Philosophiae Doctor - PhD (Psychology)

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https://hdl.handle.net/10566/11177

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Black, South African, lesbian: Discourses of invisible lives
(University of the Western Cape, 1997) Potgieter, Cheryl-Ann; Strebel, Ann Marie; Dept. of Psychology; Faculty of Community Health and Sciences
The main aim of the present study is to undertake an examination of the discourses regarding lesbianism as produced by a group of black South African lesbians.
Discourses of heterosexual subjectivity and negotiation
(University of the Western Cape, 1999) Shefer, Tamara; Strebel, Ann Marie; Foster, Don; Dept. of Psychology; Faculty of Community and Health Sciences
It is widely acknowledged that there are problems with the way in which heterosexual relationships are negotiated. A critical focus on heterosexuality has been particularly stimulated by feminist discourse on gender power relations and the global imperative to challenge HIV infection. In the South African contextthere has been a growing on researching and education about (hetero)sexuality, particularly in the wake of the continued increase in HIV prevalence rates which are highest among young black, South Africans.
Ideological Constructions of Childhood
(University of the Western Cape, 2010) Savahl, Shazly; Malcolm, Charles; Slembrouk, Stef; September, Rose; Dept. of Psychology; Faculty of Arts
The theoretical conceptualisation of children and childhood in the social sciences has traditionally been aligned to developmentalism and Socialisation theory. It is essentially this theoretical orientation that has spawned contemporary social discourses on children and childhood. Within this framework, children are typically perceived as immature, irrational, incompetent, asocial and acultural and have consequently contributed to the social and political marginalisation of children. Recent theorists have shown, through a process of deconstructing dominant scientific discourses on childhood, how the concept functions ideologically to establish taken-for-granted meanings about children. The present study is attempting to explore the ways in which children themselves construct and mobilise meanings of childhood. Using the social constructionist theoretical framework as a point of departure, the primary aim of the study is to explore the extent to which the meanings that children assign to ‘childhood’ are ideologically configured. More specifically, using the concept of well-being as a hermeneutic key, the study examines how children use specific discursive resources and repertoires to assign meaning to ‘childhood’. It is essentially offering an ideological analysis through an elucidation of the existing power relations between children and society and how these relations are perpetuated and manifested in children’s discourses. At the methodological level, the study is premised on working from the perspectives of children, thereby advancing a child participation framework. Key epistemological and methodological questions are explored with specific reference to the role of the child participation model as the methodological point of departure. A qualitative methodological approach is followed using focus groups as the data collection method. A series of focus groups was conducted with 56 thirteen year old children, from urban and rural geographical locations in the Western Cape. Thompson’s (1990) depth hermeneutics, which provides a critical and systematic interpretive framework for the analysis of ideological constructions, was utilised within a discourse analysis framework to analyze and interpret the findings. The key finding of the study was that the meanings that children assign to childhood are ideologically configured. The essence of this configuration is adult society’s mobilization and control of the meanings of childhood, which functions to maintain relations of domination. The outcome of this on children’s meaning assignation and constructions of childhood is characterized by a consensus/contestation dichotomy as children appear to both accept and resist the ideology. This emerges at the intrapersona level (within the consciousness of children), the interpersonal level (between children) and societal level (between children and adult society). The study concludes by advancing the notion that childhood should be conceived of as an ideological configured construction, and not merely as a discursive construction, functioning within various social contexts. Thus, the meanings of childhood, whether constructed by, or present in discourses, cannot be independent from the ideologically configured social, historical and material structures. It is believed that this theoretical maneuver will bring theories of childhood into better alignment with practical actions resulting in opportunities for intervention, services, monitoring and research initiatives, as well as policy development and implementation, aimed at improving child and youth wellness.
The impact of repeated mild traumatic brain injuries (concussions) on the cognitive and academic functioning of early adolescent rugby union players: A controlled, longitudinal, prospective study
(University of the Western Cape, 2007) Alexander, Debbie; Malcolm, Charles; Dept. of Psychology; Faculty of Community and Health Sciences
This study investigated, within the context of Brain Reserve Capacity (BRC) theory, whether repeated concussions resulted in residual deficits in cognitive and academic functioning of early adolescent rugby players relative to non-contact sports controls.
Single and married mother pre-adolescent relationships: understanding and comparing the interaction between self-esteem and family functioning
(University of the Western Cape, 2008) Roman, Nicolette Vanessa; Mwaba, K.; Malcolm, C.; Lens, W.; Dept. of Psychology; Faculty of Community and Health Sciences
The main purpose of this study was to assess the psychological well-being of mothers and their pre-adolescent children (aged 10-12). Specifically, the study used a mixed methods sequential explanatory design to compare and understand the interaction between 245 single and married mother-pre adolescent relationships with regard to self esteem, autonomously-supportive and psychologically controlling parenting practices. And their familial enviironment within low and high socio-economic settings. A qualitative component was used to explore mothers' understanding of their relationships with their pre adolescent children. The Coppersmith- Self-steem Inventory and the Satisfaction with Life Scale were used to assess the psychological well-being of mothers and children, the Perceptions of Parents Scale for autonomously-supportive maternal parenting practices, Parent Psychological Control for psychologically controlling parenting practices and the environment Scale for family functioning. The findings provide an understanding of how healthy families function within enhancing and hindering environments and empasises the importance of parenting.
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 Psychology
This 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.

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