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
Pregnant women’s construction of social support from their intimate partners during pregnancy
- Authors: Bottoman, Phathiswa Esona
- Date: 2018
- Subjects: Pregnant women -- South Africa -- Eastern Cape -- Relations with men Pregnancy -- Psychological aspects Pregnant women -- Social conditions
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/62560 , vital:28207
- Description: There is a growing body of research aimed at understanding social support during pregnancy in South Africa. Pregnancy is constantly referred to as one of the challenging and stressful periods affecting women’s physical and psychological well-being. Various research studies on social support argue that social support is paramount at this stage. Research on social support indicates that having adequate and quality social support impacts on how pregnant women experience pregnancy. My interest in social support comes in the wake of absent fathers in South Africa and with the emerging trend of “new” fathers. Although there is a volume of research on social support, it tends to be realist. Using a social constructionist framework, I explore other ways of talking about social support in an attempt to expand the discourse around social support. I explore how pregnant women talk about social support during pregnancy from their intimate partners in the small rural municipality of Elundini, Eastern Cape, South Africa. Intimate partner support was limited to heterosexual partners regardless of their marital status. The sampling procedure followed a non-probability sampling method. Participants of the study were between 24 and 32 years old. Their gestational age ranged between five and eight months. Fourteen in-depth interviews using photo-elicitation were conducted with seven participants and were analysed using a social constructionist informed thematic analysis. The major theme that emerged from the analysis was partner involvement and absence during pregnancy. The analysis of results suggests that expectant father presence translates to social support. Participants constructed his presence as reassurance in the context of possible abandonment. Absence was constructed in different ways: participants constructed absence as unjust and unfair, absence and marriage, temporary absence in the form of cultural phenomenon of ukwaliswa/ukubukubazana, absence as normal but burdening to the pregnant women’s social network. Participants reported that social support from the expectant father affected pregnancy wantedness.
- Full Text:
- Date Issued: 2018
- Authors: Bottoman, Phathiswa Esona
- Date: 2018
- Subjects: Pregnant women -- South Africa -- Eastern Cape -- Relations with men Pregnancy -- Psychological aspects Pregnant women -- Social conditions
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/62560 , vital:28207
- Description: There is a growing body of research aimed at understanding social support during pregnancy in South Africa. Pregnancy is constantly referred to as one of the challenging and stressful periods affecting women’s physical and psychological well-being. Various research studies on social support argue that social support is paramount at this stage. Research on social support indicates that having adequate and quality social support impacts on how pregnant women experience pregnancy. My interest in social support comes in the wake of absent fathers in South Africa and with the emerging trend of “new” fathers. Although there is a volume of research on social support, it tends to be realist. Using a social constructionist framework, I explore other ways of talking about social support in an attempt to expand the discourse around social support. I explore how pregnant women talk about social support during pregnancy from their intimate partners in the small rural municipality of Elundini, Eastern Cape, South Africa. Intimate partner support was limited to heterosexual partners regardless of their marital status. The sampling procedure followed a non-probability sampling method. Participants of the study were between 24 and 32 years old. Their gestational age ranged between five and eight months. Fourteen in-depth interviews using photo-elicitation were conducted with seven participants and were analysed using a social constructionist informed thematic analysis. The major theme that emerged from the analysis was partner involvement and absence during pregnancy. The analysis of results suggests that expectant father presence translates to social support. Participants constructed his presence as reassurance in the context of possible abandonment. Absence was constructed in different ways: participants constructed absence as unjust and unfair, absence and marriage, temporary absence in the form of cultural phenomenon of ukwaliswa/ukubukubazana, absence as normal but burdening to the pregnant women’s social network. Participants reported that social support from the expectant father affected pregnancy wantedness.
- Full Text:
- Date Issued: 2018
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
Participation in the anti-sexual violence silent protest: a sexual citizenship perspective
- Authors: Chitiki, Elizabeth
- Date: 2018
- Subjects: Sex crimes Campus violence -- South Africa -- Prevention Rape victims -- Services for -- Political aspects -- South Africa Anti-rape movement Rape -- Case studies Sexual orientation
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/62917 , vital:28310
- Description: There is a growing body of research on sexual citizenship that focuses attention on gender and which bridges the gap between public and private life in order to rethink citizenship from a feminist perspective. This is in contrast to understandings of citizenship that promote policies of sexual regulation and a heteronormative ideal of citizenship. My research takes the form of a qualitative case study. Using data from two focus group discussions, fifteen personal diaries, as well as social media posts, I analyse participation in the Silent Protest, an annual anti-rape protest, through the lens of sexual citizenship. I look at how participation in the protest promotes or inhibits inclusive and process-based understandings of sexual violence and sexualities issues. Data were analysed using thematic analysis and the results of the analysis are presented into two parts. The first part of the analysis discusses the politics of affect and witnessing as two processes through which allies’ understandings of sexual violence are shaped. The second part of analysis shows that the Silent Protest contributes to people’s knowledge and understandings of sexual violence in relation to sexualities in a range of ways. Examples of inclusive understandings are: (1) insights about rape in relation to gender and heteronormative inequalities, culture and patriarchal dominance; (2) understanding of critical sexual citizenship in relation to sexual violence; and (3) understanding of politics of recognition (the need for recognition of the importance of safe spaces for formal and informal support for victim-survivors and recognition of victim-survivors’ identities). However, some of the understandings are limited to emotion and affect dynamics. In some ways, therefore, the Silent Protest fails to promote understandings significant to inclusive citizenship, including understandings of entitlements to non-discriminatory sexual health care services and legal services.
- Full Text:
- Date Issued: 2018
- Authors: Chitiki, Elizabeth
- Date: 2018
- Subjects: Sex crimes Campus violence -- South Africa -- Prevention Rape victims -- Services for -- Political aspects -- South Africa Anti-rape movement Rape -- Case studies Sexual orientation
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/62917 , vital:28310
- Description: There is a growing body of research on sexual citizenship that focuses attention on gender and which bridges the gap between public and private life in order to rethink citizenship from a feminist perspective. This is in contrast to understandings of citizenship that promote policies of sexual regulation and a heteronormative ideal of citizenship. My research takes the form of a qualitative case study. Using data from two focus group discussions, fifteen personal diaries, as well as social media posts, I analyse participation in the Silent Protest, an annual anti-rape protest, through the lens of sexual citizenship. I look at how participation in the protest promotes or inhibits inclusive and process-based understandings of sexual violence and sexualities issues. Data were analysed using thematic analysis and the results of the analysis are presented into two parts. The first part of the analysis discusses the politics of affect and witnessing as two processes through which allies’ understandings of sexual violence are shaped. The second part of analysis shows that the Silent Protest contributes to people’s knowledge and understandings of sexual violence in relation to sexualities in a range of ways. Examples of inclusive understandings are: (1) insights about rape in relation to gender and heteronormative inequalities, culture and patriarchal dominance; (2) understanding of critical sexual citizenship in relation to sexual violence; and (3) understanding of politics of recognition (the need for recognition of the importance of safe spaces for formal and informal support for victim-survivors and recognition of victim-survivors’ identities). However, some of the understandings are limited to emotion and affect dynamics. In some ways, therefore, the Silent Protest fails to promote understandings significant to inclusive citizenship, including understandings of entitlements to non-discriminatory sexual health care services and legal services.
- Full Text:
- Date Issued: 2018
A narrative-discursive analysis of abortion decision-making in Zimbabwe
- Authors: Chiweshe, Malvern Tatenda
- Date: 2016
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/10962/496 , vital:19964
- Description: Most research on abortion decision-making has looked at the factors or influences that are seen to affect abortion decision-making and thus take a health determinants approach. However, this approach is rarely able to account for the complex, multi-faceted nature of abortion decision-making, and it is often not located within a framework that can unpick the complex array of power relations that underpins the process of abortion decision-making. Research on abortion decision-making has rarely examined how women who undergo a termination of pregnancy (TOP) construct micro-narratives of the decision to terminate the pregnancy and also how these women are positioned by the service providers who interact with them. Using a Foucauldian postcolonial feminist approach and narrative-discursive analysis, this study explores abortion decision-making narratives in a Zimbabwean context where abortion laws are restrictive. In this study I elicited the narratives of women who had undergone an abortion about how they came to make the decision and proceeded to terminate the pregnancy. I highlight the discourses employed in constructing these narratives and how women position themselves in these narratives and discourses. These are then compared to the subject positions enabled in health service providers’ narratives on the same topic. These narratives are then linked to the social discourses and power relations that work to enable or constrain reproductive justice. The data were collected from three sites in Harare, Zimbabwe. The three sites were Harare Hospital, Epworth and Mufakose. An adapted version of Wengraf’s (2001) narrative interview was used to elicit narratives from 18 women who had terminated pregnancies (six at each site). Semi-structured interviews were conducted with six service providers (two nurses at Harare Hospital, two village health workers in Epworth and two nurses in Mufakose). All the service providers interviewed have experience working with women who have terminated pregnancies. In narrating their stories about their abortions, the women employed discursive resources around shame, stigma, religion, health and culture. These discursive resources were drawn upon in the construction of the women’s micro-narratives. The women spoke in a socially sanctioned manner where stories were enabled and constrained by particular religious, cultural and gendered discursive resources. In these stories, cultural constructions, gendered understandings of motherhood and femininity constrained reproductive justice for women who have terminated pregnancies. Comparisons of the way women positioned themselves and how they were positioned by health service providers point to the existence of social discourses and power relations that work to constrain reproductive justice. While the women saw themselves as having ‘unsupportable pregnancies’, the service providers positioned them as being evil, selfish and irresponsible. The negative positions deployed by the service providers point to the vilification and blaming of women who have undergone a termination of pregnancy. In these positions, the woman is at fault and there is silence on the role of men in abortion decision-making. In the women’s narratives and the health service providers positioning of the women a ‘reproductive rights’ discourse was absent. This was significant as much of the activism around abortion has centred on the woman’s rights to her body. Where rights were mentioned, it was in reference to foetal rights (using cultural, moralistic religious understandings of abortion as killing). The missing ‘reproductive rights’ discourse points to a need to move from a reproductive rights framework to a reproductive justice framework that can be applied through local understandings of hunhu/ubuntu. By doing this, abortion is not seen as a ‘choice’ that a woman makes but rather as involving broader social and environmental circumstances that make a pregnancy ‘unsupportable’.
- Full Text:
- Date Issued: 2016
- Authors: Chiweshe, Malvern Tatenda
- Date: 2016
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/10962/496 , vital:19964
- Description: Most research on abortion decision-making has looked at the factors or influences that are seen to affect abortion decision-making and thus take a health determinants approach. However, this approach is rarely able to account for the complex, multi-faceted nature of abortion decision-making, and it is often not located within a framework that can unpick the complex array of power relations that underpins the process of abortion decision-making. Research on abortion decision-making has rarely examined how women who undergo a termination of pregnancy (TOP) construct micro-narratives of the decision to terminate the pregnancy and also how these women are positioned by the service providers who interact with them. Using a Foucauldian postcolonial feminist approach and narrative-discursive analysis, this study explores abortion decision-making narratives in a Zimbabwean context where abortion laws are restrictive. In this study I elicited the narratives of women who had undergone an abortion about how they came to make the decision and proceeded to terminate the pregnancy. I highlight the discourses employed in constructing these narratives and how women position themselves in these narratives and discourses. These are then compared to the subject positions enabled in health service providers’ narratives on the same topic. These narratives are then linked to the social discourses and power relations that work to enable or constrain reproductive justice. The data were collected from three sites in Harare, Zimbabwe. The three sites were Harare Hospital, Epworth and Mufakose. An adapted version of Wengraf’s (2001) narrative interview was used to elicit narratives from 18 women who had terminated pregnancies (six at each site). Semi-structured interviews were conducted with six service providers (two nurses at Harare Hospital, two village health workers in Epworth and two nurses in Mufakose). All the service providers interviewed have experience working with women who have terminated pregnancies. In narrating their stories about their abortions, the women employed discursive resources around shame, stigma, religion, health and culture. These discursive resources were drawn upon in the construction of the women’s micro-narratives. The women spoke in a socially sanctioned manner where stories were enabled and constrained by particular religious, cultural and gendered discursive resources. In these stories, cultural constructions, gendered understandings of motherhood and femininity constrained reproductive justice for women who have terminated pregnancies. Comparisons of the way women positioned themselves and how they were positioned by health service providers point to the existence of social discourses and power relations that work to constrain reproductive justice. While the women saw themselves as having ‘unsupportable pregnancies’, the service providers positioned them as being evil, selfish and irresponsible. The negative positions deployed by the service providers point to the vilification and blaming of women who have undergone a termination of pregnancy. In these positions, the woman is at fault and there is silence on the role of men in abortion decision-making. In the women’s narratives and the health service providers positioning of the women a ‘reproductive rights’ discourse was absent. This was significant as much of the activism around abortion has centred on the woman’s rights to her body. Where rights were mentioned, it was in reference to foetal rights (using cultural, moralistic religious understandings of abortion as killing). The missing ‘reproductive rights’ discourse points to a need to move from a reproductive rights framework to a reproductive justice framework that can be applied through local understandings of hunhu/ubuntu. By doing this, abortion is not seen as a ‘choice’ that a woman makes but rather as involving broader social and environmental circumstances that make a pregnancy ‘unsupportable’.
- Full Text:
- Date Issued: 2016
Governing pregnancy in South Africa: political and health debate, policy and procedures
- Authors: Du Plessis, Ulandi
- Date: 2019
- Subjects: South Africa. Department of Health (1994- ) , Maternal health services -- South Africa , Mothers -- Mortality -- South Africa , Prenatal care -- South Africa , African mothers -- Mortality -- South Africa
- Language: English
- Type: text , Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/10962/76552 , vital:30600
- Description: South Africa democratised in 1994. However, due to the discriminatory and segregationist character of the preceding regime, vast swathes of the country’s spaces and people entered the democratic period heavily deprived of essential government services. This was the case with health care in general, including maternal health care. There were also little to no national data available on maternal deaths, especially among the black population. One of the first tasks of the new National Department of Health (NDoH) was to target the high maternal mortality rate. The NDoH made maternal deaths notifiable by law and instituted auditing and information gathering systems in the health sector; health infrastructure was expanded exponentially, and maternal health care was made free. Despite this, the last 24 years have seen the maternal mortality escalate. The latest statistics show that between 1200 and 1300 women die in the South African public health sector each year during pregnancy and the puerperium. This puts the current institutional maternal mortality rate (MMR) at around 154/100 000 live births. The international target for ‘developing’ countries was to reduce the MMR rate by three quarters by 2015, which would have meant a reduction to 38/100 000 live births. The aim of this dissertation is to examine how the democratic South African government (influenced heavily by global health thinking) has laboured to reduce that statistic. I analyse, using Foucauldian discourse analysis, all relevant health and maternal health policies, procedural documents and reports produced by and for the NDoH in the last 24 years. I draw on Foucauldian concepts, specifically those related to Foucault’s work on governmentality. In this dissertation I introduce a new perspective towards the maternal health practices implemented in South Africa, practices that have generally remained unquestioned, been perceived as self-evident, and thus often escaping critical analysis. Through an analysis of the intended operation of the public antenatal clinic (within the larger institutional system) I show how ‘development’ has come to operate as a truth regime in South Africa – facilitating the introduction of liberal governmentality (including some advanced liberal practices) into public health service provision.
- Full Text:
- Date Issued: 2019
- Authors: Du Plessis, Ulandi
- Date: 2019
- Subjects: South Africa. Department of Health (1994- ) , Maternal health services -- South Africa , Mothers -- Mortality -- South Africa , Prenatal care -- South Africa , African mothers -- Mortality -- South Africa
- Language: English
- Type: text , Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/10962/76552 , vital:30600
- Description: South Africa democratised in 1994. However, due to the discriminatory and segregationist character of the preceding regime, vast swathes of the country’s spaces and people entered the democratic period heavily deprived of essential government services. This was the case with health care in general, including maternal health care. There were also little to no national data available on maternal deaths, especially among the black population. One of the first tasks of the new National Department of Health (NDoH) was to target the high maternal mortality rate. The NDoH made maternal deaths notifiable by law and instituted auditing and information gathering systems in the health sector; health infrastructure was expanded exponentially, and maternal health care was made free. Despite this, the last 24 years have seen the maternal mortality escalate. The latest statistics show that between 1200 and 1300 women die in the South African public health sector each year during pregnancy and the puerperium. This puts the current institutional maternal mortality rate (MMR) at around 154/100 000 live births. The international target for ‘developing’ countries was to reduce the MMR rate by three quarters by 2015, which would have meant a reduction to 38/100 000 live births. The aim of this dissertation is to examine how the democratic South African government (influenced heavily by global health thinking) has laboured to reduce that statistic. I analyse, using Foucauldian discourse analysis, all relevant health and maternal health policies, procedural documents and reports produced by and for the NDoH in the last 24 years. I draw on Foucauldian concepts, specifically those related to Foucault’s work on governmentality. In this dissertation I introduce a new perspective towards the maternal health practices implemented in South Africa, practices that have generally remained unquestioned, been perceived as self-evident, and thus often escaping critical analysis. Through an analysis of the intended operation of the public antenatal clinic (within the larger institutional system) I show how ‘development’ has come to operate as a truth regime in South Africa – facilitating the introduction of liberal governmentality (including some advanced liberal practices) into public health service provision.
- Full Text:
- Date Issued: 2019
“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
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
Counsellors’ talk about their understanding of, and practices in response to, intimate partner violence during pregnancy: a narrative-discursive analytic study.
- Authors: Fleischack, Anne
- Date: 2015
- Subjects: Intimate partner violence -- South Africa , Intimate partner violence -- Psychological aspects , Abused women -- Counseling of , Pregnant women -- South Africa -- Abuse of , Pregnant women -- Counseling of
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3255 , http://hdl.handle.net/10962/d1016391
- Description: South Africa is a very violent society, where violence is often used as a social resource to maintain control and establish authority. Global and local research suggests that there is a high prevalence of intimate partner violence (IPV), a facet of this violence, although little research has been conducted into the effects of IPV during pregnancy in the South African non-governmental organisation (NGO) context. NGOs globally and in South Africa have attempted to address IPV and IPV during pregnancy by providing services that aim to assist (largely female) clients emotionally and logistically. In light of this phenomenon, this qualitative study presents data generated through the use of a lightly-structured narrative interview schedule. The interviews were conducted over three sessions with eight counsellors, all based at two NGOs in South Africa and experienced in counselling women who have suffered IPV and IPV during pregnancy. This study used Taylor and Littleton’s (2006) narrative-discursive analytical lens, infused with theoretical insights from Foucault about power, discourse and narrative in order to identify the discursive resources that shape the narratives that the counsellors shared in the interviews and how these translate into subject positions and (gendered) power relations of the men and women about whom they speak. Six discursive resources emerged from the narratives, namely a discourse of ‘traditional “African” culture’, ‘patriarchal masculinity’, ‘nurturing femininity’, ‘female victimhood’, ‘female survivorhood’ and ‘human rights’. These informed the three main narratives that emerged: narratives about IPV in general, IPV during pregnancy, and the counsellors’ narratives about their intervention strategies. Within these narratives (and the micro-narratives which comprised them), men were largely positioned as subscribing to violent patriarchal behaviour whilst women were mostly positioned as nurturing and victims of this violence. The counsellors also constructed women as largely ignorant of their options about IPV and IPV during pregnancy; they constructed these phenomena as problems that require intervention and identified a number of factors that indicate what successful IPV interventions should entail. In reflecting upon this analysis, this study also aimed to address the questions of what is achieved or gained by using these narratives and discursive resources, what the significance or consequences are of constructing and using these particular narratives and discourses and whether different narratives or discourses would have been possible. Recommendations for further research includes incorporating more sites as well as interviewing perpetrators and IPV survivors themselves, perhaps in their home language where relevant rather than English, to gain a broader and more faceted understanding of the dynamics surrounding IPV during pregnancy. A recommendation for practice in intervention against IPV during pregnancy is to introduce more holistic/systemic intervention strategies and working with communities to address this issue.
- Full Text:
- Date Issued: 2015
- Authors: Fleischack, Anne
- Date: 2015
- Subjects: Intimate partner violence -- South Africa , Intimate partner violence -- Psychological aspects , Abused women -- Counseling of , Pregnant women -- South Africa -- Abuse of , Pregnant women -- Counseling of
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3255 , http://hdl.handle.net/10962/d1016391
- Description: South Africa is a very violent society, where violence is often used as a social resource to maintain control and establish authority. Global and local research suggests that there is a high prevalence of intimate partner violence (IPV), a facet of this violence, although little research has been conducted into the effects of IPV during pregnancy in the South African non-governmental organisation (NGO) context. NGOs globally and in South Africa have attempted to address IPV and IPV during pregnancy by providing services that aim to assist (largely female) clients emotionally and logistically. In light of this phenomenon, this qualitative study presents data generated through the use of a lightly-structured narrative interview schedule. The interviews were conducted over three sessions with eight counsellors, all based at two NGOs in South Africa and experienced in counselling women who have suffered IPV and IPV during pregnancy. This study used Taylor and Littleton’s (2006) narrative-discursive analytical lens, infused with theoretical insights from Foucault about power, discourse and narrative in order to identify the discursive resources that shape the narratives that the counsellors shared in the interviews and how these translate into subject positions and (gendered) power relations of the men and women about whom they speak. Six discursive resources emerged from the narratives, namely a discourse of ‘traditional “African” culture’, ‘patriarchal masculinity’, ‘nurturing femininity’, ‘female victimhood’, ‘female survivorhood’ and ‘human rights’. These informed the three main narratives that emerged: narratives about IPV in general, IPV during pregnancy, and the counsellors’ narratives about their intervention strategies. Within these narratives (and the micro-narratives which comprised them), men were largely positioned as subscribing to violent patriarchal behaviour whilst women were mostly positioned as nurturing and victims of this violence. The counsellors also constructed women as largely ignorant of their options about IPV and IPV during pregnancy; they constructed these phenomena as problems that require intervention and identified a number of factors that indicate what successful IPV interventions should entail. In reflecting upon this analysis, this study also aimed to address the questions of what is achieved or gained by using these narratives and discursive resources, what the significance or consequences are of constructing and using these particular narratives and discourses and whether different narratives or discourses would have been possible. Recommendations for further research includes incorporating more sites as well as interviewing perpetrators and IPV survivors themselves, perhaps in their home language where relevant rather than English, to gain a broader and more faceted understanding of the dynamics surrounding IPV during pregnancy. A recommendation for practice in intervention against IPV during pregnancy is to introduce more holistic/systemic intervention strategies and working with communities to address this issue.
- Full Text:
- Date Issued: 2015
Young men’s talk about menstruation and hegemonic masculinity in the South African context: a discursive analysis
- Authors: Glover, Jonathan M
- Date: 2018
- Subjects: Menstruation -- Social aspects -- -- South Africa -- Eastern Cape , Hegemony -- South Africa -- Eastern Cape , Masculinity -- South Africa -- Eastern Cape , Sex role -- South Africa -- Eastern Cape , Men -- Attitudes , Men -- Psychology , Human body -- Social aspects -- South Africa -- Eastern Cape , Men's studies -- South Africa -- Eastern Cape
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/60244 , vital:27758
- Description: Current research in the sub-Saharan and other resource poor contexts indicates the largely negative social constructions of menstruation and menstruating women. Young men have been shown to reproduce these negative constructions and reinforce the stigmatized status of menstruation in these contexts. To my knowledge no studies have examined the ways in which young men talk about menstruation and menstruating women in South Africa. In this research, I aimed to explore the ways in which young men (in a resource poor area in the Eastern Cape) talk about menstruation in with their male peers in a focus group context and how this talk serves to enable specific subject positions (both masculine and feminine) that may reproduce, comply with and resist constructions of hegemonic masculinity (as outlined in previous South African research). By drawing on Raewyn Connell’s influential framework of masculinities and augmenting this with Margaret Wetherell and Nigel Edley’s contributions, this research adds to the growing body of research on masculinities in the South African context. I utilized a discursive framework in which to understand the interpretative repertoires drawn on in everyday talk about menstruation and the specific subject positions made available by these. Purposive sampling was used to recruit a total of 37 participants from two former Department of Education and Training schools in the Eastern Cape. Participants were young ‘black’ men with a mean age of 18.3 In analyzing and interpreting the data two overarching patterns emerged. In the first, the participants discursively distanced themselves from menstruation (and femininity in general) in order to avoid possible marginalisation and subordination in relation to local hegemonic masculine ideals. In doing this, the participants drew on a number of interpretative repertoires including: a dualistic repertoire, a bad (versus ideal) femininity repertoire and an abject femininity repertoire, which assisted in creating numerous subject positions. These subject positions allowed the young men to align themselves closer to hegemonic masculine ideals, and create distance by positioning menstruating women as the ‘other’. In the second overarching pattern, menstruation was constructed as a threat to masculine identity; within this construction, the young men discursively negotiated the ideological dilemmas surrounding this ‘highly feminine’ topic in ways that bolstered their positions within the gender hierarchy. Overall, hegemonic masculinities in this context were discursively reproduced and complied with in the participants’ accounts.
- Full Text:
- Date Issued: 2018
- Authors: Glover, Jonathan M
- Date: 2018
- Subjects: Menstruation -- Social aspects -- -- South Africa -- Eastern Cape , Hegemony -- South Africa -- Eastern Cape , Masculinity -- South Africa -- Eastern Cape , Sex role -- South Africa -- Eastern Cape , Men -- Attitudes , Men -- Psychology , Human body -- Social aspects -- South Africa -- Eastern Cape , Men's studies -- South Africa -- Eastern Cape
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/60244 , vital:27758
- Description: Current research in the sub-Saharan and other resource poor contexts indicates the largely negative social constructions of menstruation and menstruating women. Young men have been shown to reproduce these negative constructions and reinforce the stigmatized status of menstruation in these contexts. To my knowledge no studies have examined the ways in which young men talk about menstruation and menstruating women in South Africa. In this research, I aimed to explore the ways in which young men (in a resource poor area in the Eastern Cape) talk about menstruation in with their male peers in a focus group context and how this talk serves to enable specific subject positions (both masculine and feminine) that may reproduce, comply with and resist constructions of hegemonic masculinity (as outlined in previous South African research). By drawing on Raewyn Connell’s influential framework of masculinities and augmenting this with Margaret Wetherell and Nigel Edley’s contributions, this research adds to the growing body of research on masculinities in the South African context. I utilized a discursive framework in which to understand the interpretative repertoires drawn on in everyday talk about menstruation and the specific subject positions made available by these. Purposive sampling was used to recruit a total of 37 participants from two former Department of Education and Training schools in the Eastern Cape. Participants were young ‘black’ men with a mean age of 18.3 In analyzing and interpreting the data two overarching patterns emerged. In the first, the participants discursively distanced themselves from menstruation (and femininity in general) in order to avoid possible marginalisation and subordination in relation to local hegemonic masculine ideals. In doing this, the participants drew on a number of interpretative repertoires including: a dualistic repertoire, a bad (versus ideal) femininity repertoire and an abject femininity repertoire, which assisted in creating numerous subject positions. These subject positions allowed the young men to align themselves closer to hegemonic masculine ideals, and create distance by positioning menstruating women as the ‘other’. In the second overarching pattern, menstruation was constructed as a threat to masculine identity; within this construction, the young men discursively negotiated the ideological dilemmas surrounding this ‘highly feminine’ topic in ways that bolstered their positions within the gender hierarchy. Overall, hegemonic masculinities in this context were discursively reproduced and complied with in the participants’ accounts.
- Full Text:
- Date Issued: 2018
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
Dialogues of sexualities: An action research project
- Authors: Graham, Nicola Susan Jearey
- Date: 2016
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3275 , http://hdl.handle.net/10962/d1021271
- Description: Risky and abusive sexual behaviours, stemming largely from inequitable gendered norms, are a pervasive feature of the South African socio-sexual landscape. Literature shows that sexuality education programmes can be effective in reducing risky sexual practices, but South African school sexuality education has been shown to be largely inadequate. The question arises as to how to engage with high school learners about sexualities in meaningful ways. In an attempt to answer this, I implemented a dialogical sexuality action research project at a lower middle class urban high school. Freirian principles of critical consciousness and dialogical pedagogy were utilized, and these were infused with feminist post-structural understandings of a discursively constituted subject. The initial consultative process started in 2012 with two projects at the school. Data from these projects, and a further consultation with the school principal, provided baseline information on the gendered norms and the sexuality education in the school. I then instituted a dialogical sexuality intervention with a group of Grade 10 learners, aiming to bring gendered and sexual norms to visibility, to trouble them (thereby promoting participants’ critical consciousness around gendered norms), and to provide recognition for participants in a variety of subject positions. Ten sessions were conducted, with the focus of each session being planned by the group. The action research project attempted to promote understandings of the processes required to facilitate such aims. The dialogical format of the group generated curiosity and engagement, and there were suggestions that some participants were taking up safe-sex messages in a reflexive manner. A partial normalisation of some ‘hidden’ aspects of sex, particularly around issues pertaining to female sexuality, was enabled, and critical consciousness around the gendered inequities in ‘cheating’ was promoted. However, abstinence was relatively silenced, and male same-sex remained heavily stigmatised. No substantial action component beyond the group meetings was generated. Participant feedback indicated that they placed great value on the dialogical processes in the group, and that they enjoyed being able to talk about sexual and other personal aspects of their lives. I theorise that the value of the group was in the recognition that participants received as they were positioned in a variety of subject positions. Whilst dialogue was shown to be extremely valuable, there were suggestions that other, non-dialogical modes of recognition were also needed by participants.
- Full Text:
- Date Issued: 2016
- Authors: Graham, Nicola Susan Jearey
- Date: 2016
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3275 , http://hdl.handle.net/10962/d1021271
- Description: Risky and abusive sexual behaviours, stemming largely from inequitable gendered norms, are a pervasive feature of the South African socio-sexual landscape. Literature shows that sexuality education programmes can be effective in reducing risky sexual practices, but South African school sexuality education has been shown to be largely inadequate. The question arises as to how to engage with high school learners about sexualities in meaningful ways. In an attempt to answer this, I implemented a dialogical sexuality action research project at a lower middle class urban high school. Freirian principles of critical consciousness and dialogical pedagogy were utilized, and these were infused with feminist post-structural understandings of a discursively constituted subject. The initial consultative process started in 2012 with two projects at the school. Data from these projects, and a further consultation with the school principal, provided baseline information on the gendered norms and the sexuality education in the school. I then instituted a dialogical sexuality intervention with a group of Grade 10 learners, aiming to bring gendered and sexual norms to visibility, to trouble them (thereby promoting participants’ critical consciousness around gendered norms), and to provide recognition for participants in a variety of subject positions. Ten sessions were conducted, with the focus of each session being planned by the group. The action research project attempted to promote understandings of the processes required to facilitate such aims. The dialogical format of the group generated curiosity and engagement, and there were suggestions that some participants were taking up safe-sex messages in a reflexive manner. A partial normalisation of some ‘hidden’ aspects of sex, particularly around issues pertaining to female sexuality, was enabled, and critical consciousness around the gendered inequities in ‘cheating’ was promoted. However, abstinence was relatively silenced, and male same-sex remained heavily stigmatised. No substantial action component beyond the group meetings was generated. Participant feedback indicated that they placed great value on the dialogical processes in the group, and that they enjoyed being able to talk about sexual and other personal aspects of their lives. I theorise that the value of the group was in the recognition that participants received as they were positioned in a variety of subject positions. Whilst dialogue was shown to be extremely valuable, there were suggestions that other, non-dialogical modes of recognition were also needed by participants.
- Full Text:
- Date Issued: 2016
Resisting responsibilisation : a narrative-discursive analysis of young peoples' talk about high school sexualities and school sexuality education
- Authors: Graham, Nicola Susan Jearey
- Date: 2014
- Subjects: Responsibility in adolescence , Language and sex -- South Africa , Teenagers -- Sexual behavior -- South Africa , Sex instruction -- South Africa , Sexual health -- Study and teaching -- South Africa , Sexual ethics
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3230 , http://hdl.handle.net/10962/d1013078
- Description: The most widespread intervention in South Africa into the sexualities of young people is school based sexuality education. However there is a dearth of research in this area, and studies that have been conducted highlight major weaknesses with implementation. Research from Western countries indicates that the messages conveyed in sexuality education are resisted if they conflict with the desired sexual subjectivities of young people. This indicates a need for further research into desired youth sexualities, and school based sexuality education. While South African studies of young people‘s talk about sexualities have been conducted, there is a paucity of literature in this area from a discursive perspective. This study is situated within a feminist post-structuralist paradigm, utilising a performative-performance analytical approach which synthesises Butlerian theory with a narrative-discursive methodology. This approach enables an analysis of both the macro-discursive power webs within which sexualities are situated, and the micro-discursive activity through which sexual subject positions are constructed. I used this approach to analyse the talk of groups of students from a Further Education and Training College about the sexualities of High School learners and their own past sexuality education. Findings showed that that the most dominant discursive resources which were utilised to construct sexualities were societal sexual norms discourses. These foundational discourses constructed gendered sexualities of compulsory hyper-heterosex for men, and compulsory compliant girlfriendhood for women. Such gendered sexualities reinforced patriarchal and abusive gendered and sexual practices. Ways in which participants troubled the dominant gendered sexualities through the performance of alternative sexual positions were analysed, as these 'troubling' performances indicate mutable aspects of the normative gendered field. Participants drew on a discourse of disconnect when talking about their school sexuality education, and their parents‘ (lack of) communication with them about sex. This suggests that adultist attempts to construct a 'responsible' sexual subject position for young people are resisted when such a position is constructed in a non-relational manner. Collusion between the constructed gendered sexualities and the discourse of disconnect results in the un-performability of a 'responsible' sexual subject position. These findings were used to provide suggestions for enhancing school based sexuality interventions.
- Full Text:
- Date Issued: 2014
- Authors: Graham, Nicola Susan Jearey
- Date: 2014
- Subjects: Responsibility in adolescence , Language and sex -- South Africa , Teenagers -- Sexual behavior -- South Africa , Sex instruction -- South Africa , Sexual health -- Study and teaching -- South Africa , Sexual ethics
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3230 , http://hdl.handle.net/10962/d1013078
- Description: The most widespread intervention in South Africa into the sexualities of young people is school based sexuality education. However there is a dearth of research in this area, and studies that have been conducted highlight major weaknesses with implementation. Research from Western countries indicates that the messages conveyed in sexuality education are resisted if they conflict with the desired sexual subjectivities of young people. This indicates a need for further research into desired youth sexualities, and school based sexuality education. While South African studies of young people‘s talk about sexualities have been conducted, there is a paucity of literature in this area from a discursive perspective. This study is situated within a feminist post-structuralist paradigm, utilising a performative-performance analytical approach which synthesises Butlerian theory with a narrative-discursive methodology. This approach enables an analysis of both the macro-discursive power webs within which sexualities are situated, and the micro-discursive activity through which sexual subject positions are constructed. I used this approach to analyse the talk of groups of students from a Further Education and Training College about the sexualities of High School learners and their own past sexuality education. Findings showed that that the most dominant discursive resources which were utilised to construct sexualities were societal sexual norms discourses. These foundational discourses constructed gendered sexualities of compulsory hyper-heterosex for men, and compulsory compliant girlfriendhood for women. Such gendered sexualities reinforced patriarchal and abusive gendered and sexual practices. Ways in which participants troubled the dominant gendered sexualities through the performance of alternative sexual positions were analysed, as these 'troubling' performances indicate mutable aspects of the normative gendered field. Participants drew on a discourse of disconnect when talking about their school sexuality education, and their parents‘ (lack of) communication with them about sex. This suggests that adultist attempts to construct a 'responsible' sexual subject position for young people are resisted when such a position is constructed in a non-relational manner. Collusion between the constructed gendered sexualities and the discourse of disconnect results in the un-performability of a 'responsible' sexual subject position. These findings were used to provide suggestions for enhancing school based sexuality interventions.
- Full Text:
- Date Issued: 2014
The digital rhetoric of addressing rape culture: “official” and “unofficial” arguments at Rhodes University
- Authors: Jones, Megaera
- Date: 2020
- Subjects: Rape in universities and colleges -- South Africa -- Makhanda , Universities and colleges -- Administration -- South Africa -- Makhanda , Communication in higher education - South Africa -- Makhanda
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/142621 , vital:38096
- Description: South Africa is overwhelmed with high levels of sexual violence and institutions of higher education in South Africa are not exempt from this. How higher education stakeholders have responded to the call to address rape culture on campuses has been at the centre of much attention, especially publicly on online communicative spaces. Drawing on contemporary rhetorical theories, informed by a feminist poststructuralist perspective, this study sought to explore how constituents at Rhodes University were discussing how rape culture should (and should not be) addressed on campus. Using a rhetorical analysis, this study collected and analysed online public data from ‘official’ (institutionally sanctioned) and ‘unofficial’ (institutionally independent) communication platforms, following the 2016 rape culture student-led protest at Rhodes University. In analysing and interpreting the data from the ‘official’ sites, four major themes of discussion were evident. These rhetors argued that rape culture is a societal issue, requiring collective responsibility and effort in countering it, and that any approach to do so must abide by the bounds of the law. The University’s commitment, and continued investment to address rape culture on campus were repeatedly stated; as well as, the use of external ‘supportive’ messages that bolstered the reputation, efforts, and actions of the institution. On the ‘unofficial’ sites six broad patterns of discussion were evident. These ‘unofficial’ rhetors embodied the rape culture on campus, perceiving its effects as threatening to the physical body, which led to the adoption of the argument that rape culture needs to be ‘fought’ through physical action and support. Narrow law and order approaches were contested, and the need for a victim-centred approaches were prioritised. Additionally, doubt and suspicion were cast onto the institutional management/leadership, and the University (management/leadership body) were perceived as having ‘failed’ to address rape culture adequality. Considering this ‘failure’, a divisive rhetoric argued that the ‘fight’ against rape culture should continue, despite, and separate from, the institutional body. These findings revealed how the divisive positions these various stakeholders took created a volatile climate between University management/leadership, staff, and student. I argue that such division will continue to undermine any meaningful efforts to counter rape culture on the University campus; underscoring the difficulty, and ambiguity, that comes with attempting to address rape culture on higher education campuses. This necessitates how important it will be for scholars to research, and continue researching, the ways in which a rape culture, and the various approaches which attempt to counter it, are understood.
- Full Text:
- Date Issued: 2020
- Authors: Jones, Megaera
- Date: 2020
- Subjects: Rape in universities and colleges -- South Africa -- Makhanda , Universities and colleges -- Administration -- South Africa -- Makhanda , Communication in higher education - South Africa -- Makhanda
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/142621 , vital:38096
- Description: South Africa is overwhelmed with high levels of sexual violence and institutions of higher education in South Africa are not exempt from this. How higher education stakeholders have responded to the call to address rape culture on campuses has been at the centre of much attention, especially publicly on online communicative spaces. Drawing on contemporary rhetorical theories, informed by a feminist poststructuralist perspective, this study sought to explore how constituents at Rhodes University were discussing how rape culture should (and should not be) addressed on campus. Using a rhetorical analysis, this study collected and analysed online public data from ‘official’ (institutionally sanctioned) and ‘unofficial’ (institutionally independent) communication platforms, following the 2016 rape culture student-led protest at Rhodes University. In analysing and interpreting the data from the ‘official’ sites, four major themes of discussion were evident. These rhetors argued that rape culture is a societal issue, requiring collective responsibility and effort in countering it, and that any approach to do so must abide by the bounds of the law. The University’s commitment, and continued investment to address rape culture on campus were repeatedly stated; as well as, the use of external ‘supportive’ messages that bolstered the reputation, efforts, and actions of the institution. On the ‘unofficial’ sites six broad patterns of discussion were evident. These ‘unofficial’ rhetors embodied the rape culture on campus, perceiving its effects as threatening to the physical body, which led to the adoption of the argument that rape culture needs to be ‘fought’ through physical action and support. Narrow law and order approaches were contested, and the need for a victim-centred approaches were prioritised. Additionally, doubt and suspicion were cast onto the institutional management/leadership, and the University (management/leadership body) were perceived as having ‘failed’ to address rape culture adequality. Considering this ‘failure’, a divisive rhetoric argued that the ‘fight’ against rape culture should continue, despite, and separate from, the institutional body. These findings revealed how the divisive positions these various stakeholders took created a volatile climate between University management/leadership, staff, and student. I argue that such division will continue to undermine any meaningful efforts to counter rape culture on the University campus; underscoring the difficulty, and ambiguity, that comes with attempting to address rape culture on higher education campuses. This necessitates how important it will be for scholars to research, and continue researching, the ways in which a rape culture, and the various approaches which attempt to counter it, are understood.
- Full Text:
- Date Issued: 2020
An intracategorical intersectional framework for understanding ‘supportability’ in womxn’s narratives of their pregnancy
- Authors: Kalyanaraman, Yamini
- Date: 2019
- Subjects: Pregnancy -- Psychological aspects -- South Africa , Prenatal care -- South Africa , Pregnant women -- South Africa -- Psycology , Medical care -- South Africa -- Eastern Cape
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/96647 , vital:31304
- Description: In South Africa, the current Maternal Mortality Ratio (MMR) is 135 per 100,000 live births, with a long way to go before it can achieve the Sustainable Development Goal (SDG) global target of under 70 per 100,000 live births by 2030. This research project focuses on the narratives of pregnant womxn in the Eastern Cape Province, using an intracategorical intersectional framework and Macleod’s ‘supportability’ model as a base. The study aims to locate womxn’s pregnancies within the interweaving biological, psychological, social, economic, cultural and political contexts within which they occur, while focusing specifically on the aspect of ‘supportability’. Through purposive sampling and snowballing methods, the research team recruited participants who were 18 years and older, in or past the second trimester of their pregnancy, and able to access antenatal care. Research data were produced using photo-elicitation techniques on 92 photographs and narratives from 32 interviews. An intersectional thematic analysis was used to generate themes, which highlighted different aspects that enabled or hindered pregnancy ‘supportability’. In accordance with prior research, it was revealed that womxn found emotional and tangible support the most beneficial. Findings from this study reveal the interconnectedness between a womxn’s personal (emotional, physical and cognitive) experiences of pregnancy, the micro-interactions of support (un)available from partners, family, friends, healthcare workers, workplaces and community members, and the macrostructures of socioeconomic policies, religiosity, cultural practices and healthcare systems. For example, gendered perceptions (a macro-structure) influence the instrumental support provided by partners (a micro-interaction), which impacts the womxn’s well-being (personal). Certain themes that emerged from the different narratives were: the importance of making available pregnancy-related information to the womxn; a desire for non-judgement and acceptance of their pregnancies within their community; and the need for adequate communication in microinteractions. The findings of this research also indicate that, despite the financial tensions inherent in each womxn’s life, the participants were driven by overarching hopes for their child’s future.
- Full Text:
- Date Issued: 2019
- Authors: Kalyanaraman, Yamini
- Date: 2019
- Subjects: Pregnancy -- Psychological aspects -- South Africa , Prenatal care -- South Africa , Pregnant women -- South Africa -- Psycology , Medical care -- South Africa -- Eastern Cape
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/96647 , vital:31304
- Description: In South Africa, the current Maternal Mortality Ratio (MMR) is 135 per 100,000 live births, with a long way to go before it can achieve the Sustainable Development Goal (SDG) global target of under 70 per 100,000 live births by 2030. This research project focuses on the narratives of pregnant womxn in the Eastern Cape Province, using an intracategorical intersectional framework and Macleod’s ‘supportability’ model as a base. The study aims to locate womxn’s pregnancies within the interweaving biological, psychological, social, economic, cultural and political contexts within which they occur, while focusing specifically on the aspect of ‘supportability’. Through purposive sampling and snowballing methods, the research team recruited participants who were 18 years and older, in or past the second trimester of their pregnancy, and able to access antenatal care. Research data were produced using photo-elicitation techniques on 92 photographs and narratives from 32 interviews. An intersectional thematic analysis was used to generate themes, which highlighted different aspects that enabled or hindered pregnancy ‘supportability’. In accordance with prior research, it was revealed that womxn found emotional and tangible support the most beneficial. Findings from this study reveal the interconnectedness between a womxn’s personal (emotional, physical and cognitive) experiences of pregnancy, the micro-interactions of support (un)available from partners, family, friends, healthcare workers, workplaces and community members, and the macrostructures of socioeconomic policies, religiosity, cultural practices and healthcare systems. For example, gendered perceptions (a macro-structure) influence the instrumental support provided by partners (a micro-interaction), which impacts the womxn’s well-being (personal). Certain themes that emerged from the different narratives were: the importance of making available pregnancy-related information to the womxn; a desire for non-judgement and acceptance of their pregnancies within their community; and the need for adequate communication in microinteractions. The findings of this research also indicate that, despite the financial tensions inherent in each womxn’s life, the participants were driven by overarching hopes for their child’s future.
- Full Text:
- Date Issued: 2019
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
(In)visibility and the exercise of power: a genealogy of the politics of drag spectacles in a small city in South Africa
- Authors: Marx, Jacqueline Greer
- Date: 2011
- Subjects: Female impersonators -- Research -- South Africa Male impersonators -- Research -- South Africa Apartheid -- South Africa -- Psychological aspects
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: vital:3013 , http://hdl.handle.net/10962/d1002522
- Description: This study investigates the politics of homosexual visibility in dressing-up, cross-dressing and drag performances that take place in a small city in South Africa over a period of sixty years, beginning in the 1950s and the inception of apartheid policy, through the socio-political changes in the 1990s to the 21st century post-apartheid context. The study draws on Butler’s notion of performative resistance and adopts a Foucauldian genealogy to examine the conditions that make visibility possible and through which particular representations of homosexuality are articulated and read, or remain unread or misread. Information about dressing-up, cross-dressing and drag performance was obtained in interviews, from documentary evidence, and from audio-visual recordings of drag shows and gay and lesbian beauty pageant competitions. Semiotics and a Foucauldian approach to analysing discourse were used to interpret the written, spoken, and visual texts. In this study I argue that the state prohibition of homosexuality during apartheid meant that people could not admit to knowing about it, and this ‘not knowing’ provided a cover for homosexual behaviour in public. At this time, the threat of being identified was associated with police raids on private parties. In the 1990s, homosexual visibility was more viable than it had been in the past. However, the strategies that were adopted to negotiate public visibility at this time were tailored to appease normative sentiments rather than challenge them. I argue that, historically, race and gender have played a role in diminishing and exacerbating homosexual visibility and its politics. Addressing the potential for harm that is associated with homosexual visibility in the 21st century post-apartheid context, this study considers the circumstances in which invisibility is desirable.
- Full Text:
- Date Issued: 2011
- Authors: Marx, Jacqueline Greer
- Date: 2011
- Subjects: Female impersonators -- Research -- South Africa Male impersonators -- Research -- South Africa Apartheid -- South Africa -- Psychological aspects
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: vital:3013 , http://hdl.handle.net/10962/d1002522
- Description: This study investigates the politics of homosexual visibility in dressing-up, cross-dressing and drag performances that take place in a small city in South Africa over a period of sixty years, beginning in the 1950s and the inception of apartheid policy, through the socio-political changes in the 1990s to the 21st century post-apartheid context. The study draws on Butler’s notion of performative resistance and adopts a Foucauldian genealogy to examine the conditions that make visibility possible and through which particular representations of homosexuality are articulated and read, or remain unread or misread. Information about dressing-up, cross-dressing and drag performance was obtained in interviews, from documentary evidence, and from audio-visual recordings of drag shows and gay and lesbian beauty pageant competitions. Semiotics and a Foucauldian approach to analysing discourse were used to interpret the written, spoken, and visual texts. In this study I argue that the state prohibition of homosexuality during apartheid meant that people could not admit to knowing about it, and this ‘not knowing’ provided a cover for homosexual behaviour in public. At this time, the threat of being identified was associated with police raids on private parties. In the 1990s, homosexual visibility was more viable than it had been in the past. However, the strategies that were adopted to negotiate public visibility at this time were tailored to appease normative sentiments rather than challenge them. I argue that, historically, race and gender have played a role in diminishing and exacerbating homosexual visibility and its politics. Addressing the potential for harm that is associated with homosexual visibility in the 21st century post-apartheid context, this study considers the circumstances in which invisibility is desirable.
- Full Text:
- Date Issued: 2011
Women’s narratives about alcohol use during pregnancy: a narrative-discursive study
- Authors: Matebese, Sibongile
- Date: 2019
- Subjects: Pregnant women -- South Africa -- Social conditions , Pregnant women -- South Africa -- Alcohol use , Pregnant women -- South Africa -- Psychology
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/95196 , vital:31126
- Description: While research has explored the risk factors that contribute to alcohol use during pregnancy among South African women, such studies have mostly been quantitative in nature. There is a growing body of research that contextualises and articulates the attitudes, beliefs, and underlying motivations that influence drinking during pregnancy. However, few qualitative studies explore the cultural, economic, familial, and social contexts within which drinking during pregnancy takes place. Studies which have explored these contexts have been conducted in other geographical regions such as Australia, Canada, New Zealand, and the United States but their findings are not generalisable to South Africa. Drawing on a feminist poststructuralist as well as a narrative-discursive approach including Foucault’s (1978) theory of power, this study sought to explore women’s narratives of the personal and interpersonal circumstances under which drinking during pregnancy takes place in terms of the discourses used to construct these narratives and the subject positions made available within these discourses. This allowed for the practice of alcohol use during pregnancy to be understood within the social and cultural narratives, practices, and discourses around pregnancy as well as gendered and social relations. Using the narrative interview method set out by Wengraf (2001), thirteen, unemployed ‘Black’ women from an area in the Eastern Cape were recruited and interviewed. Seven discourses emerged from the narratives namely, a discourse of ‘stress and coping’ ‘hegemonic masculinities’, ‘peer pressure’, ‘disablement and developmental delay’, ‘good mothering/appropriate pregnancies’, ‘culture’, and ‘religion’. These discourses informed the five narrative categories which emerged: narratives about the pregnancy, narratives about the drinking, narratives that justify/explain drinking, narratives that condemn the drinking, and narratives about the women knowing the effects of drinking during pregnancy. Within these narratives, the women mainly positioned themselves as dependent on alcohol during their pregnancies in order to cope with stress caused by various circumstances which were mainly centred on a lack of support from their partners, paternity denial, infidelity and unreliableness. As such, the women in this study mainly justified their drinking during pregnancy and in constructing this narrative, the ‘stress and coping’ discourse as well as the ‘male/masculine provider’ discourse were mainly drawn upon. In reflecting on this analysis, this study argues that alcohol use during pregnancy should be understood within the broader environmental and social context that makes a pregnancy challenging and/or difficult and thus necessitates drinking during pregnancy. Recommendations for future research include expanding the diversity of participants as well as interviewing healthcare providers and women who are currently pregnant, drinking, and part of an intervention aimed at addressing alcohol use during pregnancy so as to obtain a holistic understanding of engaging in this practice. The study makes key recommendations for interventions in practice to help work towards ensuring that the practice of alcohol use during pregnancy is not individualised, decontextualized, and stigmatised.
- Full Text:
- Date Issued: 2019
- Authors: Matebese, Sibongile
- Date: 2019
- Subjects: Pregnant women -- South Africa -- Social conditions , Pregnant women -- South Africa -- Alcohol use , Pregnant women -- South Africa -- Psychology
- Language: English
- Type: text , Thesis , Masters , MA
- Identifier: http://hdl.handle.net/10962/95196 , vital:31126
- Description: While research has explored the risk factors that contribute to alcohol use during pregnancy among South African women, such studies have mostly been quantitative in nature. There is a growing body of research that contextualises and articulates the attitudes, beliefs, and underlying motivations that influence drinking during pregnancy. However, few qualitative studies explore the cultural, economic, familial, and social contexts within which drinking during pregnancy takes place. Studies which have explored these contexts have been conducted in other geographical regions such as Australia, Canada, New Zealand, and the United States but their findings are not generalisable to South Africa. Drawing on a feminist poststructuralist as well as a narrative-discursive approach including Foucault’s (1978) theory of power, this study sought to explore women’s narratives of the personal and interpersonal circumstances under which drinking during pregnancy takes place in terms of the discourses used to construct these narratives and the subject positions made available within these discourses. This allowed for the practice of alcohol use during pregnancy to be understood within the social and cultural narratives, practices, and discourses around pregnancy as well as gendered and social relations. Using the narrative interview method set out by Wengraf (2001), thirteen, unemployed ‘Black’ women from an area in the Eastern Cape were recruited and interviewed. Seven discourses emerged from the narratives namely, a discourse of ‘stress and coping’ ‘hegemonic masculinities’, ‘peer pressure’, ‘disablement and developmental delay’, ‘good mothering/appropriate pregnancies’, ‘culture’, and ‘religion’. These discourses informed the five narrative categories which emerged: narratives about the pregnancy, narratives about the drinking, narratives that justify/explain drinking, narratives that condemn the drinking, and narratives about the women knowing the effects of drinking during pregnancy. Within these narratives, the women mainly positioned themselves as dependent on alcohol during their pregnancies in order to cope with stress caused by various circumstances which were mainly centred on a lack of support from their partners, paternity denial, infidelity and unreliableness. As such, the women in this study mainly justified their drinking during pregnancy and in constructing this narrative, the ‘stress and coping’ discourse as well as the ‘male/masculine provider’ discourse were mainly drawn upon. In reflecting on this analysis, this study argues that alcohol use during pregnancy should be understood within the broader environmental and social context that makes a pregnancy challenging and/or difficult and thus necessitates drinking during pregnancy. Recommendations for future research include expanding the diversity of participants as well as interviewing healthcare providers and women who are currently pregnant, drinking, and part of an intervention aimed at addressing alcohol use during pregnancy so as to obtain a holistic understanding of engaging in this practice. The study makes key recommendations for interventions in practice to help work towards ensuring that the practice of alcohol use during pregnancy is not individualised, decontextualized, and stigmatised.
- Full Text:
- Date Issued: 2019
Narrated experiences of the pre-termination of pregnancy counselling healthcare encounter in the Eastern Cape public health sector
- Mavuso, Jabulile Mary-Jane Jace
- Authors: Mavuso, Jabulile Mary-Jane Jace
- Date: 2018
- Subjects: Abortion counseling -- South Africa -- Eastern Cape , Abortion -- Psychological aspects , Abortion -- Social aspects , Pro-choice movement -- South Africa -- Eastern Cape , Reproductive rights -- South Africa -- Eastern Cape , Women -- Sexual behavior -- South Africa -- Eastern Cape , Women -- South Africa -- Social conditions
- Language: English
- Type: text , Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/10962/62928 , vital:28311
- Description: Research that has been conducted about experiences of pre-abortion counselling tends to investigate either womxn's1 or healthcare providers' experiences separately, with research on womxn's experiences of abortion and abortion counselling dominating this area of research. Although some of the studies on womxn's abortion experiences have explored womxn's experiences of interactions between themselves and healthcare providers, these aspects have been underreported. To my knowledge, research that also explores womxn's interactions among themselves in the waiting room has not been done. Furthermore, research that explores the pre-termination of pregnancy healthcare encounter, where womxn's and healthcare providers' experiences of waiting room interactions and of pre-abortion counselling practices are seen as interrelated, has not been conducted. Research that has been conducted among womxn's experiences show that womxn have varying experiences of pre-abortion counselling, with some finding it useful while other womxn have found it to be lacking in relevance to their specific situation or needs. Research conducted among healthcare providers also points to varying experiences, with some healthcare providers stratifying womxn's reasons for abortion according to the acceptability of the request. This study explores health service providers’ and womxn’s narrated experiences of the pre-termination of pregnancy healthcare encounter (waiting room interactions and pre-abortion counselling) in the Eastern Cape public health sector. An African feminist post-structural approach, which enables analysis of how discursive structures and power relations may underpin African womxn's experiences of oppression and resistance, was used. Fusing this approach with a narrative-discursive analysis, enabled an exploration of the discursive resources drawn upon and the power relations referred to by participants when constructing micro-narratives and accounts of their experiences of waiting room interactions and pre-abortion counselling practices. This fusion enabled an understanding of the micro (individual) and macro (social) and how they interact and come to bear on experiences of the pre-abortion counselling healthcare encounter. Womxn's micro-narratives and healthcare providers' accounts were compared for convergences and divergences in the pre-abortion counselling practices they described. The implications of these convergences and divergences and of the power relations referred to by participants for pre-abortion counselling service provision are discussed. The research referred to in this study were conducted in contexts where abortion is legal, although the conditions under which it may be accessed differ across and within contexts. This present study is contextualised by the Choice on Termination of Pregnancy Act No. 92 of 1996 which legalises abortion and stipulates that abortion counselling should be made available to womxn but should be non-mandatory and non-directive. Data were collected at three abortion facilities located in public hospitals in the Eastern Cape. Open-ended, semi-structured interviews were conducted with 30 womxn after they received pre-abortion counselling, and four healthcare providers involved in abortion service provision. Data were analysed using an extended narrative-discursive approach which entailed exploring patterns in and across participants' talk. These patterns took the form of discursive resources (discourses and the subject positions they made available, and canonical narratives), power relations, and micro-narratives and accounts of their experiences of pre-abortion counselling practices and waiting room interactions. Participants described the following pre-abortion counselling practices: information-giving practices, consent practices, administering of LARCs, a waiting period and third-party involvement. In describing these processes, participants drew on an awfulisation of abortion discourse, moralising discourses, pronatalist discourses, and liberal discourses to construct (micro-)narratives in which liberal, pastoral and authoritarian counselling practices and power relations were constructed and referred to. In their micro-narratives, most womxn described the counselling as informative, beneficial and healing whilst also describing shock, hurt, pain and distress at the various kinds of information they received. Healthcare providers drew on discourses and canonical narratives (such as the hero and personal testimony) to justify liberal, pastoral and authoritarian counselling practices which were underpinned by constructing abortion and unintended pregnancy as problematic. The pre-abortion counselling practices that were described were directive in two ways: the coercion of contraceptive uptake post-abortion, and information provision practices which effectively work to delegitimise and persuade womxn against abortion.
- Full Text:
- Date Issued: 2018
- Authors: Mavuso, Jabulile Mary-Jane Jace
- Date: 2018
- Subjects: Abortion counseling -- South Africa -- Eastern Cape , Abortion -- Psychological aspects , Abortion -- Social aspects , Pro-choice movement -- South Africa -- Eastern Cape , Reproductive rights -- South Africa -- Eastern Cape , Women -- Sexual behavior -- South Africa -- Eastern Cape , Women -- South Africa -- Social conditions
- Language: English
- Type: text , Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/10962/62928 , vital:28311
- Description: Research that has been conducted about experiences of pre-abortion counselling tends to investigate either womxn's1 or healthcare providers' experiences separately, with research on womxn's experiences of abortion and abortion counselling dominating this area of research. Although some of the studies on womxn's abortion experiences have explored womxn's experiences of interactions between themselves and healthcare providers, these aspects have been underreported. To my knowledge, research that also explores womxn's interactions among themselves in the waiting room has not been done. Furthermore, research that explores the pre-termination of pregnancy healthcare encounter, where womxn's and healthcare providers' experiences of waiting room interactions and of pre-abortion counselling practices are seen as interrelated, has not been conducted. Research that has been conducted among womxn's experiences show that womxn have varying experiences of pre-abortion counselling, with some finding it useful while other womxn have found it to be lacking in relevance to their specific situation or needs. Research conducted among healthcare providers also points to varying experiences, with some healthcare providers stratifying womxn's reasons for abortion according to the acceptability of the request. This study explores health service providers’ and womxn’s narrated experiences of the pre-termination of pregnancy healthcare encounter (waiting room interactions and pre-abortion counselling) in the Eastern Cape public health sector. An African feminist post-structural approach, which enables analysis of how discursive structures and power relations may underpin African womxn's experiences of oppression and resistance, was used. Fusing this approach with a narrative-discursive analysis, enabled an exploration of the discursive resources drawn upon and the power relations referred to by participants when constructing micro-narratives and accounts of their experiences of waiting room interactions and pre-abortion counselling practices. This fusion enabled an understanding of the micro (individual) and macro (social) and how they interact and come to bear on experiences of the pre-abortion counselling healthcare encounter. Womxn's micro-narratives and healthcare providers' accounts were compared for convergences and divergences in the pre-abortion counselling practices they described. The implications of these convergences and divergences and of the power relations referred to by participants for pre-abortion counselling service provision are discussed. The research referred to in this study were conducted in contexts where abortion is legal, although the conditions under which it may be accessed differ across and within contexts. This present study is contextualised by the Choice on Termination of Pregnancy Act No. 92 of 1996 which legalises abortion and stipulates that abortion counselling should be made available to womxn but should be non-mandatory and non-directive. Data were collected at three abortion facilities located in public hospitals in the Eastern Cape. Open-ended, semi-structured interviews were conducted with 30 womxn after they received pre-abortion counselling, and four healthcare providers involved in abortion service provision. Data were analysed using an extended narrative-discursive approach which entailed exploring patterns in and across participants' talk. These patterns took the form of discursive resources (discourses and the subject positions they made available, and canonical narratives), power relations, and micro-narratives and accounts of their experiences of pre-abortion counselling practices and waiting room interactions. Participants described the following pre-abortion counselling practices: information-giving practices, consent practices, administering of LARCs, a waiting period and third-party involvement. In describing these processes, participants drew on an awfulisation of abortion discourse, moralising discourses, pronatalist discourses, and liberal discourses to construct (micro-)narratives in which liberal, pastoral and authoritarian counselling practices and power relations were constructed and referred to. In their micro-narratives, most womxn described the counselling as informative, beneficial and healing whilst also describing shock, hurt, pain and distress at the various kinds of information they received. Healthcare providers drew on discourses and canonical narratives (such as the hero and personal testimony) to justify liberal, pastoral and authoritarian counselling practices which were underpinned by constructing abortion and unintended pregnancy as problematic. The pre-abortion counselling practices that were described were directive in two ways: the coercion of contraceptive uptake post-abortion, and information provision practices which effectively work to delegitimise and persuade womxn against abortion.
- Full Text:
- Date Issued: 2018
Women's micro-narratives of the process of abortion decision-making : justifying the decision to have an abortion
- Mavuso, Jabulile Mary-Jane Jace
- Authors: Mavuso, Jabulile Mary-Jane Jace
- Date: 2015
- Subjects: Abortion -- Psychological aspects , Pregnancy, Unwanted -- Psychological aspects , Narrative therapy , Post-abortion syndrome
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3262 , http://hdl.handle.net/10962/d1017885
- Description: Much of the research on abortion is concerned with determining women’s psychological outcomes post-abortion. There is a small, but increasing, body of research around women’s experiences of abortion (conducted predominantly in Scandinavian countries where abortion laws are liberal). However, research around the decision-making process regarding abortion, particularly research that locates the decision to have an abortion within the economic, religious, social, political, and cultural aspects of women’s lives and that looks at women’s narratives, is virtually non-existent. Drawing on Foucauldian and feminist post-structuralism as well as a narrative-discursive approach, this study sought to explore women’s micro-narratives of the abortion decision-making process in terms of the discourses used to construct these micro-narratives and the subject positions made available within these discourses. This study also sought to determine whether the power relations referred to by participants contributed to unsupported and unsupportable pregnancies and the implications this had for reproductive justice. Purposive sampling was used to recruit a total of 25 participants from three different abortion facilities in the Eastern Cape. Participants were ‘Black’ women, mostly unemployed and unmarried with ages ranging between 19 and 35 years old. In analysing and interpreting participants’ narratives, the picture that emerged was an over-arching narrative in which women described the abortion decision as something that they were ‘forced’ into by their circumstances. To construct this narrative, women justified the decision to have an abortion by drawing on discourses that normalise certain practices located within the husband-wife and parent-child axes and make the pregnancy a problematic, unsupported and unsupportable one. Gendered and generational power relations reinforced this and contributed to the denial of reproductive justice
- Full Text:
- Date Issued: 2015
- Authors: Mavuso, Jabulile Mary-Jane Jace
- Date: 2015
- Subjects: Abortion -- Psychological aspects , Pregnancy, Unwanted -- Psychological aspects , Narrative therapy , Post-abortion syndrome
- Language: English
- Type: Thesis , Masters , MSocSc
- Identifier: vital:3262 , http://hdl.handle.net/10962/d1017885
- Description: Much of the research on abortion is concerned with determining women’s psychological outcomes post-abortion. There is a small, but increasing, body of research around women’s experiences of abortion (conducted predominantly in Scandinavian countries where abortion laws are liberal). However, research around the decision-making process regarding abortion, particularly research that locates the decision to have an abortion within the economic, religious, social, political, and cultural aspects of women’s lives and that looks at women’s narratives, is virtually non-existent. Drawing on Foucauldian and feminist post-structuralism as well as a narrative-discursive approach, this study sought to explore women’s micro-narratives of the abortion decision-making process in terms of the discourses used to construct these micro-narratives and the subject positions made available within these discourses. This study also sought to determine whether the power relations referred to by participants contributed to unsupported and unsupportable pregnancies and the implications this had for reproductive justice. Purposive sampling was used to recruit a total of 25 participants from three different abortion facilities in the Eastern Cape. Participants were ‘Black’ women, mostly unemployed and unmarried with ages ranging between 19 and 35 years old. In analysing and interpreting participants’ narratives, the picture that emerged was an over-arching narrative in which women described the abortion decision as something that they were ‘forced’ into by their circumstances. To construct this narrative, women justified the decision to have an abortion by drawing on discourses that normalise certain practices located within the husband-wife and parent-child axes and make the pregnancy a problematic, unsupported and unsupportable one. Gendered and generational power relations reinforced this and contributed to the denial of reproductive justice
- Full Text:
- Date Issued: 2015