“A position of great trust and responsibility”: a social history of the Grahamstown Asylum, 1875 – c. 1905
- Authors: Van Zyl, Kylie
- Date: 2020
- Subjects: Mental health services -- South Africa -- Cape of Good Hope , Psychiatric hospitals -- South Africa -- History , South Africa -- Race relations -- Social aspects , Mentally ill -- Commitment and detention -- South Africa , Mentally ill -- Abuse of -- South Africa , Mental health policy -- South Africa , Asylums -- South Africa -- Grahamstown , Discrimination in mental health services -- South Africa , Health and race -- South Africa -- History
- Language: English
- Type: text , Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/10962/151031 , vital:39025
- Description: Much has been written about the inequalities inherent in the psychiatric care provided to mentally ill individuals in the Cape Colony, but to date few works have been produced that describe in detail the processes and care regimes at particular institutions. This thesis examines the history of care and custody provided by the Grahamstown Asylum in the Cape between the years of 1875 and 1905. The intention is to determine the means and methods by which the Asylum’s authorities developed, almost unchallenged, a system of unequal treatment and favouritism within that facility, and what this meant for the men and women committed to the Asylum’s custody. To this end, contemporaneous official reports from Asylum staff and Colonial authorities were consulted, in conjunction with the Asylum’s internal records such as registers and individual patient files. This thesis concludes that the evolution of the Colony’s psychiatric community’s beliefs around mental illness, philosophies of protective custody and moral treatment within the psychiatric community at the time, the region’s laws governing psychiatric institutionalisation, and the larger context of the Cape’s socio-political environment at the time converged to create an institution that practiced discrimination on both a macro- and micro-level. This discriminatory framework affected who was admitted, the diagnosis that each person received, the asylum facilities to which they had access, and further, to the odds against their recovery. The implications of this study are relevant in the present day, as the modern South African system of psychiatric institutionalisation, though embedded within a socio-political context of equality and non-discrimination nevertheless appears to suffer from a similarly undemocratic framework of operation.
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Perceptions and constructions of cholera in the Eastern Province Herald and Daily Dispatch, 1980-2003
- Authors: Van Zyl, Kylie
- Date: 2011
- Subjects: Daily Dispatch (East London, South Africa) Eastern Province Herald (Port Elizabeth, South Africa) Journalism -- South Africa -- 20th century Journalism -- South Africa -- 21st century Cholera -- Reporting -- South Africa Epidemics -- Reporting -- South Africa Mass media -- Moral and ethical aspects -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:2566 , http://hdl.handle.net/10962/d1002419
- Description: While the growing literature on South Africa’s healthcare and epidemics has often mentioned cholera in passing, there is as yet little academic work dedicated to it. This thesis addresses that deficit by examining the causes, spread and extent of cholera in South Africa between 1980 and 2003. Furthermore, it examines cholerarelated coverage in two newspapers, the Daily Dispatch and the Eastern Province Herald to determine how cholera and people with cholera were represented, and show how changes in the coverage of two major epidemics between 1980 and 2003 exemplify the political transition in South Africa, reflect changing political ideologies and reveal the shifting role of media within this period. The thesis argues three main points. Firstly, that representations of cholera and those who were sick with cholera were based on long-standing tropes connecting disease, class and ‘race’. Secondly, that policy-making based on these tropes influenced the unfair distribution and quality of health resources along racial lines, resulting in cholera outbreaks during the apartheid era. Failure to address these inequities post-apartheid, and the replacement of racial bias with discrimination on the grounds of socioeconomic development, resulted in further cholera outbreaks. Thirdly, using Alan Bell’s newspaper-discourse analysis framework to examine cholera-related articles the thesis compares and contrasts apartheid and postapartheid coverage in the two newspapers. This analysis reveals that during the 1980s the coverage was uncritical of the government’s handling of the epidemic or of its racially-discriminatory healthcare system. The newspapers uncritically accepted government-employed medical professionals as the final authorities on the epidemic, excluding alternative viewpoints. The coverage also “blamed the victim”, constructing affected “black” groups as potential threats to healthy “white” communities. Conversely, post–1994 coverage was criticised the government’s handling of the epidemic and the state of the public healthcare system. Government-employed medical professionals or spokespeople were not accepted as incontestable authorities and a range of sources were included. The coverage also shifted blame for the outbreaks to the government and its failure to address public health service delivery and rural development problems. The thesis shows the historical threat to the health of communities posed by uncaring governments.
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