“I pulled it out”: a discursive exploration of narrated accounts on decision-making and power differentials in the prescription and use of long-acting reversible contraceptives
- Authors: Ndabula, Yanela
- Date: 2024-10-11
- Subjects: Contraception Social aspects South Africa , Decision making , Long-acting reversible contraception , Reproductive rights South Africa , Control (Psychology) , Feminism
- Language: English
- Type: Academic theses , Doctoral theses , text
- Identifier: http://hdl.handle.net/10962/467017 , vital:76807 , DOI https://doi.org/10.21504/10962/467017
- Description: Long-Acting Reversible Contraception (LARC), viz., intrauterine devices, subdermal implants, and injectable contraceptives, are highly effective, long-term birth control methods that limit user action. Alongside the decrease in fertility rates achieved through their mass provision has been their coerced or non-consented administration to marginalised women. These highly effective yet provider-controlled and thus imposable contraceptives have been associated with problematic classed, raced, ageist, and ableist promotions. A critical lens that inquires into their endorsement within clinical practice is thus necessary. The bulk of literature evidencing reproductive injustices in relation to fertility control through LARC technologies emanates from the US and UK contexts. Not much research on the South African context has explored how contraceptive decision-making within clinical interactions shapes LARC uptake despite usage increasing through the years. Using a poststructural, postcolonial feminist framework alongside a reproductive justice stance, this study explores health providers’ and contraceptive users’ narrations of the prescription and usage of LARC technologies alongside how such talk emplots women who use, continue, or discontinue using these contraceptive technologies. In addition, the power relations (re)produced in the participants’ talk that maintain or constrain coloniality and reproductive justice with implications for certain people’s reproductive choices/rights were explored. To do so, I used data from 72 semi-structured interviews with contraceptive users (51) and healthcare providers (21). A combination of stratified purposive, convenient, and snowball sampling was used to sample the providers and users of LARC recruited within a city, town, and village. To elicit stories about healthcare providers’ and LARC users’ narrative emplotments in the prescription and usage decisions about LARC, semi-structured interviewing was used. The questions asked were open-ended and loosely structured around LARC technologies, the decisions that cohere around them, and the makers of those decisions. In analysing the data, I fused Parker's (1992) criteria for locating discourses with Barker’s (2017) method for determining the potential for emplotment into narratives. Findings suggest that participants framed contraceptive usage as either a personal, imposed, or shared decision. In personal decisions, the feminisation of contraceptive use emerged, with study, work, and relationship stability statuses requiring participants to solely and prudently self-discipline towards contraceptive uptake so as to match usage with reproduction desire. When decisions were imposed (subtly or openly), a passive role was assumed as female guardians (mothers, grandmothers, or aunts) recommended, pushed, and coerced health users (particularly young women) towards uptake. While the contraceptive users themselves were placed on the margins in decision-making, resisting the imposed decisions was difficult since participants’ “risk” of pregnancy was reportedly foregrounded. Shared decisions pointed to less one-sided accounts of decision-making. These decisions were enacted in relationships and were neither siloed nor imposed. Here, sexual partners, parents, or healthcare providers dialogically negotiated contraceptive uptake, and the possibilities for non-use were availed. Data from healthcare providers showed that non-use for young and postpartum women was not an option. In addition, healthcare providers either formed alliances with the LARC users themselves or concerned parents to support or push for contraceptive provision. Supportive alliances enabled secret uptake or ongoing contraceptive usage among some contraceptive users, thus resisting pronatalism or one-sided intentions for childbearing within intimate partnerships. These healthcare providers emplotted themselves as empowering contraceptive users. Alliances that pushed for contraceptive uptake were formed with guardians/parents upon menarche or in case the of rape. In overriding consent within these alliances, healthcare providers avoided being rendered responsible or blameworthy for early pregnancies in the face of the constructed risk used to emplot young women. This over-commitment to providing contraceptives has differing implications for women’s sexual agency and sexual health interventions. The data also describe decisions to use contraception as expert-led, patient-led, or collaborative decisions between health users and healthcare providers. Through the information and decision-making was expert-led micro-narrative, a medical discourse constituting use as a necessity and non-use as a risk emerged. A patient autonomy and a my body, my choice discourse informed the information and decision-making was patient-led micro-narrative; here, healthcare providers were either detached or excluded from decision-making as health users assumed more active roles in their own contraceptive care decisions. In collaborative decisions, both parties negotiated (non)use, with LARC users providing their embodied experiences and healthcare providers availing medical knowledge in reaching decisions. The study argues for a reproductive justice framework to underpin the signifier “fertility control”, showing how the threat of degeneration informs responses to reproduction by iii identifying and amplifying deficiency and negative outcomes while masking positive outcomes among certain women. It then creates a fertile ground for the re-engineering and recentring of colonialist thinking and its product, the restraining of the agency of fertile beings it renders “less developed”. , Thesis (PhD) -- Faculty of Humanities, Psychology, 2024
- Full Text:
- Date Issued: 2024-10-11
- Authors: Ndabula, Yanela
- Date: 2024-10-11
- Subjects: Contraception Social aspects South Africa , Decision making , Long-acting reversible contraception , Reproductive rights South Africa , Control (Psychology) , Feminism
- Language: English
- Type: Academic theses , Doctoral theses , text
- Identifier: http://hdl.handle.net/10962/467017 , vital:76807 , DOI https://doi.org/10.21504/10962/467017
- Description: Long-Acting Reversible Contraception (LARC), viz., intrauterine devices, subdermal implants, and injectable contraceptives, are highly effective, long-term birth control methods that limit user action. Alongside the decrease in fertility rates achieved through their mass provision has been their coerced or non-consented administration to marginalised women. These highly effective yet provider-controlled and thus imposable contraceptives have been associated with problematic classed, raced, ageist, and ableist promotions. A critical lens that inquires into their endorsement within clinical practice is thus necessary. The bulk of literature evidencing reproductive injustices in relation to fertility control through LARC technologies emanates from the US and UK contexts. Not much research on the South African context has explored how contraceptive decision-making within clinical interactions shapes LARC uptake despite usage increasing through the years. Using a poststructural, postcolonial feminist framework alongside a reproductive justice stance, this study explores health providers’ and contraceptive users’ narrations of the prescription and usage of LARC technologies alongside how such talk emplots women who use, continue, or discontinue using these contraceptive technologies. In addition, the power relations (re)produced in the participants’ talk that maintain or constrain coloniality and reproductive justice with implications for certain people’s reproductive choices/rights were explored. To do so, I used data from 72 semi-structured interviews with contraceptive users (51) and healthcare providers (21). A combination of stratified purposive, convenient, and snowball sampling was used to sample the providers and users of LARC recruited within a city, town, and village. To elicit stories about healthcare providers’ and LARC users’ narrative emplotments in the prescription and usage decisions about LARC, semi-structured interviewing was used. The questions asked were open-ended and loosely structured around LARC technologies, the decisions that cohere around them, and the makers of those decisions. In analysing the data, I fused Parker's (1992) criteria for locating discourses with Barker’s (2017) method for determining the potential for emplotment into narratives. Findings suggest that participants framed contraceptive usage as either a personal, imposed, or shared decision. In personal decisions, the feminisation of contraceptive use emerged, with study, work, and relationship stability statuses requiring participants to solely and prudently self-discipline towards contraceptive uptake so as to match usage with reproduction desire. When decisions were imposed (subtly or openly), a passive role was assumed as female guardians (mothers, grandmothers, or aunts) recommended, pushed, and coerced health users (particularly young women) towards uptake. While the contraceptive users themselves were placed on the margins in decision-making, resisting the imposed decisions was difficult since participants’ “risk” of pregnancy was reportedly foregrounded. Shared decisions pointed to less one-sided accounts of decision-making. These decisions were enacted in relationships and were neither siloed nor imposed. Here, sexual partners, parents, or healthcare providers dialogically negotiated contraceptive uptake, and the possibilities for non-use were availed. Data from healthcare providers showed that non-use for young and postpartum women was not an option. In addition, healthcare providers either formed alliances with the LARC users themselves or concerned parents to support or push for contraceptive provision. Supportive alliances enabled secret uptake or ongoing contraceptive usage among some contraceptive users, thus resisting pronatalism or one-sided intentions for childbearing within intimate partnerships. These healthcare providers emplotted themselves as empowering contraceptive users. Alliances that pushed for contraceptive uptake were formed with guardians/parents upon menarche or in case the of rape. In overriding consent within these alliances, healthcare providers avoided being rendered responsible or blameworthy for early pregnancies in the face of the constructed risk used to emplot young women. This over-commitment to providing contraceptives has differing implications for women’s sexual agency and sexual health interventions. The data also describe decisions to use contraception as expert-led, patient-led, or collaborative decisions between health users and healthcare providers. Through the information and decision-making was expert-led micro-narrative, a medical discourse constituting use as a necessity and non-use as a risk emerged. A patient autonomy and a my body, my choice discourse informed the information and decision-making was patient-led micro-narrative; here, healthcare providers were either detached or excluded from decision-making as health users assumed more active roles in their own contraceptive care decisions. In collaborative decisions, both parties negotiated (non)use, with LARC users providing their embodied experiences and healthcare providers availing medical knowledge in reaching decisions. The study argues for a reproductive justice framework to underpin the signifier “fertility control”, showing how the threat of degeneration informs responses to reproduction by iii identifying and amplifying deficiency and negative outcomes while masking positive outcomes among certain women. It then creates a fertile ground for the re-engineering and recentring of colonialist thinking and its product, the restraining of the agency of fertile beings it renders “less developed”. , Thesis (PhD) -- Faculty of Humanities, Psychology, 2024
- Full Text:
- Date Issued: 2024-10-11
A formative evaluation and critical analysis of an alcohol and pregnancy intervention in the Eastern Cape of South Africa
- Authors: Graham, Nicola Susan Jearey
- Date: 2023-10-13
- Subjects: Fetal alcohol spectrum disorders South Africa Eastern Cape , Foucauldian discourse analysis , Conversation analysis , Women Social conditions South Africa Eastern Cape , Sex role South Africa Eastern Cape , Cultural hegemony
- Language: English
- Type: Academic theses , Doctoral theses , text
- Identifier: http://hdl.handle.net/10962/432541 , vital:72879 , DOI 10.21504/10962/432541
- Description: Some communities in South Africa have the highest documented rates of Foetal Alcohol Spectrum Disorders (FASD) in the world. Interventions to reduce alcohol consumption during pregnancy are crucial, but evaluations of such interventions are sparse. Formative evaluations are indicated to assist in the development of interventions. Harmful alcohol consumption during pregnancy is undergirded by a range of social injustices, including those imposed by colonisation and patriarchy; a feminist, decolonial approach to evaluations is, therefore, important. A research project, consisting of three arms, examined alcohol use during pregnancy in an under-resourced urban area of the Eastern Cape, and this research was one of those arms. An intervention was being rolled out in this area and I gathered a range of data from it. I engaged in a formative evaluation of it, and I reflect on the difficulties that I encountered in this endeavour. In the bulk of this thesis, I examine the power apparatuses and technologies that were used during the intervention to discursively position pregnant women. My analysis was guided by Foucauldian and post-Foucauldian theories, using Foucauldian Discourse Analysis and simplified Conversation Analysis (CA). Power apparatuses of coloniality, patriarchy, and pastoral power were used in the intervention to construct positions for pregnant women who drink alcohol as ignorant children, sinners, criminals, or “Mommies”. The foetus was constructed as a precious, vulnerable baby, while the person with FASD was constructed as the defiled Other, responsible for societal dissolution. The intervention used various disciplinary techniques to exhort women to follow their dictates. Women were generally compliant with being positioned as ignorant children, which absolved them from any blame for pre-natal drinking. However, some resistance was evident. I then introduce an ethics of care and justice, and I argue that pregnant/newly parenting women need to be positioned within such an ethics, which acknowledges both the universal resources that they require for reproductive freedoms, as well as their particular care needs. I highlight the few times when women were positioned in this way in the data, and I look at how the common positions could be altered or expanded to promote such an ethics. I conclude by arguing that alcohol use during pregnancy cannot be separated from the larger context of the cultural hegemony of alcohol use in some communities, and the social injustices that potentiate this use. I provide suggestions for country-wide policies and interventions, as well as specific FASD prevention programmes, and I argue that a feminist decolonising approach, within an ethics of care and justice, should guide interventions at all levels. , Thesis (PhD) -- Faculty of Humanities, Psychology, 2023
- Full Text:
- Date Issued: 2023-10-13
- Authors: Graham, Nicola Susan Jearey
- Date: 2023-10-13
- Subjects: Fetal alcohol spectrum disorders South Africa Eastern Cape , Foucauldian discourse analysis , Conversation analysis , Women Social conditions South Africa Eastern Cape , Sex role South Africa Eastern Cape , Cultural hegemony
- Language: English
- Type: Academic theses , Doctoral theses , text
- Identifier: http://hdl.handle.net/10962/432541 , vital:72879 , DOI 10.21504/10962/432541
- Description: Some communities in South Africa have the highest documented rates of Foetal Alcohol Spectrum Disorders (FASD) in the world. Interventions to reduce alcohol consumption during pregnancy are crucial, but evaluations of such interventions are sparse. Formative evaluations are indicated to assist in the development of interventions. Harmful alcohol consumption during pregnancy is undergirded by a range of social injustices, including those imposed by colonisation and patriarchy; a feminist, decolonial approach to evaluations is, therefore, important. A research project, consisting of three arms, examined alcohol use during pregnancy in an under-resourced urban area of the Eastern Cape, and this research was one of those arms. An intervention was being rolled out in this area and I gathered a range of data from it. I engaged in a formative evaluation of it, and I reflect on the difficulties that I encountered in this endeavour. In the bulk of this thesis, I examine the power apparatuses and technologies that were used during the intervention to discursively position pregnant women. My analysis was guided by Foucauldian and post-Foucauldian theories, using Foucauldian Discourse Analysis and simplified Conversation Analysis (CA). Power apparatuses of coloniality, patriarchy, and pastoral power were used in the intervention to construct positions for pregnant women who drink alcohol as ignorant children, sinners, criminals, or “Mommies”. The foetus was constructed as a precious, vulnerable baby, while the person with FASD was constructed as the defiled Other, responsible for societal dissolution. The intervention used various disciplinary techniques to exhort women to follow their dictates. Women were generally compliant with being positioned as ignorant children, which absolved them from any blame for pre-natal drinking. However, some resistance was evident. I then introduce an ethics of care and justice, and I argue that pregnant/newly parenting women need to be positioned within such an ethics, which acknowledges both the universal resources that they require for reproductive freedoms, as well as their particular care needs. I highlight the few times when women were positioned in this way in the data, and I look at how the common positions could be altered or expanded to promote such an ethics. I conclude by arguing that alcohol use during pregnancy cannot be separated from the larger context of the cultural hegemony of alcohol use in some communities, and the social injustices that potentiate this use. I provide suggestions for country-wide policies and interventions, as well as specific FASD prevention programmes, and I argue that a feminist decolonising approach, within an ethics of care and justice, should guide interventions at all levels. , Thesis (PhD) -- Faculty of Humanities, Psychology, 2023
- Full Text:
- Date Issued: 2023-10-13
Implementing a sexual and reproductive citizenship intervention refinement instrument for youth sexuality education: a formative evaluation
- Authors: Mthethwa, Thobile
- Date: 2023-10-13
- Subjects: Sexuality education , Sexual and reproductive health and rights , Reproductive rights , Sexual citizenship , Entitlement
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/425008 , vital:72201
- Description: While Out of School sexuality education (SE) programmes in South Africa have attempted to bridge the gap in the number of young people who receive SE, there is still a large number of youth between the age groups of 15 to 24 years who lack adequate sexual knowledge. The manner in which sex education is taught and its accessibility is accompanied by challenges, in particular in relation to empowerment. To better understand the effectiveness of sexual education programmes, evaluations of their content is needed. Therefore, the purpose of this study was to investigate whether and how an Out of school SE programme run by Partners in Sexual Health (PSH) promotes understandings of sexual and reproductive citizenship. A formative evaluation of their sexual and reproductive health and rights (SRHR) facilitator’s manual was conducted (owing to COVID the actual programme was not run in the year data for this thesis were collected). To help perform the formative evaluation, the feminist sexual and reproductive citizenship (SRC) framework as conceptualized by Macleod and Vincent (2014) was used. The SRC framework consists of five key principles that, it is suggested, need to be adopted for SE programmes to be inclusive, namely, citizenship as status and practice, differentiated citizenship, private and public interstice, and politics of recognition, redistribution and reparation. An additional principle of inclusive and process-based educational practices was added into the five key principles. To analyse data, template analysis was used which enabled the researcher to create a priori of themes using the Masizixhobise toolkit which is informed by the SRC framework. Findings from this study reveal the interconnectedness between the different citizenship principles. Moreover, while the PSH SRHR programme promotes principles of the SRC framework, there are aspects of the SRC that are lacking from the programme. Therefore, the SRHR manual needs to take into account a spectrum of issues which include but are not limited to the incorporation of sexually diverse differently-abled individuals' sexual experiences and challenges when it comes to accessing SE. This means for SE programmes to achieve inclusivity and to be empowering, they need to encourage individuals to be agentic beings, engage in informed decision-making and encourage young people to take up their rights. , Thesis (MA) -- Faculty of Humanities, Psychology, 2023
- Full Text:
- Date Issued: 2023-10-13
- Authors: Mthethwa, Thobile
- Date: 2023-10-13
- Subjects: Sexuality education , Sexual and reproductive health and rights , Reproductive rights , Sexual citizenship , Entitlement
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/425008 , vital:72201
- Description: While Out of School sexuality education (SE) programmes in South Africa have attempted to bridge the gap in the number of young people who receive SE, there is still a large number of youth between the age groups of 15 to 24 years who lack adequate sexual knowledge. The manner in which sex education is taught and its accessibility is accompanied by challenges, in particular in relation to empowerment. To better understand the effectiveness of sexual education programmes, evaluations of their content is needed. Therefore, the purpose of this study was to investigate whether and how an Out of school SE programme run by Partners in Sexual Health (PSH) promotes understandings of sexual and reproductive citizenship. A formative evaluation of their sexual and reproductive health and rights (SRHR) facilitator’s manual was conducted (owing to COVID the actual programme was not run in the year data for this thesis were collected). To help perform the formative evaluation, the feminist sexual and reproductive citizenship (SRC) framework as conceptualized by Macleod and Vincent (2014) was used. The SRC framework consists of five key principles that, it is suggested, need to be adopted for SE programmes to be inclusive, namely, citizenship as status and practice, differentiated citizenship, private and public interstice, and politics of recognition, redistribution and reparation. An additional principle of inclusive and process-based educational practices was added into the five key principles. To analyse data, template analysis was used which enabled the researcher to create a priori of themes using the Masizixhobise toolkit which is informed by the SRC framework. Findings from this study reveal the interconnectedness between the different citizenship principles. Moreover, while the PSH SRHR programme promotes principles of the SRC framework, there are aspects of the SRC that are lacking from the programme. Therefore, the SRHR manual needs to take into account a spectrum of issues which include but are not limited to the incorporation of sexually diverse differently-abled individuals' sexual experiences and challenges when it comes to accessing SE. This means for SE programmes to achieve inclusivity and to be empowering, they need to encourage individuals to be agentic beings, engage in informed decision-making and encourage young people to take up their rights. , Thesis (MA) -- Faculty of Humanities, Psychology, 2023
- Full Text:
- Date Issued: 2023-10-13
“How do you feel about the abortion?”: pre-termination of pregnancy counselling in the public health sector in the Eastern Cape
- Authors: Du Toit, Ryan Rudolph
- Date: 2023-10-13
- Subjects: Abortion counseling South Africa Eastern Cape , Conversation analysis , Discursive psychology , Public health South Africa , Reproductive justice , Abortion Psychological aspects
- Language: English
- Type: Academic theses , Doctoral theses , text
- Identifier: http://hdl.handle.net/10962/437238 , vital:73355 , DOI 10.21504/10962/437239
- Description: Pre-abortion counselling, as an aspect of abortion provision, has received growing research interest in various contexts. Much of the research has primarily focused on whether abortion counselling takes place, the experiences of women and/or counsellors (usually through retrospective interviews and surveys), and the content discussed during the counselling session (often policy regulated). Such research has proven vital to addressing the various reproductive issues facing women seeking an abortion worldwide. However, little research has focused on how pre-abortion counselling as an everyday institutional practice is conducted at a conversational level in the medical setting. By drawing on both conversation analysis and discursive psychology, this study explored how pre-abortion counselling was conducted in the public health sector in South Africa. The study involved recording the conversation during pre-abortion counselling and analysing it in terms of its content, in particular, the discourses drawn on by all parties involved, and its structure and delivery. The data were collected from three public hospitals in the Eastern Cape of South Africa and involved the audio recording of pre-abortion counselling sessions as part of abortion services. In total, 28 counselling sessions were recorded: 21 were individual sessions, and 7 were group counselling sessions. At two of the sites, counselling was conducted by registered midwives who worked at the hospital. At one site, an external Christian organisation volunteered trained counsellors to counsel women at the hospital free of charge. Using conversation analysis, counselling sessions were analysed in terms of the main projects. Seven key projects were identified: (1) Context setting, (2) History taking, (3) Establishing reason for abortion, (4) Presenting options, (5) Providing procedural information, (6) Obtaining verbal informed consent, and (7) Discussion of family planning. Each project is explored in terms of what discourses and subject positions featured when speakers were orienting to a specific project. This process highlighted how the conversational projects and their respective goals enable the deployment of certain problematic discourses and interactive/reflexive positionings. Discourse analysis revealed a clustering of discourses around two central themes. In the first clustering, the discourses were primarily used to discuss the (1) medically related issues underpinning the abortion procedure [medical discourse, responsibilization discourse, risk discourse, and discourse of support]. Talk using these discourses positioned women as patients needing medical intervention, responsibilised women for conceiving, playing an active role in their termination, and navigating all the psychological and physical risks “associated” with abortion. The discourse of support illustrates how support was spoken about in the interaction whereby patients were constructed as subjects who required support and nurses/counsellors as the ones who offered the support. In the second clustering, the discourses (2) focused on women and the foetus. These discourses [reproductive choice, religious, pronatalist, and foetal personhood discourses] positioned women as being responsible for making a choice regarding their pregnancy and the consequences that may result. In addition, a religious discourse coupled with a pronatalist discourse was used to construct the pregnancy and motherhood as desirable and part of “God’s plan”, whereas the foetus was spoken about as a “gift from God”. The foetal personhood discourse was used to construct the foetus as a living and functional human. This research provides evidence of how abortion counselling is problematic at various levels. At a practical level, there is a lack of standardisation in the delivery of abortion counselling (e.g., variation in key projects, where the counselling is mandated, time taken, nurse/counsellor training, content and format – group vs. individual counselling). At a discursive level, the use of certain discourses works to render the counselling directive through : (1) awfulizing abortion by providing misinformation about the abortion procedure, foetus and post-abortion psychological distress, (2) chastising and responsibilising women for conceiving, (3) constructing abortion as immoral, the ending of life and not in line with God’s plan, (4) constructing parenthood as the preferred choice, (5) delegitimising abortion as a resolution for pregnancy when compared to the other options (e.g., parenting or adoption), and finally (6) providing counselling that does not take into account the broader socio-political contexts. Recommendations for future research are put forward, and a call to move to a reparative justice framework is made by highlighting how it can be used to identify and understand reproductive injustices as they occur along four intersecting dimensions: (1) Individual material, (2) Collective material, (3) Individual symbolic, and (4) Collective symbolic. , Thesis (PhD) -- Faculty of Humanities, Psychology, 2023
- Full Text:
- Date Issued: 2023-10-13
- Authors: Du Toit, Ryan Rudolph
- Date: 2023-10-13
- Subjects: Abortion counseling South Africa Eastern Cape , Conversation analysis , Discursive psychology , Public health South Africa , Reproductive justice , Abortion Psychological aspects
- Language: English
- Type: Academic theses , Doctoral theses , text
- Identifier: http://hdl.handle.net/10962/437238 , vital:73355 , DOI 10.21504/10962/437239
- Description: Pre-abortion counselling, as an aspect of abortion provision, has received growing research interest in various contexts. Much of the research has primarily focused on whether abortion counselling takes place, the experiences of women and/or counsellors (usually through retrospective interviews and surveys), and the content discussed during the counselling session (often policy regulated). Such research has proven vital to addressing the various reproductive issues facing women seeking an abortion worldwide. However, little research has focused on how pre-abortion counselling as an everyday institutional practice is conducted at a conversational level in the medical setting. By drawing on both conversation analysis and discursive psychology, this study explored how pre-abortion counselling was conducted in the public health sector in South Africa. The study involved recording the conversation during pre-abortion counselling and analysing it in terms of its content, in particular, the discourses drawn on by all parties involved, and its structure and delivery. The data were collected from three public hospitals in the Eastern Cape of South Africa and involved the audio recording of pre-abortion counselling sessions as part of abortion services. In total, 28 counselling sessions were recorded: 21 were individual sessions, and 7 were group counselling sessions. At two of the sites, counselling was conducted by registered midwives who worked at the hospital. At one site, an external Christian organisation volunteered trained counsellors to counsel women at the hospital free of charge. Using conversation analysis, counselling sessions were analysed in terms of the main projects. Seven key projects were identified: (1) Context setting, (2) History taking, (3) Establishing reason for abortion, (4) Presenting options, (5) Providing procedural information, (6) Obtaining verbal informed consent, and (7) Discussion of family planning. Each project is explored in terms of what discourses and subject positions featured when speakers were orienting to a specific project. This process highlighted how the conversational projects and their respective goals enable the deployment of certain problematic discourses and interactive/reflexive positionings. Discourse analysis revealed a clustering of discourses around two central themes. In the first clustering, the discourses were primarily used to discuss the (1) medically related issues underpinning the abortion procedure [medical discourse, responsibilization discourse, risk discourse, and discourse of support]. Talk using these discourses positioned women as patients needing medical intervention, responsibilised women for conceiving, playing an active role in their termination, and navigating all the psychological and physical risks “associated” with abortion. The discourse of support illustrates how support was spoken about in the interaction whereby patients were constructed as subjects who required support and nurses/counsellors as the ones who offered the support. In the second clustering, the discourses (2) focused on women and the foetus. These discourses [reproductive choice, religious, pronatalist, and foetal personhood discourses] positioned women as being responsible for making a choice regarding their pregnancy and the consequences that may result. In addition, a religious discourse coupled with a pronatalist discourse was used to construct the pregnancy and motherhood as desirable and part of “God’s plan”, whereas the foetus was spoken about as a “gift from God”. The foetal personhood discourse was used to construct the foetus as a living and functional human. This research provides evidence of how abortion counselling is problematic at various levels. At a practical level, there is a lack of standardisation in the delivery of abortion counselling (e.g., variation in key projects, where the counselling is mandated, time taken, nurse/counsellor training, content and format – group vs. individual counselling). At a discursive level, the use of certain discourses works to render the counselling directive through : (1) awfulizing abortion by providing misinformation about the abortion procedure, foetus and post-abortion psychological distress, (2) chastising and responsibilising women for conceiving, (3) constructing abortion as immoral, the ending of life and not in line with God’s plan, (4) constructing parenthood as the preferred choice, (5) delegitimising abortion as a resolution for pregnancy when compared to the other options (e.g., parenting or adoption), and finally (6) providing counselling that does not take into account the broader socio-political contexts. Recommendations for future research are put forward, and a call to move to a reparative justice framework is made by highlighting how it can be used to identify and understand reproductive injustices as they occur along four intersecting dimensions: (1) Individual material, (2) Collective material, (3) Individual symbolic, and (4) Collective symbolic. , Thesis (PhD) -- Faculty of Humanities, Psychology, 2023
- Full Text:
- Date Issued: 2023-10-13
Nurses’ experiences of an abortion counselling training course and their understandings of quality abortion services
- Authors: Mogonong, Laurah Carolina
- Date: 2023-03-30
- Subjects: Abortion counseling , Abortion Psychological aspects , Nurses Attitudes , Abortion services South Africa Eastern Cape , Grounded theory , Person-centered therapy
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/408862 , vital:70532
- Description: This research study focuses on nurses’ experiences of participating in an abortion counselling training programme in the Eastern Cape Province (E.C), using a grounded theory and symbolic interactionism framework. The study aims to investigate how participating in a women-centred abortion counselling training course offered through the Critical Studies in Sexualities and Reproduction research unit may modify or improve nurses’ practice of abortion counselling and understanding of quality abortion services. Through purposive sampling, nine research participants working as abortion providers in EC health care facilities were recruited. Research data were produced using discussions around prior abortion counselling experiences, a reflective activity, power point case presentations conducted within the counselling training, and semi-structured interviews conducted two months after the training with five of the providers. A grounded theory analysis was used to generate themes that highlighted different aspects that enabled or hindered access to quality abortion services. In accordance with prior research, it was revealed that nurses undergo abortion training but there is limited content on abortion counselling training. Findings from this study reveal the modifications of practice and understanding of quality abortion services of nurses who participated in the client-centred abortion counselling training course. Themes of change that emerged from the nurses’ experiences were rendering counselling services in a non- judgemental, non-directive way, being acknowledged and recognized for the services they offer as abortion providers, and accepting that abortion is a reproductive legal right that can be accessed whenever a woman in need of the service requests it. The findings of this research also indicate that, despite the controversy and stigma attached to providing abortion services, the participants were motivated to continue offering abortion services because they felt equipped since undergoing abortion counselling training. The training course improved reported abortion counselling practices, but systematic issues such as lack of managerial support, space for individual counselling and procedure equipment continue to undermine services. , Thesis (MA) -- Faculty of Humanities, Psychology, 2023
- Full Text:
- Date Issued: 2023-03-30
- Authors: Mogonong, Laurah Carolina
- Date: 2023-03-30
- Subjects: Abortion counseling , Abortion Psychological aspects , Nurses Attitudes , Abortion services South Africa Eastern Cape , Grounded theory , Person-centered therapy
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/408862 , vital:70532
- Description: This research study focuses on nurses’ experiences of participating in an abortion counselling training programme in the Eastern Cape Province (E.C), using a grounded theory and symbolic interactionism framework. The study aims to investigate how participating in a women-centred abortion counselling training course offered through the Critical Studies in Sexualities and Reproduction research unit may modify or improve nurses’ practice of abortion counselling and understanding of quality abortion services. Through purposive sampling, nine research participants working as abortion providers in EC health care facilities were recruited. Research data were produced using discussions around prior abortion counselling experiences, a reflective activity, power point case presentations conducted within the counselling training, and semi-structured interviews conducted two months after the training with five of the providers. A grounded theory analysis was used to generate themes that highlighted different aspects that enabled or hindered access to quality abortion services. In accordance with prior research, it was revealed that nurses undergo abortion training but there is limited content on abortion counselling training. Findings from this study reveal the modifications of practice and understanding of quality abortion services of nurses who participated in the client-centred abortion counselling training course. Themes of change that emerged from the nurses’ experiences were rendering counselling services in a non- judgemental, non-directive way, being acknowledged and recognized for the services they offer as abortion providers, and accepting that abortion is a reproductive legal right that can be accessed whenever a woman in need of the service requests it. The findings of this research also indicate that, despite the controversy and stigma attached to providing abortion services, the participants were motivated to continue offering abortion services because they felt equipped since undergoing abortion counselling training. The training course improved reported abortion counselling practices, but systematic issues such as lack of managerial support, space for individual counselling and procedure equipment continue to undermine services. , Thesis (MA) -- Faculty of Humanities, Psychology, 2023
- Full Text:
- Date Issued: 2023-03-30
Making the personal political: understanding the impacts of participation in an anti-rape protest for women who have experienced sexual violence
- Authors: Barker, Kim Elise
- Date: 2023-03-29
- Subjects: Sexual assault South Africa , Silent protest , Under-reporting , Sexual abuse victims Attiudes , Narrative inquiry (Research method) , Rape Psychological aspects
- Language: English
- Type: Academic theses , Doctoral theses , text
- Identifier: http://hdl.handle.net/10962/422590 , vital:71960 , DOI 10.21504/10962/422590
- Description: South Africa is recognised as a country with unusually high levels of rape and sexual violence. The majority of those who experience sexual violence do not acknowledge, disclose or report it, and do not access support. Many factors have been identified which can inhibit acknowledgement and disclosure. While silence is to be honoured as a chosen response, unwanted silencing is of concern. The annual Silent Protest at Rhodes University is a day-long anti-rape protest which draws attention to the attitudes and practices which silence victim-survivors, and enacts solidarity with victim-survivors of sexual violence. I conducted a three year “critically engaged, activist ethnography” with the community of Silent Protestors and organisers. My focus was on the stories that victim-survivors told about the impacts of participating in the protest. Changes in the research context allowed for a participatory action research cycle to be incorporated into the methodology. This offered an opportunity to implement and evaluate some changes suggested by my research contributors. My contributor’s narratives highlighted the ways in which as a society we position those who have been subjected to sexual violence in ways that are limited and limiting and which diminish victim-survivors’ sense of agency and value. This malignant positioning restricts the choices available to victim-survivors. The anticipation of being positioned in negative ways can inhibit victim-survivors from disclosing a violation and accessing care and justice. Participation in the Silent Protest seems to stand against some of the factors which inhibit acknowledgement and disclosure. Through their participation many women took up opportunities to share their story with at least one other person and to receive and offer care. Most described participation as having been beneficial and having helped them move towards living well again. The ways in which the Silent Protest positioned victim-survivors and the choices they were offered in relation to that positioning seemed to open up opportunities for thinking, feeling and acting in ways that they preferred. This suggests that interventions which mobilise both political resistance and mutual care hold promise for developing more accessible and effective services to those affected by sexual violence. , Thesis (PhD) -- Faculty of Humanities, Psychology, 2023
- Full Text:
- Date Issued: 2023-03-29
- Authors: Barker, Kim Elise
- Date: 2023-03-29
- Subjects: Sexual assault South Africa , Silent protest , Under-reporting , Sexual abuse victims Attiudes , Narrative inquiry (Research method) , Rape Psychological aspects
- Language: English
- Type: Academic theses , Doctoral theses , text
- Identifier: http://hdl.handle.net/10962/422590 , vital:71960 , DOI 10.21504/10962/422590
- Description: South Africa is recognised as a country with unusually high levels of rape and sexual violence. The majority of those who experience sexual violence do not acknowledge, disclose or report it, and do not access support. Many factors have been identified which can inhibit acknowledgement and disclosure. While silence is to be honoured as a chosen response, unwanted silencing is of concern. The annual Silent Protest at Rhodes University is a day-long anti-rape protest which draws attention to the attitudes and practices which silence victim-survivors, and enacts solidarity with victim-survivors of sexual violence. I conducted a three year “critically engaged, activist ethnography” with the community of Silent Protestors and organisers. My focus was on the stories that victim-survivors told about the impacts of participating in the protest. Changes in the research context allowed for a participatory action research cycle to be incorporated into the methodology. This offered an opportunity to implement and evaluate some changes suggested by my research contributors. My contributor’s narratives highlighted the ways in which as a society we position those who have been subjected to sexual violence in ways that are limited and limiting and which diminish victim-survivors’ sense of agency and value. This malignant positioning restricts the choices available to victim-survivors. The anticipation of being positioned in negative ways can inhibit victim-survivors from disclosing a violation and accessing care and justice. Participation in the Silent Protest seems to stand against some of the factors which inhibit acknowledgement and disclosure. Through their participation many women took up opportunities to share their story with at least one other person and to receive and offer care. Most described participation as having been beneficial and having helped them move towards living well again. The ways in which the Silent Protest positioned victim-survivors and the choices they were offered in relation to that positioning seemed to open up opportunities for thinking, feeling and acting in ways that they preferred. This suggests that interventions which mobilise both political resistance and mutual care hold promise for developing more accessible and effective services to those affected by sexual violence. , Thesis (PhD) -- Faculty of Humanities, Psychology, 2023
- Full Text:
- Date Issued: 2023-03-29
Alcohol use among women attending antenatal care in Buffalo City, Eastern Cape
- Authors: Bredenkamp, Petrus Johannes
- Date: 2022-04-07
- Subjects: Uncatalogued
- Language: English
- Type: Master's thesis , text
- Identifier: http://hdl.handle.net/10962/234358 , vital:50188
- Description: Alcohol use during pregnancy is known to cause neurodevelopmental disorders in offspring, known as Fetal Alcohol Spectrum Disorders (FASD). High prevalence of FASD has been observed in certain parts South Africa, but many areas of the country remain unstudied, and factors contributing to drinking among pregnant women are poorly understood. This study surveyed 1099 women attending antenatal care at public primary healthcare facilities in the Buffalo City Metropolitan Area in the Eastern Cape. Data was collected using the Alcohol Use Identification Test, a 10-item self-report measure of drinking behaviour in isiXhosa, English, and Afrikaans. Factors associated with alcohol use, risky drinking, binge drinking, and hazardous/harmful drinking were identified using logistic regression. A minority of the sample reported alcohol use (64%). Among those reporting alcohol use, most reported occasional binge drinking (63%) and met criteria for risky drinking (59%) and hazardous/harmful drinking (52%). Living with a regular drinker was significantly associated with alcohol use (OR 1.98, 95% CI 1.51 – 2.58), risky drinking (OR 2.03, 95% CI 1.49 – 2.76), binge drinking (OR 2.21, 95% CI 1.64 – 2.97), and hazardous/harmful drinking (OR 2.0, 95% CI 1.41 – 2.99). However, women who were married/cohabiting were less likely to report alcohol use (OR .71, 95% CI .53 - .95). Experiencing intimate partner violence during the current pregnancy was associated with alcohol use (OR 2.42, 95% CI 1.38 – 4.27) and hazardous/harmful drinking (OR 2.62, 95% CI 1.32 – 5.22). In this study, women who identified as Coloured were more likely to report alcohol use than Women who identified as African (OR 2.74, 95% CI 1.4 – 5.36). These findings simultaneously provide evidence of problematic drinking among pregnant women in a previously understudied area and show that external factors affect women’s drinking behaviour during pregnancy. Interventions aimed at reducing the incidence of FASD should consider alcohol use by pregnant women in the context of their lived experiences. , Thesis (MA) -- Faculty of Humanities, Psychology, 2022
- Full Text:
- Date Issued: 2022-04-07
- Authors: Bredenkamp, Petrus Johannes
- Date: 2022-04-07
- Subjects: Uncatalogued
- Language: English
- Type: Master's thesis , text
- Identifier: http://hdl.handle.net/10962/234358 , vital:50188
- Description: Alcohol use during pregnancy is known to cause neurodevelopmental disorders in offspring, known as Fetal Alcohol Spectrum Disorders (FASD). High prevalence of FASD has been observed in certain parts South Africa, but many areas of the country remain unstudied, and factors contributing to drinking among pregnant women are poorly understood. This study surveyed 1099 women attending antenatal care at public primary healthcare facilities in the Buffalo City Metropolitan Area in the Eastern Cape. Data was collected using the Alcohol Use Identification Test, a 10-item self-report measure of drinking behaviour in isiXhosa, English, and Afrikaans. Factors associated with alcohol use, risky drinking, binge drinking, and hazardous/harmful drinking were identified using logistic regression. A minority of the sample reported alcohol use (64%). Among those reporting alcohol use, most reported occasional binge drinking (63%) and met criteria for risky drinking (59%) and hazardous/harmful drinking (52%). Living with a regular drinker was significantly associated with alcohol use (OR 1.98, 95% CI 1.51 – 2.58), risky drinking (OR 2.03, 95% CI 1.49 – 2.76), binge drinking (OR 2.21, 95% CI 1.64 – 2.97), and hazardous/harmful drinking (OR 2.0, 95% CI 1.41 – 2.99). However, women who were married/cohabiting were less likely to report alcohol use (OR .71, 95% CI .53 - .95). Experiencing intimate partner violence during the current pregnancy was associated with alcohol use (OR 2.42, 95% CI 1.38 – 4.27) and hazardous/harmful drinking (OR 2.62, 95% CI 1.32 – 5.22). In this study, women who identified as Coloured were more likely to report alcohol use than Women who identified as African (OR 2.74, 95% CI 1.4 – 5.36). These findings simultaneously provide evidence of problematic drinking among pregnant women in a previously understudied area and show that external factors affect women’s drinking behaviour during pregnancy. Interventions aimed at reducing the incidence of FASD should consider alcohol use by pregnant women in the context of their lived experiences. , Thesis (MA) -- Faculty of Humanities, Psychology, 2022
- Full Text:
- Date Issued: 2022-04-07
Sexual socialisation: young adult women storying how sexual activities were discussed in South African cultural contexts
- Authors: Ludidi, Zizipho
- Date: 2022-04-07
- Subjects: Socialization South Africa , Sex Social aspects South Africa , Young women Socialization South Africa , Young women Sexual behavior South Africa , Culture , Memory , Narrative inquiry (Research method)
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/292737 , vital:57011
- Description: Epidemics such as HIV/AIDS, unplanned pregnancy, gender-based violence and homophobia, in South Africa, have focused research on how young people learn about sex. This research has often focused on young girls from risk-saturated areas, and specific agents of socialisation, where they might learn about sex, such as parents, life orientation at schools, peers, media, and traditional cultural approaches. Using a narrative theoretical framework, through memory work, this study explored how black young adult women friends – who were university students – experienced forms of sexual socialisation, through various communication in South African cultural contexts. Findings from the thematic narrative analysis that was conducted demonstrated that sexual socialisation is a complex life-long process. This takes place through a collision of contradictory messages, from different agents of socialisation, in different cultural contexts. Themes were identified and organised to tell an overall sexual socialisation story that progressed through time, moving from a stage of perceived innocent oblivion, mixed messages in primary and high school, “liberal” university stories and the current stage of reauthoring stories. , Thesis (MA) -- Faculty of Humanities, Psychology, 2022
- Full Text:
- Date Issued: 2022-04-07
- Authors: Ludidi, Zizipho
- Date: 2022-04-07
- Subjects: Socialization South Africa , Sex Social aspects South Africa , Young women Socialization South Africa , Young women Sexual behavior South Africa , Culture , Memory , Narrative inquiry (Research method)
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/292737 , vital:57011
- Description: Epidemics such as HIV/AIDS, unplanned pregnancy, gender-based violence and homophobia, in South Africa, have focused research on how young people learn about sex. This research has often focused on young girls from risk-saturated areas, and specific agents of socialisation, where they might learn about sex, such as parents, life orientation at schools, peers, media, and traditional cultural approaches. Using a narrative theoretical framework, through memory work, this study explored how black young adult women friends – who were university students – experienced forms of sexual socialisation, through various communication in South African cultural contexts. Findings from the thematic narrative analysis that was conducted demonstrated that sexual socialisation is a complex life-long process. This takes place through a collision of contradictory messages, from different agents of socialisation, in different cultural contexts. Themes were identified and organised to tell an overall sexual socialisation story that progressed through time, moving from a stage of perceived innocent oblivion, mixed messages in primary and high school, “liberal” university stories and the current stage of reauthoring stories. , Thesis (MA) -- Faculty of Humanities, Psychology, 2022
- Full Text:
- Date Issued: 2022-04-07
The narratives of women in South Africa who use social media to talk about gender-based violence
- Authors: Walton, Donica Jasmin
- Date: 2022-04-07
- Subjects: Women Violence against South Africa , Social media and society South Africa , Internet and activism South Africa , Discourse analysis, Narrative , Internet and women South Africa , Subject positions
- Language: English
- Type: Master's thesis , text
- Identifier: http://hdl.handle.net/10962/232590 , vital:50005
- Description: There has been research conducted, both globally and in South Africa, on social media activism against gender-based violence (GBV). However, most research on the topic is based on participants in other parts of the world. Not much has been published on Black, African women. More specifically, not much is known about how women in South Africa experience using social media to talk about GBV. This research project draws on critical feminism and a narrative-discursive approach to explore the narratives of women in South Africa who use social media to talk about GBV. This is done by identifying the discourses women draw on to construct narratives, the subject positions utilised within these discourses, and how “trouble” and “repair” features in the narratives and positioning of women. Twelve interviews were conducted with women who volunteered and fit the inclusion criteria. The analysis of data was presented in two parts. The first set of discourses (discourses of ‘efficacy’, ‘convenience’, and ‘education’) were focused on what the use of social media achieves irrespective of the topic being discussed. These discourses speak to the idea that social media is powerful and useful because of its reach, speed, immediacy, and ability to be used to educate and be educated. The second set of discourses (discourses of ‘community and solidarity’, ‘validation’, and ‘vulnerability’) were focused on what the use of social media does for the people participating. Women have found a community and solidarity, and their experiences and thoughts have been validated on social media. Overall, the women in this research project justified their use of social media for activism against GBV, and acknowledged the tension that exists because despite its potential, there are limitations. , Thesis (MSocSci) -- Faculty of Humanities, Psychology, 2022
- Full Text:
- Date Issued: 2022-04-07
- Authors: Walton, Donica Jasmin
- Date: 2022-04-07
- Subjects: Women Violence against South Africa , Social media and society South Africa , Internet and activism South Africa , Discourse analysis, Narrative , Internet and women South Africa , Subject positions
- Language: English
- Type: Master's thesis , text
- Identifier: http://hdl.handle.net/10962/232590 , vital:50005
- Description: There has been research conducted, both globally and in South Africa, on social media activism against gender-based violence (GBV). However, most research on the topic is based on participants in other parts of the world. Not much has been published on Black, African women. More specifically, not much is known about how women in South Africa experience using social media to talk about GBV. This research project draws on critical feminism and a narrative-discursive approach to explore the narratives of women in South Africa who use social media to talk about GBV. This is done by identifying the discourses women draw on to construct narratives, the subject positions utilised within these discourses, and how “trouble” and “repair” features in the narratives and positioning of women. Twelve interviews were conducted with women who volunteered and fit the inclusion criteria. The analysis of data was presented in two parts. The first set of discourses (discourses of ‘efficacy’, ‘convenience’, and ‘education’) were focused on what the use of social media achieves irrespective of the topic being discussed. These discourses speak to the idea that social media is powerful and useful because of its reach, speed, immediacy, and ability to be used to educate and be educated. The second set of discourses (discourses of ‘community and solidarity’, ‘validation’, and ‘vulnerability’) were focused on what the use of social media does for the people participating. Women have found a community and solidarity, and their experiences and thoughts have been validated on social media. Overall, the women in this research project justified their use of social media for activism against GBV, and acknowledged the tension that exists because despite its potential, there are limitations. , Thesis (MSocSci) -- Faculty of Humanities, Psychology, 2022
- Full Text:
- Date Issued: 2022-04-07
Practices of media production and positioning of women in South African newspaper articles about abortion, 1978 to 2005
- Feltham-King, Tracey https://orcid.org/0000-0001-8695-9367
- Authors: Feltham-King, Tracey https://orcid.org/0000-0001-8695-9367
- Date: 2010-01
- Subjects: Abortion -- Press coverage , Abortion -- Law and legislation -- South Africa , Abortion -- Moral and ethical aspects
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/28728 , vital:74638
- Description: The context in which legal abortion occurred changed radically in South Africa from 1978 to 2005. The Abortion and Sterilization Act Act No.2 of 1975 severely compromised most South African women's reprouctive rights. Legal abortions were only accessible in practice to white middle-class women. After the process of democratization was initiated the Choice on Termination of Pregnancy Act Act No.92 of 1996 came into effect. This Act was hailed as a complete transformation of the previous legislation and sought to make abortion legal and accessible to all South African women within the first trimester of their pregnancies. This study sought to examine the influence of this transformation on the practices of media production and the representation of women in newspaper articles written about abortion. A post-structuralist feminist approach to a content analysis was adopted using articles about abortion which were published in 25 South African newspapers over a 28-year period. The practices of media production were quantified by looking at the events which were reported on in the newspapers in relation to abortion as well as the commentators who were called on to comment in those articles. The practices of representation were identified according to the words used to indicate the subject woman, in those articles and the discourses used to position women in relation to abortion. The media practices of production were shown to be historically contingent. There was a shift from reports of events occurring in the formalised knowledge domain, before the transition to democracy, to events generated by the politics of individual opinion, after 1990. Although state and political commentators were the most prevalent as commentators overall, after 1990 individual media experts comprised the greatest proportion of individual commentators. This coincided with the generation of more dialogue, discussion, opinion and commentary about the topic of abortion. Women emerged more prominently as commentators around the time of legislative change and initial implementation of the new legislation. Overall a strong relationship emerged between the gender of the commentators and their alignment to the abortion issue. Male commentators were most often aligned to the pro-life side of the debate and female commentators most often to the pro-choice lobby. The strategic utilisation of particular indicators and subject positions for women in newspaper articles about abortion was evident. There was an increase of the use of the term girl at the time when the new legislation was being formulated and challenged. Women were only made visible as autonomous subjects after 1990, when the transition to democracy had begun. Despite this visibility and the radical transformation of the abortion legislation, however, women are still most often positioned as victims in newspaper articles written about abortion. , Thesis (M.Soc. Sc) -- Faculty of Social Sciences and Humanities, 2010
- Full Text:
- Date Issued: 2010-01
- Authors: Feltham-King, Tracey https://orcid.org/0000-0001-8695-9367
- Date: 2010-01
- Subjects: Abortion -- Press coverage , Abortion -- Law and legislation -- South Africa , Abortion -- Moral and ethical aspects
- Language: English
- Type: Master's theses , text
- Identifier: http://hdl.handle.net/10353/28728 , vital:74638
- Description: The context in which legal abortion occurred changed radically in South Africa from 1978 to 2005. The Abortion and Sterilization Act Act No.2 of 1975 severely compromised most South African women's reprouctive rights. Legal abortions were only accessible in practice to white middle-class women. After the process of democratization was initiated the Choice on Termination of Pregnancy Act Act No.92 of 1996 came into effect. This Act was hailed as a complete transformation of the previous legislation and sought to make abortion legal and accessible to all South African women within the first trimester of their pregnancies. This study sought to examine the influence of this transformation on the practices of media production and the representation of women in newspaper articles written about abortion. A post-structuralist feminist approach to a content analysis was adopted using articles about abortion which were published in 25 South African newspapers over a 28-year period. The practices of media production were quantified by looking at the events which were reported on in the newspapers in relation to abortion as well as the commentators who were called on to comment in those articles. The practices of representation were identified according to the words used to indicate the subject woman, in those articles and the discourses used to position women in relation to abortion. The media practices of production were shown to be historically contingent. There was a shift from reports of events occurring in the formalised knowledge domain, before the transition to democracy, to events generated by the politics of individual opinion, after 1990. Although state and political commentators were the most prevalent as commentators overall, after 1990 individual media experts comprised the greatest proportion of individual commentators. This coincided with the generation of more dialogue, discussion, opinion and commentary about the topic of abortion. Women emerged more prominently as commentators around the time of legislative change and initial implementation of the new legislation. Overall a strong relationship emerged between the gender of the commentators and their alignment to the abortion issue. Male commentators were most often aligned to the pro-life side of the debate and female commentators most often to the pro-choice lobby. The strategic utilisation of particular indicators and subject positions for women in newspaper articles about abortion was evident. There was an increase of the use of the term girl at the time when the new legislation was being formulated and challenged. Women were only made visible as autonomous subjects after 1990, when the transition to democracy had begun. Despite this visibility and the radical transformation of the abortion legislation, however, women are still most often positioned as victims in newspaper articles written about abortion. , Thesis (M.Soc. Sc) -- Faculty of Social Sciences and Humanities, 2010
- Full Text:
- Date Issued: 2010-01
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