Determining the relationship between perceptions of HIV susceptibility and HIV status of women who have sex with women
- Authors: Zuccarini, Aimee Frances
- Date: 2024-10-11
- Subjects: Teenage girls Attitudes , Young women Attitudes , Women who have sex with women , Stigma (Social psychology) , Informed consent (Medical law) , HIV infections Susceptibility
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/465859 , vital:76660
- Description: Background: Adolescent girls and young women (AGYW) who have sex with women (WSW) are at potential risk for HIV, contradicting the common belief that WSW have low HIV susceptibility, a misperception persists despite evidence to refute it. Objective: This study examined the relationship between perceived HIV susceptibility and actual HIV status among South African AGYW WSW, focusing on those reporting at least one same-sex sexual experience, using data from the DREAMS Evaluation survey. Methods/Design: An archival study employing the Expanded Health Beliefs Model (EHBM) analysed secondary de-identified data from the DREAMS Evaluation Survey with a multistage stratified cluster sampling design. The sample comprised 18,296 AGYW aged 12-24 across four districts in South Africa, including 1,362 identified as WSW. ANOVA was conducted using SPSS 28 to explore the relationship between perceived HIV susceptibility and actual HIV status. Results: WSW’s perceived HIV susceptibility was low (38.5%) to very low (25%), while HIV prevalence in this sample/group was 15.9%. No significant relationship was found between perceived HIV susceptibility and actual HIV status (p = 0.126). Conclusions: WSW do not perceive themselves as being susceptible to contracting HIV despite the high prevalence of the virus in this group. Public health interventions should focus on raising awareness about risk factors, such as low use of barrier protection, substance use, and other behaviours highlighted in the literature, to better inform and protect this population. , Thesis (MA) -- Faculty of Humanities, Psychology, 2024
- Full Text:
- Authors: Zuccarini, Aimee Frances
- Date: 2024-10-11
- Subjects: Teenage girls Attitudes , Young women Attitudes , Women who have sex with women , Stigma (Social psychology) , Informed consent (Medical law) , HIV infections Susceptibility
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/465859 , vital:76660
- Description: Background: Adolescent girls and young women (AGYW) who have sex with women (WSW) are at potential risk for HIV, contradicting the common belief that WSW have low HIV susceptibility, a misperception persists despite evidence to refute it. Objective: This study examined the relationship between perceived HIV susceptibility and actual HIV status among South African AGYW WSW, focusing on those reporting at least one same-sex sexual experience, using data from the DREAMS Evaluation survey. Methods/Design: An archival study employing the Expanded Health Beliefs Model (EHBM) analysed secondary de-identified data from the DREAMS Evaluation Survey with a multistage stratified cluster sampling design. The sample comprised 18,296 AGYW aged 12-24 across four districts in South Africa, including 1,362 identified as WSW. ANOVA was conducted using SPSS 28 to explore the relationship between perceived HIV susceptibility and actual HIV status. Results: WSW’s perceived HIV susceptibility was low (38.5%) to very low (25%), while HIV prevalence in this sample/group was 15.9%. No significant relationship was found between perceived HIV susceptibility and actual HIV status (p = 0.126). Conclusions: WSW do not perceive themselves as being susceptible to contracting HIV despite the high prevalence of the virus in this group. Public health interventions should focus on raising awareness about risk factors, such as low use of barrier protection, substance use, and other behaviours highlighted in the literature, to better inform and protect this population. , Thesis (MA) -- Faculty of Humanities, Psychology, 2024
- Full Text:
Students' perception of pre-exposure prophylaxis as a prevention strategy for reducing HIV/AIDS incidences at Rhodes University
- Authors: Lepelesana, Mamorena Sylvia
- Date: 2024-10-11
- Subjects: Pre-exposure prophylaxis , HIV infections , AIDS (Disease) , College students Attitudes , Stigma (Social psychology) , Rhodes University
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/466150 , vital:76701
- Description: South Africa has the largest number of people living with HIV/AIDS compared to the rest of the world, with young people most at risk. The World Health Organisation (WHO) recommends the use of Pre-Exposure Prophylaxis (PrEP) in key populations at a higher risk of exposure to HIV/AIDS. The HIV/AIDS pandemic remains a pressing issue among higher education institutions, with a need for a comprehensive understanding of barriers and facilitators associated with the use of PrEP. The Higher Education AIDS (HEAIDS) plays a pivotal role in the mitigation of the spread of HIV/AIDS in Higher Education Institutions (HEIs). In this study, Rhodes University serves as a focal point for exploring PrEP implementation and acceptance. This qualitative study examines Rhodes University students' PrEP knowledge, perception, practice, and roll-out preference. More evidence is required to measure progress among students. A study was conducted involving sixteen (16) in-depth semi-structured interviews with students and health care workers, as well as a focus group consisting of three (3) students aged between 20-60 years. This study used the Socio-Ecological Model and Health Belief Model as theoretical frameworks. Participants in the study identified both the barriers and the facilitators to the use of PrEP. The findings show that there is a lack of knowledge and low perception among students about PrEP. The study found that lack of knowledge was the source of the stigma and misconception about PrEP. Most participants expressed the need for more information to differentiate between the ARVs in PrEP and the ARV medication for HIV-positive people. However, they further expressed a willingness to embrace PrEP if they had information about it. The study highlights that the use of PrEP is linked to individual and environmental factors, which are crucial for PrEP roll-out. These factors include access to PrEP in a friendly manner, supportive family and friends, and the reduction of stigma and misconception. Therefore, when addressed, the said factors can foster the use of PrEP and mitigate barriers. For students to fully realise the benefits of HIV/AIDS prevention strategies like PrEP, there is a need for informed educational efforts. A well-informed student body is important for the successful adoption and use of PrEP. The findings suggest that the health care workers were knowledgeable and conscious about the use of PrEP. However, there were inconsistencies in the information provided by the health care workers regarding the recommended period for taking PrEP before testing again and taking the three-month course. The inconsistencies raise questions regarding the accuracy and reliability of the information provided. , Thesis (MSocSci) -- Faculty of Humanities, Sociology, 2024
- Full Text:
- Authors: Lepelesana, Mamorena Sylvia
- Date: 2024-10-11
- Subjects: Pre-exposure prophylaxis , HIV infections , AIDS (Disease) , College students Attitudes , Stigma (Social psychology) , Rhodes University
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/466150 , vital:76701
- Description: South Africa has the largest number of people living with HIV/AIDS compared to the rest of the world, with young people most at risk. The World Health Organisation (WHO) recommends the use of Pre-Exposure Prophylaxis (PrEP) in key populations at a higher risk of exposure to HIV/AIDS. The HIV/AIDS pandemic remains a pressing issue among higher education institutions, with a need for a comprehensive understanding of barriers and facilitators associated with the use of PrEP. The Higher Education AIDS (HEAIDS) plays a pivotal role in the mitigation of the spread of HIV/AIDS in Higher Education Institutions (HEIs). In this study, Rhodes University serves as a focal point for exploring PrEP implementation and acceptance. This qualitative study examines Rhodes University students' PrEP knowledge, perception, practice, and roll-out preference. More evidence is required to measure progress among students. A study was conducted involving sixteen (16) in-depth semi-structured interviews with students and health care workers, as well as a focus group consisting of three (3) students aged between 20-60 years. This study used the Socio-Ecological Model and Health Belief Model as theoretical frameworks. Participants in the study identified both the barriers and the facilitators to the use of PrEP. The findings show that there is a lack of knowledge and low perception among students about PrEP. The study found that lack of knowledge was the source of the stigma and misconception about PrEP. Most participants expressed the need for more information to differentiate between the ARVs in PrEP and the ARV medication for HIV-positive people. However, they further expressed a willingness to embrace PrEP if they had information about it. The study highlights that the use of PrEP is linked to individual and environmental factors, which are crucial for PrEP roll-out. These factors include access to PrEP in a friendly manner, supportive family and friends, and the reduction of stigma and misconception. Therefore, when addressed, the said factors can foster the use of PrEP and mitigate barriers. For students to fully realise the benefits of HIV/AIDS prevention strategies like PrEP, there is a need for informed educational efforts. A well-informed student body is important for the successful adoption and use of PrEP. The findings suggest that the health care workers were knowledgeable and conscious about the use of PrEP. However, there were inconsistencies in the information provided by the health care workers regarding the recommended period for taking PrEP before testing again and taking the three-month course. The inconsistencies raise questions regarding the accuracy and reliability of the information provided. , Thesis (MSocSci) -- Faculty of Humanities, Sociology, 2024
- Full Text:
The perspectives of some amaXhosa healthcare workers regarding mental distress: an interpretive phenomenological analysis
- Authors: Ngqamfana, Siphosethu
- Date: 2023-10-13
- Subjects: Mental distress , Xhosa (African people) Social life and customs , Stigma (Social psychology) , Health professional , Eurocentrism , Afrocentrism , Sociocultural perspective
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/425031 , vital:72203
- Description: Mental distress is a universal phenomenon experienced by many individuals despite age, race, gender, occupation, or socio-cultural context and is slowly becoming a major contributor to the burden of disease in South Africa. However, mental distress fails to take precedence in SA because of inherent intricacies in understandings about it, as a result of ways of being conceptualised and interpreted differently across cultures. This research study explored amaXhosa healthcare workers’ understandings, knowledge, practices, and attitudes regarding mental distress amongst some amaXhosa people. The study aimed to investigate what mental distress means for some people who belong to the amaXhosa ethnic group, to uncover how they conceptualise mental distress, seek help or what behaviours prevent help-seeking. It aimed to highlight any prevalent attitudes of stigma and discrimination, to build insight into overlooked aspects in psychotherapy practice especially when dealing with non-western populations. The study utilised interpretative phenomenological analysis (IPA) as its analytical lens; to explore and to enter as far as possible into the worlds of participants to generate rich data and in-depth analysis. Four participants were recruited through both purposive and snowball sampling and data were gathered using individual semi-structured interviews. From the data collected, the findings illustrate a limited understanding of mental distress amongst some amaXhosa people due to lack of education and awareness on the subject, leading to the apparent silence in discussing such matters and inadvertently predisposing it to being viewed as taboo. The predominant themes as evidenced by the data were the use of language that sensationalises mental distress; misinformation; Afrocentric beliefs that rationalise mental distress; alienation and segregation of those affected; and the primary healthcare system as a source of reinforcing prevalent stigma and discrimination. The findings show a link between constructs around mental distress and the prevalent socioiii cultural environment, denoting that some perspectives can be linked to observations or modelling in childhood, from people in the respective communities in which people live. , Thesis (MA) -- Faculty of Humanities, Psychology, 2023
- Full Text:
- Authors: Ngqamfana, Siphosethu
- Date: 2023-10-13
- Subjects: Mental distress , Xhosa (African people) Social life and customs , Stigma (Social psychology) , Health professional , Eurocentrism , Afrocentrism , Sociocultural perspective
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/425031 , vital:72203
- Description: Mental distress is a universal phenomenon experienced by many individuals despite age, race, gender, occupation, or socio-cultural context and is slowly becoming a major contributor to the burden of disease in South Africa. However, mental distress fails to take precedence in SA because of inherent intricacies in understandings about it, as a result of ways of being conceptualised and interpreted differently across cultures. This research study explored amaXhosa healthcare workers’ understandings, knowledge, practices, and attitudes regarding mental distress amongst some amaXhosa people. The study aimed to investigate what mental distress means for some people who belong to the amaXhosa ethnic group, to uncover how they conceptualise mental distress, seek help or what behaviours prevent help-seeking. It aimed to highlight any prevalent attitudes of stigma and discrimination, to build insight into overlooked aspects in psychotherapy practice especially when dealing with non-western populations. The study utilised interpretative phenomenological analysis (IPA) as its analytical lens; to explore and to enter as far as possible into the worlds of participants to generate rich data and in-depth analysis. Four participants were recruited through both purposive and snowball sampling and data were gathered using individual semi-structured interviews. From the data collected, the findings illustrate a limited understanding of mental distress amongst some amaXhosa people due to lack of education and awareness on the subject, leading to the apparent silence in discussing such matters and inadvertently predisposing it to being viewed as taboo. The predominant themes as evidenced by the data were the use of language that sensationalises mental distress; misinformation; Afrocentric beliefs that rationalise mental distress; alienation and segregation of those affected; and the primary healthcare system as a source of reinforcing prevalent stigma and discrimination. The findings show a link between constructs around mental distress and the prevalent socioiii cultural environment, denoting that some perspectives can be linked to observations or modelling in childhood, from people in the respective communities in which people live. , Thesis (MA) -- Faculty of Humanities, Psychology, 2023
- Full Text:
The use of creative-arts therapies in treating trauma-related mental health conditions in South Africa: perspectives from three practising creative-arts therapists
- Makube, Tshegofatso Bennia Basetsana
- Authors: Makube, Tshegofatso Bennia Basetsana
- Date: 2023-10-13
- Subjects: Arts Therapeutic use , Mental health South Africa , Mental health services South Africa , Health services accessibility South Africa , Psychological trauma , Stigma (Social psychology) , Mental illness Social aspects South Africa
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/425399 , vital:72235
- Description: Multiple factors contribute to the prevailing mental health conditions of South Africans. According to Kaminer and Eagle (2010, p.8), 75% of South Africans are trauma survivors, half of whom have experienced multiple traumas, some directly and some indirectly. However, many trauma survivors are not adequately treated due to the limited access and availability of mental health specialists in the country. Thus, mainstream medical treatments ought to be supplemented by alternative forms of therapy such as creative-arts therapy that cater to the wide demographic range of citizens in South Africa. This research aims to explore the efficacy of creative-arts therapies as a treatment for trauma-related mental health conditions in South Africa from the perspectives of three practising creative-arts therapists. The research is a qualitative study and uses Interpretive Phenomenological Analysis (IPA) to interpret the data. The research participants consisted of three accredited creative-art therapists practising in Music, Art, and Dance. The participants were interviewed using semi-structured, in-depth interviews which were conducted online. The interview data was transcribed and analysed using the IPA framework provided by Smith, Flowers and Larkin (2009). The results yielded three superordinate themes which were supported by eight subordinate themes. The results suggest that creative-arts therapies are underutilized in South Africa due to a lack of public awareness and general (mis)perceptions about mental health conditions. Furthermore, access to these therapies in formal settings is limited as they are not offered as treatment options in public health facilities, which negatively impacts the viability of creative-arts therapies practice in the country. Creative-arts therapies offer several unique benefits to individuals of all ages, backgrounds and abilities as they do not require prior artistic knowledge or experience to participate in treatment. In addition, they are non-verbal which helps to bridge the language and cultural barriers that often arise as a result of South Africa’s diverse cultural population. Finally, creative-arts therapies are an effective method of treating mental health conditions incurred through trauma as they focus on accessing stored trauma in the body or unconscious mind through a natural and non-judgemental platform of creative expression. As a result, they address the physical, emotional, psychological, and cognitive effects of trauma while empowering the individual. In conclusion, this research suggests that creative-arts therapies are highly effective in the treatment of trauma-related mental health conditions, particularly in a country like South Africa which experiences high incidents of trauma. They should be better integrated into public health care facilities so that they are accessible to the general public. This will result in an increase in the use of creative-arts therapies as a treatment option for mental health conditions, particularly those related to trauma. It would also help to address the limited awareness and poor perceptions of the nature of mental health, mental illness, mental health care and mental health care services. , Thesis (MMus) -- Faculty of Humanities, Music and Musicology, 2023
- Full Text:
- Authors: Makube, Tshegofatso Bennia Basetsana
- Date: 2023-10-13
- Subjects: Arts Therapeutic use , Mental health South Africa , Mental health services South Africa , Health services accessibility South Africa , Psychological trauma , Stigma (Social psychology) , Mental illness Social aspects South Africa
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/425399 , vital:72235
- Description: Multiple factors contribute to the prevailing mental health conditions of South Africans. According to Kaminer and Eagle (2010, p.8), 75% of South Africans are trauma survivors, half of whom have experienced multiple traumas, some directly and some indirectly. However, many trauma survivors are not adequately treated due to the limited access and availability of mental health specialists in the country. Thus, mainstream medical treatments ought to be supplemented by alternative forms of therapy such as creative-arts therapy that cater to the wide demographic range of citizens in South Africa. This research aims to explore the efficacy of creative-arts therapies as a treatment for trauma-related mental health conditions in South Africa from the perspectives of three practising creative-arts therapists. The research is a qualitative study and uses Interpretive Phenomenological Analysis (IPA) to interpret the data. The research participants consisted of three accredited creative-art therapists practising in Music, Art, and Dance. The participants were interviewed using semi-structured, in-depth interviews which were conducted online. The interview data was transcribed and analysed using the IPA framework provided by Smith, Flowers and Larkin (2009). The results yielded three superordinate themes which were supported by eight subordinate themes. The results suggest that creative-arts therapies are underutilized in South Africa due to a lack of public awareness and general (mis)perceptions about mental health conditions. Furthermore, access to these therapies in formal settings is limited as they are not offered as treatment options in public health facilities, which negatively impacts the viability of creative-arts therapies practice in the country. Creative-arts therapies offer several unique benefits to individuals of all ages, backgrounds and abilities as they do not require prior artistic knowledge or experience to participate in treatment. In addition, they are non-verbal which helps to bridge the language and cultural barriers that often arise as a result of South Africa’s diverse cultural population. Finally, creative-arts therapies are an effective method of treating mental health conditions incurred through trauma as they focus on accessing stored trauma in the body or unconscious mind through a natural and non-judgemental platform of creative expression. As a result, they address the physical, emotional, psychological, and cognitive effects of trauma while empowering the individual. In conclusion, this research suggests that creative-arts therapies are highly effective in the treatment of trauma-related mental health conditions, particularly in a country like South Africa which experiences high incidents of trauma. They should be better integrated into public health care facilities so that they are accessible to the general public. This will result in an increase in the use of creative-arts therapies as a treatment option for mental health conditions, particularly those related to trauma. It would also help to address the limited awareness and poor perceptions of the nature of mental health, mental illness, mental health care and mental health care services. , Thesis (MMus) -- Faculty of Humanities, Music and Musicology, 2023
- Full Text:
A narrative study of students’ and staff’s experiences of living with HIV and AIDS at Rhodes University
- Authors: Tsope, Lindiwe
- Date: 2021-04
- Subjects: AIDS (Disease) South Africa Makhanda , HIV infections South Africa Makhanda , College students Health and hygiene South Africa Makhanda , Universities and colleges South Africa Makhanda Employees Health and hygiene , Stigma (Social psychology) , AIDS (Disease) Social aspects South Africa Makhanda , HIV infections Social aspects South Africa Makhanda , AIDS (Disease) Psychological aspects , HIV infections Psychological aspects , Health counseling South Africa Makhanda , Discourse analysis, Narrative
- Language: English
- Type: thesis , text , Doctoral , PhD
- Identifier: http://hdl.handle.net/10962/176894 , vital:42769 , 10.21504/10962/176894
- Description: A narrative study of students’ and staff’s experiences of living with HIV and AIDS at Rhodes University Research on HIV and AIDS in university settings, especially research exploring the experience of living with the disease, has been minimal. As a response to the knowledge and research gaps, this thesis is a qualitative study involving students and staff living with HIV (LWH) and accessing treatment (ART) at the Rhodes University Health Care Centre. This study explored the personal and social symbolisms as well as meanings attached to living with HIV, through in-depth interviews with ten students and staff living with HIV, all purposively sampled and recruited through the Rhodes University Health Care Centre. Using social constructionism, symbolic interactionism and the theory of biographical disruption, the narratives revealed a positive and inspirational side of living with HIV and AIDS – especially emphasizing that PLWHA do not have to surrender to the deadly narrative of the disease. It became evident that stigma, both internal and external, largely influences illness narratives. Furthermore, the study revealed the social reconstruction of life narratives both in order to understand the illness in terms of past social experiences and to reaffirm the impression that life has a course and the self has a purpose. All participants found that accessing treatment from the Rhodes University Health Care Centre positively influenced their experiences of adherence and reconstruction of narratives. The study indicates that HIV-related interventions in place at the university need to pay more attention to the psychosocial needs of PLWH, involvement of PWLH, as well as keeping up with the continuously changing global HIV narrative. The study argues for more attention to in-depth experiences and personal narratives in HIV and AIDS, and PLWHA education at Rhodes University. , Thesis (PhD) -- Humanities, Department of Sociology, 2021
- Full Text:
- Authors: Tsope, Lindiwe
- Date: 2021-04
- Subjects: AIDS (Disease) South Africa Makhanda , HIV infections South Africa Makhanda , College students Health and hygiene South Africa Makhanda , Universities and colleges South Africa Makhanda Employees Health and hygiene , Stigma (Social psychology) , AIDS (Disease) Social aspects South Africa Makhanda , HIV infections Social aspects South Africa Makhanda , AIDS (Disease) Psychological aspects , HIV infections Psychological aspects , Health counseling South Africa Makhanda , Discourse analysis, Narrative
- Language: English
- Type: thesis , text , Doctoral , PhD
- Identifier: http://hdl.handle.net/10962/176894 , vital:42769 , 10.21504/10962/176894
- Description: A narrative study of students’ and staff’s experiences of living with HIV and AIDS at Rhodes University Research on HIV and AIDS in university settings, especially research exploring the experience of living with the disease, has been minimal. As a response to the knowledge and research gaps, this thesis is a qualitative study involving students and staff living with HIV (LWH) and accessing treatment (ART) at the Rhodes University Health Care Centre. This study explored the personal and social symbolisms as well as meanings attached to living with HIV, through in-depth interviews with ten students and staff living with HIV, all purposively sampled and recruited through the Rhodes University Health Care Centre. Using social constructionism, symbolic interactionism and the theory of biographical disruption, the narratives revealed a positive and inspirational side of living with HIV and AIDS – especially emphasizing that PLWHA do not have to surrender to the deadly narrative of the disease. It became evident that stigma, both internal and external, largely influences illness narratives. Furthermore, the study revealed the social reconstruction of life narratives both in order to understand the illness in terms of past social experiences and to reaffirm the impression that life has a course and the self has a purpose. All participants found that accessing treatment from the Rhodes University Health Care Centre positively influenced their experiences of adherence and reconstruction of narratives. The study indicates that HIV-related interventions in place at the university need to pay more attention to the psychosocial needs of PLWH, involvement of PWLH, as well as keeping up with the continuously changing global HIV narrative. The study argues for more attention to in-depth experiences and personal narratives in HIV and AIDS, and PLWHA education at Rhodes University. , Thesis (PhD) -- Humanities, Department of Sociology, 2021
- Full Text:
A narrative study of patients’ illness experiences on antiretroviral treatment
- Authors: Tsope, Lindiwe
- Date: 2018
- Subjects: AIDS (Disease) Social aspects South Africa , HIV infections Social aspects South Africa , Stigma (Social psychology) , Antiretroviral agents , Disclosure of information , Social media in medicine South Africa , Discourse analysis, Narrative
- Language: English
- Type: text , Thesis , Masters , MSocSc
- Identifier: http://hdl.handle.net/10962/63032 , vital:28356
- Description: Eight female respondents, who have publicly disclosed their HIV-positive status on social media, were involved in a semi-structured in-depth interview process. Using the theoretical frameworks of symbolic interactionism and social constructionism, the study explores the effects of antiretroviral treatment on patients’ illness experiences, looking at the personal and social symbolisms and meanings attached to taking antiretrovirals. The study revealed a positive and inspirational aspect of living with HIV/AIDS and especially consuming antiretroviral therapy. It became evident that the knowledge participants had of antiretrovirals before consuming them was misguided and based more on false ‘general knowledge’ among laypersons than actual medical fact. Moreover, the study revealed that there is a social reconstruction of narratives that has taken place in each participant’s life due to consuming antiretrovirals. Publicly disclosing their statuses has also proved to have both negative and positive consequences for the individuals and for society at large. While there is a consensus that participants’ illness experiences are directly affected by antiretroviral treatment, each participant’s narrative is different, yet positive.
- Full Text:
- Authors: Tsope, Lindiwe
- Date: 2018
- Subjects: AIDS (Disease) Social aspects South Africa , HIV infections Social aspects South Africa , Stigma (Social psychology) , Antiretroviral agents , Disclosure of information , Social media in medicine South Africa , Discourse analysis, Narrative
- Language: English
- Type: text , Thesis , Masters , MSocSc
- Identifier: http://hdl.handle.net/10962/63032 , vital:28356
- Description: Eight female respondents, who have publicly disclosed their HIV-positive status on social media, were involved in a semi-structured in-depth interview process. Using the theoretical frameworks of symbolic interactionism and social constructionism, the study explores the effects of antiretroviral treatment on patients’ illness experiences, looking at the personal and social symbolisms and meanings attached to taking antiretrovirals. The study revealed a positive and inspirational aspect of living with HIV/AIDS and especially consuming antiretroviral therapy. It became evident that the knowledge participants had of antiretrovirals before consuming them was misguided and based more on false ‘general knowledge’ among laypersons than actual medical fact. Moreover, the study revealed that there is a social reconstruction of narratives that has taken place in each participant’s life due to consuming antiretrovirals. Publicly disclosing their statuses has also proved to have both negative and positive consequences for the individuals and for society at large. While there is a consensus that participants’ illness experiences are directly affected by antiretroviral treatment, each participant’s narrative is different, yet positive.
- Full Text:
The experiences of recently diagnosed HIV-positive individuals, as shared on an online forum
- Authors: Wylde, Charlotte Anne
- Date: 2018
- Subjects: HIV-positive persons Social networks , HIV infections Diagnosis Psychological aspects , HIV infections Social aspects , HIV infections Electronic discussion groups , Internet Social aspects , Stigma (Social psychology) , Phenomenological psychology
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/60222 , vital:27756
- Description: An HIV-positive diagnosis can be an overwhelming and traumatic experience. This study explores the experiences of receiving an HIV-positive diagnosis. Employing an Interpretative Phenomenological Analysis (IPA), a sample of the initial posts from threads on an online forum, was collected and explored, in order to determine the dominant themes from the experiences expressed in the posts, as well as the support sought from the forum. The online forum was accessed as an unobtrusive observer, and posts from January to December 2015 were explored. The online forum provides a platform for disclosure following an HIV-positive diagnosis, when anxiety and fear of stigma can impact on an individual’s ability to disclose to their social support network of family and friends. The experiences expressed on the online forum reflect the emotional, mental and physical impact of an HIV-positive diagnosis on an individual. The findings in this study reflected themes of shock, guilt and hopelessness, and concerns and fears regarding disclosure and stigma associated with HIV, as well as the importance of social support for the coping mechanisms of individuals after receiving an HIV-positive diagnosis. This research demonstrates the importance of Internet accessibility for information and support for chronic illnesses, such as HIV, and the role of the online forum platform for providing a safe environment for individuals recently diagnosed HIVpositive.
- Full Text:
- Authors: Wylde, Charlotte Anne
- Date: 2018
- Subjects: HIV-positive persons Social networks , HIV infections Diagnosis Psychological aspects , HIV infections Social aspects , HIV infections Electronic discussion groups , Internet Social aspects , Stigma (Social psychology) , Phenomenological psychology
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/60222 , vital:27756
- Description: An HIV-positive diagnosis can be an overwhelming and traumatic experience. This study explores the experiences of receiving an HIV-positive diagnosis. Employing an Interpretative Phenomenological Analysis (IPA), a sample of the initial posts from threads on an online forum, was collected and explored, in order to determine the dominant themes from the experiences expressed in the posts, as well as the support sought from the forum. The online forum was accessed as an unobtrusive observer, and posts from January to December 2015 were explored. The online forum provides a platform for disclosure following an HIV-positive diagnosis, when anxiety and fear of stigma can impact on an individual’s ability to disclose to their social support network of family and friends. The experiences expressed on the online forum reflect the emotional, mental and physical impact of an HIV-positive diagnosis on an individual. The findings in this study reflected themes of shock, guilt and hopelessness, and concerns and fears regarding disclosure and stigma associated with HIV, as well as the importance of social support for the coping mechanisms of individuals after receiving an HIV-positive diagnosis. This research demonstrates the importance of Internet accessibility for information and support for chronic illnesses, such as HIV, and the role of the online forum platform for providing a safe environment for individuals recently diagnosed HIVpositive.
- Full Text:
Experiences of women recently diagnosed with HIV
- Authors: Jurie, Khuselwa
- Date: 2015
- Subjects: HIV-positive women -- South Africa -- Eastern Cape , Stigma (Social psychology) , HIV (Viruses) -- Diagnosis , AIDS (Disease) in women -- Social aspects -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3259 , http://hdl.handle.net/10962/d1017882
- Description: The focus of this study is on the experiences of a small sample of local women who have been recently diagnosed with HIV. The aim of the research was to give these women an opportunity to express their first-hand, personal accounts of living with HIV. Five isiXhosa-speaking women were recruited and interviewed. These accounts were collected and analysed within in the methodological framework of Interpretative Phenomenological Analysis, a qualitative approach that is becoming increasingly popular in the broad fields of health and clinical psychology. Data was analysed for meaningful units, which were interpreted inductively and hermeneutically, and categorised into super-ordinate themes. Five themes within the participants’ experiences of living with HIV were identified: (1) experiences of diagnosis, (2) experiences of stigma, (3) social support, (4) coping strategies, and (5) HIV as one of many assaults to self. Implicated in these experiences are the ways in which these women have appraised themselves and their situation after an HIV-positive diagnosis, appraisals that are shaped by HIV-related stigma. A variety of negative emotional reactions are common following the diagnosis, often compounded by the direct experiences of HIV-related stigma. Women in the study adopted different kinds of coping strategies based on the resources and social support available to them. Also significant is that for these women who had typically endured a variety of traumatic life events, a positive diagnosis was simply one of many life challenges
- Full Text:
- Authors: Jurie, Khuselwa
- Date: 2015
- Subjects: HIV-positive women -- South Africa -- Eastern Cape , Stigma (Social psychology) , HIV (Viruses) -- Diagnosis , AIDS (Disease) in women -- Social aspects -- South Africa -- Eastern Cape
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3259 , http://hdl.handle.net/10962/d1017882
- Description: The focus of this study is on the experiences of a small sample of local women who have been recently diagnosed with HIV. The aim of the research was to give these women an opportunity to express their first-hand, personal accounts of living with HIV. Five isiXhosa-speaking women were recruited and interviewed. These accounts were collected and analysed within in the methodological framework of Interpretative Phenomenological Analysis, a qualitative approach that is becoming increasingly popular in the broad fields of health and clinical psychology. Data was analysed for meaningful units, which were interpreted inductively and hermeneutically, and categorised into super-ordinate themes. Five themes within the participants’ experiences of living with HIV were identified: (1) experiences of diagnosis, (2) experiences of stigma, (3) social support, (4) coping strategies, and (5) HIV as one of many assaults to self. Implicated in these experiences are the ways in which these women have appraised themselves and their situation after an HIV-positive diagnosis, appraisals that are shaped by HIV-related stigma. A variety of negative emotional reactions are common following the diagnosis, often compounded by the direct experiences of HIV-related stigma. Women in the study adopted different kinds of coping strategies based on the resources and social support available to them. Also significant is that for these women who had typically endured a variety of traumatic life events, a positive diagnosis was simply one of many life challenges
- Full Text:
Audience observations of art, identity and schizophrenia : possibilities for identity movement
- Authors: Farquharson, Kirsten Leigh
- Date: 2014
- Subjects: Mental illness -- Social aspects , Stigma (Social psychology) , Identity (Psychology) , Schizophrenia -- Treatment , Art therapy -- Research , Art, South African -- 21st century -- Exhibitions
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3223 , http://hdl.handle.net/10962/d1012992
- Description: This research situates itself in the study of stigma in mental illness. In particular, the aim is to explore the potential that art making and exhibiting has in reducing stigma for those with a diagnosis of schizophrenia. The research explores one aspect (the exhibition stage) of an "art as therapy" project. The exhibiting of one’s artwork aims to counter limiting "patient" identities by allowing those labelled as psychiatric patients to extend their self-identity to an alternative identity of the "artist". However, this idea only stands strong if the artwork created is not discriminated against as "naïve art" and is accepted or at least considered for acceptance as legitimate nonprofessional artwork. This research explores the ways in which art created by inpatients with a diagnosis of schizophrenia is received by the general art-viewing public at the National Arts Festival in Grahamstown, South Africa. The study uses a discourse analytic framework to analyse the interviews of members of the public who attended the art exhibition of patient artwork. It will examine the ways in which the public construct the artworks and how they position the makers of this art across a continuum, from patient to artist. The results of this thesis have implications for rehabilitation practices for people with a diagnosis of schizophrenia particularly with regard to opportunities to "perform" alternative identities in public spaces.
- Full Text:
- Authors: Farquharson, Kirsten Leigh
- Date: 2014
- Subjects: Mental illness -- Social aspects , Stigma (Social psychology) , Identity (Psychology) , Schizophrenia -- Treatment , Art therapy -- Research , Art, South African -- 21st century -- Exhibitions
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3223 , http://hdl.handle.net/10962/d1012992
- Description: This research situates itself in the study of stigma in mental illness. In particular, the aim is to explore the potential that art making and exhibiting has in reducing stigma for those with a diagnosis of schizophrenia. The research explores one aspect (the exhibition stage) of an "art as therapy" project. The exhibiting of one’s artwork aims to counter limiting "patient" identities by allowing those labelled as psychiatric patients to extend their self-identity to an alternative identity of the "artist". However, this idea only stands strong if the artwork created is not discriminated against as "naïve art" and is accepted or at least considered for acceptance as legitimate nonprofessional artwork. This research explores the ways in which art created by inpatients with a diagnosis of schizophrenia is received by the general art-viewing public at the National Arts Festival in Grahamstown, South Africa. The study uses a discourse analytic framework to analyse the interviews of members of the public who attended the art exhibition of patient artwork. It will examine the ways in which the public construct the artworks and how they position the makers of this art across a continuum, from patient to artist. The results of this thesis have implications for rehabilitation practices for people with a diagnosis of schizophrenia particularly with regard to opportunities to "perform" alternative identities in public spaces.
- Full Text:
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