Processes that influence the experiences of children living with mothers that have HIV: two case studies
- Authors: Castelletto, Simona
- Date: 2004
- Subjects: AIDS (Disease) in women , AIDS (Disease) -- Social aspects -- South Africa , HIV infections -- Social aspects -- South Africa , Mothers and daughters -- Social aspects , Mothers and sons -- Social aspects , AIDS (Disease) in children -- Social aspects -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3166 , http://hdl.handle.net/10962/d1007728 , AIDS (Disease) in women , AIDS (Disease) -- Social aspects -- South Africa , HIV infections -- Social aspects -- South Africa , Mothers and daughters -- Social aspects , Mothers and sons -- Social aspects , AIDS (Disease) in children -- Social aspects -- South Africa
- Description: Maternal HIV-infection is considered to be a threat to the psychosocial development of AIDS-affected children. In South Africa, AIDS-affected children may be particularly vulnerable due to the unprecedented effects of the HIV/AIDS epidemic on the breakdown of family and community resources in already disadvantaged communities. The aim of this study was to explore the contextualised experiences of two children living with mothers who have HIV by conducting two case studies. Mother-child dyads were recruited from local HIV/AIDS centres and informed consent was obtained. The mothers were in the minor symptomatic phase of HIV-infection and the children were uninfected and aged between 10 and 12 years. Through semi-structured interviewing, the mothers provided background and contextual information about the children. Play techniques were used in the child interviews to encourage the introduction and exploration of issues salient to the children. Play facilitated engagement around sensitive and potentially anxiety-provoking material. A key issue for the children was their concerns about the anticipated deaths of their mothers. The children held misconceptions about the transmission of HIV/ AIDS. They feared HIV/AIDS and expected that others would have negative perceptions of them. Family processes such as secrecy and avoidance around HIV/AIDS-related issues were understood to perpetuate the children's fears and false beliefs in a broader community context that stigmatised HIV/AIDS. It was argued that the mothers' shame over HIV-infection and their need to protect their relationship with their children compromised their ability to communicate openly with their children and to offer them meaningful emotional support. Limited parental involvement was identified as the key contextual process that engendered vulnerability in the children, as they were isolated within and beyond the family. Recommendations to address the processes that engendered vulnerability in the children are discussed.
- Full Text:
- Date Issued: 2004
- Authors: Castelletto, Simona
- Date: 2004
- Subjects: AIDS (Disease) in women , AIDS (Disease) -- Social aspects -- South Africa , HIV infections -- Social aspects -- South Africa , Mothers and daughters -- Social aspects , Mothers and sons -- Social aspects , AIDS (Disease) in children -- Social aspects -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:3166 , http://hdl.handle.net/10962/d1007728 , AIDS (Disease) in women , AIDS (Disease) -- Social aspects -- South Africa , HIV infections -- Social aspects -- South Africa , Mothers and daughters -- Social aspects , Mothers and sons -- Social aspects , AIDS (Disease) in children -- Social aspects -- South Africa
- Description: Maternal HIV-infection is considered to be a threat to the psychosocial development of AIDS-affected children. In South Africa, AIDS-affected children may be particularly vulnerable due to the unprecedented effects of the HIV/AIDS epidemic on the breakdown of family and community resources in already disadvantaged communities. The aim of this study was to explore the contextualised experiences of two children living with mothers who have HIV by conducting two case studies. Mother-child dyads were recruited from local HIV/AIDS centres and informed consent was obtained. The mothers were in the minor symptomatic phase of HIV-infection and the children were uninfected and aged between 10 and 12 years. Through semi-structured interviewing, the mothers provided background and contextual information about the children. Play techniques were used in the child interviews to encourage the introduction and exploration of issues salient to the children. Play facilitated engagement around sensitive and potentially anxiety-provoking material. A key issue for the children was their concerns about the anticipated deaths of their mothers. The children held misconceptions about the transmission of HIV/ AIDS. They feared HIV/AIDS and expected that others would have negative perceptions of them. Family processes such as secrecy and avoidance around HIV/AIDS-related issues were understood to perpetuate the children's fears and false beliefs in a broader community context that stigmatised HIV/AIDS. It was argued that the mothers' shame over HIV-infection and their need to protect their relationship with their children compromised their ability to communicate openly with their children and to offer them meaningful emotional support. Limited parental involvement was identified as the key contextual process that engendered vulnerability in the children, as they were isolated within and beyond the family. Recommendations to address the processes that engendered vulnerability in the children are discussed.
- Full Text:
- Date Issued: 2004
The social construction of "sexual knowledge": exploring the narratives of southern African youth of Indian descent in the context of HIV/AIDS
- Authors: Esat, Fazila
- Date: 2003
- Subjects: East Indians -- South Africa -- Attitudes , Youth -- South Africa -- Attitudes , East Indians -- South Africa -- Sexual behavior , Youth -- South Africa -- Sexual behavior , AIDS (Disease) -- Social aspects -- South Africa , HIV infections -- Social aspects -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:2970 , http://hdl.handle.net/10962/d1002479 , East Indians -- South Africa -- Attitudes , Youth -- South Africa -- Attitudes , East Indians -- South Africa -- Sexual behavior , Youth -- South Africa -- Sexual behavior , AIDS (Disease) -- Social aspects -- South Africa , HIV infections -- Social aspects -- South Africa
- Description: This study pays attention to youth of Indian-descent within the context of sexuality and identity and their role in HIV/AIDS. By gaining an understanding of this interaction between identity and sexuality, it adds to our knowledge of the social dynamics that contribute to the prevalence or lack of prevalence of HIV/AIDS within population groups. This study uses a social constructionist discourse analytic framework and aims to explore the construction of sexual knowledge by Southern African youth of Indian-descent. The findings indicate that the construction of sex is primarily one of risk and ambiguity. Additionally, the construction of sexual knowledge highlights the significance of gender differentials and the importance of agency and responsibility for sexual education. These constructions reinforce traditional educational roles that contribute to the construction of sex as risky and ambiguous. In addition, a social identity of Indian-ness and othering is used as a strategy to give meaning to the lack of parental responsibility with regard to sexual education. The use of social identity is seen as highlighting the importance of acknowledging the sexual values within which youth are embedded. This study concludes with possible ways to shift these constructions. For example, one of the conclusions suggests the implementation of an alternative school-based sexual education that acknowledges the sexual values in which youth are embedded. Furthermore, this acknowledgement of sexual values should take place within a holistic sex education programme that is positive about sexuality. Additionally, a reframing of youth as capable and active decision-makers in their sexual education is necessitated in order to see youth as a potential resource in HIV/AIDS prevention.
- Full Text:
- Date Issued: 2003
- Authors: Esat, Fazila
- Date: 2003
- Subjects: East Indians -- South Africa -- Attitudes , Youth -- South Africa -- Attitudes , East Indians -- South Africa -- Sexual behavior , Youth -- South Africa -- Sexual behavior , AIDS (Disease) -- Social aspects -- South Africa , HIV infections -- Social aspects -- South Africa
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:2970 , http://hdl.handle.net/10962/d1002479 , East Indians -- South Africa -- Attitudes , Youth -- South Africa -- Attitudes , East Indians -- South Africa -- Sexual behavior , Youth -- South Africa -- Sexual behavior , AIDS (Disease) -- Social aspects -- South Africa , HIV infections -- Social aspects -- South Africa
- Description: This study pays attention to youth of Indian-descent within the context of sexuality and identity and their role in HIV/AIDS. By gaining an understanding of this interaction between identity and sexuality, it adds to our knowledge of the social dynamics that contribute to the prevalence or lack of prevalence of HIV/AIDS within population groups. This study uses a social constructionist discourse analytic framework and aims to explore the construction of sexual knowledge by Southern African youth of Indian-descent. The findings indicate that the construction of sex is primarily one of risk and ambiguity. Additionally, the construction of sexual knowledge highlights the significance of gender differentials and the importance of agency and responsibility for sexual education. These constructions reinforce traditional educational roles that contribute to the construction of sex as risky and ambiguous. In addition, a social identity of Indian-ness and othering is used as a strategy to give meaning to the lack of parental responsibility with regard to sexual education. The use of social identity is seen as highlighting the importance of acknowledging the sexual values within which youth are embedded. This study concludes with possible ways to shift these constructions. For example, one of the conclusions suggests the implementation of an alternative school-based sexual education that acknowledges the sexual values in which youth are embedded. Furthermore, this acknowledgement of sexual values should take place within a holistic sex education programme that is positive about sexuality. Additionally, a reframing of youth as capable and active decision-makers in their sexual education is necessitated in order to see youth as a potential resource in HIV/AIDS prevention.
- Full Text:
- Date Issued: 2003
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