A systematic review of mental health care access in disadvantaged communities in South Africa
- Authors: Dube, Nkosingiphile Zama
- Date: 2025-04-25
- Subjects: Mental health services South Africa , Rural mental health services South Africa , Social psychiatry South Africa , Healers South Africa , Help-seeking , Systematic reviews (Medical research)
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/478295 , vital:78174
- Description: Background: Access to mental healthcare in disadvantaged rural communities in South Africa faces numerous challenges, particularly due to cultural beliefs that impact help-seeking behaviours. Systematic reviews provide critical insights into the barriers and facilitators of healthcare access in such contexts. This review aims to evaluate the available literature on mental healthcare access in rural South African communities, with a specific focus on the influence of cultural beliefs on help-seeking behaviours. Methods: A systematic search was conducted across databases, including PubMed, Scopus, and Web of Science, to identify studies published between 2010 and 2023. Studies were included if they examined barriers to mental healthcare access in rural South African settings and involved culturally relevant factors. Screening, selection, and appraisal of studies were carried out using PRISMA guidelines, with data extracted and synthesized through qualitative thematic analysis. Results: A total of 24 studies met the inclusion criteria. Key findings identified barriers such as financial constraints, scarcity of mental health facilities, stigma, long distances to services, language barriers, and cultural beliefs. Cultural practices, such as attributing mental distress to witchcraft or ancestral displeasure, were found to influence perceptions of mental health and discourage professional intervention, with traditional healers and community elders frequently being the preferred resource. Some community members, despite limited knowledge, utilized smartphones for mental health applications, while others relied on traditional practices and community support networks. Conclusion: This review underscores the need for a culturally sensitive, integrated approach to mental healthcare in rural South Africa, blending traditional and modern practices. Recommendations include conducting rural needs assessments, fostering collaboration between mental health practitioners and traditional healers, and enhancing teacher training. , Thesis (MA) -- Faculty of Humanities, Psychology, 2025
- Full Text:
- Authors: Dube, Nkosingiphile Zama
- Date: 2025-04-25
- Subjects: Mental health services South Africa , Rural mental health services South Africa , Social psychiatry South Africa , Healers South Africa , Help-seeking , Systematic reviews (Medical research)
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/478295 , vital:78174
- Description: Background: Access to mental healthcare in disadvantaged rural communities in South Africa faces numerous challenges, particularly due to cultural beliefs that impact help-seeking behaviours. Systematic reviews provide critical insights into the barriers and facilitators of healthcare access in such contexts. This review aims to evaluate the available literature on mental healthcare access in rural South African communities, with a specific focus on the influence of cultural beliefs on help-seeking behaviours. Methods: A systematic search was conducted across databases, including PubMed, Scopus, and Web of Science, to identify studies published between 2010 and 2023. Studies were included if they examined barriers to mental healthcare access in rural South African settings and involved culturally relevant factors. Screening, selection, and appraisal of studies were carried out using PRISMA guidelines, with data extracted and synthesized through qualitative thematic analysis. Results: A total of 24 studies met the inclusion criteria. Key findings identified barriers such as financial constraints, scarcity of mental health facilities, stigma, long distances to services, language barriers, and cultural beliefs. Cultural practices, such as attributing mental distress to witchcraft or ancestral displeasure, were found to influence perceptions of mental health and discourage professional intervention, with traditional healers and community elders frequently being the preferred resource. Some community members, despite limited knowledge, utilized smartphones for mental health applications, while others relied on traditional practices and community support networks. Conclusion: This review underscores the need for a culturally sensitive, integrated approach to mental healthcare in rural South Africa, blending traditional and modern practices. Recommendations include conducting rural needs assessments, fostering collaboration between mental health practitioners and traditional healers, and enhancing teacher training. , Thesis (MA) -- Faculty of Humanities, Psychology, 2025
- Full Text:
Conceptualising mental distress from an African psychology paradigm: using an interpretative phenomenological analysis of the views of traditional healers
- Nabo-Bazana, Sandisiwe Sifanelwe
- Authors: Nabo-Bazana, Sandisiwe Sifanelwe
- Date: 2022-10-14
- Subjects: Healers South Africa , Traditional healer , Mental distress , Black psychology , Afrocentrism
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/406213 , vital:70249
- Description: With South Africa's long history of colonialism and racial oppression, there are still services in the country that many South Africans cannot relate to, including psychology. Research shows that many South Africans experience and are affected by mental distress due to several factors, including poverty, unemployment, and traumatic experiences. Managing and treating such distress has always been challenging for most South Africans. Some debates question the relevance of psychological services from the West in a South African context. This study explores other approaches to psychology that look beyond the Biopsychosocial model when dealing with certain types of disorders in an African context. African psychology, or the Afrocentric approach, looks at what is beneath the surface, not just the presenting problem. Mainstream psychology strives to be universal and applicable to all. However, African psychology disagrees with this notion. African psychology perceives human beings as strongly influenced by social and cultural influences. The focus of this approach includes the spiritual realm and the attached meanings. There is evidence for the need to merge Traditional and Western medicine. The research methodology for this study is qualitative, using Interpretative Phenomenological Analysis. IPA allows for a critical engagement with the ways in which participants construct their reality. The researcher carried out semi-structured interviews to enable participants, all traditional healers (3 female and 2 male), to narrate their experiences dealing with mentally distressed clients. The accounts of these traditional healers were analysed focusing on people who have experienced mental distress. From the analysis and synthesis of the themes, findings illustrate how traditional healers conceptualise and construct mental distress from an African Psychology paradigm. An emerging core theme was the importance of the divine call and its influence on the chosen treatments. More studies are needed to illustrate the potential for collaboration between African Traditional healing and EuroAmerican healing practices, to provide holistic services to people in need. , Thesis (MA) -- Faculty of Humanities, Psychology, 2022
- Full Text:
- Authors: Nabo-Bazana, Sandisiwe Sifanelwe
- Date: 2022-10-14
- Subjects: Healers South Africa , Traditional healer , Mental distress , Black psychology , Afrocentrism
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/406213 , vital:70249
- Description: With South Africa's long history of colonialism and racial oppression, there are still services in the country that many South Africans cannot relate to, including psychology. Research shows that many South Africans experience and are affected by mental distress due to several factors, including poverty, unemployment, and traumatic experiences. Managing and treating such distress has always been challenging for most South Africans. Some debates question the relevance of psychological services from the West in a South African context. This study explores other approaches to psychology that look beyond the Biopsychosocial model when dealing with certain types of disorders in an African context. African psychology, or the Afrocentric approach, looks at what is beneath the surface, not just the presenting problem. Mainstream psychology strives to be universal and applicable to all. However, African psychology disagrees with this notion. African psychology perceives human beings as strongly influenced by social and cultural influences. The focus of this approach includes the spiritual realm and the attached meanings. There is evidence for the need to merge Traditional and Western medicine. The research methodology for this study is qualitative, using Interpretative Phenomenological Analysis. IPA allows for a critical engagement with the ways in which participants construct their reality. The researcher carried out semi-structured interviews to enable participants, all traditional healers (3 female and 2 male), to narrate their experiences dealing with mentally distressed clients. The accounts of these traditional healers were analysed focusing on people who have experienced mental distress. From the analysis and synthesis of the themes, findings illustrate how traditional healers conceptualise and construct mental distress from an African Psychology paradigm. An emerging core theme was the importance of the divine call and its influence on the chosen treatments. More studies are needed to illustrate the potential for collaboration between African Traditional healing and EuroAmerican healing practices, to provide holistic services to people in need. , Thesis (MA) -- Faculty of Humanities, Psychology, 2022
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Understanding trance states from the perspective of South African traditional healers - in relation to psychosis
- Authors: Masia, Ntombifuthi Thato
- Date: 2022-04-07
- Subjects: Trance , Psychoses , Altered states of consciousness , Healers South Africa , Healers South Africa Attitudes , Mental health services South Africa , Psychoses Alternative treatment , Psychoses Alternative treatment Moral and ethical aspects
- Language: English
- Type: Master's article , text
- Identifier: http://hdl.handle.net/10962/232877 , vital:50034
- Description: Studies conducted on psychosis, sleep and trance states have indicated that the phenomenon of trance occurs quite similarly to that of psychosis. Trance states (or, altered states of consciousness) are defined as mental states in which there is an alteration in the informational or representational relationships between consciousness and the world, whereby the mechanisms of consciousness have an increased tendency to produce misrepresentations like hallucinations, delusions and memory or temporal distortions. This research study aimed to contribute to the knowledge of trance states, particularly as represented by the language and social processes of traditional healers in South Africa, and as experienced by them. This knowledge is geared towards providing insight on the experience and treatment of the similarly occurring phenomenon of psychosis in clinical settings. Through a qualitative study, this research found that strategies of exploration, building recognition and familiarity, and self-monitoring are used by traditional healers to reduce the distress caused by intrusive and disruptive symptoms of trance, as well as to maintain a stable self-identity while experiencing trance states. , Thesis (MA) -- Humanities, Psychology, 2022
- Full Text:
- Authors: Masia, Ntombifuthi Thato
- Date: 2022-04-07
- Subjects: Trance , Psychoses , Altered states of consciousness , Healers South Africa , Healers South Africa Attitudes , Mental health services South Africa , Psychoses Alternative treatment , Psychoses Alternative treatment Moral and ethical aspects
- Language: English
- Type: Master's article , text
- Identifier: http://hdl.handle.net/10962/232877 , vital:50034
- Description: Studies conducted on psychosis, sleep and trance states have indicated that the phenomenon of trance occurs quite similarly to that of psychosis. Trance states (or, altered states of consciousness) are defined as mental states in which there is an alteration in the informational or representational relationships between consciousness and the world, whereby the mechanisms of consciousness have an increased tendency to produce misrepresentations like hallucinations, delusions and memory or temporal distortions. This research study aimed to contribute to the knowledge of trance states, particularly as represented by the language and social processes of traditional healers in South Africa, and as experienced by them. This knowledge is geared towards providing insight on the experience and treatment of the similarly occurring phenomenon of psychosis in clinical settings. Through a qualitative study, this research found that strategies of exploration, building recognition and familiarity, and self-monitoring are used by traditional healers to reduce the distress caused by intrusive and disruptive symptoms of trance, as well as to maintain a stable self-identity while experiencing trance states. , Thesis (MA) -- Humanities, Psychology, 2022
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