scholarly journals Lived experience of patients on tuberculosis treatment in Tshwane, Gauteng province

2017 ◽  
Vol 22 ◽  
pp. 259-267 ◽  
Author(s):  
Oluwafunmilayo Olabisi Akeju ◽  
Susanna C.D. Wright ◽  
Todd M. Maja
2017 ◽  
Vol 22 ◽  
Author(s):  
Oluwafunmilayo O. Akeju ◽  
Susanna C.D. Wright ◽  
Todd M. Maja

Tuberculosis is one of the communicable diseases that still contributes substantially to the worldwide disease burden and is still a major health threat worldwide. In order to gain abetter understanding of being a patient taking tuberculosis treatment and to improvead herence to treatment, this phenomenological study was conducted to explore the lived experience of patients on tuberculosis treatment.The population comprised patients in an identified tuberculosis clinic in Tshwane who had been on treatment for at least four months and who were able to communicate in English. The data gathering instrument was self-report by in-depth interview. Some of the main themes that emerged include influence of personal social situation, influence of good social support and disclosure, experience of taking medication daily and knowledge about tuberculosis treatment.Findings revealed that the personal social situations of the participants which include accommodation, unemployment and nutritional requirements influenced the adherence of the participants to treatment. It was discovered that good social support had an influence on adherence which could only be enjoyed when the treatment and diagnosis of tuberculosis is disclosed to the family members and friends. Some of the participants, who had been non adherentin the past, attributed the reasons for their non-adherence to the side effects that they experienced. Lastly, participants also reported knowledge about tuberculosis, that is, knowledge about its causes, treatment and prevention, as crucial for adherence to treatment.


1996 ◽  
Vol 41 (1) ◽  
pp. 85-85
Author(s):  
Terri Gullickson ◽  
Pamela Ramser
Keyword(s):  

Author(s):  
Debbie Zimmerman

In this response to Michaela Chamberlain's article, I engage with some of the key aspects of her thinking in her exploration of the concept of the secure base and how the theory of its "provision" is tested by her lived experience of working with patients whose attachment-related trauma has compromised their capacity to experience her as a secure base. In particular, I explore the idea of the secure base as a two-person relational construct. I use an attachment lens to consider the complexities and challenges in facilitating attachment security when working with disorganised attachment. I explore the question of the need for an earlier "holding" phase as a precursor to the capacity to relate to a secure base and consider the expansion of the concept of the term secure base to incorporate this earlier "holding" dimension. I also question the possibility and desirability of "complete holding" in working towards attachment security, engaging with Winnicott's theories to explore the ideas of the transitional space of illusion and disillusion, of "good-enough", and of internalisation in the therapeutic process of building attachment security. Finally, I consider the parallel process of the therapist's development of their internal secure base.


2019 ◽  
pp. 229-10.33526/EJKS.20191901.229
Author(s):  
Xiaoxuan Lu

Focusing on the interplay between memory and place, this article examines the rationale behind the use of axonometric drawings (axons) in a geographical research study of the Tumen/Tuman River region encompassing the borders shared by China, Russia and North Korea. The concepts of “memory of place” and “place of memory” guide the structure of this project and the flow of this article. “Memory of place” emphasises the lived experience of our physical senses, and helps determine the great potential of visual methodologies in the fields of geographical and landscape research and study. Drawn up using the graphic production techniques of abstracting, foregrounding, highlighting and juxtaposing, axons avail themselves of and inform both realist and idealist states of mind. In contrast, “place of memory” references a particular type of materiality and helps us understand Tumen Shan-shui as a library of memories that reveals a profusion of contested aesthetic, cultural and political meanings. Axons serve to tell narratives revealing desires, actions and undertakings that have shaped and continue to shape the substance of the memory sites in question including infrastructure, architecture and signage. Initially adopted by the author as a medium for recording and communicating due to security restrictions imposed in the border areas in question, the creation of axons generated new insights on methods of documentation in landscape research, and the places and landscapes themselves.


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