South African traditional healers’ perceptions and treatment of the symptoms of depression
- Authors: Augustine, Daniella Joan
- Date: 2023-03-30
- Subjects: Depression, Mental South Africa , Mental illness South Africa , Depression, Mental Treatment , Traditional healers of South Africa , Symptoms , Depression, Mental Social aspects
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/408789 , vital:70525
- Description: While depression is experienced worldwide, the World Health Organization indicated that over 80% of this disease burden is found in low- and middle-income countries, with 16% of depressive disorder cases being found in Africa. Specifically, in South Africa, the lifetime prevalence of major depressive disorder is 9.7%. Research conducted on traditional healing estimates that as high as 80% of black individuals in South Africa choose to consult traditional healers. Although there was initial consensus that the use of traditional healers reflected a lack of access to alternative resources, more recent research has however indicated that traditional healers are consulted even when psychiatric facilities and medication are available. Research has illustrated that many patients that chose to consult traditional healers do so as a result of their shared beliefs, and traditional healers' ability to understand the cultural frameworks underlying illness. The current study investigated how traditional healers in the Eastern Cape perceive and treat phenomena currently understood as the symptoms of depression and how these understandings can be incorporated into collaborations between Western medicine and traditional healing practice. A qualitative research design was used to examine the perspectives and treatment methods of isiXhosa traditional healers in the Eastern Cape. Four healers participated in the study. Key findings indicated that there is no single cause or definition of the phenomenon of depression by healers. Causality is greatly attributed to spiritual causes and ancestors play a key role in guiding the diagnosis and multiple treatment interventions employed by healers to treat the experience of depression. Finally, all traditional healers expressed a willingness to collaborate and work with the Western healthcare system, however, they indicated a strong need for greater recognition as a valid healthcare system. , Thesis (MA) -- Faculty of Humanities, Psychology, 2023
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- Date Issued: 2023-03-30
Constructions of Ukuyalwa and marriage satisfaction: experiences of Xhosa couples in the Eastern Cape
- Authors: Bikwe, Siphuxolo
- Date: 2023-03-30
- Subjects: Xhosa (African people) South Africa Eastern Cape , Xhosa (African people) Marriage customs and rites , Black psychology , Couples therapy , Interpersonal relations and culture , Communication in marriage , Satisfaction , Foucauldian discourse analysis
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/408805 , vital:70527
- Description: Marital satisfaction may be described as the extent to which one’s expectations, desires and needs are being satisfied in their marriage. Studies that concern marital satisfaction provide us with crucial insights into factors that support or compromise the longevity of long-term, committed relationships. Little work has been done in understanding the role of cultural practices in marital satisfaction particularly in Africa, and South Africa more specifically. Ukuyalwa is a Xhosa ritual that takes place during a Xhosa traditional wedding, whereby the bride is introduced to the (traditional) guiding practices of her new home by the women of the family together with her sisters-in-law. This study informs the practice of African psychology as formulated by Ratele (2017b).Critical African psychology as a framework recognizes the construction of culture alongside political, socioeconomic, and historical matrices. These are acknowledged as an important element in psychological theories, methods, and explanations. This research project aimed to identify the discourses that circulate around ukuyalwa as a Xhosa cultural practice and consider the implications for the marital satisfaction of amaXhosa couples. The study interviewed 3 Xhosa couples of varying ages who had been married for different durations to develop an understanding of their experiences of ukuyalwa and marital satisfaction. Data was analyzed using a Foucauldian Discourse Analysis (FDA) which allowed for the identifications of the discourses that the couples used to construct ukuyalwa and marital satisfaction. The couples discursively constructed marriage as ‘divine unity’, ‘unification of families’ and ‘partnership’. Ukuyalwa was constructed as a ‘gendered process’, ideas of tradition and modernity, and a ‘foundation’ also became apparent. Satisfaction was constructed as ‘open communication’ and ‘work’. The couples’ positions shifted in their conversations, where in some instances they were 'learners’, ‘initiates’, and/or ‘passive’, and in other instances, they were ‘in charge’, ‘knowledgeable’, and ‘experts’. The discourses of culture, religion, and partnership circulated prominently in relation to marriage, ukuyalwa, and marital satisfaction. The findings of the study speak to how the couples’ constructions of marriage and cultural customs such as ukuyalwa are valuable as they often inform how couples behave in their marriage relationships and what they regard as satisfactory to them when it comes to marriage. These insights into what informs the couples’ ideas on marriage and satisfaction can be utilised in informing couples therapy interventions. , Thesis (MA) -- Faculty of Humanities, Psychology, 2023
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- Date Issued: 2023-03-30
Experiences of men vlogging about substance use disorder recovery on YouTube
- Authors: Chele, Palesa Shené
- Date: 2023-03-30
- Subjects: Substance abuse Treatment , Sobriety , Alcoholics Anonymous , Narcotics Anonymous , Recovery , Remission , Video blogs
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/408829 , vital:70529
- Description: The journey of substance use recovery is an inherently dynamic and on-going process. It is advanced through secure social support systems. Furthermore, requiring the explicit practice of self-advancement and self-efficacy. However, in South Africa, despite the continued upsurge of substance abuse, there remains a substantial gap between the high demand for treatment and the limited capacity to provide state-funded treatment. In addition, various psychosocial and socio-economic factors further impede access to treatment or recovery support. Thus, within communities facing SUD treatment barriers the exploration of individual lived experiences may deepen understandings of how men experience the journey of substance use recovery. , Thesis (MA) -- Faculty of Humanities, Psychology, 2023
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- Date Issued: 2023-03-30
“It’s not just me on a video call with someone…” Students’ experiences of a forced transition from face-to-face psychotherapy to online psychotherapy during COVID-19: an interpretative phenomenological analysis
- Authors: Keet, Nicole Tahnee
- Date: 2023-03-30
- Subjects: Online therapy , COVID-19 Pandemic, 2020- Influence , Interpretative phenomenological analysis , Psychologists Training of , College students Attitudes
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/408845 , vital:70531
- Description: The aim of this study is to explore university students’ experience of a forced transition from face-to-face therapy to online therapy during COVID-19. This pandemic was unexpected and affected all areas of life, including the closure of universities, which left therapists and clients alike unsure of how to navigate these unchartered territories. Although there is a considerable amount of international research on experiences of online therapy, there is little research on a forced transition to online therapy because of COVID-19 and even less within the South African context. A sample of six participants between the ages of 20 and 30 years old were selected through purposive and convenience sampling. Semi-structured interviews were conducted, and interpretative Phenomenological Analysis (IPA) was utilised to ascertain how participants make sense of their worlds in relation to the transition to online therapy. The analysis provided three main superordinate themes, which are supported by subordinate themes. The superordinate themes are: 1) Online therapy as authentic and continuous, where the participants experienced the comfort and convenience of online therapy, the continuity of care and the anonymity of online therapy. 2) Online therapy as disruptive and invasive, where participants experienced issues with privacy, an intrusive environment, technological challenges, lack of body language and therapy feeling more disposable. 3) Getting used to online therapy with some help from the therapist, where participants felt an adjustment period was necessary as well as transparency and containment from the therapist to help with the transition. These findings support some existing South African literature; however, it also engages with findings unique to this study, that will hopefully be used for further exploration. The study ends with recommendations for training therapists on using online therapy. , Thesis (MA) -- Faculty of Humanities, Psychology, 2023
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- Date Issued: 2023-03-30
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
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- Date Issued: 2023-03-30
Patterns of inclusion and exclusion among trans women in South Africa: a critical narrative inquiry
- Authors: Shabalala, Siyanda Buyile
- Date: 2023-03-30
- Subjects: Transgender women South Africa , Genderism , Social inclusion , Social integration , Social exclusion , Social isolation , Narrative
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/408874 , vital:70533
- Description: Trans women have for the most part remained grossly marginalised in gender development frameworks that have concerned themselves with resolving the historical disenfranchisement of women in patriarchal societies. Considering this continuing systemic erasure of trans subjectivity, this study has aimed to foreground transness, engaging trans women’s experiences of inclusion and exclusion to better understand the traditionally oppressive institutionality of gender in South Africa from a historically silenced trans standpoint. Semi-structured individual interviews were conducted with five trans women living in South Africa. Data was transcribed and analysed using narrative analysis. Mapping the structures, practices and norms that contribute to the marginalisation of trans women in South Africa, the study found that trans women face economic vulnerability driven by familial rejection along with structural discrimination in a gender-biased labour system. Furthermore, trans women were revealed to contend with institutional erasure and stigmatisation in sex-segregated healthcare structures as well as invisibilisation in cisnormative South African knowledge systems that underrepresent trans identities and their viewpoints of the world. Underlyingly, the societal exclusion of trans women emerged as centrally organised by a structure of genderism that rigidly assumes the binariness and fixedness of gender, principally in ways that restrict trans women's right to self-determine as women. Genderism was observed to collude with factors of race and class in a largely capitalist post-apartheid South African society, working concurrently and jointly to reinforce the social exclusion of trans women. However, often subtle narratives of trans social inclusion located marginalising cisgender power in South African democracy as contested terrain. , Thesis (MA) -- Faculty of Humanities, Psychology, 2023
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- Date Issued: 2023-03-30
The effectiveness and feasibility of online prolonged exposure therapy for post-traumatic stress among university students
- Authors: Slabbert, Maryna
- Date: 2023-03-30
- Subjects: Exposure therapy , Post-traumatic stress disorder , College students South Africa , Prolonged exposure therapy , Online therapy
- Language: English
- Type: Academic theses , Master's theses , text
- Identifier: http://hdl.handle.net/10962/408885 , vital:70534
- Description: Research has found that 70.6% of university students reported exposure to several traumatic events (Hoffman, 2002). Considering the high prevalence of trauma exposure among South African university students, many are at risk of developing post-traumatic stress disorder (PTSD) (Iribarren, Prolo, Naegos & Chiappelli, 2005). Prolonged Exposure Therapy (PE) is regarded as a first-line trauma therapy for PTSD (Foa, Hembree, Rothbaum, & Rauch, 2019). During the Covid-19 pandemic, public health guidelines for physical distancing reduced access to face-to-face mental health care. In response to this, many health care providers adapted to pandemic constraints by meeting their clients online, through Zoom, for example (Wells et al., 2020). Considering the prevalence of trauma exposure among university students, as well as the increased necessity of teletherapy, the study aimed to investigate the effectiveness and feasibility of online PE for PTSD among university students in a South African setting. The study employed Single-Case Experimental Design (SCED) as basis for its research design. Participants included a sample of Rhodes University students (n = 3) who were recruited through purposive sampling. Prior to the intervention, all three participants met the criteria for PTSD, and comorbid depression. Based on the measures used, two of the three participants did not meet the criteria for PTSD post-intervention. In terms of depression symptoms, one participant did not meet the criteria for depression post-intervention, and another participant showed a decrease in depression symptoms. Regarding the feasibility of online PE, all three participants reported the intervention to be feasible, acceptable, and appropriate. Overall, the study provides preliminary results to support the effectiveness and feasibility of online PE. It also gives insight into the value of intervention research and how it can ameliorate PTSD in a South African setting, as well as other low- and middle-income countries (LMICs). , Thesis (MA) -- Faculty of Humanities, Psychology, 2023
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- Date Issued: 2023-03-30