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Older people are more prone to experience loneliness when living in residential care facilities. The purpose of this study was to explore older people's experiences of loneliness in the context of institutionalized care. A voluntary and convenience-based sample of 10 white South African older people (age range 62 to 82 years; three men and seven women) was drawn. Data on the subjective experience of loneliness were then gathered through the Mmogo-method®, whereby drawings were employed to explore matters and issues of importance in the lives of older people that could be used to deal with loneliness. Data were analyzed thematically and visually as well as through the use of keywords in context. The results showed that older people experienced loneliness in terms of having unavailable interactions due to loss, and an absence of meaningful interpersonal interactions. Meaningful interpersonal interactions were described as when the older people had regular contact and a variety of interactions. Ineffective interpersonal styles (e.g. taking a controlling position in relationships and being rigid) elicited rejection and isolation, and were associated with a lack of confirmatory interpersonal relationships. It is recommended that greater emphasis should be placed on creating awareness of unhealthy group dynamics as well as on psychosocial interventions to develop group support. Interpersonal styles, either effective or ineffective, take place in a social context, which, in this research, was observed to be unsafe, lacking in care, and a non-stimulating environment.

The purpose of this study was to describe the experiences of first-time mothers with colic infants. The research design was qualitative, exploratory, descriptive and contextual. Data were collected by means of in-depth, semistructured, phenomenological interviews and a descriptive analysis was done. The results show that the real experience of having a baby did not meet mothers’ expectations. Furthermore, colic babies were anxiety-provoking and mothers struggled with feelings of failure. They searched for an explanation for the colic, but felt disillusioned with the medical profession. Mothers exhibited a need for a containing figure. They also reflected on their relationship with their mothers. Mothers felt ambivalent towards their babies and marital relationships became strained. Lastly, mothers renegotiated their identity. Based on the results, suggestions for mental health professions were made with regard to providing parent-child therapy, support for the mother and strengthening the marital relationship. The importance of psychological interventions was emphasised as a source of support for these mothers. <b>Opsomming</b> Die doel van hierdie studie was om die ervarings van eerstekeermoeders met koliekbabas te beskryf. Die navorsingsontwerp was kwalitatief, ondersoekend, beskrywend en kontekstueel van aard. Data is ingesamel deur middel van indiepte, semi-gestruktureerde, fenomenologiese onderhoude en ‘n beskrywende ontleding is gedoen. Die resultate het getoon dat die beleefde ervarings om ‘n koliekbaba te hê, nie aan die moeders se verwagtinge voldoen het nie. Voorts veroorsaak koliekbabas angs en moeders stry teen gevoelens van mislukking. In hul soeke na ‘n verklaring vir die koliek, voel hulle ontnugter met die mediese professie. Moeders het ‘n behoefte aan ‘n ondersteunende persoon uitgedruk en gereflekteer op hul verhouding met hulle eie ma’s. Moeders het ambivalent oor hul babas gevoel en hul huweliksverhoudings het gespanne geword. Laastens het moeders hulle identiteit as moeders heroorweeg. Op grond van die resultate word voorstelle vir professionele geestesgesondheidwerkers met betrekking tot ouer-kindterapie, ondersteuning aan die moeder en versterking van die huweliksverhouding, gemaak. Laastens word die belangrikheid van sielkundige intervensies in die hantering van koliek as ‘n hulpbron vir hierdie moeders beklemtoon

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The author describes the Mmogo-method TM , a visual projective research data-gathering method, as well as its use in two case studies. Visual presentations are made by using clay, straws, and beads, which serve as visual data. The transcribed discussions on the meanings of the visual presentations are used as textual data. The textual and visual data are analyzed by exploring the face value of the data, uncovering the personal and collective meanings of the data through thematic content analysis, and determining the contextual groundedness of the data. In the case study on older persons' experiences of drought, the personal feelings of hopelessness and depletedness are embedded in the sociopolitical context that contributed to the vulnerable economic position of older black people. The case study on the experiences of older persons infected with and affected by HIV/AIDS revealed personal experiences of stigmatisation and exclusion grounded in a sociopolitical context that contributed to the uncontrollable ramifications of the disease.

BackgroundThis paper describes the psychometric properties of the WHOQOL-OLD, an add-on module to the World Health Organization's Quality of Life measure for older people in a South African sample. The WHOQOL-OLD module was further condensed into three short versions which contain the best items of the original module. The psychometric properties associated with the three short versions of the WHOQOL-OLD are also described.MethodData were collected from Afrikaans-speaking older people (n=176) residing in long-term care facilities in Potchefstroom, situated in the North-West province of South Africa. The mean age of participants was 77 years (SD=8.1). Fifty participants were males and 126 were females. All reported average-to-good health and cognitive ability.ResultsThe current study found encouraging results related to the original factor structure of the WHOQOL-OLD as well as the three short versions of this instrument. Results stemming from the data of the current sample seem to be a good fit with the original factor structure of the WHOQOL-OLD. The reliabilities associated with the various sub-dimensions point to a reliable instrument.ConclusionsThe WHOQOL-OLD with its 24 items or any of the three short versions of this instrument can, therefore, be utilised in a South African context (Version 3 of the short versions seems to be the better fitting version).

The maternal representations as described by Stern (1995:171-190) are used in an extreme case to illustrate the link between depression and pathogenic maternal representations. <b>Opsomming</b> Die moedervoorstellings soos dit deur Stern (1995:171-190) beskryf word, word in ‘n ekstreme geval gebruik om die verband tussen depressie en patogene moedervoorstellings aan te toon. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text