African Journals Online
Journal of Child and Adolescent Mental Health

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Volume 15 Issue 1, 2003
ABSTRACTS

Open adoption: a review of the literature with recommendations to adoption practitioners

Loraine Townsend

Department of Psychiatry and Mental Health, University of Cape Town, Groote Schuur Hospital, Observatory 7925, South Africa

e-mail: [email protected]

Abstract

As openness in adoption is still in its infancy, there has not been much systematic research on open adoption. This practice involves anything from sharing non-identifying information through an intermediary to regular face-to-face fully identifying information-sharing and contact between all members of the adoption triangle — the birthparent/s, the adoptive parents and the adoptees. Open adoption appears to offer birthparent/s the greatest benefits. Although adoptive parents express varying degrees of positive reactions to being involved in open adoptions, there are instances of discomfort and reservations expressed by some. With no studies investigating adoptees’ own perceptions around contact with their birthparent/s, the potential risks and/or benefits of open adoption for the children involved, is inferred from adoptive parents’ reports and theoretical perspectives. Adoption practitioners advocating openness in adoption, should be prepared for additional investments in time, effort and emotional energy in order to facilitate what is not a discrete event in time, but an on-going process.

 

 

Social contexts, age and juvenile delinquency: a community perspective

Catherine L Ward1,2* and James E Laughlin1

1 Department of Psychology, University of South Carolina, USA

2 Department of Psychiatry and Mental Health, University of Cape Town, Groote Schuur Hospital, Observatory 7925, South Africa

* Corresponding author, e-mail: [email protected]

Abstract

Objective — Social disorganisation of communities, family bonds, school bonds, the peer group and age, have been shown to be related (either positively or negatively) to delinquency. This study addressed gaps in the literature by (1) using a large and randomly drawn sample of adolescents, within a large number of randomly selected communities; (2) investigating the influence of community social disorganisation directly on delinquency, while including in the same model the moderating effect of community social disorganisation on the micro-contexts of family, school, and peer group, as well as the direct effects of these micro-contexts; and (3) including age as a variable likely to have both direct effects on delinquency and moderating effects on the micro- and macro-level social contexts.

Method — The public-use data set of Wave I of the (US) National Longitudinal Study of Adolescent Health was used. The model was tested using hierarchical linear modelling and included the social disorganisation of communities; adolescents’ bonds to school and family, family controls and involvement with a deviant peer group; and age and its interaction with these social contexts.

Results — Community social disorganisation was found to be positively related to delinquency, but effects of micro-level contexts were not found to be moderated by social disorganisation. Family bonds and controls, and school bonds, were negatively related to delinquency. No effect of peer group was found. Age was found to have a direct effect; effects of the interaction of age with family controls and age with school bonds were also significant.

Conclusions — Results strengthen those from previous studies (using more limited samples) which show that integrated views of macro- and micro-level social contexts and developmental trends are necessary to understand delinquency.

 

 

Prevalence and attitudinal predictors of child sexual offending in a non-forensic sample of South African high school males

Thandekile S Magojo* and Steven J Collings

School of Psychology, University of Natal, Durban 4041, South Africa

* Corresponding author, e-mail: [email protected]

Abstract

Objective — The prevalence, and attitudinal predictors, of sexual aggression were examined in a non-forensic sample of South African high school males.

Method — Survey questionnaires were administered to 446 males (aged 16 to 25 years) attending schools in the greater Durban area, South Africa.

Results — A history of sexually aggressive behaviour was reported by 66.8% of respondents, with 17.5% reporting an act of sexual aggression that met the legal definition of rape or attempted rape. A multivariate analysis of variance indicated a significant relationship between sexually abusive behaviour and attitudes supportive of both sexual and physical aggression. Additionally, a tendency to attribute blame to the victim of sexual aggression and attitudes reflecting an internalised culture of violence significantly discriminated between respondents who committed rape/attempted rape, indecent assault, and crimen injuria.

Conclusions — These findings indicate relatively high rates of sexual offending among South African high school males and suggest that primary prevention programmes are likely to be most effective if they target attitudes supportive of both sexual and physical violence.

 

 

The usefulness of commercially available ‘culture fair’ tests in the assessment of educational success in Grade 1 Black pupils in South Africa — an explorative study

André Venter1* and Amina Bham2

1 Department of Paediatrics and Child Health, Faculty of Health Sciences, University of the Free State, PO Box 339 (G69), Bloemfontein 9300, South Africa

2 Department of Paediatrics and Child Health, Faculty of the Health Sciences, University of the Witwatersrand, Johannesburg, South Africa

* Corresponding author, e-mail: [email protected] 

Abstract

School failure among Grade 1 pupils and the subsequent drop out rate is of major concern in South Africa, especially as far as Black pupils are concerned. The school drop out rate is estimated to be four times higher in Black pupils than White children. The dilemma for the professionals in assessing children, who are experiencing difficulty at school, and who are from disadvantaged, non-English speaking communities, is the paucity of reliable, objective tests to identify children at risk. The purpose of this study was to determine whether commercially available ‘culture fair’ tests could be used to evaluate Black pupils early in Grade 1 and if they were associated with educational success. A parental questionnaire was used to examine non-academic predictors of educational success, such as birth history, socio-economic status and the medical profile.

One hundred and three Grade 1 pupils were tested in the first term. The tests used were the Griffiths Mental Developmental Scales, WISC mazes, Raven’s Progressive Matrices, Developmental Test of Visual Motor Integration (VMI), Motor-free Visual Perceptual Test (MVPT), Test of Visual Perceptual Skills (TVPS) and the Draw-a-Person Test (DAP). Several backward elimination stepwise regression analysis procedures were used to examine the multivariate associations between the psychometric and non-academic variables and three outcome variables, namely the mid and end of year aggregates and a pass/fail dichotomous variable.

Non-academic variables that were significantly associated with academic success were asphyxia, overcrowding and maternal education. The psychometric subtests that were significantly associated with academic achievement were the VMI, DAP, the Raven’s Progressive Matrices, TVPS and WISC mazes.

Commercially available ‘culture fair’ tests are significantly associated with educational success in Black Grade 1 pupils where standardised, comprehensive tests are not available. To evaluate to what extent these tests would be reliable predictors of educational success further studies would have to analyse a larger cohort of pupils.

 

 

Health actions and health promotion among a sample of rural Black South African children

Supa Promtussananon1 and Karl Peltzer1,2*

1 Department of Community Health, University of Venda for Science and Technology, Private Bag X5050, Thohoyandu 0950, South Africa

2 Social aspects of HIV/AIDS and Human Sciences Research Council, Private Bag X9182, Cape Town 8000, South Africa

* Corresponding author, e-mail: [email protected]

Abstract:

The purpose of this study was to investigate the daily activities that young South African children perceived as health related activities. The sample included 117 children (33, ages 5–7 years; 44, ages 8–10 years; and 40, ages 11–12 years) chosen by two-stage cluster sampling in a rural community of the central region of the Northern Province. Results indicated that the most important health actions around healthy eating were, ‘washing hands’; around dressing, ‘wearing warm clothes’; around keeping clean, ‘washing body and hair’; going to sleep, ‘washing body’; activity at school, ‘read and write’; recess and leisure time, ‘playing football or netball’. Personal hygiene (washing, brushing teeth, etc.) was the most common health action of the children around healthy eating, keeping clean and going to sleep. Some health actions were insufficiently mentioned, brushing teeth for example and some wrongly mentioned such as eating porridge before going to sleep. This study showed that children have insufficient knowledge and understanding about health related activities. Results suggest that health professionals and teachers should consider providing more information about health related activities for young children.

 

 

Culture and infancy: a critical examination

Mark Tomlinson

Child Guidance Clinic, University of Cape Town, Chapel Road, Rosebank 7700, South Africa and Winnicott Research Unit, University of Reading, United Kingdom

e-mail: [email protected]

Abstract:

Over 90% of infants born in the world live in low-income countries, but most scholarly knowledge about infancy is produced in wealthy countries. More knowledge is consequently needed about infancy throughout the world. There are logistical and cultural difficulties associated with gaining this information, but in this paper I focus on the broader ideological context of knowledge production about infancy world-wide. Using a recently published volume, A World of Babies: Imagined Childcare Guides for Seven Societies (DeLoache and Gottlieb 2000) as an exemplar, I will show that the representation of infancy as an ideology-free or even romanticised zone may do little to forward our understanding of infancy and culture.

 

 

Treatment for perinatal disturbancea

Joan Raphael-Leff

Centre for Psychoanalytic Studies, University of Essex, Wivenhoe Park, Colchester CO435Q, United Kingdom

e-mail: [email protected]   

Abstract

The perinatal period of transition to parenthood is one of heightened passions, which revive the expectant and new parents’ own early experiences, and particularly unresolved emotional issues. For many deprived parents close contact with an infant reactivates old grievances at this time of vulnerability, which may manifest in syndromes of self-pity or in fury and vengefulness over past humiliations. Unprocessed dissatisfactions tend to erupt in disruptive or repetitious behaviours, which inevitably affect the baby in their care.

In addition, childbearing in societies undergoing transition, like South Africa, may be fraught with extra stresses. These include socio-economic disadvantages and social adversity arising from geographical relocation and breakdown of traditional patterns, and psychological distress due to past or current experiences of physical or emotional trauma and neglect and relationship difficulties which tend to be exacerbated in times of rapid cultural change in the absence of a wider supportive network.

It is argued that, in societies with scarce resources, the mental health focus must be on prevention, detection of high-risk groups and early intervention. Two tables are presented — of risk indicators and treatment guidelines, which may be applied during the perinatal period to minimise postnatal disturbance. Health workers with minimal training can be effective in screening and in some cases, delivering prophylactic or postnatal care to people at potential risk. Offering such help may enable resilient people in a state of crisis or transition to marshal their own resources. For others longer-term professional help may be required to shift the chronic effects of cumulative trauma by reworking emotional predicaments in a caring and safe environment.

 

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