The Impact of Life-Long Illness on Women: A Qualitative Study of Low Socio-Economic Rheumatoid Arthritis (RA) Patients

The purpose of this qualitative, ethnographic study was to explore the impact of a chronic disease on low socio-economic women with RA in South Africa. Ten women participants with a mean age of 48 years and a mean duration of RA of 10 years were obtained through purposive sampling from a public hospital RA clinic. In-depth individual interviews were conducted as a method of data collection. The interviews were tape recorded and transcribed for the data analysis. Grounded theory analysis was used which produced 3 primary categories around the impact of RA: (1) Physical impact, (2) Social and economic impact, and (3) Psychological impact; and 5 sub-categories, namely, Pain and poor Functional Status, Change in life-style following a weakened economic position, Change in the constitution of the “Self”, Change in the constitution of the “Self” of the spouse/partner, and Depression. Depression, pain and poor functional status are well known health outcomes for RA patients. Perceived change in the psychological concept of the “Self” is less frequently reported. The value of this study is that the concept of the self is further explored in chronically ill individuals as a ‘fluid’ one, with the potential for undergoing a complete transformation as a consequence of RA.     

Exploring risk and protective mechanisms associated with HIV infection among adolescents in South Africa

This study explored South African adolescents’ perceived risk and protection for HIV infection. Adolescents (N=28) with a mean age of 14.6 years receiving mental health care participated in Focus Group Discussions (FGDs) to engage in an in-depth exploration of their perceived risk and protective mechanisms for HIV prevention. The data were analysed using thematic content analysis. Themes that emerged from the FGDs associated with risk for HIV infection were: Alcohol and illicit drug use; Non-condom use; Prostitution and risky sexual activity with multiple partners; and Non-disclosure of HIV status. Themes that emerged as protective mechanisms included: HIV knowledge and appropriate HIV risk reducing behaviour; and Proactive parental attitudes and behaviour. These findings highlight the importance of ascertaining the perceptions of adolescents about risk and protection from HIV infection in order to inform future programs for HIV prevention among adolescents.     

Brief Rorschach Records With Children and Adolescents

In order to determine the frequency with which children and adolescents give brief Rorschach ( R < 14) records and to test the hypothesis that brief records represent a resistance to testing, the psychological evaluations of 439 admissions to an inpatient unit were reviewed. Of the records reviewed, 16.6% were found to contain less than 14 responses. When the complete test protocols of those subjects who provided brief records were compared with those of a matched group, it was found that the group with brief records failed to complete the other parts of the evaluation significantly more often than did those subjects who did not give brief records. There was no significant difference between the two groups on IQ scores or on self-report scores of depression, anxiety, and social desirability. Results are interpreted as supporting Exner's (1988) hypothesis that brief records represent a form of resistance to being tested.     

Examining Personal Control Beliefs as a Mediating Variable in the Health-Damaging Behavior of Substance Use: An Alternative Approach

Substance use continues to be a concern for researchers and health professionals alike. One of the most extensive areas of research on health-related behaviors such as smoking and drug use has been on personal control beliefs. Since many health actions (both facilitative and deleterious) depend on voluntary behaviors, and many health-related prevention and intervention programs are predicted on an assumption of controllability, this is an important area to consider. This article is a review of some of the literature and presents an alternative approach that entails using area-specific and domain-specific methods to examine the role that control beliefs play in the health-damaging behavior of substance use.     

Emotional self‐efficacy,graduate employability,and career satisfaction: Testing the associations

Graduate employability has been the subject of little empirical research. There are a number of difficulties in defining and measuring graduate employability, which means that there is a paucity of research that looks at its predictors and outcomes. Previous work has proposed that emotional competence improves graduate employability, and this study further investigates this idea by examining the association between emotional self‐efficacy and employability. Also investigated is the association between employability and career satisfaction. Working graduates (N = 306) completed measures of emotional self‐efficacy, self‐perceived employability, and career satisfaction, and the data were analysed using structural equation modelling. We found emotional self‐efficacy to be an important predictor of graduate employability. Additionally, we found that graduate employability mediates the relationship between emotional self‐efficacy and career satisfaction. Some recommendations, in light of these findings, are discussed.     

A New Dog-Image

Marie-Louise Von Franz: Every time one feels he has acquired a certain inner balance, a firm standpoint, something happens from within or without to throw it over again. This force always comes through the fourth door, which cannot be shut. There one has to succumb, one has to suffer defeat in order to develop further. The inferior function is the ever-bleeding wound of the conscious personality, but through it the unconscious can always come in and so enlarge consciousness and bring forth a new attitude. (1971, p. 54)     

Some Oedipal problems in work with adopted children and their parents

This paper has two main theses. Firstly that Oedipal material is a particular feature of clinical work with adopted children; secondly, that the concept of developmental deficit, and not only that of psychic defence, is essential to an understanding of this aspect of the work with adopted children and their families. Three levels are distinguished at which Oedipal difficulties are manifest: the first two within the individual child and the third within the triangle formed by the child, his adoptive parents and the child psychotherapist. Some consideration is given to the limitations of a conventional treatment framework for containing the powerful Oedipal dynamic forces at play when an adopted child is a patient in individual psychotherapy. Dieser Artikel hat zwei Hauptthesen. Erstens, dass ödipales Material ein besonderes Merkmal der klinischen Arbeit mit adoptierten Kindern ist; zweitens dass das Konzept eines Entwicklungsdefizit, und nicht nur das eines psychischen Abwehrmechanismus, für das Verstehen dieses Aspekts der Arbeit mit adoptierten Kindern und ihren Familien unerlässlich ist. Es werden drei Stufen differenziert, in denen sich ödipale Schwierigkeiten manifestieren: die ersten zwei innerhalb des Kindes und die dritte innerhalb des Dreiecks, das vom Kind, seinen Adoptiveltern und dem Kindertherapeuten gebildet wird. Es werden überlegungen bezüglich der Grenzen des konventionellen Behandlungsrahmens angestellt, inwieweit er die mächtigen ödipalen dynamischen Kräfte, die im Spiel sind, 'containen' kann, wenn ein adoptiertes Kind Patient in individueller Psychotherapie ist. Dans son texte, l'auteur développe deux thèses principales: d'abord, que le matériel ?dipien est d'une importance particulière dans le traitement d'enfants adoptés; et, ensuite, que le concept de trouble déficitaire du développement, en plus de celui de défense psychique, est essentiel pour comprendre cet aspect de la prise en charge d'enfants adoptés et de leur famille. L'auteur distingue trois niveaux auxquels se manifestent la problématique ?dipienne?:?les deux premiers concernent l'enfant lui-même en tant qu'individu, le troisième renvoie au triangle composé de l'enfant, de ses parents adoptifs et du psychothérapeute. Certaines limitations imposées par le cadre thérapeutique traditionnel sont ensuite explorées, notamment par rapport à la possibilité de contenir la puissante dynamique ?dipienne évoquée dès qu'un enfant adopté est pris en psychothérapie individuelle. Questo articolo sostiene due tesi principali. La prima e' che il materiale edipico e' una caratteristica particolare del lavoro clinico con bambini adottati; la seconda e' che il concetto di deficit evolutivo, e non solo quello di difesa psichica, e' essenziale per capire questo aspetto del lavoro con bambini adottati e le loro famiglie. Vengono distinti tre livelli in cui si manifestano le difficolta' edipiche: i primi due all'interno del singolo bambino, il terzo all'interno del triangolo formato dal bambino, dai suoi genitori adottivi e dallo psicoterapeuta infantile. Vengono fatte alcune considerazioni sulle limitazioni che il contesto terapeutico convenzionale ha nel contenere le potenti forze dinamiche edipiche in gioco quando un bambino adottato diventa paziente in terapia individuale.     

Investigating Hypervigilance for Social Threat of Lonely Children

The hypothesis that lonely children show hypervigilance for social threat was examined in a series of three studies that employed different methods including advanced eye-tracking technology. Hypervigilance for social threat was operationalized as hostility to ambiguously motivated social exclusion in a variation of the hostile attribution paradigm (Study 1), scores on the Children’s Rejection-Sensitivity Questionnaire (Study 2), and visual attention to socially rejecting stimuli (Study 3). The participants were 185 children (11 years-7 months to 12 years-6 months), 248 children (9 years-4 months to 11 years-8 months) and 140 children (8 years-10 months to 12 years-10 months) in the three studies, respectively. Regression analyses showed that, with depressive symptoms covaried, there were quadratic relations between loneliness and these different measures of hypervigilance to social threat. As hypothesized, only children in the upper range of loneliness demonstrated elevated hostility to ambiguously motivated social exclusion, higher scores on the rejection sensitivity questionnaire, and disengagement difficulties when viewing socially rejecting stimuli. We found that very lonely children are hypersensitive to social threat.     

Development of Map Construction Skills in Childhood

Two studies examined children's map construction skills when drawing demands were removed from the task and scenes were highly simplified. Study 1 compared the performance of first graders and third graders on their ability to preserve configuration during transformation of pictured arrays from eye-level to aerial views. For children with difficulties, Study 2 exposed groups to enhanced vantage points, either pictured from an elevated view or displayed with actual blocks, to investigate effects of support on performance. Results on eye-level to aerial transformations showed that children's ability to map spatial relations developed significantly between the first and third grades, basic configuration skills were gender-neutral, and specificity of details was better for boys by third grade. Enhanced vantage points significantly improved configuration accuracy for both grades (favoring first graders) and both genders (favoring girls). Enhancements eliminated depth errors that were common in arrays with occlusions. In sum, improvement in map construction skills between first grade and third grade demonstrated increased understanding of alternative spatial perspectives, and enhanced vantage points promoted use of projective spatial concepts that were already active in younger children.