Democracy in a Multireligious and Cultural Setting: The Nigerian Context

Nigeria is indeed a typical pluralistic society with innumerable differences in culture, ethnicity, tribe, religion, and class. Yet there exists in Nigeria certain dominant cultures, ethnic nationalities, religions, and classes. In some parts of the country the influence of a dominant culture or ethnic group is more pronounced than in others. This paper is therefore an attempt to look into our pluralism and see how it can enhance the development and promotion of democracy in the country. This paper will address this topic by considering a working definition of democracy and how it is understood and applied in Nigeria; the ethnoreligious politics in Nigeria; postmodernism, democracy, and pluralism in Nigerian society; and the role of religious leaders in the survival of democracy in Nigeria.     

The Challenges of HIV/AIDS Counselling in Nigerian Secondary Schools: A Case Study of Kwara State

The study investigated the challenges of HIV/AIDS counselling in Nigerian secondary schools as expressed by school counsellors in Kwara state, Nigeria. The respondents comprised 132 purposively selected counsellors in Kwara state public secondary schools (Male=85; Female=47). Data were collected with the use of a survey instrument and the data were quantitatively analyzed. The study identified the challenges hindering effective implementation of HIV/AIDS counselling in Nigerian secondary schools as ignorance, non-existence of governmental policy on HIV/AIDS counselling in schools and negative attitudes of school administrators, students and teachers to HIV/AIDS. Geographical location and job status had significant influence on the respondents' views of the challenges facing HIV/AIDS counselling in Nigerian secondary schools. The Counselling Association of Nigeria (CASSON) should enlighten Nigerians on the importance of HIV/AIDS counselling in schools.     

The patient in the family and the family in the patient

The notion that the family is “the unit of care” for family doctors has been enigmatic and controversial. Yet systems theory and the biopsychosocial model that results when it is imported into medicine make the family system an indispensable and important component of family medicine. The challenge, therefore, is to provide a coherent, plausible account of the role of the family in family practice. Through an extended case presentation and commentary, we elaborate two views of the family in family medicine — treating the patient in the family and treating the family in the patient — and defend both as appropriate foci for care by family doctors. The practical problem that arises when the family is introduced into health care is deciding when to concentrate on the family system. The moral problems that arise concern how extensively doctors may become involved in the personal lives of their patients and families. The patient-centered clinical method provides a strategy for handling both problems. Thus, making the family a focus of care in family medicine can be justified on theoretical, practical, and moral grounds.     

Cross Cutting Issues in the Practice of Psychotherapy in Nigeria

The need to bridge the gap between western based psychotherapeutic intervention and African psychotherapeutic interventions is the main objective of this paper. In order to do this, cross cutting issues in psychotherapy in Nigeria were reviewed. This review covered socio cultural, economic conditions and other contemporary issues such as child maltreatment, HIV/AIDS, chronic illness, terrorism and the impact of western civilization on Nigerian culture and how it has produced a heterogeneous Nigerian society described as westernized, traditional and transitional types of Nigerians. Also salient peculiarities that must be taken into consideration in bridging the gap between western and African based psychotherapy were identified. Some of these salient peculiarities were adumbrated and they include frequent somatic complaints of psychological origin, beliefs in spirits including ancestral spirits, independent spirits and the supreme spirit God to whom duties are owed to keep the moral order. Given this situation the authors expressed uncertainty in the use of western diagnostic illness categories. Also an attempt was made to describe traditional methods of treatment such as the popular prayer houses and traditional healers. From lessons learnt based on these cross cutting issues the authors reported the development of Harmony Restoration Therapy and Meseron treatment frameworks as attempts at indigenizing western psychotherapeutic methods. From these they proposed the way forward as a cultural blend through using culture based psychotherapeutic framework. This they suggest can be applied in other societies.     

VALUES EXPRESSED IN NIGERIAN CHILDREN'S DRAWINGS*

Five hundred and sixty-five human figure drawings by 8 to 11 year old Nigerian boys and girls are analyzed in terms of depiction of dress, physical features, work activities, facial expression and social roles. These drawings are assumed to project the social values of present-day Nigerian society. The analysis indicates a dominant preference for modern dress, attachment to own-group physical features, and choice of family relatives as subjects of the drawing. In addition, more men than women are drawn as engaged in work, and more women than men are shown with smiling faces. Reasons for drawing a particular person include kindness of the person towards the respondent, his/her wealth, qualities of character, possession of certain skills and attractive features. The results seem to indicate transition from some of Nigeria's traditional values and an attempt at readjustment in a rapidly changing society.     

The family therapist as a system interventionist

Family therapists need to develop therapeutic strategies which can be effective in helping members of dysfunctional and crisis oriented families reconnect with additional sources of support and strength.The extended family and social system can serve as this source of support when it is convened, mobilized and reactivated to become involved with the concerns of the ailing members of the family. This paper describes the unfolding six network phases, and the roles undertaken by the team of therapists serving as system convenors, mobilizers, choreographers and resource consultants. The task of the therapists working with a dysfunctional family and its larger extended support system is seen as that of an effective clinical stategist mobilizing the resourcefulness and energies of himself and his team to reactivate a dysfunctional system to change.A modified version of this paper appears in the author's book Networking Families in Crisis, Human Sciences Press: New York, 1978.     

A cross-cultural study of psychosocial aspects of sickle cell disease in the UK and Nigeria

Pain experience, health service utilization and psychological coping in adult patients with sickle cell disease were compared cross-culturally between the UK and Nigeria. Patients in the UK experienced a significantly greater number of pain episodes and of longer duration, with more frequent visits to accident and emergency departments compared with those in Nigeria. The Nigerian patients, on the other hand, applied more psychologically active coping strategies such as distraction to deal with their sickle cell pain in the community. These significant differences are explained in relation to external health locus of control factors including beliefs, and the cost of healthcare in relation to the use of health services. Clinical implications of these findings are also considered.     

Perception of visual illusions in a sample of Nigerian children

This study examined the effects of cultural factors on perception of 15 boys and 21 girls in Nigeria. The five geometric illusions of Segall, Campbell, and Herskovitz were shown in booklets. Previously tested Afghan boys gave evidence of greater illusion than the Nigerian children. The findings also supported previous research on perception of illusion.     

Some barriers to a national policy for the American family

This paper defines barriers to the creation of a comprehensive national family policy in the United States. These barriers appear to be intricate parts of the American ethos and ideology. The major conclusion of this paper is that the barriers to a national family policy can only be overcome after major changes in the nature of American society.     

Tapping into the Potential of Academic Diaspora for Homeland Development: the Case of Nigeria

Academic Diaspora populations are an important resource that can be harnessed by home governments for national growth and development. Nigeria’s academic Diasporas provide an opportunity for Nigeria’s tertiary institutions to connect to the global knowledge community and for the government to utilize their skills and resources toward national innovation and growth. This paper examines the contributions of Nigeria’s academic Diaspora populations by analyzing their various modes of engagement in Nigeria’s development. The paper uses a review of relevant literature and responses from a questionnaire survey of 45 Nigerian international academics. Using the theoretical lens of the Diaspora Option Theory, the paper observes that the academic Diaspora has made significant contributions to Nigeria’s development but that the benefits of these contributions can be enhanced through proper government engagement and coordination.     

Management of religious issues in family therapy

Social scientists have long emphasized the reciprocal relationship between family and religion in society. Yet the family therapy literature is virtually devoid of consideration of religious variables in family life and function. Four major psychosocial aspects of religion in family life are discussed: sacralization, coalitions with the supernatural, religious conflict as a projection of family conflict, and family conflict as a projection of religious conflict. Clinical issues presented include: family therapy in religious and secular contexts, family religious expectations and transference, therapist religious countertransferences, religious identification in family therapy, and family therapy in different degrees of congruence or difference in religious orientation between the family and the therapist. The family therapist must learn how to correctly interpret and appropriately respond to religious issues as they appear in family life and family therapy.     

Breast Cancer Genetics Knowledge and Testing Intentions among Nigerian Professional Women

Genetic testing services for breast cancer are well established in developed countries compared to African populations that bear a disproportionate burden of breast cancer (BC). The objective of this study is to examine the knowledge of professional Nigerian women about BC genetics and their intentions to utilize genetic testing services when it is made available in Nigeria. In this study, 165 lecturers and 189 bankers were recruited and studied using a validated self-administered questionnaire. The respondents’ mean age was 34.9 years (SD?=?10.9), 6.5% had family history of BC, and 84.7% had limited knowledge of breast cancer genetics. The proportion of women with genetic testing intentions for breast cancer was 87.3%. Health care access (OR?=?2.35, 95% CI, 1.07–5.13), religion (OR?=?3.51, 95% CI, 1.03–11.92), and perceived personal risk if a close relative had breast cancer (OR?=?2.31, 95% CI, 1.05–5.08) independently predicted testing intentions. The genetic testing intentions for BC were high despite limited knowledge about breast cancer genetics. Promotion of BC genetics education as well as efforts to make BC genetic testing services available in Nigeria at reduced cost remains essential.     

The ecological context of family ministry: the cambridge model revisited

Family ministry in the local church occurs in an ecological context characterized by a diversity of family types. A viable ministry to families must be able to address this diversity at different levels within the social system: the types of nuclear and extended families within the congregation; the type of congregation itself considered as a family; and the minister's own family type. A comprehensive family typology is needed to conceptualize this notion. The Cambridge model of closed, open, and random families, created by David Kantor and William Lehr, is summarized and then applied to an understanding of the ecology of family ministry.     

Reality construction at the family/society interface: the internalization of family themes and values

An important component of the socialization function of the family continues to be the preparation of the young for integration into society. Empirical data, particularly from therapeutic settings, indicate that some children are notably well prepared for the world outside their families, while others have hardly been prepared at all. Adolescence is typically the time when these coping skills are most obvious. This paper addresses the issue of socialization of the young for participation in society. Building upon the "family theme" motif, the family is viewed as a micro-society. The issue of congruence between family themes and societally shared meanings is considered, utilizing ideas from the social construction of reality theories of Berger and Luckmann (1966). Three ideal-types of family themes are developed relative to their external world meanings. Previous work on family themes typically has failed to deal with the interpretative function of family meanings. How the family "explains" the family-external meanings is addressed.     

The socio‐political factor in the Christian‐Muslim conflict in Nigeria

This study identifies ethno‐political factors as the major contributor to the Christian‐Muslim conflict in Nigeria, while indicating the secondary role of socio‐economic considerations and religious fundamentalism, as exemplified in the Zangon Katafriot of 1992 and the Tafawa Balewa and Bauchi disturbances of 1991 and 1995 respectively. The study reveals that the tension that erupted from these episodes merely ignited the bomb of ethno‐political rivalry between the minority and majority ethnic groups. The eruption of violence on each occasion was the manifestation of the collective anger of minorities that had been incubating over a long period against the domination of the Hausa/Fulani hegemony. Religious and socio‐economic considerations were only incidental factors. It is stressed that, even though the disturbances started as ethnic conflicts, they spread rapidly to other towns in the wake of rumours of their religious connotations. The Christian‐Muslim conflict, which is traced back to the 1979 Shari'a controversy, is believed to have done serious damage to the unity of Nigerian society. The article sees the practical solution to this problem as lying more in the use of the school system in inculcating the spirit of mutual acceptance and harmonious co‐existence, than in the creation of chiefdoms which tend to cause separation and division.     

Medical Ethics Education: A Survey of Opinion of Medical Students in a Nigerian University

In Nigeria, medical education remains focused on the traditional clinical and basic medical science components, leaving students to develop moral attitudes passively through observation and intuition. In order to ascertain the adequacy of this method of moral formations, we studied the opinions of medical students in a Nigerian university towards medical ethics training. Self administered semi-structured questionnaires were completed by final year medical students of the College of Medicine, University of Ibadan, Nigeria. There were 82 (64.1%) male and 44 (34.4%) female respondents. The median age was 26 years. Most students (80.5%) responded that they did not receive enough training in medical ethics. The ethics instructions they received did not sufficiently prepare them for the ethical challenges they came across as medical students. Though inadequate, the few hours of lecture and discussion on human values and professional etiquette which they received positively influenced their moral reasoning. They identified end-of-life issues, dealing with financial issues and handling socio-cultural beliefs of patients and relations as some challenges that medical doctors are ill-prepared for by their current training. Most, 85.9% believed that formal medical ethics education would be worthwhile as it would enhance the making of complete and better doctors. They recommended incorporating bioethics as a course in the medical school curriculum. Nigerian medical students encounter ethical challenges for which they have not been adequately trained to resolve. They recommended formal medical ethics training in their curriculum and a uniform bioethics programme in the country.     

The matryoshka: The three-generation soviet family in Israel

Among the 200,000 immigrants who entered Israel in 1990 were a considerable number of families headed by single mothers. Their most prominent feature was the fact that a three-generation system—a single Soviet mother, her own mother, and a single child—formed the family unit. Rooted in changes occurring in the Soviet family life cycle over the past 70 years, this configuration is uniquely self-contained. This article is an early inquiry into a new family structure that will become part of the social fabric of the multi-ethnic society in Israel. The challenge will be to help in the absorption process by recognizing, encouraging, and facilitating the strengths this type of family brings with it and to plan support networks to substitute for those left behind.A previous version of this article was presented at the Third World Family Therapy Congress, June 2–6, 1991, Jyvaskyla, Finland.     

Structural family therapy with Mexican-American family systems

Characteristics of traditional Mexican-American families with consequent family rules that affect these family systems are discussed along with selected clinical cases. The specific cases discussed involve: (1) interactions with family of origin in intercultural marriages, (2) intracultural differences in levels of acculturation and traditional family rules, and (3) extended family impact in response to severe life crisis. The development of therapeutic processes from structural and strategic family therapy approaches, which reflect appreciation for cultural differences and strengths, is suggested.This material was presented at the annual meeting of the Texas Association for Marriage and Family Therapy, January, 1994, San Antonio, TX.