Coping in two cultures: an ecological study of mentally ill people and their families in rural South Africa
- Authors: Cumes, Heide Ulrike
- Date: 1995
- Subjects: Mental illness -- South Africa Xhosa (African people) -- Psychology Xhosa (African people) -- Religion Xhosa (African people) -- Social life and customs
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: vital:2958 , http://hdl.handle.net/10962/d1002467
- Description: This study explores severe mental illness in a South African ru~al district, moving, as with a zoom lens, from the macroperspectives of (i) Xhosa culture, and (ii) biomedicine, to the lived experience of the individual. Its methodology, predominantly qualitative, employed anthropological and psychological procedures. The fieldwork (1988-1989)encompassed a three month stay in the village of Msobomvu. Patients continued to be tracked informally until June, 1995. The empirical research has three parts. In part one, the person with a mental illness was contextualized within Xhosa cosmology and social attitudes. The cognitive and social ecologies were tapped through the narratives of high school and university students at different stages of a Western-biased education. Social attitudes regarding mental illness, and confidence in treatment by traditional healers and the hospital, were also evaluated. Traditional attitudes and supernatural beliefs of illness causation persisted in spite of Eurocentric education, with a concurrent increase in the acceptance of Western-type causal explanations commensurate with continued education. Part two considered the the patients in relation to (i) the biomedical framework (the mental and local hospitals), and (ii) their readjustment to the community after hospitalization. Data came from patient charts, interviews with medical staff, and follow-up visits in the villages. Socio-political and economic issues were salient. Part three case-studied people identified by the village residents as having a mental illness. Resources for treatment - traditional healers, mobile clinic, and village health workers - were the focus. The traditional healing system, and biomedicine, were compared for effectiveness, through the course of illness events. While biomedicine was more effective in containing acute psychotic episodes than treatment by the traditional healer, lack of appropriate resources within the biomedical setting had disastrous results for patient compliance and long-term management of the illness, particularly in people with obvious symptoms of bipolar disorder. The mental hospital emerged as an agent of control. While Xhosa culture provided a more tolerant setting for people with a mental illness, the course of severe mental illness was by no means benign, despite research suggesting a more positive outcome for such conditions in the developing world.
- Full Text:
- Authors: Cumes, Heide Ulrike
- Date: 1995
- Subjects: Mental illness -- South Africa Xhosa (African people) -- Psychology Xhosa (African people) -- Religion Xhosa (African people) -- Social life and customs
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: vital:2958 , http://hdl.handle.net/10962/d1002467
- Description: This study explores severe mental illness in a South African ru~al district, moving, as with a zoom lens, from the macroperspectives of (i) Xhosa culture, and (ii) biomedicine, to the lived experience of the individual. Its methodology, predominantly qualitative, employed anthropological and psychological procedures. The fieldwork (1988-1989)encompassed a three month stay in the village of Msobomvu. Patients continued to be tracked informally until June, 1995. The empirical research has three parts. In part one, the person with a mental illness was contextualized within Xhosa cosmology and social attitudes. The cognitive and social ecologies were tapped through the narratives of high school and university students at different stages of a Western-biased education. Social attitudes regarding mental illness, and confidence in treatment by traditional healers and the hospital, were also evaluated. Traditional attitudes and supernatural beliefs of illness causation persisted in spite of Eurocentric education, with a concurrent increase in the acceptance of Western-type causal explanations commensurate with continued education. Part two considered the the patients in relation to (i) the biomedical framework (the mental and local hospitals), and (ii) their readjustment to the community after hospitalization. Data came from patient charts, interviews with medical staff, and follow-up visits in the villages. Socio-political and economic issues were salient. Part three case-studied people identified by the village residents as having a mental illness. Resources for treatment - traditional healers, mobile clinic, and village health workers - were the focus. The traditional healing system, and biomedicine, were compared for effectiveness, through the course of illness events. While biomedicine was more effective in containing acute psychotic episodes than treatment by the traditional healer, lack of appropriate resources within the biomedical setting had disastrous results for patient compliance and long-term management of the illness, particularly in people with obvious symptoms of bipolar disorder. The mental hospital emerged as an agent of control. While Xhosa culture provided a more tolerant setting for people with a mental illness, the course of severe mental illness was by no means benign, despite research suggesting a more positive outcome for such conditions in the developing world.
- Full Text:
Intercultural communication on a passenger aircraft flight deck: a qualitative study set in the context of South African corporate affirmative action policy
- Authors: Waite, Michele Jeannette
- Date: 1995
- Subjects: Intercultural communication South Africa , Language and culture South Africa , Communication and culture South Africa , Affirmative action programs South Africa , Air pilots South Africa Language , Flight crews South Africa Language ,
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3082 , http://hdl.handle.net/10962/d1002591
- Description: The recent emphasis on Affirmative Action policies in South African corporations has illuminated the issue of cultural diversity in organizations and the difficulties arising from this transition and change. One such difficulty is the problem of intercultural communication where miscommunication can have life-threatening consequences. This problem is particularly critical in the operational environment of the passenger aircraft flight deck where small group factors, as well as intercultural issues must be taken into account. In this thesis the problem of intercultural communication in such contexts as a consequence of Affirmative Action is examined. The data for this thesis comprises the communication of five culturally diverse flight crews. A multi-method was used for the gathering and analysis of this data. This involved the use of video-taped flight simulator sessions, and personal interviews with each crew member. The subjects themselves were involved in identifying key communication problems from the video and interpretation of the data. Three levels of analysis were used in the interpretation of the findings - the individual, the group and the organization. The factors which affected communication at each level in the small, culturally diverse group are highlighted. Furthermore, factors which influence the climate in which communication takes place are also considered. The implications for Affirmative Action are discussed.
- Full Text:
- Authors: Waite, Michele Jeannette
- Date: 1995
- Subjects: Intercultural communication South Africa , Language and culture South Africa , Communication and culture South Africa , Affirmative action programs South Africa , Air pilots South Africa Language , Flight crews South Africa Language ,
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3082 , http://hdl.handle.net/10962/d1002591
- Description: The recent emphasis on Affirmative Action policies in South African corporations has illuminated the issue of cultural diversity in organizations and the difficulties arising from this transition and change. One such difficulty is the problem of intercultural communication where miscommunication can have life-threatening consequences. This problem is particularly critical in the operational environment of the passenger aircraft flight deck where small group factors, as well as intercultural issues must be taken into account. In this thesis the problem of intercultural communication in such contexts as a consequence of Affirmative Action is examined. The data for this thesis comprises the communication of five culturally diverse flight crews. A multi-method was used for the gathering and analysis of this data. This involved the use of video-taped flight simulator sessions, and personal interviews with each crew member. The subjects themselves were involved in identifying key communication problems from the video and interpretation of the data. Three levels of analysis were used in the interpretation of the findings - the individual, the group and the organization. The factors which affected communication at each level in the small, culturally diverse group are highlighted. Furthermore, factors which influence the climate in which communication takes place are also considered. The implications for Affirmative Action are discussed.
- Full Text:
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