Descriptive profile of sex and psychiatric diagnosis among rural and peri-urban clinic attenders in South Africa

Of 1,232 patients receiving psychiatric medication in outlying areas of South Africa more than half had diagnoses of schizophrenia. Significantly more men than women had substance-induced psychosis, while significantly more women had depressive and anxiety disorders.     

Interpreting Errors in Temporal Orientation in Older Hospital Patients

Normal variation in temporal orientation has been examined in community dwelling, healthy older subjects but not in elderly hospital patients. We examined the validity of errors in different aspects of temporal orientation as a guide to the presence or absence of cognitive impairment orientation in elderly hospital patients in 150 consecutive patients on the day after admission to an acute geriatric unit. Cognitive impairment (delirium or dementia or both) was diagnosed without reference to temporal orientation. Optimum cutoffs for error scores on the different aspects of temporal orientation (date/year/month/day of the week/time of day) were calculated to maximize the sum of sensitivity and specificity for detection of cognitive impairment. Of the 150 patients, 45 (30%) had cognitive impairment. The best cutoffs for detection of cognitive impairment were an error of more than 3 days in the date; any error in the year, month, or day of the week; and an error of more than 1 h in identifying the time of day. Error in identifying the year had the highest positive likelihood ratio (6.4 [95% confidence interval 4.0–10.3]) for detecting cognitive impairment and the lowest negative likelihood ratio (0.1 [0.04–0.3]) for the exclusion of cognitive impairment. Failure to identify the year correctly is the aspect of temporal orientation most closely related to cognitive impairment.     

Depression-related distress in Mauritian and South African adolescent girls: an exploratory investigation

Self-reports of depression-related distress were obtained from girls of 14 to 17 years of age living in communities of low socioeconomic status in Mauritius (n = 198) and South Africa (n = 275). Of the girls in the two samples, 26.3 and 21.5%, respectively, had thought about self-harm during the past 5 yr., while between 14.6 and 16.7% had made self-harm attempts. Also, 39.9% of the Mauritian girls and 31.0% of the South Africans reported being sad and tearful every day for more than 2 wk. over the past year. Of the girls, Mauritians (54.0%) and South Africans (32.1%) felt their problems were too much to cope with, while 20.4% of the South African girls and 44.4% of the Mauritians knew of no place to go for help when feeling sad or depressed. The findings highlight the extent of depression-related symptoms and issues related to access to mental health services. Increasing mental health services and awareness programmes are indicated.     

A Mission of Unity and a Unity of Mission: A Look at the Work of the Church Unity Commission

This article examines the notion and meaning of mission in United and Uniting churches; asks whether union fosters mission and, more specifically, whether United churches practise mission reflecting a commitment to unity; and finally considers some of the challenges facing the Church Unity Commission (CUC) in moving forward. It makes the claim that the CUC is not succeeding in using its strengths because it is failing to be a united witness in the world, and suggests that church unity should begin at the local level if it is to be more effective. Hence international, national, and regional structures and organizations should mobilize, empower, and enable local church communities for more effective mission and church unity. In order to succeed in the latter area, the mission should be not church, but Christ. The paper concludes that the CUC's task is to collectively and correctly read the signs of the times and faithfully proclaim, in word and deed, that God reigns supreme over our world.     

Paternal care in the social and diurnal striped mouse (Rhabdomys pumilio): laboratory and field evidence

Paternal care is rare in mammals, occurring mainly in carnivores and neotropical primates, in which the difficulties of long generation time and large individuals lead to small sample sizes. Here, the authors show that paternal care can be easily studied in the four-striped mouse (Rhabdomys pumilio) because (a) captive males show all the patterns of parental care as do females, with the obvious exception of nursing; (b) in the field, wild males act amicably toward juveniles and retrieve pups experimentally presented to them; (c) the striped mouse facilitates experimental approaches in captivity because it has a short generation period and can be kept in large numbers; and (d) the striped mouse is diurnal, not only making observations in captivity easier but also enabling direct observations in the field.     

Factors leading to orphans and vulnerable children living in community-based homes

This study explored the influences on living arrangements of orphans and vulnerable children (OVC) housed at a community-based home in Johannesburg, South Africa. A total of 50 OVC (males = 36%, females = 64%; age range 11 to 18 years) completed an open-ended questionnaire, while some of them also participated in individual interviews and focus group discussions on how they became residents of the community-based home. The data were thematically analysed. Findings suggest their choice to live in a community-based care setting to have been influenced by homelessness with accompanying poverty, health issues, experiences of child abuse and neglect, discrimination, and domestic violence. School psychologists working with OVC from community-based homes should consider pathways by which the children could be provided with needed support for resilient health and wellness.     

Personal constructs of fluency: a study comparing stutterers and nonstutterers

The personal construct systems relating to fluency of a group of five stutterers and a group of five nonstutterers were examined using the repertory grid technique. The results support findings that stereotypical notions about stuttering were characteristic of both stutterers and nonstutterers and did not support Fransella's 1972 assumption that constructs relating to fluency differ in the communication subsystems of stutterers and nonstutterers.     

Career counselling intervention efficacy with South African university students

This exploratory study examined the efficacy of a brief career counselling intervention with South African university students (n?=?54; female?=?59%, male?=?40%; black?=?77%, Indian?=?27%, coloured?=?1%, white?=?3%; age range 17 to 19 years). The students completed a brief career development workshop and focus group discussion to address their career self-efficacy, career uncertainty, and anxiety post intervention. Findings suggest the students to have experienced a higher awareness of individual career assets and career self-management competencies from the counselling intervention.