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A secondary study was conducted within a broader National Institutes of Health (NIH)-funded longitudinal study on resilience in South African mothers and children affected by HIV/AIDS (Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome). The aim of this study was to evaluate the effect of a 24-week support group intervention programme, which was designed to enhance adaptive behaviour of latent-phase children affected by maternal HIV/AIDS as reported by the mother participants. The study was embedded in a concurrent nested mixed-method design, with a quasi-experimental and a nested multiple case study approach. The mother and child dyads (n = 139) were purposefully selected from amongst previously identified HIV-positive women (n = 220), with children between the ages of 6 and 10 years at clinics in the Tshwane region, South Africa. Data were collected over a period of five years in multiple waves of intervention implementation. The data collection strategies comprised of mother psychological questionnaires and quality assurance questionnaires. The quantitative data were analysed by means of a paired-sample t-test for within-group comparisons. The qualitative text was analysed for themes to establish defined categories. The findings of the study showed that the mothers reported that the child support group intervention sessions decreased the children's withdrawal-, social-, attention-, rule-breaking- and aggressive behavioural problems. The findings suggest that the use of support groups should be incorporated into intervention programmes dealing with latent-phase children affected by HIV/AIDS to enhance adaptive behaviour.

This paper discusses silent group Sandplay (SP) with early adolescents in circumstances of deprivation, neglect and trauma. SP offered in multiple layers of temenos in a children's home environment provided a conducive context for inner processing. Considered from a Jungian perspective, SP revealed inner processing at work. Initial portrayals included threats, conflict and chaos, the need for protection and containment and revealed vulnerability. Later SP images and processes depicted progression and regression, uniquely creative together as well as containment and activation of movement. Silent group SP supported and facilitated transcendental and self encounters that included centring, integration, wholeness, numinous and newfound energy. The implications are potentially far-reaching in terms of the relative affordability, accessibility, efficiency and cultural suitability of this intervention that is not reliant on the verbal skills of the participants or the therapist and can be offered to several individuals simultaneously. [ABSTRACT FROM AUTHOR]

This paper describes the process of developing a parallel intervention for HIV-positive mothers and their young children (6-10 years) with a view to strengthening the relationship between them. Strong mother-child relationships can contribute to enhanced psychological resilience in children. The intervention was developed through action research, involving a situation analysis based on focus group discussions; intervention planning, piloting the intervention and a formative evaluation of the intervention. Participants supplied feedback regarding the value of the intervention in mother-child relationships. The findings obtained from the formative evaluation were used to refine the intervention. Two parallel programmes for mothers and children (15 sessions each) were followed by 10 joint sessions. The intervention for mothers focused on maternal mental health and the strengthening of their capacity to protect and care for their young children. The intervention for children addressed the development of their self-esteem, interpersonal relationships and survival skills. The formative evaluation provided evidence of good participation, support and group cohesion. Qualitative feedback indicated that the activities stimulated mother-child interaction. A similar intervention can easily be applied elsewhere using the detailed manual. The insights gained and lessons learnt related to mother and child interaction within an HIV-context that emerged from this research, can be valuable in other settings, both in Sub-Saharan Africa and elsewhere. (Contains 1 figure and 1 table.)

A secondary study was conducted within a broader National Institutes of Health (NIH)-funded longitudinal study on resilience in South African mothers and children affected by HIV/AIDS (Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome). The aim of this study was to evaluate the effect of a 24-week support group intervention programme, which was designed to enhance adaptive behaviour of latent-phase children affected by maternal HIV/AIDS as reported by the mother participants. The study was embedded in a concurrent nested mixed-method design, with a quasiexperimental and a nested multiple case study approach. The mother and child dyads (n = 139) were purposefully selected from amongst previously identified HIV-positive women (n = 220), with children between the ages of 6 and 10 years at clinics in the Tshwane region, South Africa. Data were collected over a period of five years in multiple waves of intervention implementation. The data collection strategies comprised of mother psychological questionnaires and quality assurance questionnaires. The quantitative data were analysed by means of a paired-sample t-test for within-group comparisons. The qualitative text was analysed for themes to establish defined categories. The findings of the study showed that the mothers reported that the child support group intervention sessions decreased the children's withdrawal-, social-, attention-, rule-breaking- and aggressive behavioural problems. The findings suggest that the use of support groups should be incorporated into intervention programmes dealing with latent-phase children affected by HIV/AIDS to enhance adaptive behaviour. [ABSTRACT FROM AUTHOR]