Raising children : single parents' parenting styles with children living with attention-deficit/hyperactive disorder

This article reports on the perceptions of single parents on their parenting styles in raising their children living with attention-deficit/hyperactive disorder (ADHD). Purposive sampling was used to collect the sample group. The study comprised 10 female participants of white, Indian, and coloured descent with a mean age of 35.6 years. The participants were single parents of a child formally diagnosed with ADHD and living in South Africa. Qualitative data were gathered using semi-structured interviews and subsequently thematically analyzed. The study found that the single parents of children with ADHD perceived their parenting styles as unique from their parents’ traditional methods. The results also revealed shortcomings in the theoretical framework used to guide this study, especially in regard to non-traditional parenting structures. Future research could explore a proposed conceptual framework, the Pan-African Millennial Parenting conceptual framework.https://www.tandfonline.com/loi/gecd20hj2023Educational Psycholog

Psychosocial well-being in adulthood in response to systemic barriers in kinship care as experienced during adolescence

This study reports on the experiences of Black adults who were raised in kinship care during adolescence and its influences on their psychosocial well-being in adulthood. An exploratory, descriptive, instrumental, multiplecase study approach was followed to facilitate retrospective investigation. Semi-structured, individual interviews were conducted to construct data. The sample comprised of 13 Black adults between the ages of 18 and 42 years. Thematic analysis was used to analyse the data. The themes highlighted the systemic challenges characteristic of the South African context. These include poverty, material deprivation, and its influence on the kinship caregiver’s physical and emotional accessibility. The findings suggest that the implications of the systemic challenges reverberate as forms of structural violence. Many of the participants defend against this, with conscious efforts to emphasize on the constructive outcomes of their experiences. Future research should include multiple case and quantitative studies as well as more longitudinal research.This article is part of the research project ‘Black Adults’ accounts of their kinship care experiences and influences on their psychosocial well-being.https://www.tandfonline.com/loi/rady20am2020Educational Psycholog

Siblings’ Perceptions of Their ADHD-Diagnosed Sibling’s Impact on the Family System

This qualitative study explored siblings’ perceptions of the impact a sibling diagnosed with ADHD has within the family system. Specific focus was placed on the different ways these different sibling cohorts were parented. Participants constituted eight adult females with a mean age of 20 years from different cultural and socio-economic backgrounds in the province of Gauteng, South Africa. Data was collected using semi-structured interviews and was analysed thematically. The four themes that emerged from the interviews include differential parental treatment, rejection, discrepancy with discipline, and the parentified child. Specifically, the results of this study revealed feelings of differential parental treatment and discipline that took place in the home and rejection experienced by the non-ADHD sibling. There was also a common theme of a parentified child, who had to carry a burden of caring for their sibling with ADHD. The non-diagnosed siblings perceive themselves to be particularly negatively impacted. The results are discussed in light of the previous empirical studies, and recommendations are made

Psychosocial well-being in adulthood in response to systemic barriers in kinship care as experienced during adolescence

This study reports on the experiences of Black adults who were raised in kinship care during adolescence and its influences on their psychosocial well-being in adulthood. An exploratory, descriptive, instrumental, multiple-case study approach was followed to facilitate retrospective investigation. Semi-structured, individual interviews were conducted to construct data. The sample comprised of 13 Black adults between the ages of 18 and 42 years. Thematic analysis was used to analyse the data. The themes highlighted the systemic challenges characteristic of the South African context. These include poverty, material deprivation, and its influence on the kinship caregiver’s physical and emotional accessibility. The findings suggest that the implications of the systemic challenges reverberate as forms of structural violence. Many of the participants defend against this, with conscious efforts to emphasize on the constructive outcomes of their experiences. Future research should include multiple case and quantitative studies as well as more longitudinal research

Child abuse in Setswana folktales

This article examines the possible role played by African folk literature, taking Setswana folktales as a case in point, in justifying and perpetuating the abusive behaviour so often witnessed and decried in postmodern society. We found some evidence that certain folktales may depict real-life child abuse by adults (male and female), and, indeed, serve to perpetuate pre-modern societal beliefs. Ideally speaking, citizens should probably be educated about the possible negative impact of that part of folk literature that serves to perpetuate negative stereotypes of children as objects to be (ab)used. Since folk literature may be serving as a potentially significant guardian of these beliefs, a possible first step would be to identify folktales and other stories that may keep alive beliefs that reinforce obsolete views about children. This is a challenge to all folklorists

Exploring facilitation skills in transdisciplinary teamwork

This article describes the facilitation skills relevant to asset-based transdisciplinary team collaboration within an Early Childhood intervention social setting in rural KwaZulu-Natal. The authors describe the conceptual framework of the underlying study, the methodology and the findings, the facilitation skills that have been identified, and the attitudes, values, knowledge and complimentary approaches that were deemed necessary by the participants for the effective and successful utilization of these facilitation skills. The article concludes with the implications for future research and training within community psychology in general, and with regard to facilitation skills within an asset-based transdisciplinary approach in particular

Rucaparib versus standard-of-care chemotherapy in patients with relapsed ovarian cancer and a deleterious BRCA1 or BRCA2 mutation (ARIEL4): an international, open-label, randomised, phase 3 trial

Background: Few prospective studies have compared poly(adenosine diphosphate-ribose) polymerase (PARP) inhibitors to chemotherapy for the treatment of BRCA1-mutated or BRCA2-mutated ovarian carcinoma. We aimed to assess rucaparib versus platinum-based and non-platinum-based chemotherapy in this setting. Methods: In this open-label, randomised, controlled, phase 3 study (ARIEL4), conducted in 64 hospitals and cancer centres across 12 countries (Brazil, Canada, Czech Republic, Hungary, Israel, Italy, Poland, Russia, Spain, Ukraine, the UK, and the USA), we recruited patients aged 18 years and older with BRCA1-mutated or BRCA2-mutated ovarian carcinoma, with an Eastern Cooperative Oncology Group performance status of 0 or 1, and who had received two or more previous chemotherapy regimens. Eligible patients were randomly assigned (2:1), using an interactive response technology and block randomisation (block size of six) and stratified by progression-free interval after the most recent platinum-containing therapy, to oral rucaparib (600 mg twice daily) or chemotherapy (administered per institutional guidelines). Patients assigned to the chemotherapy group with platinum-resistant or partially platinum-sensitive disease were given paclitaxel (starting dose 60-80 mg/m2 on days 1, 8, and 15); those with fully platinum-sensitive disease received platinum-based chemotherapy (single-agent cisplatin or carboplatin, or platinum-doublet chemotherapy). Patients were treated in 21-day or 28-day cycles. The primary endpoint was investigator-assessed progression-free survival, assessed in the efficacy population (all randomly assigned patients with deleterious BRCA1 or BRCA2 mutations without reversion mutations), and then in the intention-to-treat population (all randomly assigned patients). Safety was assessed in all patients who received at least one dose of assigned study treatment. This study is registered with ClinicalTrials.gov, NCT02855944; enrolment is complete, and the study is ongoing. Findings: Between March 1, 2017, and Sept 24, 2020, 930 patients were screened, of whom 349 eligible patients were randomly assigned to rucaparib (n=233) or chemotherapy (n=116). Median age was 58 years (IQR 52-64) and 332 (95%) patients were White. As of data cutoff (Sept 30, 2020), median follow-up was 25·0 months (IQR 13·8-32·5). In the efficacy population (220 patients in the rucaparib group; 105 in the chemotherapy group), median progression-free survival was 7·4 months (95% CI 7·3-9·1) in the rucaparib group versus 5·7 months (5·5-7·3) in the chemotherapy group (hazard ratio [HR] 0·64 [95% CI 0·49-0·84]; p=0·0010). In the intention-to-treat population (233 in the rucaparib group; 116 in the chemotherapy group), median progression-free survival was 7·4 months (95% CI 6·7-7·9) in the rucaparib group versus 5·7 months (5·5-6·7) in the chemotherapy group (HR 0·67 [95% CI 0·52-0·86]; p=0·0017). Most treatment-emergent adverse events were grade 1 or 2. The most common grade 3 or worse treatment-emergent adverse event was anaemia or decreased haemoglobin (in 52 [22%] of 232 patients in the rucaparib group vs six [5%] of 113 in the chemotherapy group). Serious treatment-emergent adverse events occurred in 62 (27%) patients in the rucaparib group versus 13 (12%) in the chemotherapy group; serious adverse events considered related to treatment by the investigator occurred in 32 (14%) patients in the rucaparib group and six (5%) in the chemotherapy group. Three deaths were considered to be potentially related to rucaparib (one due to cardiac disorder, one due to myelodysplastic syndrome, and one with an unconfirmed cause). Interpretation: Results from the ARIEL4 study support rucaparib as an alternative treatment option to chemotherapy for patients with relapsed, BRCA1-mutated or BRCA2-mutated ovarian carcinoma