ethnicity.
8
Liu, Pak-yin Anthony, and 廖柏賢. "Genetic counseling in sudden arrhythmia death syndrome : the science and the art." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/196059.
Full textAbstract:
Background: Sudden arrhythmia death syndrome (SADS) is a genotypically and
phenotypically heterogeneous condition that might produce fatal ventricular arrhythmia in otherwise healthy individuals. Congenital long QT syndrome (LQTS) is the most common type of SADS with a frequency of 1 in 2500 individuals. Up to 13 genes have been shown to be associated with LQTS and genetic testing has a role in disease diagnosis, prognostication, treatment guidance, cascade testing, and reproductive counseling. Interdisciplinary care is the standard but such service is unavailable in Hong Kong.
Objectives: In this study, we aim to evaluate the clinical characteristics of a local cohort of pediatric patients with LQTS, establish the practicability of a model on interdisciplinary delivery of care for SADS, and explore the process of genetic counseling in Chinese families with LQTS from the perspective of discourse analysis. Method: Pediatric patients with LQTS and their families were recruited from the Department of Paediatric Cardiology, Queen Mary Hospital between 1 January 2011 and 31 December 2012. With informed consent, patients underwent genetic testing for 6 LQTS genes (KCNQ1, KCNH2, SCN5A, KCNE1, KCNE2, KCNJ2). Clinical characteristics were documented and the process of pre-test and post-test counseling was videotaped and transcribed. Data was mapped and analyzed for discourse strategies in the focal themes of uncertainty management in risk communication. Results: 19 patients were identified, 9 were male, with the corrected QT interval (QTc) ranging from 460-619ms. Mode of presentation included syncope (n=9), ventricular tachycardia (n=2), convulsion (n=1) and as incidental finding (n=7). Pathogenic mutations were identified in 9 patients (LQT1=3, LQT2=4, LQT3=1, LQT5=1), likely pathogenic mutations in 2 (LQT2), unclassified variants in 2, and no mutation in 6. Patients with pathogenic and likely pathogenic mutations had significantly longer mean QTc than those without such mutations (p=0.046). Three mutations, all in the LQT2 genes, represented novel mutations. All 3 patients with mutations in the pore-looping forming domains of the KCNH2 (LQT2) channel had personal or family histories of malignant arrhythmia or sudden cardiac death compatible with previously reported genotype-phenotype correlation. Eight families involving 18 family members underwent cascade testing, and family mutations were identified in 10 individuals from 6 families. Autosomal dominant transmission was the likely mode of inheritance in these 6 families. Counseling sessions involved the joint input from clinical geneticist, genetic counsellor and pediatric cardiologist. Discourse analysis on 2 counseling sessions of a selected family with unclassified variants revealed increased uncertainty after genetic testing in the index patient and family members. Strategies used to mitigate uncertainty included abstraction, generalization and categorization. Conclusion: Genetic testing was crucial in the comprehensive assessment of patients with congenital LQTS, and we demonstrated a feasible model to delivery interdisciplinary care for patients with SADS in Hong Kong. The process of genetic counseling is highly complex and deserves further examination.published_or_final_version
Paediatrics and Adolescent Medicine
Master
Master of Medical Sciences
9
Pisano, Bonnie S. "Late luteal phase dysphoric disorder symptoms (PMS) among women presenting for counseling services." Virtual Press, 1990. http://liblink.bsu.edu/uhtbin/catkey/720149.
Full textAbstract:
Changes in mood, behavior, and physiology, beginning in the post-ovulatory phase of the menstrual cycle and ending with the onset of menstruation, have been called premenstrual syndrome, or PMS, and have been the focus of much investigation. Research to date has demonstrated greater emotional arousal and distress experienced by women during the luteal phase of the cycle as opposed to the follicular phase. This study collected descriptive profiles of current mood states, physiological symptoms, and menstrual cycle information from 62 women on the day on which they presented to a university counseling center for psychological services. It was hypothesized that a larger proportion of individuals would present on a walk-in basis for intake during the luteal phase of the cycle as opposed to the follicular phase. This hypothesis was tested with Chi-Square analysis of differences in frequency of subjects in each of the two phase groups. The second hypothesis was that individuals in the luteal phase would display higher levels of mood disturbance (as measured by the Profile of Mood States and the Beck Depression Inventory) and somatic symptomatology (as measured by the Menstrual Cycle Symptom Scale),than individuals in the follicular phase. This hypothesis was tested using multiple regression analysis, using affective and somatic variables as predictors of cycle day. Post hoc analyses for differences between menstrual phase groups on the affective variables were performed using multivariate analysis of variance (MANOVA).The results of this study indicated no relationship between menstrual cycle phase and self-presentation for counseling services. They also indicated no relationship between menstrual cycle day and either subjective distress or somatic symptomatology. Finally, with minor exceptions, no differences were found between menstrual cycle phase groups in their self-perceived distress or emotional states.Discrepancies between the results of this study and previous research were discussed. In particular, methodological differences (e.g., use of state vs trait measures of mood variables) highlight the poor design and generalizability of previous research. Suggestions for future studies were presented as well as limiting factors in this study. These include the need for a larger number of participants and the use of hematologic cross-checks to more precisely determine cycle phase. Investigations into the way in which menstrual cycle affects mood are warranted.Department of Counseling Psychology and Guidance Services
10
Schmidt, Mellis I. (Mellis Irene). "Forgiveness as the Focus Theme in Group Counseling." Thesis, North Texas State University, 1986. https://digital.library.unt.edu/ark:/67531/metadc330735/.
Full textAbstract:
This study reviewed the literature regarding forgiveness and developed a structured group counseling format with the theme of forgiveness. The purpose of the study was to determine the effect of forgiveness as used in group counseling upon depression, generalized anxiety, dogmatism, relationships, guilt, and forgiveness in the participants. Thirty subjects were selected to participate in one of three groups: an experimental group, a comparison treatment group, and a control group. The experimental group and the comparison treatment group participated in two-hour group sessions, once a week for ten weeks. The experimental group was didactic and experiential with the focus on forgiveness, whereas the comparison treatment group was problem solving using Redecision Therapy. All groups participated in pre and post test sessions. The seven hypotheses in this study were tested with a multivariate analysis of covariance as well as univariate analysis of covariance for each hypothesis. Significance in differences between means was tested at the .05 level of significance.
11
Thomas, Patricia Ann. "Rehabilitation of obesity." CSUSB ScholarWorks, 1998. https://scholarworks.lib.csusb.edu/etd-project/1454.
Full textAbstract:
This project investigates the many influences throughout the life span that interact to cause obesity. Heredity factors, overfeeding in infancy and childhood, repeated dieting, inactivity, lifestyle and psychosocial conditions all contribute to the incidence of obesity.
12
Morgan, Charles P. "A phenomenological investigation of the experience of being a male counsellor relative to issues of sex and gender roles." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape15/PQDD_0010/NQ34591.pdf.
Full text
13
Siu, Ho-yee Vivian. "The role of monitoring style in managing psychological distress associated with genetic colorectal cancer testing." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B29760161.
Full text
14
Ener, Liz D. "A Canonical Correlational Analysis Exploring Characteristics of Children Presenting to Counseling for Grief and Loss." Thesis, University of North Texas, 2015. https://digital.library.unt.edu/ark:/67531/metadc804937/.
Full textAbstract:
To date, researchers who have explored the complexity of childhood bereavement have utilized unstandardized assessment instruments and/or have independently evaluated specific constructs rather than factoring in the dimensionality of loss. The purpose of this study was to use parents' completion of established instruments--the Child Behavior Checklist and the Parenting Stress Index--to examine the multivariate shared relationship between characteristics of bereaved children referred for counseling--their ages, genders, ethnicities, types of loss, and life stressors--and their behavioral manifestations as well as the relationship between these characteristics and levels of parent-child relational stress. Utilizing archival clinical files, I examined these characteristics from bereaved children (N = 98) whose parents sought counseling services from two university-based counseling clinics. The sample consisted of 67 boys and 31 girls between the ages 3 and 11 years old (M = 6.28). The majority of participants (67%, n = 66) identified as Caucasian, 10% (n = 10) as African American, 10% (n = 10) as Hispanic/Latino, 6% as Bi-racial (n = 6), 4% as Native American (n = 4), and 2% as Asian (n = 2). A canonical correlational analyses (CCA) was conducted to examine relationship between characteristics of children and their subsequent behavioral manifestations. The full model was found to be statistically significant using the Wilks’s λ = .611 criterion, F(25, 328.41) = 1.862, p = .008. The R2 type effect size was .389, which indicates the full model explains about 39% of the variance shared between the two variable sets. A second CCA was conducted to explore the relationship between characteristics of bereaved children and levels of parent-child relational stress. The full model was found statistically to be significant using the Wilks’s λ = .790 criterion, F(10, 154) = 1.926, p = .045. The R2 type effect size was .210, which indicates the full model explains about 21% of the variance shared between the two variable sets. Overall, correlational findings from this study provided insight into bereaved children’s manifestations of loss and levels of parent-child relational stress as contingent upon specific characteristics. Specifically, results indicated a strong relationship between age and bereaved children’s behavioral manifestations. This finding reinforced the importance for clinicians to understand developmental implications when working with bereaved children. Furthermore, caregivers who reported minimal overall external stressors also reported less parent-child relational interference. This finding further emphasizes the importance for caregivers to maintain utmost stability for bereaved children.
15
Keenan, Lisa A. "Family Environment, Social Support, and Psychological Distress of Women Seeking BRCA1 and BRCA2 Genetic Mutation Testing." Thesis, University of North Texas, 2002. https://digital.library.unt.edu/ark:/67531/metadc3240/.
Full textAbstract:
Shared characteristics and predictors of psychological distress are beginning to be identified in research on women seeking genetic testing for BRCA1 and BRCA2 gene mutations. This study further explored patterns of psychological distress for 51 community women waiting to receive such genetic test results. There was no significant relationship between psychological distress and family cancer history, personal cancer history, social support networks, and family environment. Women in this sample tended to rely more on females and relatives for support than males and friends. Social support satisfaction was not related to gender or number of relatives providing support. Thirty-four of the 36 women classified on the family environment type were from Personal Growth-Oriented families. Comparisons with normal and distressed family means revealed increased cohesion and expressiveness with decreased conflict, indicative of supportive family environments. Limitations and implications are discussed.
16
O'Rourke, Justin John Francis. "Posttraumatic growth in Huntington disease: measuring the effects of genetic testing and disease on positive psychological change." Diss., University of Iowa, 2011. https://ir.uiowa.edu/etd/1167.
Full textAbstract:
Huntington disease (HD) is a genetically transmitted fatal neurodegenerative condition that currently has no cure. The symptoms of HD are manifested as cognitive declines, neuropsychiatric disturbances, and motor dysfunction. An autosomal dominant genetic defect is responsible for the onset of HD, which means that the children of an affected parent have a 50% chance of inheriting the disease. Predictive genetic testing for HD has been available since 1993, and a positive test result means that a person will develop HD with 100% certainty. People who have the HD-gene expansion, but have not yet manifested unequivocal motor signs, are said to be in the prodromal phase of HD. A number of studies have examined concerns about the utility of genetic testing and its negative psychological consequences for gene-expanded and non-expanded individuals (e.g., traumatization, suicidal ideation). Although research has understandably focused on the potential for distress, there has been some evidence suggesting that individuals may actually experience psychological growth related to a receiving a genetic test result (e.g., improved relationships, pursuing new opportunities). The aim of the present study was to understand the relationship between genetic testing, prodromal HD symptoms, and posttraumatic growth (PTG).
Participants were recruited through the multinational PREDICT-HD study (Jane Paulsen, PI) and they completed the Posttraumatic Growth Inventory (PTGI; Tedeschi & Calhoun, 1996) to assess permanent positive psychological change as a result of learning about their HD-gene status. The Symbol Digit Modalities Test (Smith, 1991), Unified Huntington's Disease Rating Scale Motor Exam (Huntington's Study Group, 1996), and the SCl-90-R Depression subscale (Derogatis, 1994) were also completed. A total of 82 gene-expanded patients and 37 non-expanded patients took part in this study.
Results revealed that gene-expanded and non-expanded individuals reported experiencing PTG, particularly in their appreciation for life and ability to relate to others. Gene-expanded and non-expanded participants did not differ in the amount of growth they reported, which indicated that the outcome of genetic testing was not related to how much growth people experienced. Age and gender were associated with PTG, with younger participants and women reporting the most growth. The amount of time elapsed since genetic testing, estimated proximity to a diagnosis of HD, and the clinical characteristics of prodromal HD were not related to PTG. In conclusion, people experience positive psychological change as result of genetic testing for HD. The findings of this study have important implications for future research and for mental health professionals assisting people through the genetic counseling process.
17
Stewart-Bussey, Elysabeth L. (Elysabeth Langfeld). "Effects of Counselors' Smoking on Clients' Perceptions and Counseling Outcome." Thesis, North Texas State University, 1985. https://digital.library.unt.edu/ark:/67531/metadc332135/.
Full textAbstract:
This study investigated the impact of counselor smoking behavior upon nonsmoking clients' perceptions of therapists both during and at the conclusion of treatment. Clients' impressions when counselor smoking behavior was consistent across sessions and when counselors smoked in only the first or only the second interview were examined. In addition, the effect of therapists' smoking behavior on the outcome of counseling was assessed in two ways: changes in clients' career decisiveness and counselors' ability to influence client behavior. Eighty-two female undergraduates met with a vocational counselor for two sessions during which the counselor either smoked or refrained from smoking. Prior to the first interview, subjects completed the Behavioral Indecision Scale. Subjects then met and discussed their vocational concerns with a counselor. Following the interview, subjects completed the Counselor Rating Form and the California Occupational Preference System. The latter instrument, an interest inventory, was interpreted by the counselor during the second interview. The Counselor Rating Form and the Behavioral Indecision Scale were again administered following the conclusion of treatment. Data were analyzed by 2 (counselors) X 2 (conditions) X 2 (interviews) multivariate analyses with repeated measures on the third factor. No significant differences emerged for clients' perceptions when the counselors' indulgence in or restraining from smoking was constant from the first to the second sessions. Similarly, clients' impressions did not differ in relation to the inconsistency of counselors' smoking behavior from the first to the second interviews. In addition, subjects' compliance to a counselor initiated behavioral task and reported certainty of career choice were not differentially affected by counselors' smoking behavior. In conclusion, this study suggests that it makes no difference in nonsmoking clients' impressions of therapists and in counseling outcome if the latter smoke during treatment. Suggested variables to further explore include the effects of counselors' smoking in brief and extended psychotherapy, the impact of therapists' smoking implements other than cigarettes, and smoking clients' perceptions of smoking therapists.
18
Radcliffe-Branch, Deborah S. "The contribution of interactive health communication (IHC) and constructed meaning to psychosocial adjustment among women newly diagnosed with breast cancer /." Thesis, McGill University, 2005. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=85956.
Full textAbstract:
This doctoral dissertation, as part of a large and ongoing CIHR-funded study, used a subset of the total sample to evaluate the contribution of interactive health communication (IHC) as a complement to more traditional means of informational support (Care-as-usual) to optimal adjustment of women newly diagnosed with breast cancer (N = 135). According to the study protocol, participants in the experimental group received an IHC educational intervention for an eight-week period. Measures of psychosocial adjustment and information-related variables were administered in interviews at Time 1 (pre-intervention) within 8 weeks of initial diagnosis, and again 8 weeks post-intervention (Time 2). Psychosocial adjustment variables included: depressive symptoms (CESD), anxiety (STAI-Y), well-being (IWB), and quality of life (SF-36)-mental and physical health components. Information-related variables included: the need for information related to cancer, cancer-specialist, and family or friend's informational support, and overall satisfaction with information. Optimism and Constructed meaning were evaluated at Time 1 and 2, respectively. A GLM MANCOVA model tested overall F-ratios and regression coefficients using difference scores. Predictors in the model were: group (experimental versus control), constructed meaning, and optimism. The overall model (df = 8, 121) was significant for Group, F = 3.66, p < .001, effect size eta2 = .20, Constructed Meaning, F = 3.04, p < .004, effect size eta2 = .17, and Optimism, F = 2.95, p < .005, effect size eta2 = .16. Participants in the dissertation experimental group had significant improvements in QOL-physical health and overall satisfaction with information when compared with the control group. Constructed meaning was significantly associated with beneficial changes in all of the adjustment-related variables. The results of this dissertation clarify the potentially significant roles IHC and constructed meaning pl
19
Majcher, Jo-Ann Marie. "Assessing the stages of group development using children's serial group drawings." Thesis, University of British Columbia, 1990. http://hdl.handle.net/2429/28743.
Full textAbstract:
The research problem that was examined in this study was two-fold. First, was the idea that the stages of group development could be depicted in serial group drawings completed by children who had participated in structured learning groups. Second, was that by using a rating scale that was designed for this purpose, trained objective raters could classify the stages of group development from the serial drawings completed by the children.
Fifteen sets of drawings were gathered from fifteen children who had participated in different structured learning groups. These drawings were then analyzed and classified by raters who had been trained to use the rating scale. The rating scale was devised to identify the stages of group development within children's serial drawings.
Qualitative data analysis showed that the stages of group development were depicted in some of the sets of serial group drawings. Quantitative data analysis showed that raters were able to use, with limited success, the rating scale designed to classify the drawings into the stages of group development.
Many extraneous variables effected the results. These include: the unique characteristics of each child, the leadership style of each counsellor, the varying group topics, the adequacy of the rater training procedure, the objectivity of the raters, and the accuracy of the rating scale.
Due to the many extraneous variables, it is clear that methodologically this study leaves many questions unanswered. Further research is necessary to more fully investigate the idea that the stages of group development can be identified within serial group drawings completed by children who have participated in structured learning groups., If further research proves that the stages of group development can be depicted and measured using a rating scale, it will provide group counsellors with a useful tool when evaluating group development.Education, Faculty of
Educational and Counselling Psychology, and Special Education (ECPS), Department of
Graduate
20
Dodd, Margaret A. "A descriptive study of interpersonal behavior of inmates confined to a detention center." Virtual Press, 1988. http://liblink.bsu.edu/uhtbin/catkey/539807.
Full textAbstract:
The Indiana institutions are bursting at the seams. It has become necessary for local communities to keep nonviolent offenders in county jails or place them on probation. Correctional caseworkers are responsible for providing counseling to a significant number of juvenile and adult offenders; therefore, it is necessary that counselors in the criminal justice system examine any significant interpersonal behavior patterns of offenders.The purpose of the research was to identify the unique interpersonal needs behavior pattern of inmates incarcerated in an adult detention center and the ways in which these needs change from the point of initial incarceration. The ways in which the interpersonal needs of inmates deviate from and are similar to those of the general population also were identified. William C. Schutz's Fundamental Interpersonal Relations orientation--Behavior, was the testing instrument used for pre and post-testing of inmates.Chapter One justifies the study and previews the need for a study of this nature. Chapter Two is a review of existing literature which explores both advocates and detractors of Schutz's FIRO-B theory. Chapter Three discusses the method, subjects, testing site, testing procedures and testing instrument used in this research. Chapter Four incorporates results of the tests and discusses the inmate profiles developed through this research. Chapter Five summarizes the research, discusses possible Programs to be utilized by criminal justice practitioners, and makes recommendations for future research and application of FIRO-B.Department of Speech Communication
21
Frank, Beth. "Conjoint treatment : impact on married couples with and without PMS." Virtual Press, 1994. http://liblink.bsu.edu/uhtbin/catkey/917831.
Full textAbstract:
The goal of this study was to investigate the efficacy of a marital systems approach to the treatment of women with self-referred premenstrual syndrome. The first purpose of the study was to identify any significant differences on the Global Distress Scale of the Marital Satisfaction Inventory and the Causal Dimension Scale between (PMS+) and (PMS-) married couples before and after marital treatment. The second purpose of the study was to determine any significant differences on dependent measures of averaged marital ratings between (PMS+) and (PMS-) wives during thecycle ratings between (PMS+) and (PMS-) wives.Nine married couples participated in a group comparison study through Community Hospitals of Indianapolis, Indiana. The study was conducted in two phases, including a three month assessment phase followed by a two month treatment phase. Four married couples whose wives met the DSM-III-R's diagnostic criteria for Late Luteal Phase Dysphoric Disorder were included in the (PMS+) group. Five married couples whose wives did not meet the diagnostic criteria for LLPDD were included in the (PMS-) comparison group.Statistical analyses revealed significant time effects; assessment and treatment purpose of the study was differences on dependent phase of the study. The third to identify any significant measures of averaged menstrual no three-way or two-way interactive effects for any of the three hypotheses. The results clinically support the notion of treating marriages with PMS versus solely treating women with PMS. Regardless of whether wives prospectively confirmed premenstrual symptoms, treatment involving the marriage impacted menstrual cycle symptom ratings and perceptions of the marriage positively.Department of Counseling Psychology and Guidance Services
22
Feinstein, Carla Fran. "Dying to Know." PDXScholar, 2010. https://pdxscholar.library.pdx.edu/open_access_etds/1318.
Full text
23
Hays, Donald G. "The Relationship of Temperament and Extraversion-Introversion to Selected Group counseling Outcome Measures." Thesis, University of North Texas, 1988. https://digital.library.unt.edu/ark:/67531/metadc331807/.
Full textAbstract:
The problem of this study was the determination of the relationship between Myers-Briggs personality temperament and extraversion-introversion, and group counseling norms, as reflected by the group counseling outcome measures: Survey of Attraction to Group, self and leader-report Interpersonal Relationship Rating Scale (IRRS), and Sociometric Choice Status Survey. The Mvers-Briggs Temperament Indicator (MBTI) and the four outcome measures were administered to a sample population of 103 graduate and undergraduate counselor education students after completion of a semester-long group counseling experience. Fifteen groups of five to nine members were surveyed.
It was expected that group members whose temperaments were compatible with group counseling norms would be more likely to receive confirmation, support, and acceptance in the group, be attracted to the group, receive higher leader and self-report ratings of interpersonal skills, and be more highly valued by other members than would members whose temperaments were incompatible with group norms. It was also thought that extraverts were more likely to be attracted to the group, receive higher self and leader ratings of interpersonal skills, and to be more highly valued by other members than were introverts.
No significant relationship was found between temperament and the four outcome measures. Possible explanations for this finding were discussed. However, mean scores for extraverts were significantly higher than mean scores for introverts on the Survey of Attraction to Group and leader-report interpersonal Relationship Rating Scale instruments. A related finding was that the NF temperament was overrepresented in the sample population of counselor education students by a factor of four. The INFP type was overrepresented by a factor of 16.5, and the ENFP type had the highest frequency of occurrence. Together, INFPs and ENFPs constituted 34 percent of the sample. In the general population, INFPs and ENFPs would be expected to account for only six percent of the total.
24
Grobbelaar, Frederik Russouw. "Die invloed van 'n mastektomie op die man-vrou verhouding : 'n pastorale ondersoek." Thesis, Stellenbosch : Stellenbosch University, 1993. http://hdl.handle.net/10019.1/19405.
Full textAbstract:
Thesis (MTh)--Stellenbosch University, 1993ENGLISH ABSTRACT: Seeing that breast cancer is the most common cancer in women and that it has such a high incidence that every woman should be aware of it, time has come for the theology, and especially for pastoral care, to provide some answers on the possible problems that accompany the illness. Treatment of breast cancer almost always include a degree of surgical intervention through which part of or a whole breast, and in extreme cases even the underlying tissue, is being removed. This procedure, to some extent, influences a woman's experience of her physique which in turn has an effect on the intimate space of her marriage. The mastectomy patient may experience that the operation, with all the psychological affects it has, disturbs her inner life rythm and that results in her relationships also being pressurised. The crisis of a mastectomy should be handled as a relationship crisis within a marriage, in which the husband can play an important therapeutic role. The husbands contribution will be greatly effected by: a) His commitment to the relationship and b) The correlation between his male identity, his sexuality and his perceptions of the female physique. Within the crisis of mastectomy, the woman's body-image should not be separated from her faith identity and the quality of her marriage - there exists a dynamic interaction between these three, which means that the handling of the crisis of a mastectomy is directly dependent on the quality if her loving relationship and on the way in which she experiences her faith. The faith factor plays an important role in the handling of the crisis, by creating a distance between the trauma of the loss and the way in which she experiences her identity. Pastoral care can play a vital role in the handling of the crisis of a mastectomy by means of guidance and support, as it proclaims the active presence of God through the marrid body of Jesus Christ. The husband of the mastectomy patient can, in his therapeutic role, be guided to be much more sensitive for the emotional needs of his wife, in regard to aspect of sexuality. This would give her the support she needs and work constructively towards the goal of healing.
AFRIKAANSE OPSOMMING: Aangesien borskanker die algemeenste kanker onder vroue is en dit sulke geweldige afmetings aangeneem het dat elke vrou daarmee moet rekening hou, het dit tyd geword dat die teologie, en met name die pastoraat, ditself ook ten opsigte van die moontlike problematiek wat daarmee saamgaan, moet verantwoord. Die behandeling van borskanker behels in die meerderheid van gevalle 'n mate van chirurgiese ingrepe waardeur 'n deel van of die hele bors, en in ekstreme gevalle ook die onderliggende weefsel, verwyder word. Hierdie prosedure oefen, in 'n mindere of meerdere mate, 'n invloed op die vrou se belewing van haar liggaamlikheid uit wat weer na die intieme band van die huwelik kan deurwerk. Die mastektomiepasiënt kan ervaar dat die operasie, met al die sielkundige effekte wat dit inhou, haar innerlike lewensritme versteur sodat die verhoudinge waarin sy leef ook onder druk geplaas word. Binne die huwelik sou 'n mens dan die krisis van 'n mastektomie as 'n verhoudingskrisis moet hanteer, waarin die eggenoot 'n belangrike terapeutiese funksie kan vervul. Die man se bydrae word egter deurslaggewend bepaal deur: a) Sy verbintenis aan die verhouding en b) Die korrelasie tussen sy manlike identiteit, seksualiteit en die persepsies met betrekking tot die liggaamlikheid van die vrou. Binne die krisis van 'n mastektomie kan die vrou se liggaamsbeeld nie van haar geloofsidentiteit en die kwaliteit van haar huwelik losgemaak word nie - hierdie drie staan in 'n interdinamiese verband en beteken dat die verwerking van die krisis van 'n mastektomie direk van die kwaliteit van die liefdesverhouding en die ervaring van geloof, afhang. In die verwerking van die krisis vervul die geloofsfaktor 'n deurslaggewende rol om afstand tussen die emosionele trauma van die verlies en die ervaring van identiteit te skep. Die pastoraat kan 'n belangrike funksie vervul ten opsigte van begeleiding en ondersteuning in die verwerking van die krisis van 'n mastektomie deurdat dit God se aktiewe betrokkenheid by die situasie, aan die hand van die liggaamlikheid van Jesus Christus, verkondig. As terapeut kan die eggenoot begelei word om, op die gebied van die seksuele, baie sterker op die emosionele behoeftes van die mastektomiepasiënt ingestel te wees, om haar sodoende te ondersteun en in die proses van heling mee te werk.
25
Medeiros, Célia Regina. "Aprendendo a redesenhar a convivência conjulgal a partir da expectativa do transplante hepático." Universidade Católica de Pernambuco, 2007. http://www.unicap.br/tede//tde_busca/arquivo.php?codArquivo=306.
Full textAbstract:
Este trabalho constitui um estudo acerca da convivência, sentimentos e vivência na adaptação dos casais com um dos cônjuges na expectativa de mudança de vida com o transplante hepático. Para este estudo foram realizadas entrevistas com seis casais na faixa etária entre 24 a 77 anos, com tempo mínimo de convivência de quatro anos e espera na lista de transplante a partir de seis meses. O diagnóstico da doença hepática foi oriundo de distúrbios metabólicos e virais dissociado da dependência química. Foi realizada uma entrevista semidirigida com os cônjuges, individualmente, contendo dados sócio-demográficos e
questões que atendem aos objetivos da pesquisa. Foram analisados os conteúdos verbais e não verbais do discurso dos cônjuges categorizando-se as respostas por temas afins, baseando-se na Análise Temática. O estudo aponta que os casais vivenciam tensão e ansiedade enquanto aguardam o transplante; a entrada em lista, na grande maioria, provocou um impacto muito grande; as necessidades apresentadas foram a realização rápida do transplante e dificuldades financeiras em decorrência dos gastos com a doença e a
baixa remuneração dos mesmos. As atitudes de paciência, compreensão e mais os sentimentos de confiança, amor e fé religiosa foram apontados como recursos para enfrentar a situação. A relação conjugal, após entrada na lista, trouxe alterações para os casais, abertos para a experiência de mudança, abrangendo os familiares e o grupo social. Os projetos e expectativas apresentados mostraram-se aprisionados à espera do transplante. A conclusão a qual se chegou com esse estudo é que a interação conjugal perpassada pelo processo de adoecer apresenta peculiaridades com nuances individuais e conjugais que, para sua resignificação conjugal, necessita de um cuidado interdisciplinar para possibilitar qualidade de vida ao casal. Espera-se que este trabalho contribua na melhoria do suporte psicológico ao casal frente à expectativa do transplante hepático e ofereça subsídio clínico-teórico aos profissionais
interessados na área de saúde mentalThis research is an investigation about feelings and adjustment of couples in their expectation of a change life with a liver transplant. For this study were conducted interviews with six couples in the age bracket between 24 to 77 years, with minimum time four years of coexistence, and expects the list of transplant from six months; diagnosis multifactorial decoupled from chemical dependency. It held an interview more or less conducted, individually containing socio-demographic issues that meet the objectives of the research. Were analyzed the contents of the verbal and non-verbal speech of the spouses, analysing for the answers related themes based on the Thematic Review. The study suggests that couples live tension and anxiety while awaiting a transplant, the entry list in the vast majority caused a catastrophic impact, the needs were presented the achievement of rapid and transplantation financial difficulties as a result of spending on disease and low pay . Attitudes of patience, understanding and more the feelings of trust, love and religious faith have been identified as resources to address the situation. The conjugal relationship after entry in the list has brought changes for couples open to the experience of covering the changing family and social group. The projects submitted and expectations have been trapped in hopes of the transplant. The conclusion which was reached in that study is: the interaction conjugal, the process of sicken has peculiarities with nuances that individual and marriage to his resignification conjugal, they needs a careful interdisciplinary quality of life to enable the couple. It is hoped that this work, help in improving the psychological support to the couple before the expectation of liver transplantation and offers clinical-theoretical allowance for professionals interested in the area of mental health
26
Young, Sharon Y. "Zookie: A program on self protection for pre-school age children." CSUSB ScholarWorks, 1986. https://scholarworks.lib.csusb.edu/etd-project/389.
Full text
27
Larsen, Lori B. "Factors which facilitate and hinder psycho-social adjustment for mothers who are living apart from their children." Thesis, University of British Columbia, 1987. http://hdl.handle.net/2429/26863.
Full textAbstract:
There is very little information in the literature on mothers without custody of their children. In an attempt to partially remedy this situation an exploratory study, based on in-depth interviews with mothers who voluntarily chose to live apart from their children, was conducted. The aim was to identify the factors facilitating and hindering adjustment for these women. Using a sample of 17 women who volunteered for the study, the critical incident technique was employed to gather data from the participants. The collected incidents were then grouped into categories and descriptive statements were formulated about each one.
There were 212 critical incidents collected from the 17 participants. These incidents were grouped into 3 main categories and 15 sub-categories. The categories provide a concise and easily understood description of the facilitating and hindering factors affecting adjustment for non-custodial mothers. The reliability of the placement of items into the appropriate categories was tested by using four independent raters, using percentage of agreement as an index of reliability.
Recommendations for supportive services and programs needed by, these women are offered. Therefore, the findings are useful for planning and implementing future programs for non-custodial mothers. As well, guidelines are presented for individual, family, and divorce mediation counsellors who find themselves working with this group of women.Education, Faculty of
Educational and Counselling Psychology, and Special Education (ECPS), Department of
Graduate
28
Kellas, Marlen Joyce, and Lynette Christine Wheeler. "Bereavement support groups for elementary school-aged children: The impact on grief related problematic behaviors." CSUSB ScholarWorks, 1997. https://scholarworks.lib.csusb.edu/etd-project/1538.
Full text
29
Chow, Yin-man Amy, and 周燕雯. "The development of a practice model for working with the bereaved relatives of cancer patients: the singlesystem study of the "walking through the road of sorrow"." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1995. http://hub.hku.hk/bib/B31977881.
Full text
30
Cook, Robert S. "Counselor bias against stepfamilies." Virtual Press, 1996. http://liblink.bsu.edu/uhtbin/catkey/1027107.
Full textAbstract:
Stepfamilies are the fastest growing family type in America. Unfortunately, our society holds unwarranted negative attitudes about and negative stereotypes of stepfamilies and stepfamily members. Research indicates that stepfamilies are not an inherently dysfunctional or deficient type of family. On the contrary, stepfamilies can be as healthy as nuclear families, and they can produce emotionally healthy individuals. Healthy stepfamilies, however, are often different in the roles of family members and the quality of interactions between members. It is this difference between stepfamily functioning and the normative nuclear family expectations of society that appears to perpetuate negative stereotypes of stepfamilies.Some evidence suggests that counselors hold negative stereotypes of stepfamilies. As s-:ich it is likely that they will diagnose and treat stepfamilies from an inappropriate nuclear family model, perceiving stepfamilies to be more pathological than they are and, in treatment, attempting to fit stepfamilies into roles and relationships inappropriate for healthy stepfamily functioning. No research to date, however, has examined whether counselors' attitudes about stepfamilies affect diagnostic and treatment decisions.This dissertation conducted a national survey of counselor attitudes about stepfamilies. It examined three areas where counselor bias may affect service delivery: judgments regarding stepfamily health, diagnostic decisions, and treatment decisions. It found that counselors appear to generate differential ratings of family health and differential diagnostic impressions on the basis of family interaction style (healthy nuclear family versus healthy stepfamily) and on the basis of family label (nuclear family versus stepfamily). These differential ratings and impressions favor a nuclear family style combined with a nuclear family label in comparison to other family style and label combinations. Additionally, the Parent-Child relationships in a nuclear family that acts like a healthy stepfamily were rated to be more in need of treatment and more important to treatment than in other family styles.The results of this study suggest that experienced counseling psychologists may express bias against stepfamilies and against nuclear families that function outside a traditional nuclear model. They appear to use the traditional nuclear family as a standard against which other family interaction styles and types are found lacking.Department of Counseling Psychology and Guidance Services
31
Carville, John Anthony. "The effects of obesity and gender on selection of therapist and expectations about the therapeutic process." CSUSB ScholarWorks, 1994. https://scholarworks.lib.csusb.edu/etd-project/957.
Full text
32
D'Angelo, Gregg. "The Marital Interaction Dimension Inventory: A Multidimensional Instrument." Thesis, University of North Texas, 1991. https://digital.library.unt.edu/ark:/67531/metadc332644/.
Full textAbstract:
The Marital Interaction Dimension Inventory (MIDI) is an assessment that evaluates marital relationships on seven dimensions; sexuality, self disclosure, emotional affiliation, conflict resolution, power outcome, commitment, and identity. The MIDI provides scores on and individual's actual and desired relationship.
33
Witbooi, Lizzie Gladys. "The role of psychosocial counselling in the lives of parents of children with neurodevelopmental disabilities treated at Tygerberg Academic Hospital." Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/79937.
Full textAbstract:
Thesis (MPhil(Rehabilitation))--Stellenbosch University, 2013.ENGLISH ABSTRACT: Having a child with neurodevelopmental disabilities has a significant impact on the well-being of parents, including experiencing distress and enduring emotional, financial and physical pressure, due to caring for their. They require formal and informal support systems. Formal support includes counselling services. The purpose of the study was to determine what role psychosocial counselling at Tygerberg Academic Hospital (TAH) plays in the lives of parents of children with neurodevelopmental disabilities. A descriptive, qualitative approach was followed using semi-structured interviews that focused on the participants’ experiences and perceptions regarding their psychosocial needs and counselling. Eleven parents participated in the study. They were sampled purposively. Emerging themes were identified through content analysis of interviews. The themes identified were: - Emotions; - Parents’ life and relationships; - Lack of support systems to deal with the pressure of care giving; - Social workers; - Challenges with regard to compliance with healthcare provision; and - Gaps identified. The interviews found that parents received no psychosocial counselling at TAH. This was a disappointment to participants. They indicated feeling very isolated and emotional, and experiencing psychological burnout, while such social work services provided focussed on applications for social grants and patient healthcare treatment. Parents identified a great need for counselling services at the hospital as they believed counselling would assist them to work through emotions, address psychosocial needs, find coping strategies and identify available resources within their communities, which would be beneficial to the psychosocial functioning of the whole family. The parents also identified a need for parent support group services at the hospital. The initiation of this service and support groups for parents is recommended.
AFRIKAANSE OPSOMMING: Om 'n kind met neuro-ontwikkelingsgestremdhede te hê, het 'n beduidende impak op die welstand van ouers, insluitend spanning en verduur van emosionele, finansiele en fisieke druk, as gevolg van die versorging van die kind. Hulle benodig formele en informele ondersteuningsnetwerke. Formele ondersteuning sluit beradingsdienste in. Die doel van hierdie studie was om te bepaal wat die rol is van psigososiale berading by die Tygerberg Akademiese Hospitaal in die lewens van ouers van kinders met neuro-ontwikkelingsgestremdhede. 'n Beskrywende, kwalitatiewe benadering is gevolg deur gebruik te maak van semi-gestruktureerde onderhoude wat fokus op die deelnemers se ervarings en persepsies ten opsigte van psigososiale behoeftes en berading. Elf ouers het aan die studie deelgeneem. Die deelnemers was doelgerig geselekteer. Temas is geïndentifiseer deur die inhoud van die onderhoude te analiseer. Die temas was as volg: Emosies; - Ouers se lewens en verhoudings; - Tekort aan ondersteuningstrukture om die druk van versorging te hanteer; - Maatskaplike werkers; - Uitdagings met betrekking tot nakoming met gesondheidsorgvoorsiening en - Identifisering van gapings. Die onderhoude het bevestig dat ouers geen psigososiale berading by Tygerberg Akademiese Hospitaal ontvang nie. Dit was teleurstellend aan die deelnemers. Hulle is geneig om geïsoleerd en emosioneel te voel en beleef ook psigiese uitbranding, terwyl maatskaplikewerk dienste hoofsaaklik fokus op toelaagaansoeke en die pasiëntgesondheidsorgbehandeling. Ouers het 'n groot behoefte aan beradingsdienste by die Tygerberg Akademiese Hospitaal geïdentifiseer, omdat hulle glo dat berading hulle sal help om deur emosies en psigososiale behoeftes te aan te spreek, baasraakstrategieë te vind en beskikbare hulpbronne binne hul gemeenskappe wat voordelig sal wees vir die psigososiale funksionering van die gesin te identifiseer. Die ouers het ook 'n behoefte vir ouerondersteuningsgroepdienste by die hospitaal geïdentifiseer. Die inisiasie van beradingsdienste en ouerondersteuningsgroepdienste word aanbeveel.
34
O'Keefe, Aimee Marie. "The effectiveness of play therapy in a school-based counseling program." CSUSB ScholarWorks, 2000. https://scholarworks.lib.csusb.edu/etd-project/1686.
Full textAbstract:
This research project attempted to determine whether play therapy used to treat elementary and junior high school children in a School-Based Counseling program is effective. There is conflicting evidence in the literature as to the effectiveness of therapy with children, especially play therapy. This project used a qualitative design to evaluate play therapy used in a School-Base Counseling program (SBC). Randomly selected case files from the 1998-99 academic year were analyzed using questions considering demographic information for each child, the reason the child was referred to the program, the intervention used by the therapist, and the outcomes of therapy. The results of this project are inconclusive, but support the need for more research to be conducted in the area of play therapy.
35
Ganther, Hazel. "Rehabilitation and the meaning of color." CSUSB ScholarWorks, 2000. https://scholarworks.lib.csusb.edu/etd-project/1646.
Full text
36
Greenfield, Dominic. "Perceived adequacy of professional preparation in sport psychology among NCAA division IA head athletic trainers." Virtual Press, 1997. http://liblink.bsu.edu/uhtbin/catkey/1048391.
Full textAbstract:
The purpose of this study was to assess Head Athletic Trainers (ATC) of NCAA Division I collegiate institutions perceived adequacy of professional preparation in implementing injury-related sport psychology skills and strategies. A survey instrument was developed and sent to all Head ATCs at NCAA Division IA institutions. Descriptive statistics were computed for information regarding educational background,. years of experience, number of varsity sports served, sport psychology backgrounds, specific sport psychology management strategies used and related perceived competence. Also, independent t-tests were conducted to examine differences in responses between professional preparation/backgrounds of the respondents and their perceived adequacy of preparation when utilizing sport psychology management strategies. Results indicate that 48% of NCAA Division IA Head ATCs have completed a formal course in sport psychology, and that perceived confidence when utilizing sport psychology skills and strategies are higher for this group. Better understanding of the role sport psychology plays in injury rehabilitation will allow ATCs to enhance their athletes' physical recovery from injury.School of Physical Education
37
Mavumengwana, Ziyanda. "A rural xhosa woman's experience of marital satisfaction." Thesis, Nelson Mandela Metropolitan University, 2016. http://hdl.handle.net/10948/11509.
Full textAbstract:
Satisfaction (fulfillment of one’s wishes, expectations and needs or the pleasure derived from this) has been shown by studies to be manifested through various things, including marriage. It has been found that marriage and the satisfaction experienced are positively correlated to higher levels of happiness. Marital satisfaction (also referred to as marital quality and marital happiness) is defined as one's subjective evaluation of favourability towards one’s spouse and the marital relationship and the mental state of perceived gains and losses of the marriage. Research shows that the factors that affect marital satisfaction vary across cultures as well as geographic space within cultures, as well as gender. The present case study explored marital satisfaction as experienced by a Xhosa woman who resides in a rural setting in the Eastern Cape of South Africa. This qualitative exploratory-descriptive study utilised an in-depth case study method and the subject was selected by purposive sampling. Thibaut and Kelley’s (1959) Interdependence Theory, in conjunction the life-cycle stages of marriage as proposed by Markey (2005), were used as a framework to understand dynamics that occur in the course of a marital relationship as well as the variations in satisfaction in the different stages of marriage. Data was obtained through semi-structured interviews and a content analysis approach proposed by Miles and Huberman (1994) was followed as a framework for data analysis. The findings of the present study are presented according to two broad groupings: 1) marital satisfaction arises from one’s state of mind, and 2) the participant provided lessons on dealing with issues that arise in marriage. These in turn permitted the identification of sub-themes connected to each main theme allowing recommendations for future research to be deduced.
38
Szydlik, Linda (Linda L. ). "The Effects of Career Group Counseling on the Self-Concept of At-Risk High School Students as Measured by the Piers-Harris Children's Self-Concept Scale." Thesis, University of North Texas, 1995. https://digital.library.unt.edu/ark:/67531/metadc277630/.
Full textAbstract:
The purpose of this study was to determine the effectiveness of career group counseling in raising the self-concept of at-risk high school students. The following subgroups were represented in the sample: male and female students, white and non-white ethnic groups, and students from sophomore, junior, and senior classifications. Two groups of students in the Lewisville Independent School District meeting the criteria for at-risk as defined by House Bill 1010 were administered a pretest and posttest using the Piers-Harris Children's Self-Concept Scale. The experimental group was from the Lewisville Learning Center. The control group was students enrolled in the Coordinated Vocational Academic Education (CVAE) classes at Lewisville High School. A treatment sample of 25 students received career group counseling. A nontreatment sample of 25 students did not receive any group counseling. The t-test for independent samples was used to analyze the data. The pretests for the experimental and control groups showed no significant difference at the .05 level. The treatment sample received 30 hours of group counseling in the Fall semester of 1994. At the end of 30 hours of counseling a posttest was administered to the treatment sample and to the control sample. The t-test for independent samples was used to analyze the data. While career group counseling appeared to impact the students in the experimental group, the limitations of sample size and population may have effected the results. The treatment was significant at the .05 level and the null hypothesis was rejected. The findings showed that career group counseling was not an effective tool for increasing positive self-concept. It is concluded that self-concept was not effectively enhanced through group interaction conducted by the school system in this study. Further research is recommended.
39
Johnson, Virginia Faye. "Domestic violence and physical child abuse: Do social workers see the risk?" CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2097.
Full textAbstract:
The purpose of the study was to look at whether domestic violence is being viewed as a risk factor in homes where there is also physical child abuse. Historically a misconception has existed that child abuse occurs in a vacuum of sorts, isolated from other family problems.
40
Rummell, Christian L. "A Unique Support for Sexual-Minority Identity Development: An Interpretative Phenomenological Analysis of a Long-Term Formal Mentoring Relationship Between an Adult and a Youth From the Gay Community." PDXScholar, 2013. http://pdxscholar.library.pdx.edu/open_access_etds/1487.
Full textAbstract:
An important need exists to build a baseline understanding of the phenomenon of formal mentoring relationships involving adults and youth from the gay community. During the formative years when gay adolescents navigate through the process of understanding, defining, accepting, and sharing their identity as a sexual minority, they are often faced with high levels of environmental risks, including victimization, stress, and negative social sanctions by others. Formal mentoring has been recommended as a potential strategy to offer unique one-to-one support to gay youth that can help to foster resilience and a range of positive outcomes, including strengthening processes involved in identity development; yet, no previous studies have captured insights about these relationships. Using Interpretative Phenomenological Analysis (IPA), this study investigated the following research questions: (a) What are the most important characteristics of long-term formal mentoring relationships between gay adults and gay youth from the perspectives of the participants? (b) How, if at all, do mentors and mentees perceive potential benefits and limitations for gay youth participating in long-term formal mentoring relationships with gay adults? (c) How, if at all, do mentors and mentees perceive their mentoring relationship uniquely contributing to sexual-minority identity development in gay youth? After a 2-year search for participants, a purposeful sample of one mentoring dyad was chosen. Semi-structured in-person interviews were conducted with the match at the 17-month and 22-month mark of their relationship. This study contained four assertions based on this study's findings: (a) This long-term mentoring relationship between an adult and a youth from the gay community shared numerous similarities with other high quality mentoring relationships; (b) This mentoring relationship offered insight into how to create individualized and long-term support for sexual-minority identity development in youth; (c) This mentoring relationship represented an important but unrealized type of support that can potentially be used to complement existing peers, internet, and community-based resources for gay youth; and (d) Complexity continues to exist in using language and self-labeling to define, inquire, and provide support to individuals from the gay community--especially youth. Recommendations for programming, policy, and future research are provided.
41
Delport, Darnielle. "The development and application of a polymerase chain reaction (PCR) based assay to determine the impact of genetic variation in South African patients diagnosed with depression." Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/86564.
Full textAbstract:
Thesis (MPath)--Stellenbosch University, 2014.ENGLISH ABSTRACT: Major Depressive Disorder (MDD) is a severe debilitating medical condition that may lead to suicide. Due to a poor understanding of the biological mechanisms underlying the disease process therapeutic decisions are usually taken using a ‘trial and error’ approach. This is not ideal since many treatments do not work as expected for all individuals. Studies have shown that only half of MDD patients receive the appropriate treatment, whereas many patients have adverse response to anti-depressants. These may include weight gain and raised homocysteine levels that may further compromise the health status of MDD patients and may partly explain the link with cardiovascular disease. The objective of the study was to identify genetic risk factors interacting with environmental factors implicated in MDD that may be of relevance to the South African population. Polymorphisms in the MTHFR (677 C>T, rs1801133 and 1298 A>C, rs1801131), COMT (472G>A, rs4680), CYP2D6 (6937G>A, rs3892097), ASMT (24436 G>A, rs4446909) and SLC6A4 (43 bp ins/del, rs4795541) genes were genotyped in 86 MDD patients and 97 population-matched controls. The specific aims were 1) to analytically validate high throughput real-time polymerase chain reaction (RT-PCR) genotyping assays for the selected SNPs against direct sequencing as the gold standard for 2) possible integration into a pathology-supported genetic testing strategy aimed at improved clinical management of MDD. A total of 183 unrelated Caucasians participated in the study, including 69 females and 17 males with MDD and 57 female and 40 male controls without a personal and family medical history of overlapping stress/anxiety and depressive disorders. All study participants were genotyped for the six selected SNPs considered clinically useful based on international data. The allelic distribution of the SNPs, single or combined into a genotype risk score after counting their minor alleles, did not differ between MDD patients and controls. Homocysteine levels were determined and correlated with body mass index (BMI) and other variables known to influence these phenotypes. The folate score assessed with use of the study questionnaire was significantly lower in the patient group compared with controls (p=0.003) and correlated significantly with BMI, particularly in females (p=0.009). BMI was on average 8% higher in the MDD patients compared with controls (p=0.015) after adjustment for age and sex. The MTHFR rs1801133 677 T-allele was associated with a 14% increase in BMI in MDD patients but not controls (p=0.032), which in turn was associated with significantly increased homocysteine levels (p<0.05). The aims of the study were successfully achieved. Identification of the MTHFR rs1801133 677 T-allele reinforces the importance of adequate folate intake in the diet due to increased risk of obesity and depression found to be associated with low dietary intake. Evidence of shared genetic vulnerability for many chronic diseases and drug response mediated by the MTHFR 677 T-allele support the clinical relevance of this low-penetrance mutation.
AFRIKAANSE OPSOMMING: Major depressie (MD) is ‘n aftakelende siektetoestand wat tot selfdood kan lei. Onkunde oor die siekte se onderliggende biologiese meganismes lei dikwels tot ‘n lukrake terapeutiese benadering. Dit is ‘n onbevredigende situasie aangesien indiwidue verskillend reageer op die middels wat voorgeskryf word. Navorsing toon dat slegs ongeveer die helfte van MD pasiënte toepaslike behandeling kry, terwyl anti-depressante ‘n nadelige uitwerking het op baie pasiënte. Dit sluit massatoename en verhoogde homosisteïenvlakke in wat MD pasiënte se gesondheid bykomend nadelig kan beïnvloed en die verband met kardiovaskulêre siekte gedeeltelik kan verklaar. Hierdie studie poog om MD verwante genetiese risikofaktore en omgewingsfaktore wat mekaar beïnvloed en moontlik op die Suid Afrikaanse bevolking betrekking het, te identifiseer. Polimorfismes in die MTHFR (677 C>T, rs1801133 en 1298 A>C, rs1801131), COMT (472G>A, rs4680), CYP2D6 (6937G>A, rs3892097), ASMT (24436 G>A, rs4446909) en SLC6A4 (43 bp ins/del, rs4795541) gene is geanaliseer in 86 MD pasiënte en 97 kontroles geselekteer van dieselfde populasie. Die spesifieke doelwitte was om 1) hoë deurset direkte polimerase kettingreaksie (RT-PCR) genotiperingstoetse vir die 6 gekose polimorfismes met direkte volgordebepaling as maatstaf analities te valideer vir 2) moontlike insluiting in ‘n patologie-ondersteunde genetiese toetsstrategie met die oog op beter kliniese hantering van MD. Altesaam 183 Kaukasiërs het aan die studie deelgeneem. Die MD pasiënte het uit 69 vroue en 17 mans bestaan. Die kontroles (57 vroue en 40 mans) het geen mediese geskiedenis (persoonlik of familie) van oorvleuelende stress/angstigheid of depressie gehad nie. Gebaseer op internasionale data, is al die deelnemers vir die 6 gekose, potensieel klinies-bruikbare polimorfismes getoets. Die alleliese verspreiding van die polimorfismes enkel of gekombineer (uitgedruk as ‘n genotipe-risiko-syfer nadat minor allele getel is), was dieselfde in MD-pasiënte en kontroles. Homosisteïenvlakke is bepaal en gekorreleer met die liggaamsmassa-indeks (BMI) en ander veranderlikes wat bekend is vir hulle invloed op hierdie fenotipes. In teenstelling met die kontroles, was die folaat telling, soos bepaal met die studievraelys, betekenisvol laer in die pasiënte (p=0.003). Die korrelasie met die liggaamsmassa-indeks, spesifiek by vroue, was ook betekenisvol (p=0.009). Na aanpassings vir ouderdom en geslag, is gevind dat die liggaamsmassa-indeks gemiddeld 8% hoër was in die die MD pasiënte teenoor die kontroles. By MD-pasiënte, maar nie by die kontroles nie, is die MTHFR rs1801133 677 T-alleel geassosieer met ‘n 14% toename in liggaamsmassa-indeks (p=0.032), wat ook geassosieer was met betekenisvolle verhoogde homosisteïenvlakke (p<0.05). Die doelwitte van die studie is bereik. Identifisering van die MTHFR rs1801133 677 T-alleel beklemtoon hoe belangrik dit is om voldoende folaat in te neem, veral omdat ‘n verhoogde risiko vir vetsug en depressie met ‘n lae folaatinname in die diet geassosieer word. Die kliniese belang van die MTHFR 677 T-alleel word beklemtoon deur toenemende bewyse wat daarop dui dat gedeelde genetiese vatbaarheid vir ‘n verskeidenheid van kroniese siektes asook middelrespons aan bemiddeling deur hierdie lae penetrasie mutasie toegeskryf kan word.
Winetech
Technology for Human Resources and Industry Program (THRIP).
42
Chen, Charles Pintang. "The experience of counsellor trainees from non-Western cultures." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape3/PQDD_0016/NQ56658.pdf.
Full text
43
Teng, James Wei Jie. "An interpretative phenomenological analysis of the experiences of HIV-positive lay counsellors working in the voluntary counselling and testing settings." Thesis, Rhodes University, 2011. http://hdl.handle.net/10962/d1002579.
Full textAbstract:
The purpose of this study was to present and understand the experiences of HIV-positive lay counsellors working in Voluntary Counselling and Testing (VCT) settings. Specifically exploring and understanding the utilisation of personal experiences within counselling encounters, the practice of peer counselling within VCT, and the challenges experienced by HIV-positive lay counsellors within VCT settings. This study, employing a qualitative interpretative phenomenological methodology required a small sample of practicing HIV-positive lay counsellors, who were selected and interviewed on their experiences utilising semi-structured interviewing. Data was analysed for meaning units, which were interpreted inductively and hermeneutically, and categorised into super-ordinate themes. Three superordinate themes within the participants’ experiences of providing VCT services were determined, namely: ‘diagnosis and disclosure experiences’, ‘peer counselling’, and ‘challenges’. This research found that the experiences of providing peer counselling depended upon identification with their client’s negative appraisal of their diagnosis experiences. Whether through empathic connections generated through the shared experience of discovering a seropositive status, or through countertransferential reactions induced through their client’s yearning for care and support. This required the counsellor to selfdisclose within counselling encounters in order to provide personal experiences of living with HIV/AIDS. Successful implementation of peer counselling provided recently diagnosed individuals with knowledge surrounding HIV/AIDS, coping skills to manage the daily physiological and psychological challenges, facilitation and adherence to treatment, social assistance, ongoing relationships, inspiring hope, and the creation of positive appraisals. However the informal utilisation of task-shifting within lay healthcare cadres, and the lack of governmental recognition for the emotional labour provided within VCT indicated that HIVpositive lay counsellors require ongoing training, support and remuneration to limit potential occupational stress, resignation, and burnout.
44
Kam, Keung-kei Kenneth, and 甘強基. "An adventure-based counseling program on the physical self-efficacy, general self-efficacy, self-esteem, body image and physical activitylevel of adolescents." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2005. http://hub.hku.hk/bib/B45013871.
Full text
45
Fleischack, Anne. "Counsellors’ talk about their understanding of, and practices in response to, intimate partner violence during pregnancy: a narrative-discursive analytic study." Thesis, Rhodes University, 2015. http://hdl.handle.net/10962/d1016391.
Full textAbstract:
South Africa is a very violent society, where violence is often used as a social resource to maintain control and establish authority. Global and local research suggests that there is a high prevalence of intimate partner violence (IPV), a facet of this violence, although little research has been conducted into the effects of IPV during pregnancy in the South African non-governmental organisation (NGO) context. NGOs globally and in South Africa have attempted to address IPV and IPV during pregnancy by providing services that aim to assist (largely female) clients emotionally and logistically. In light of this phenomenon, this qualitative study presents data generated through the use of a lightly-structured narrative interview schedule. The interviews were conducted over three sessions with eight counsellors, all based at two NGOs in South Africa and experienced in counselling women who have suffered IPV and IPV during pregnancy. This study used Taylor and Littleton’s (2006) narrative-discursive analytical lens, infused with theoretical insights from Foucault about power, discourse and narrative in order to identify the discursive resources that shape the narratives that the counsellors shared in the interviews and how these translate into subject positions and (gendered) power relations of the men and women about whom they speak. Six discursive resources emerged from the narratives, namely a discourse of ‘traditional “African” culture’, ‘patriarchal masculinity’, ‘nurturing femininity’, ‘female victimhood’, ‘female survivorhood’ and ‘human rights’. These informed the three main narratives that emerged: narratives about IPV in general, IPV during pregnancy, and the counsellors’ narratives about their intervention strategies. Within these narratives (and the micro-narratives which comprised them), men were largely positioned as subscribing to violent patriarchal behaviour whilst women were mostly positioned as nurturing and victims of this violence. The counsellors also constructed women as largely ignorant of their options about IPV and IPV during pregnancy; they constructed these phenomena as problems that require intervention and identified a number of factors that indicate what successful IPV interventions should entail. In reflecting upon this analysis, this study also aimed to address the questions of what is achieved or gained by using these narratives and discursive resources, what the significance or consequences are of constructing and using these particular narratives and discourses and whether different narratives or discourses would have been possible. Recommendations for further research includes incorporating more sites as well as interviewing perpetrators and IPV survivors themselves, perhaps in their home language where relevant rather than English, to gain a broader and more faceted understanding of the dynamics surrounding IPV during pregnancy. A recommendation for practice in intervention against IPV during pregnancy is to introduce more holistic/systemic intervention strategies and working with communities to address this issue.
46
Torrenzano, Suzanne Elaine. "Adult survivors of incest and non-victimized womens' evaluation of the use of touch in counseling." Diss., This resource online, 1992. http://scholar.lib.vt.edu/theses/available/etd-10032007-171618/.
Full text
47
Boldi, Juliet Suzanne, and Jamileth Lara. "An exploration of the role of spirituality in recovery from alcoholism." CSUSB ScholarWorks, 2000. https://scholarworks.lib.csusb.edu/etd-project/1609.
Full textAbstract:
This study investigates the relationship between spirituality and recovery for alcohol abusers. The data was gathered by administering a survey questionnaire that explored background information, alcohol use and recovery, and spirituality.
48
Joseph, Bianca. "Werkbesettingspatrone van geregistreerde beraders in Suid-Afrika." Thesis, Link to the online version, 2007. http://hdl.handle.net/10019/646.
Full text
49
Fabrik, Carmen Janine. "Reviving a forgotten custom : an evaluation of a community based mentoring intervention - the Jamestown USIKO Youth Project." Thesis, Link to the online version, 2007. http://hdl.handle.net/10019/1021.
Full text
50
Theron, Susanna Maria. "Maatskaplike werkers se sienings oor die seksuele mishandeling van seuns in die middelkinderjare." Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/80121.
Full textAbstract:
Thesis (M Social Work)--Stellenbosch University, 2013.ENGLISH ABSTRACT: The sexual abuse of boys is regarded as a worldwide problem. Even in South Africa the sexual abuse of boys is described as an epidemic that as the social work phenomenon of women as perpetrators, can no longer be seen as rare. Although legislation, The South African Children’s Act, 38 of 2005 (2006) and The Sexual Offences Amendment Act, 32 of 2007, have contributed to a greater awareness with regards to the boy as victim of sexual abuse, there still is a lot of misconceptions with regards to the boy as victim of sexual abuse. A need for formal scientific research with regards to this problem was therefore identified and lead to the conducting of this study. Focusing on the sexual abuse of the boy in middle childhood was the purpose of this study, because the middle childhood is seen as the most vulnerable developmental phase for the boy to be sexually abused in. Social workers play a primary role in the prevention, early intervention, intervention and after care in this regard. This study was aimed at determining social workers’ opinions on the sexual abuse of boys in middle childhood. The purpose of the study was met through the five goals that were determined. The goals of the study were to discuss the middle childhood as developmental phase within a human developmental perspective and to describe the sexual abuse of boys as social work phenomenon, in order to develop insight with regards to the sexual abuse of boys. Goals determined for the purpose of this study also included the discussion of the sexual abuse of boys as social work phenomenon, focusing on the definition of sexual abuse, inclining factors to sexual abuse, the types of sexual abuse and the context and motivation for sexual abuse of boys. To discuss the different types of perpetrators in the sexual abuse of boys and to investigate the motivations of perpetrators with regards to the sexual abuse of boys were also goals that were determined. This study’s goals were also to investigate the opinions of social workers with regards to the sexual abuse of boys in middle childhood and to make recommendations regarding the promoting of social work service delivery to the sexually abused boy. The literature study that was undertaken builds a foundation for the problem of the sexual abuse of the boy in middle childhood to be seen, within the right context. An explorative and descriptive study was conducted with twenty seven social workers in the Western Cape, Olifantsrivervalley area as geographical area. Semi-structured questionnaires were used for data collection. The results were purposefully processed and analyzed according to a qualitative- and quantitative research method. The empirical study’s findings enabled the researcher to come to certain conclusions. Using the literature study, the empirical study, findings and conclusions that followed on that, recommendations could be made to social workers in order to promote social work service delivery to the sexually abused boy in middle childhood.
AFRIKAANSE OPSOMMING: Die seksuele mishandeling van seuns word as ‘n wêreldwye probleem beskou. Ook in Suid- Afrika word die seksuele mishandeling van seuns as ‘n epidemie beskryf wat net soos die maatskaplike werk verskynsel van vroue oortreders, nie meer as raar beskou kan word nie. Alhoewel wetgewing soos Die Suid-Afrikaanse Kinderwet, 38 van 2005 (2006), asook Die Wysigingswet op die Strafreg (seksuele misdrywe en verwante aangeleenthede), 32 van 2007, bygedra het tot ‘n groter bewustheid van die seun as slagoffer van seksuele mishandeling, bestaan daar steeds baie wanbegrippe ten opsigte van die die seun as slagoffer van seksuele mishandeling. ‘n Behoefte aan formele wetenskaplike navorsing met betrekking tot hierdie probleem is geïdentifiseer met die gevolg dat hierdie studie onderneem is. Vir die doel van hierdie studie is daar gefokus op die seksuele mishandeling van die seun in sy middelkinderjare, aangesien die middelkinderjare as die mees weerloosste ontwikkelingsfase beskou word vir die seun om seksueel mishandel te word. Maatskaplike werkers speel ‘n primêre rol in die voorkoming, vroeë intervensie, intervensie en nasorg in hierdie verband. Hierdie studie het daarom ten doel gehad om maatskaplike werkers se sienings oor die seksuele mishandeling van seuns in die middelkinderjare te bepaal. Die doel van die studie is bereik na aanleiding van vyf doelwitte wat gestel is. Die doelwitte van die studie was om die middelkinderjare as ontwikkelingsfase binne ‘n menslike ontwikkelingsperspektief te bespreek en om die seksuele mishandeling van die seun as maatskaplike werk verskynsel te verduidelik ten einde begrip met betrekking tot die probleem van seksuele mishandeling van seuns te ontwikkel. Doelwitte wat gestel is ten einde die doel van die studie te bereik, het onder andere behels om seksuele mishandeling van seuns as maatskaplike werk verskynsel te beskou, deur te fokus op die definiëring van seksuele mishandeling, aanleidende faktore tot seksuele mishandeling, die vorme van seksuele mishandeling en die konteks en motivering van seksuele mishandeling van seuns. Om die verskillende tipes oortreders in die seksuele mishandeling van seuns te bespreek en om ondersoek in te stel na die motiverings van oortreders ten opsigte van die seksuele mishandeling van seuns, was ook as doelwit gestel. Hierdie studie se doelwitte was ook om ‘n ondersoek te doen na die sienings van maatskaplike werkers ten opsigte van die seksuele mishandeling van seuns in die middelkinderjare en om aanbevelings te maak ten opsigte van die bevordering van maatskaplike werk dienslewering aan die seksueel mishandelde seun. Die literatuurstudie wat gedoen is het ‘n fondasie geskep om die probleem van die seksuele mishandeling van die seun in sy middelkinderjare, in die regte konteks te kan beskou. ‘n Verkennende en beskrywende studie is gedoen en het sewe-en-twintig maatskaplike werkers in die Wes-Kaap, Olifantsriviervallei area as geografiese gebied ingesluit. Semigestruktureerde vraelyste is benut om inligting in te samel. Die resultate was volgens ‘n kwalitatiewe- en kwantitatiewe navorsingsmetode verwerk en geanaliseer. Die empiriese ondersoek se bevindinge het die navorser in staat gestel om sekere gevolgtrekkings te maak. Na aanleiding van die literatuurstudie, die empiriese ondersoek, die bevindinge en die gevolgtrekkings wat daarop gevolg het, kon aanbevelings gemaak word aan maatskaplike werkers ten einde die maatskaplike werk dienslewering aan die seksueel mishandelde seun in sy middelkinderjare te bevorder.