Philosophiae Doctor - PhD (Psychology)

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Strengthening families programme (sfp) 10 -14: developing a guideline of actionable steps to follow in cultural adaptation for use in South Africa
(University of the Western Cape, 2022) Jacobs, Warren R; Smith, Mario
The age of first-time engagement in Health Risk Behaviours (HRBs) among adolescents in South Africa is reportedly younger. The identification and adaptation of empirically proven effective prevention programme is needed. The Strengthening Families Programme 10-14 (SFP:10-14) is a school-based, family intervention programme designed by the Iowa State University (ISU). Extension Programme team to reduce engagement in HRBs and promote positive functioning for parents and pre-and early adolescents. The SFP: 10-14 has been successfully implemented in the United States of America, and implemented in numerous countries. The adaptation of the SFP programme is guided by the cultural adaptation process for international dissemination. The dissemination process comprises of broad recommended steps
Establishing a psychosocial and needs profile of first generation undergraduate students at an identified historically disadvantaged institution
(University of the Western Cape, 2022) Pienaar, Mariska; Padmanabhanunni, Anita
Following the dismantlement of the racial segregationist apartheid system and the establishment of a democratic republic, South Africa embarked on education policy reform that established a mandate to increase access to higher education for previously disadvantaged groups. This has led to an increase in first-generation students at South African higher education institutions. Despite suggestions from the international literature of associations between first-generation status, attrition, and poorer academic performance among first-generation students compared to their continuing-generation peers, there is a paucity of South African literature on this student population.
Recovery and substitute addictions in the Western Cape, South Africa: A multi-perspective approach
(University of the Western Cape, 2022) Sinclair, Deborah Louise; Savahl, Shazly
Understanding substitute addictions, whereby a terminated addictive behaviour is replaced with another behaviour or addiction, has implications for assessment, treatment planning and recovery of Substance Use Disorders (SUDs). As the harms of addictive behaviours extend to communities and society, it is vital to keep pace with the evolving needs of persons in various stages of recovery and to equip service providers and adapt programmes accordingly. Yet, substitute addictions are under-researched globally. This study aims to explore the nature and dynamics of substitute addictions in the Western Cape, South Africa, using a multiple methods design, comprising five separate but interrelated sub-studies.
Stress in the SA Navy: Piloting and evaluating the validity and reliability of a developed therapeutic recreation stress leisure and appraisal tool
(University of Western Cape, 2021) Cozett, Marlin; Young, Marie
The nature of naval member’s job demands is that they experience high levels of stress. Stress is introduced in military training to familiarize sailors with real life stressors. This study is located in piloting and validity theory. It focuses explicitly on validating an existing tool, the Therapeutic Recreation Stress Leisure Appraisal Tool, to measure stress in the South African Navy. This study aimed to pilot and evaluate the validity and reliability of the developed tool in an African context in the South African Navy. A multi-stage procedure of instrument development using the instrument development model will be used, consisting of the following steps: 1) preliminary phase, 2) questionnaire development, 3) pilot testing, and 4) evaluation.
Experiences of interpersonal relationships, stress and coping amongst adolescents who report substance use
(University of Western Cape, 2021) Gadija, Khan; Naidoo, Pamela
Adolescence, a critical developmental period, requires a certain level of adjustment and may negatively impact youth psychosocial development. Unsurprisingly, adolescent substance use continues to be a major public global health concern. Additionally, some adolescents are immersed in various interpersonal relationships and exposed to various stressors daily, which may affect their psychological well-being and developmental trajectories. This research aimed to explore the experiences of interpersonal relationships, stress and coping, and determine substance use patterns, symptoms of two common mental disorders (depression and generalized anxiety) amongst adolescents who report using substances (legal and illegal) in low-income communities in South Africa by employing Bronfenbrenner’s bio-ecological theory and the person-process-context-time model as a theoretical lens.
How the experiences of Infertility and In Vitro Fertilization and Embryo Transfer (IVF -ET) are understood by South African women attending fertility clinics
(University of the Western Cape, 2008) Pedro, Athena; Mwaba, Kelvin
Infertility is currently a serious problem that is escalating, not only in South Africa, but also worldwide. In Cape Town, a culturally diverse, urban community of approximately 1000 couples are referred to the Groote Schuur Hospital Infertility Clinic annually. Although infertility is primarily regarded as a medical condition, the treatments have emotional effects on infertile couples due to the recurring highs and lows that often accompany treatments. This study aimed to qualitatively explore and understand the emotional and psychological experiences of infertility and its treatments (specifically In Vitro Fertilisation and Embryo Transfer). Social constructionism is based on the premise that realities are not constructed in a vacuum but rather undergo a process whereby the subjective and inter-subjective experiences over time and through cultural processes come to be regarded as truths. These truths become internalised and function as lenses through which we see ourselves, compose and invent ourselves accordingly, making sense of what would otherwise have been chaotic and meaningless experiences. Additional aims were to examine women's experiences of infertility care whilst undergoing treatment and describe their experiences of coping with infertility and In Vitro Fertilisation and Embryo Transfer (IVF-ET). Semi-structured, in-depth individual interviews were conducted with 21 women presenting with primary infertility at a fertility clinic. This study utilised an ethnographic case study design. The results of the study suggested that women perceived themselves as not conforming to a dominant belief system that promotes motherhood as the most important role for women. The women described their 'failure' to fulfill socio-cultural expectations as emotionally turbulent. Some of the psychological responses to infertility included feelings of disappointment, shock, denial, devastation, anger, frustration, sadness, inadequacy, poor self-image and self-esteem. The women's personal accounts of their experiences of In Vitro Fertilisation and Embryo Transfer (IVF-ET) revealed that they found the treatment to be highly stressful, with emotional bouts of anxiety, nervousness, excitement and optimism. A psychological synopsis of infertility and IVF-ET is presented. This diagrammatic representation shows the intensity of the emotional rollercoaster that infertility and IVF-ET presents. The findings in this study suggest the need for the incorporation of presented. This diagrammatic representation shows the intensity of the emotional rollercoaster that psychosocial intervention into infertility management. Greater attention to the psychological and emotional repercussions of infertility treatment could lead to a more personalised approach which, in turn, would optimise patient satisfaction and also prepare couples for the demands of the program by informing them about better ways of coping.
Stress in the SA Navy: Piloting and evaluating the validity and reliability of a developed therapeutic recreation stress leisure and appraisal tool
(2021) Cozett, Marlin; Young, Marie
The nature of naval member’s job demands is that they experience high levels of stress. Stress is introduced in military training to familiarize sailors with real life stressors. This study is located in piloting and validity theory. It focuses explicitly on validating an existing tool, the Therapeutic Recreation Stress Leisure Appraisal Tool, to measure stress in the South African Navy. This study aimed to pilot and evaluate the validity and reliability of the developed tool in an African context in the South African Navy. A multi-stage procedure of instrument development using the instrument development model will be used, consisting of the following steps: 1) preliminary phase, 2) questionnaire development, 3) pilot testing, and 4) evaluation. The scope of this study, is only focused on stages three and four. The current study followed an explanatory sequential mixed-method design. In this study, the qualitative phase was done first, followed by the quantitative phase. The mixed-method design is used to build upon the same research questions. PHASE 1, the pilot-testing phase (qualitative, n=50), explored if the developed appraisal tool is interpreted correctly and contains the necessary applicable questions. This population and sample were purposefully selected from the navy. Data were collected in focus groups taking place at a naval base. Five focus groups of ten members each were completed using interview schedules. Recorded data was transcribed verbatim. Data were analysed using thematic analysis with data coding to extract themes. This study is an extension of from a masters study linked to the current study, which contributed towards the finalisation of the questionnaire. Iterative exploratory factor analyses were used at the item and scale levels to select and reassign the items and scales. PHASE 2, the evaluation phase (quantitative, n=1000), determined the validity and reliability of the refined, developed appraisal tool. The population (N=7000) and sample (n=1000) consisted of senior and junior ranks from the officer core, conveniently selected from a naval base. PHASE 1 informed PHASE 2, the evaluation phase.
Exploring a bio-psychological intervention for painful diabetic neuropathy
(University of Western Cape, 2021) Adzika, Vincent Agbemenya; Pedro, Athena
Painful diabetic neuropathy (PDN) is a major clinical manifestation of diabetes associated with damage to the nerves. The etiology and prognosis of PDN is multi-dimensional, needing a multi-faceted approach for management. The chronic pain associated with PDN is considered a painful crises that involves psychological complications in addition to the mere sensations. A repeated attempt to solve the problem of pain from a biomedical perspective has resulted in a cycle of low health quality of life, sleep disturbance, depression, anxiety and pain catastrophizing. An effective treatment of PDN would require pharmacotherapies supplemented by non-pharmacological approaches like cognitive behavioural therapy (CBT) and hypnosis (HYP).
Psychosocial variables in the transmission of AIDS
(University of the Western Cape, 1991) Perkel, Andrian, Keith; Broekmann, Neil; Pretorius, Tyrone
In the decade since first identified, the Acquired Immunodeficiency syndrome (AIDS) has become a serious global disease. The nature of the Human Immunodeficiency Virus (HIV) that causes AIDS, whereby a carrier may be asymptomatic yet remain infectious, has enabled its dramatic spread. The number of AIDS cases is increasing exponentially, averaging a doubling time of between 8-15 months indifferent countries. Of the millions of HIV carriers, it is now estimated that all will eventually go on to develop full-blown AIDS and probably die within 15 years. Unlike other infectious diseases, there is currently no known vaccine or cure. Further, HIV is now virtually completely dependent on volitional sexual behaviours for transmission to occur. It is therefore an entirely preventable disease. However, since the behaviours that contribute to HIV-transmission are influenced by biological, psychological, and social factors, their alteration in line with safer sexual practices has been shown to be considerably complex and difficult. Intervention strategies that have relied on imparting knowledge about the disease have achieved limited success in influencing behaviour change. Unsafe sexual practices, and the risk of HIV-infection, often continue even when knowledge regarding prevention is adequate. It has therefore become apparent that other variables intrude which may mediate between knowledge acquisition, attitude formation, and consequent sexual behaviours. There appear to be no models which adequately explain the complexities in this area, and which enable adequate intervention strategies to be developed. The present study was undertaken to redress this problem, and to explore those variables that mediate in the area. Various psychological and social factors appear to be implicated in influencing sexual attitudes and behaviours. In order to adequately test the impact of psychosocial variables that were found to have significant associations in an exploratory study, a measuring instrument was developed. The AIDS Psychosocial Scale was statistically validated using content, frequency, factor, and reliability analyses and included psychological factors of self concept, defenses of denial, repression, and rationalisation, perceived empowerment in the form of locus of control and self efficacy, and the social factor of peer pressure susceptibility. The impact of these psychosocial variables on indices of knowledge, condom attitude, and sexual practices, and on other epidemiological variables was tested using a sample of students at the University of the Western Cape (n=308). Results indicated a number of correlational and causal links between variables, confirming the mediational role psychosocial factors have in influencing knowledge acquisition, attitude formation, and behaviour outcome. A profile of lower self concept, higher defenses, lower self-efficacy, more external locus of control, and higher peer pressure susceptibility emerged which was associated with poorer knowledge, more negative attitudes, and higher unsafe sex. Based on this study, a model of psychosocial mediation is developed and its implications for intervention strategies discussed.
How the experiences of Infertility and In Vitro Fertilization and Embryo Transfer (IVF -ET) are understood by South African women attending fertility clinics.
(University of the Western Cape, 2008) Pedro, Athena; Mwaba, K
Infertility is currently a serious problem that is escalating, not only in South Africa, but also worldwide. In Cape Town, a culturally diverse, urban community of approximately 1000 couples are referred to the Groote Schuur Hospital Infertility Clinic annually. Although infertility is primarily regarded as a medical condition, the treatments have emotional effects on infertile couples due to the recurring highs and lows that often accompany treatments. This study aimed to qualitatively explore and understand the emotional and psychological experiences of infertility and its treatments (specifically In Vitro Fertilisation and Embryo Transfer). Social constructionism is based on the premise that realities are not constructed in a vacuum but rather undergo a process whereby the subjective and inter-subjective experiences over time and through cultural processes come to be regarded as truths. These truths become internalised and function as lenses through which we see ourselves, compose and invent ourselves accordingly, making sense of what would otherwise have been chaotic and meaningless experiences. Additional aims were to examine women's experiences of infertility care whilst undergoing treatment and describe their experiences of coping with infertility and In Vitro Fertilisation and Embryo Transfer (IVF-ET). Semi-structured, in-depth individual interviews were conducted with 21 women presenting with primary infertility at a fertility clinic. This study utilised an ethnographic case study design. The results of the study suggested that women perceived themselves as not conforming to a dominant belief system that promotes motherhood as the most important role for women. The women described their 'failure' to fulfill socio-cultural expectations as emotionally turbulent. Some of the psychological responses to infertility included feelings of disappointment, shock, denial, devastation, anger, frustration, sadness, inadequacy, poor self-image and self-esteem. The women's personal accounts of their experiences of In Vitro Fertilisation and Embryo Transfer (IVF-ET) revealed that they found the treatment to be highly stressful, with emotional bouts of anxiety, nervousness, excitement and optimism. A psychological synopsis of infertility and IVF-ET is infertility and IVF-ET presents. The fmdings in this study suggest the need for the incorporation of presented. This diagrammatic representation shows the intensity of the emotional rollercoaster that psychosocial intervention into infertility management. Greater attention to the psychological and emotional repercussions of infertility treatment could lead to a more personalised approach which, in turn, would optimise patient satisfaction and also prepare couples for the demands of the program by informing them about better ways of coping.
The social construction of racialised identities in the post-apartheid South African sport context: A case study of black sport-persons in the western cape
(University of Western Cape, 2001) Miller, Ingrid M.; Shefer, Tamara; Pretorius, Tyrone
The main purpose of the study was to analyse how current discourses about black South African sport-persons contribUJte to the racial Othering of this group and how they serve to perpetuate neoracist notions of blacks' inferiority relative to whites. The study also aimed to examine if and how such discourses function to legitimise the exclusion or nonselection of blacks and how this in turn impacts on perceptions about equity and national unity in the South African sport context. A social constructionist framework was used to explore these questions.
Discourses on Racism
(University of the Western Cape, 1993) Duncan, Norman. T.F; Cooper, Saths
A central aim of this study is to examine the meanings which (i) a group of South African psychologists and (ii) a group of Black parents give to racism in their discourses and how these meanings are linked to existing relations of domination. To this end the discourses on racism produced by the former in various journal articles and the latter in various group discussions are submitted to analysis. The study basically utilizes the following working hypotheses as its point of departure: (i) that the discourses produced by the group of psychologists - in so far as they could broadly be seen as being representative of prevailing dominant discourses - would, to varying degrees, reflect attempts to legitimate and reinforce the relations of domination which the ideology of racism entails; and (ii) that despite certain similarities between . dominant group discourses and dominant group discourses on racism, the latter's discourses would, to varying degrees, be the site of resistance against dominant group discourses as well as against their domination. The findings of the study seem to support the basic postulates contained in the two working hypotheses presented above. More specifically, the analysis of the discourses collected reveals (i) that, though ostensibly very disparate, the discourses produced by the group of psychologists, by and large, appear to justify and dissimulate the asymmetric relations of power which the ideology of racism maintains; and (ii) that despite the similarities between dominant group and dominated group discourses the latter, in a variety of ways, undermine the ideology of racism as well as dominant group discourses on the ideology. The study concludes with an examination of the suggestions emerging from the discourses analyzed ,regarding how racism as it manifests itself in South Africa can be combatted and eliminated.
The quality of care for sexually transmitted infections in primary health care clinics in South Africa: an evaluation of the implementation of the syndromic management approach
(University of the Western Cape, 2003) Shabalala, Nokuthula Joy; Strebel, Ann-Marie
Sexually transmitted infections (STIs) are a problem for both developed and developing countries. Sub-Saharan Africa has the highest rates in the 15-49 years old group. The discovery that these infections playa vital role in the transmission of HIV raised their profile and made their control one of the central strategies of stopping the HIV/AIDS epidemic. In response to the challenge of improving the quality of care for people infected with STIs in the public health sector, the South African Ministry of Health adopted the syndromic management approach, recommended by the World Health Organisation as suitable for resource-poor settings, for use in primary health care clinics. In addition to providing guidelines on clinical management of STIs, the syndromic approach requires health providers to counsel and educate patients about STIs, encourage patients to complete treatment even if symptoms abate, promote condom use and the treatment of all sexual partners. While the management guidelines are clear and detailed around the diagnostic and medication issues, the processes of education and counseling are not as clearly outlined. Furthermore, although the syndromic approach is a viable way of providing good quality care to larger sections of the population than could be serviced through dedicated STI clinics, it requires health providers working in primary health care clinics, most of whom are professional nurses, to perform some tasks for which they may not be adequately trained. This study evaluated the quality of care for persons infected with ST!s by examining the extent to which the syndromic approach was being implemented in primary health care clinics. Interviews, using semi-structured interview schedules, were conducted with ST! patients and health providers in twenty-four clinics located in four provinces. In depth qualitative interviews were also conducted with a sub-sample of the patients. For further triangulation the methods of participant observation, through the use of simulated patients, and focus group discussions with various community groups were used. The findings of the study indicate that although primary health care clinics in South Africa are well-resourced, the management of patients with ST!s is inadequate. Adherence to the various aspects of syndromic management was poor. Similar to other studies in South Africa, the attitudes of health providers towards patients with ST!s were found to be problematic, a finding that has implications for health-seeking behaviours. The thesis argues that a large part of the problem is related to the multiple roles that nurses have to play in primary health care settings, as well as the content and methodology of the training of nurses who manage ST! patients. It further argues for the constitution of the basic health team at primary health clinics to be multi-disciplinary, and for a multi-disciplinary input in the training of health providers.
The quality of care for sexually transmitted infections in primary health care clinics in South Africa: an evaluation of the implementation of the syndromic management approach
(2003) Shabalala, Nokuthula Joy; Strebel, Ann-Marie; Simbayi, Leickness
Sexually transmitted infections (STIs) are a problem for both developed and developing countries. Sub-Saharan Africa has the highest rates in the 15-49 years old group. The discovery that these infections playa vital role in the transmission of HIV raised their profile and made their control one of the central strategies of stopping the HIV/AIDS epidemic. In response to the challenge of improving the quality of care for people infected with STIs in the public health sector, the South African Ministry of Health adopted the syndromic management approach, recommended by the World Health Organisation as suitable for resource-poor settings, for use in primary health care clinics. In addition to providing guidelines on clinical management of STIs, the syndromic approach requires health providers to counsel and educate patients about STIs, encourage patients to complete treatment even if symptoms abate, promote condom use and the treatment of all sexual partners. While the management guidelines are clear and detailed around the diagnostic and medication issues, the processes of education and counseling are not as clearly outlined. Furthermore, although the syndromic approach is a viable way of providing good quality care to larger sections of the population than could be serviced through dedicated STI clinics, it requires health providers working in primary health care clinics, most of whom are professional nurses, to perform some tasks for which they may not be adequately trained. This study evaluated the quality of care for persons infected with ST!s by examining the extent to which the syndromic approach was being implemented in primary health care clinics. Interviews, using semi-structured interview schedules, were conducted with STI patients and health providers in twenty-four clinics located in four provinces. Indepth qualitative interviews were also conducted with a sub sample of the patients. For further triangulation the methods of participant observation, through the use of simulated patients, and focus group discussions with various community groups were used. The findings of the study indicate that although primary health care clinics in South Africa are well-resourced, the management of patients with STI's is inadequate. Adherence to the various aspects of syndromic management was poor. Similar to other studies in South Africa, the attitudes of health providers towards patients with ST!s were found to be problematic, a finding that has implications for health-seeking behaviours. The thesis argues that a large part of the problem is related to the multiple roles that nurses have to play in primary health care settings, as well as the content and methodology of the training of nurses who manage STI patients. It further argues for the constitution of the basic health team at primary health clinics to be multi-disciplinary, and for a multi-disciplinary input in the training of health providers.
Discourses of heterosexual subjectivity and negotiation
(University of the Western Cape, 1999) Shefer, Tamara; Strebel, Ann-Marie
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 context there has been a growing emphasis on researching and educating about (hetero)sexuality, particularly in the wake of the continued increase in HIV prevalence rates which are highest among young, black South Africans. A handful of South African studies point to the widespread nature of coercive sexuality characterised by male dominance and female submission and a lack of negotiation in respect of safe sex and sexual pleasure. This study addresses the realm of the negotiation of heterosexuality among black South African students at the University of the Western Cape (UWC), Cape Town. In the study, negotiation refers to two interrelated aspects: the negotiation of heterosexual subjectivity; and the negotiation of heterosexual sexuality (heterosex). The study is underpinned by a feminist poststructuralist conceptual framework and discourse analytic methodology which draws on qualitative methodologies, feminist approaches to research and discourse analysis. Three different methods were utilised to gather data: focus groups, a free-association questionnaire and written autobiographical essays. Participants of the study included psychology second and third year students at the UWC who were predominantly young (mean age of 23.3 years), black, of Christianity-related religious affiliation and non-English first language speakers. A discourse analysis together with an ethnographic analysis was carried out on the data which yielded a wide range of discursive themes on gender and heterosex. In looking at the negotiation of heterosexual subjectivities, there are vast differences in the experiences of'becoming' women and men: notably, puberty and menstruation are central in the construction of femininity and female sexuality, which are interwoven with each other in the construction of women as vulnerable, passive and restrained; on the other hand, boy's/men's subjectivities are centred about sexual agency and activity, competition and physical and mental 'hardness'. Nonetheless these rigidly divergent experiences of gendered heterosexualisation are also punctuated by resistance, ambivalence and contradiction, particularly in women's accounts. It is suggested that the difficulties involved in 'achieving' femininity for women may be implicated in their continued investment in these subjectivities in their contemporary contexts. In talk on negotiating heterosex, two central clusters of discourse emerge: discourses of difference, in which inevitable, essential (either biological or cultural) and incommensurable differences are assumed, Jr rationalised and reproduced by participants; discourses of power, resistance and change which draw on alternative discourses such as the feminist critique of male power, and also speak of and call for change. Central within all of these discourses is the virtual invisibility of a positive language to speak of women's sexuality and desires, which has as its underside a lack of alternative discourses on masculinity and male sexuality, in particular the absence of a positive discourse on men's vulnerability, non-sexual intimate desires, lack of sexual desire and resisting of power. The thesis suggests, on the basis of poststructuralist theories of change, that given the presence of challenging and contradictory discourses, subversive subjectivities and silences, there is potential for change. It is argued that educational and political interventions need to acknowledge and work with these spaces for change within the broader framework of challenging the underlying hierarchical binarism of sexual difference, upon which the problematic and unequal negotiation of heterosex is founded.
Topics, trends and silences in South African psychology 1948-1988 : ethnocentricism, crisis and liberatory echoes /
(University of the Western Cape, 1993) Seedat, Mohamed Amin; Cooper, Saths
The deliberate and sometimes unwitting complicity of psychology with apartheid social formations has received little attention in the psycho-historical literature. This, study in an attempt to break the silence, offers a descriptive characterization of South African psychology by tracing its origins, evolution, formalization and development to its ethnoscientific, colonial and apartheid roots. The study begins with an examination of the globalization of Euro-American psychology. The proliferation and domination of Euro-American psychology closely correlates with the emergence and globalization of colonial power that is intimately connected to the missionary discourses of conquest and conversion and to the doctrines of scientific racism. Western explorers, soldiers, missionaries, and social scientists are among the figures who participated in the occupation and conversion of the 'Dark Continent' of Africa. Within the context of colonialism, psychology became an enterprise of conquest and conversion that endeavoured to understand how people of colour, 'marginal beings', could be transformed into active subjects The history of South African psychology provides an illuminating illustration of how psychological discourse and practice may be employed for the purposes of oppressive social engineering. Besides projecting psychological intervention as vital to the alleviation of economic, social and industrial problems, psychologists utilized their expert roles in the Carnegie Poor White Study, in the Air-force and in industry and objects of Western racial and economic exploitation. The history of South African psychology provides an illuminating illustration of how psychological discourse and practice may be employed for the purposes of oppressive social engineering. Besides projecting psychological intervention as vital to the alleviation of economic, social and industrial problems, psychologists utilized their expert roles in the Carnegie Poor White Study, in the Air-force and in industry to rationalize and bolster White economic and political hegemony. The racial overtones that characterized the establishment of a professional association represents a startling example of how apartheid ideology was reproduced within the profession itself Unfortunately, oppressive discourse appears to continue to inform the research agenda, practices and theoretical concerns of many South African psychologists, thereby creating the impetus for the present crisis within the discipline. The crisis relates to, among other issues, the failure of Euro-American psychology to represent the psychological experiences of people of colour. Attempts at resolving the crisis are stymied by the production and reproduction of conceptual paradoxes within the fields of family therapy, community psychology and cross-cultural psychology, fields that are often portrayed as the solution to the crisis. Despite the increasing levels of theoretical complexity and ideological scrutiny each of these fields offer, South African psychology still faces various epistemological challenges and communieentric biases. A content analysis of 977 articles that appear in the South African Journal of Psychology, Psychologia Africana, the Journal of Behavioural Science, Psychology in Society, Humanitas. Psygram and the South African Psychologist confirms that the crisis in psychology continues. Details obtained from the analytical review show South African psychology, between 1948 and 1988, to be characterized by five features. First, Whites and males affiliated to the open liberal universities and Afrikaans universities dominate knowledge-production in the discipline. Blacks and women authors, especially those affiliated to the historically Black universities, tend to occupy mainly co-authorship positions at the level of publication. Second, the majority of articles reviewed are written in English. Third, whereas the bulk of articles analysed are empirical in nature, there is an increasing trend towards theoretical articles that examine the ideological and philosophical premises of the discipline. Fourth, empirical studies tend -to select subjects from both male and female gender groups, who are mainly White, and mostly affiliated to institutional settings. Fifth, research is dominated by an emphasis on conventional areas such as psychometrics, research methodology, industrial psychology and educational psychology. The more recently evolved fields such as community psychology and the psychology of oppression receive little attention. By moving to a point beyond critique and characterizations, the study concludes with an exploration of the dynamic quest for liberatory psychology, central to which is the formulation of an emancipatory agenda. An emancipatory agenda may well propel progressive psychologists towards systematically addressing the silences within the field, securing the centralization of Blacks and women at the levels of knowledge production and political representation and creating liberatory epistemologies.
The development of a university-based sex counselling programme in the age of AIDS.
(University of the Western Cape, 1993) Nicholas, Lionel John; Cooper, Sathasivan
The sexual behaviours, attitudes, beliefs and communication of 1896 black first-year university students were examined by means of a structured questionnaire for their contribution to the development of a university-based sex counselling programme. The areas of sexuality investigated included intra-familial communication about contraception and sexuality, belief in sex myths, knowledge of and myths about AIDS and the manner of acquisition of sex knowledge. The results of this study are consistent in reflecting much greater deficits in the knowledge of respondents about sexuality than encountered in the literature. Statistically significant gender differences were found for intra-familial communication about contraception, prejudice towards AIDS victims, knowledge of the modes of HIV infection, prejudice towards homosexuals, belief in myths about sexuality, age at which sex information was acquired, the preferred source of information about sexuality, attitude towards pre-marital intercourse, experience of pre-marital intercourse, belief about the acceptability of abortion, experience of pre-marital intercourse and worry about masturbation. No gender differences were found for belief in myths about high-risk AIDS infection, exposure to sex information within educational institutions and approval of sex education. The statistically significant gender differences which were found for most of the questionnaire items reflect the different sexual socialization experiences of respondents. Male and female students may therefore require counselling interventions geared to their respective needs Concern about AIDS has become central to university student sexual behaviour as well as protection against rape and sexual harassment and male responsibility for contraception. All campus counsellors will eventually experience the impact of AIDS and other sexually·transmitted diseases in their sessions with clients. Sexual harassment, rape, contraceptive failure and abortion will also increasingly impact on counselling sessions and require the university-based counsellor's involvement in broader university-wide prevention programmes as well as group based interventions. The development of a university-based sex counselling programme requires comprehensive interventions ranging from individual counselling to human sexuality courses. An awareness of the high profile sexuality problems as perceived by students, is essential for the development of preventive programmes at the group and academic class level as well as at the level of inf luencing uni versi ty policy. Knowledge of the merits of different theoretical positions and interventions for particular sexual problems is crucial for counselling intervention or referral. A systemic model of intervention for sexuality problems is proposed. The task of university-based sex counselling programmes is made more onerous by the paucity and ineffectiveness of sex information students are exposed to, the lack of sex education in the schools and the inadequate quality and degree of intrafamilial communication about sexuality. A significant proportion of respondents engage in pre-marital sexual intercourse without the benefit of adequate sex knowledge. The results of this study emphasize the need for research on the sexuality of, black South Africans, the particular vulnerabilities of first-year university students to sexuality problems and the dire need for structured sex education programmes at school as well as university.
Bridging the divide: An exploration of Jungian psychoanalysis and African healing practices and implications for a south African psychology
(2005) Marks, Lynne; Naidoo, Pamela
There has recently been a lot of interest in the role of traditional healers in various cultures. This study explores the merit of an integrative approach between western based psychological practices in South Africa and what is known as traditional African healing. In order to do so, this study aims to present the epistemological views of Jungian analytical theory and African healing practices. The purpose is to ascertain whether or not there are sufficient commonalities to allow for relatedness between these two worlds. Jungian analytical thought and practice is reviewed with particular reference to the collective unconscious, archetypes, complexes and dream interpretation as a pathway to individuation. The traditional healer's pervasive role within the context of the African cosmology is explored with particular reference to the understanding of the role of the ancestors, the causes of illnesses and the use of dreams, symbols and rituals in the healing process. The importance of the sacred in both healing modalities is presented. The study employs a qualitative research design with the phenomenological approach as an example of one of the traditions of this design. Interviews with five traditional healers comprise the data for the study. The data is analyzed according to the procedure recommended by Moustakas (1994). The interviews focused specifically on eliciting information regarding the calling and the training process of the traditional healer. It is proposed that the two approaches to healing investigated in this study present possible mechanisms to bridge the divide between the westernized approaches to healing and that of the non-technical practitioner. It is further proposed that this will have implications for the broadening of the training and implementation of psychology in South Africa today.
Exploring intrinsic religiosity as a means to militate against risky sexual behaviour in adolescents from Christian faith-based schools
(University of Western Cape, 2021) Bomester, Olivia; Pedro, Athena
Adolescent sexual development forms a crucial role in the process of identity formation and the establishment of healthy romantic and social relationships. However, some adults are uncomfortable with the notion of adolescent sexuality, and would choose to remain in a state of denial or ignorance. It is pivotal that adults address the topic of adolescent sexuality. Numerous adolescents are not adequately guided by parents, educators, and church leaders. Hence, their lack of basic sexual knowledge or simply having erroneous ideas appertaining to sexuality may cause them to make very unwise sexual decisions. A number of adolescents routinely engage in behaviours that unknowingly put their health at risk. Amongst South African adolescents, sexual risk-taking behaviours including early coitarche, unprotected sex, multiple sex-partners and low contraceptive use are quite common.
The effect of the circle of security parenting programme on parental self-efficacy and internalising behaviours in children
(University of Western Cape, 2019) Rose, Jenny Lee; Roman, Nicolette V.; Mwaba, Kelvin
Early Childhood development is an important phase of development, wherein the trajectory of the child’s life can potentially be determined. However, not all children experience positive outcomes, and many present with psychopathology. In particular, psychopathology in children will manifest as either externalizing behaviours or internalising behaviours. The treatment of internalising disorders becomes increasingly complex, as there isn’t always outward behaviour to give evidence to the inward difficulties. Literature amplifies the importance of the role of the parent in ensuring the well-being of the child and in working towards healthy developmental outcomes.

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