Philosophiae Doctor - PhD (Psychology)
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Browsing by Author "Andipatin, Michelle"
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Item A narrative approach to understanding child homicide from the perspective of incarcerated South African parents convicted of killing their children(University of the Western Cape, 2019) Dekel, Bianca; Andipatin, Michelle; Abrahams, NaeemahSouth Africa has among the highest reported rates of neonaticide and infanticide, yet we do not know much about the circumstances surrounding parental child killing. Therefore, this dissertation sought to address this lacuna in the research literature. The dissertation is divided into two phases. Phase one includes a scoping review, which describes research on the homicide of infants (aged 0-1 year), pertaining to victim and perpetrator characteristics. A search of 18 databases, yielded 53 included articles, of which 39 were case studies, two were qualitative, and 12 were quantitative. The review’s main finding is the shortage of good quality data as most included studies were case studies. Therefore, we hope that this review encourages the development of a larger scholarship of robust research focused on the homicide of infants. Phase two presents the findings of a life history study, couched within a biopsychosocial epistemology, undertaken to uncover the life stories of parents who are incarcerated for killing either a biological child, a stepchild, or a child in their care. The qualitative study draws on 49 in-depth interviews with 22 participants. Attachment theory, epigenetics, feminist theory, and the social ecological theory assisted in understanding this crime. Through a grounded theory analysis of the life stories presented, it becomes evident how traumatic parent-child experiences in the form of absent parents, neglect, and abuse, had a profound impact on these participants. Their narratives suggest that, in the absence of reparative environments, their histories of childhood abuse and abandonment were potentially risk factors for negative consequences in the parenting role, as they likely reenacted these cycles of unhealthy behavior with partners and children.Item Understanding HELLP Syndrome in the South African context: a feminist study(University of the Western Cape, 2012) Andipatin, Michelle; Shefer, Tamara; Mwaba, Kelvin; Dept. of PsychologyThis thesis is about HELLP Syndrome (hemolysis, elevated liver enzymes, low platelet count in pregnancy): a devastating maternal hypertensive complication that results in multi-system changes that can rapidly deteriorate into organ failure and death. Despite rapid advancesin medical technology and medical science this disease continues to take the lives of women and their infants. The only effective intervention for this disorder is immediate termination irrespective of the gestational stage of the pregnancy. The primary objective of this thesis was to explore the subjective experiences and meaningmaking processes of women in and through their high-risk pregnancies. This objective crystallised into the following aims: to facilitate and listen to the voices of women who were HELLP Syndrome survivors; to explore the reported bodily, psychological and emotional experiences of HELLP Syndrome survivors; to understand the role medical intervention and biomedical discourses play in these women’s experiences and finally to explore the subjective experiences of HELLP Syndrome in the context of traditionallyheld notions of motherhood. The study was couched in a feminist poststructuralist epistemology. A material-discursive framework which comprised phenomenological and poststructuralist theorising was usedin an attempt to understand both the lived experiences as well as the discursively constructed nature of those subjective experiences. Thus the analysis encompassed both a broadly phenomenological framework to understand the lived experiences of HELLP Syndrome, and a discourse analysis to explore the meaning-making processes of participants in relation to larger social discourses, in particular the dominant biomedical and motherhood discourses. A qualitative approach using in depth semi-structured interviews was utilisedto gather data. Eleven participants from very diverse backgrounds consented to be part of thisstudy. The findings of the study highlighted the immense trauma, difficulties and challenges participants faced in these high-risk situations. What was evident from the analysis was that their experiences were so diverse and werecompletely shaped by the severity of the disorder and the gestational stage of the pregnancy. Some women ended up in the Intensive Care Units (ICU) and had near-death experiences, some had very premature babies, while some of the participants lost their babies during the process. With regards to the emotional, psychological and corporeal aspects of the disorder,participants described their situations as a disaster, painful and difficult. Due to the rapid deterioration of symptoms, they described the tempo of these events as a whirlwind in which they felt they had no control. Emotions ranged from shock, total disbelief and surprise to anger, helplessness and powerlessness. Lacking knowledge and access to appropriate information further compounded the situation for participants. Theparticipants who had premature babies found the Neonatal Intensive Care Unit experience (NICU) extremely challenging and stressful. A discourse analysis revealed that women’s talk was shaped by the disciplinary frameworks oftechnocratic medicine and patriarchal notions of gender. Participants’ discourses about their encounters inthe medical context werelocated in, and shaped by, the structure of health care in our country. In this regard binaries (like private versus public health care, women versus men and nurses versus doctors) were evident. Furthermore their hospital stay reflected their experiences in the Intensive Care (ICU) and the Neonatal Intensive Care Units (NICU) both of which are highly technologically orientated and managed. Biomedical discourses that filtered through the participants’ talk were: medicine as indisputable truth;mechanistic model of the body as machine; medical doctors as gods and the foetus as ‘super subject’. Discourses of risk were inevitably taken up as participants tried to make sense of both their current pregnancies and the potential ones to follow. The passage into motherhood for these participants was dependent on whether they had live babies or not. For those who had live babies it was a difficult time as they had to contend with their own recovery as well as the prematurity of their infants. The NICU experience was described as tiring, trying and cumbersome. For mothers who lost their babies it was a time of profound sadness and loss coupled to the notion that motherhood itself was lost. This loss of their children symbolised broken dreams, severed connections and a powerful taboo. In addition, discourses in which motherhood was naturalised and normalised saturated their talk and framed their experience in a narrative of deficit and failure. The ideologies of mother blame and the ‘all responsible’ mother were pervasive in their discussions. In conclusion, this high-risk situation represented a time of tremendous uncertainty and unpredictability for all participants and was powerfully shaped by dominant discourses about motherhood and the biomedical discursive and institutional framework in which participants were subjugated. The study thus highlights how the HELLP syndrome experience illuminates the erasure of women’s subjectivities while the foetus/infants’ life takes precedence. This has significant implications for scholarship in general and feminist scholarship in particular and highlights the need for this type of engagement in an area that has remained on the periphery of feminist research.