An overview of South African psychology

This overview of psychology in South Africa presents a concise and historical account of its science and practice, from its early origins in the late nineteenth century to the present, and traces seminal influences on the discipline. It is a review of how psychology in South Africa developed over more than a century to become one of the most popular subjects in universities and an established and recognized profession, whose members play a variety of roles in the South African polity and larger society. The impact that apartheid racism had on key aspects of psychology's development is traversed, and the influences that previous ruling party politics had on professional psychological organizations are delineated. The unification of psychology under the Psychological Society of South Africa, a few months before the advent of democracy in South Africa, is explicated. The protection of the title of psychologist in law and certain other changes in the legislative environment, enabling a greater role for psychologists, are reported. The primary research sites for psychology and its funding and the main university psychology programs are described, as are the requirements for registration and licensure. The genesis and the importance of the work of internationally acclaimed South African psychologists, such as J. Wolpe and A. A. Lazarus, are contextualized. With the increased participation of progressive black psychologists in leadership and research in the past two decades, a transformed psychology has the potential to play a significant role in addressing human issues confronting South Africa.     

Hegemonic Masculinity and the Experience of Prostate Cancer: A Narrative Approach

Prostate cancer is a major health problem—one that inevitably challenges men's notions about themselves and their expressions of masculinity. As part of a larger study investigating linkages between masculinity and prostate cancer, this article focuses on the narratives of three men with prostate cancer—all of whom shed light on contemporary forms of hegemonic masculinity. Multiple interviews were conducted with study participants, capturing experiencesboth prior to and following cancer diagnosis. Analysis of individual narratives showed how social factors such as work and family influenced (and were influenced by) men's experiences with illness. All three men were forced to renegotiate their performances of masculinity—with this renegotiation mostly occurring within the parameters of performance consistent with hegemonic masculinity. However, there was also some evidence of shifts into new socialterritory and new expressions of masculinity. In contrast to more traditional, trait-based approaches to studying men's experiences, a narrative approach allows social scientists to do justice to the temporal realities and contextual complexities of men's lives. Men will be better understood as more attention is paid to the actual shape of individual lives.     

Organizing Muslim Virtue: Community Organizing,Comparative Religious Ethics,and the South African Muslim Struggle Against Apartheid

While offering valuable comparative insights into models of the self and ethical formation across religious traditions, studies of virtue ethics have been critiqued for putting forward accounts which are elite-focused. Some comparative ethicists have pointed to work in religious ethics and political theology on faith-based community organizing as offering compelling case studies of non-elite ethical formation. I seek to add to this literature by performing an analysis of the theories and practices of ethical formation in the South African Muslim anti-apartheid grassroots organization known as the “Call of Islam.” The “Call of Islam” emphasized a liberation-oriented praxis and active solidarity with non-Muslim organizations for the purposes of protesting apartheid and employed a range of social practices including study circles (halaqat) and political funeral processions to prepare and equip its members for such work. As such, it not only sheds light on non-elite ethical formation, but in its cultivation of the habits and dispositions of democratic solidarity, it also serves as an Islamic example of broad-based community organizing.     

Values in children's stories in South Africa: an exploratory discourse analysis

This study explored the presentation and construction of the values in story texts for children in South Africa. The data were from five children's stories from a widely-circulated weekly newspaper. The story content was analysed for value-laden themes child readers are exposed to. The themes to emerge from the study suggest the endorsement of values such as delighting in one's natural beauty, the importance of education, martyrdom, inclusivity, telling the truth, gratitude, appreciating one's own talent, truthfulness, respecting one's elders, community unity and forgiveness. Some of the stories touched on family structure, including the absent father as well as gender stereotypes, gender inequalities and social norms.     

Determinants of support for social integration in South Africa: The roles of race relations,social distrust,and racial identification

South Africa is divided along race lines and this has made social integration difficult to achieve in the nation. The aspiration for the rainbow nation since the end of apartheid has been a country united in its diversity. Research evidence shows that interracial trust and interaction are still very low in the nation. This study set out to examine the determinants of support for social integration in South Africa. The variables of perceived improvement in race relations, social distrust, and racial identification were examined. Data were sourced from the South African Social Attitudes Survey 2017. Participants were 2,946 men (38.9%) and women (61.1%) with the age range of 16 to 99 years. Data analysis showed that perceived improvement in race relations, social distrust, and racial identification were all associated with increased support for social integration. However, a low level of social distrust provides the best outcome for support for social integration. Equally, identifying with one's racial group is likely to be beneficial for increasing social contact between groups. Findings were discussed based on the peculiarity of South African society and existing literature. The implication of the findings for policies and programmes to facilitate social contact and social cohesion was emphasised. Please refer to the Supplementary Material section to find this article's Community and Social Impact Statement .     

Occupational stress and mental well-being in a cohort of Black South African teachers

This study explored levels of occupational stress and mental well-being of a cohort of Black South African teachers. 200 secondary school teachers completed the Teacher Stress Inventory (TSI: Boyle, Borg, Falzon, & Baglion, 1995), General Health Questionnaire (GHQ-28: Goldberg & Hillier, 1979 Goldberg, D. P., & Hillier, V. F. (1979). A scaled version of the General Health Questionnaire. Psychological Medicine, 9, 139–145. doi: 10.1017/S0033291700021644[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) and Mental Health Continuum-Short Form (MHC-SF: Keyes, 2006 Keyes, C. L. M. (2006). Mental health in adolescence: Is America's youth flourishing? American Journal of Orthopsychiatry, 76(3), 395–402. doi: 10.1037/0002-9432.76.3.395[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]). Correlations and Structural Equation Modelling (SEM) were used to determine the levels of occupational stress and well-being of participants, and to establish the relation between these variables. A significant majority of the teachers reported high levels of mental health (flourishing) despite high levels of teacher stress. These results show teachers’ ability to withstand and cope with stress whilst maintaining their mental health. This suggests the presence of protective factors that mediate the effect of work-related stressors and, in so doing, contribute to the teachers’ levels of resilience.     

Stories we tell each other: A comparison of families' and their therapists' explanations of presenting problems

This study reports the explanations of presenting problems given by 10 mothers of children referred to a department of child and family psychiatry and their therapists. Video-recordings of therapists' pre-session meetings and the initial therapy sessions were searched for explanatory statements. These statements were then coded. It was found that therapists referred to past events, present circumstances, relationships, and possible future events in their explanations of presenting problems significantly more frequently than mothers. It was rare for mothers to speak in terms of past or future events at all. The mothers explained difficulties in terms of character traits significantly more often than did the therapists. The implications of these findings are discussed.Thanks to all of the child and family consultation team at 1 Wolverton Gardens for their participation in this research and particularly to Ruth Kossoff for her great help with organising data collection.     

Experiences of Newly Married Black Women Staying with the Extended Family in a Township in South Africa

We report the results of a phenomenological study on the experiences of newly married black women staying with extended family in South African townships. Our goals for the study included in-depth interviews on experiences and guidelines to facilitate these women's mental health. We interviewed six newly married women (age range 20 to 30 years; mean period in marriage = 3 years) staying with the extended families in an urban South African township. An open central question was posed to the newly married black women who fitted the inclusion criteria and this was followed by probing questions to explore and describe the experiences of staying with the extended family in an urban township. Newly married black women who do not follow the expected practices from the teachings of the extended family experienced victimisation by the extended family. The mental health of newly married black women staying with the extended family in an urban South African township could be facilitated by empowering these women with communication skills to enable them to express their feelings and concerns effectively.     

Psychosocial Influences on Substance Abuse in a Sample of South African Youth: A Qualitative Analysis

This study investigated the lived experience of substance abusers in the South African context. Participants were 10 individuals attending a drug treatment centre in Durban, South Africa. Data were collected using open-ended interviews with data being analysed using thematic analysis. Findings suggest that normative social influences and levels of social support play an important role in shaping, maintaining, and determining the trajectory of drug usage.     

Demographic correlates of normative beliefs about aggression among adolescents from low income communities in South Africa

The present study investigated the association of age, gender, and family size with normative beliefs about aggression among South African adolescents from low-income areas. Adolescents (n = 229; mean age = 16 years; female = 61%) completed the Normative Beliefs about Aggression Scale. Step-wise regression analyses were conducted with age, gender, and family size as predictors of normative beliefs about aggression. Boys demonstrated greater endorsement of physical, non-physical, and relational aggression; as compared to girls. Living in an extended family was associated with less approval of aggression. Aggression reduction interventions with children from disadvantaged areas need to consider the role of gender and family-related factors.     

Interpreting the Reformation in Africa: Transformative hermeneutics of Manas Bethulezi in light of 500 years of the Reformation

A cursory look at the various histories of religious renewal shows three interrelated aspects; there is an experience of injustice that is followed by the religious movement's new revitalization through the special encounter or reference to divine communication, and then an effort to reorganize the socio‐economic and political structures of society in light of the newly discovered religious vitality. This article observes in the phenomenology of religious renewal that cultural renewal and cultural distinctiveness tend to accompany religious renewal.     

Stories of crime,stories of suffering: A narrative perspective on ethical issues in criminal justice counselling

Counsellors working with prisoners often listen to stories that are both stories of crime and stories of suffering. From a criminal justice perspective, the suffering of offenders is deliberately inflicted as punishment. From a counselling perspective, however, responding to the suffering of a client and even trying to relieve it is a basic ethical concern. So counsellors, working with offenders, may face the ethical question of how to integrate a response to the suffering of offenders with a response to crime, especially when confronted with stories of cruel, violent crimes. In this paper, it is argued that a narrative perspective on counselling offers a framework in which these responses may be integrated. Here, the principle of recognizing privileged authorship of persons is crucial. The concepts of ‘double listening for implicit others’ and ‘relationally rich stories’ are developed, which are based on concepts and ideas from narrative therapy. These serve as a first step of translating the narrative ethical framework to counselling practice.     

Exploring the cognitive development of children born to adolescent mothers in South Africa

This study explores the cognitive development of children born to adolescent mothers within South Africa compared to existing reference data, and explores development by child age bands to examine relative levels of development. Cross-sectional analyses present data from 954 adolescents (10–19 years) and their first-born children (0–68 months). All adolescents completed questionnaires relating to themselves and their children, and standardized child cognitive assessments (Mullen Scales of Early Learning) were undertaken. Cognitive development scores of the sample were lower than USA reference population scores and relative performance compared to the reference population was found to decline with increasing child age. When compared to children born to adult mothers in the sub-Saharan African region, children born to adolescent mothers (human immunodeficiency virus [HIV] unexposed; n = 724) were found to have lower cognitive development scores. Findings identify critical periods of development where intervention may be required to bolster outcomes for children born to adolescent mothers.

Highlights

• An exploration of the cognitive development of children born to adolescent mothers within South Africa utilizing the Mullen Scales of Early Learning.
• Cognitive development scores of children born to adolescent mothers within South Africa were lower compared to USA norm reference data and declined with child age.
• Previous studies utilizing the Mullen Scales of Early Learning within sub-Saharan Africa were summarized, and comparisons were made with the current sample.
• Findings highlight a potential risk of developmental delay among children born to adolescent mothers compared to children of adult mothers in the sub-Saharan African region.

     

White South Africans' Reactions to Black Advancement: A Two-Sample Confirmatory Investigation of the Structure of Attitude Using an Analogy to the Multitrait-Multimethod Design

The tripartite (affective, conative, cognitive) theory of attitude has been investigated in a number of empirical studies, with findings mostly favoring the theory. Little attention has been paid, however, to other important characteristics of attitude. One of these is multiplexity which refers to the number of separate domains into which an attitude object can be partitioned. In this study, a data design was used which made it possible to investigate trait and domain structure simultaneously. A questionnaire measuring affective, conative, and cognitive responses to three aspects of black advancement was administered to two groups of white South Africans: English speakers employed by a large private-sector company and Afrikaans speakers employed by the government. Confirmatory techniques were employed to investigate the structure of the data. Single-group analysis procedures adapted from Widaman (1985) were initially performed to establish a model satisfactory for both samples. Multi-group procedures were then performed on the two samples to investigate group differences in data structure. The structure was very similar in the two samples with the exception that domain variances were smaller in the English-speaking sample.     

Story Coalitions: Applying Narrative Theory to the Study of Coalition Formation

This article explores the potential of incorporating narrative theory into the study of coalition formation. Following a discussion of the role of narratives in group‐formation processes in a coalition‐driven dynamic, we offer a theoretical framework to examine the ways political stories espoused by people are mirrored by the partisan system. We integrate theoretical assumptions of narrative studies with coalition‐formation theories in an attempt to frame coalition‐formation models in terms of voters' political stories. We test our theoretical framework by simulating various possible coalitions in the Israeli 2009 elections and assess the results based upon data from an exit poll survey.     

Social determinants of subjective well-being among young adults living in the Eastern Cape,South Africa

We investigated the relationships between certain social determinants (age, gender, marital status, education, income, and employment) and subjective well-being (SWB) in a young adult population in the Eastern Cape Province in South Africa. The participants consisted of 977 persons aged 18 to 40 years living in the historically deprived Eastern Cape, South Africa (females = 48%; age range = 18 to 40; rural dwellers = 15%). We measured their SWB utilising the World Health Organization (Ten) Well-Being Scale. Results following analysis of variance showed that age, education, and income were predictors of SWB. Higher SWB was associated with being older, having a higher level of formal education, and having a higher level of income. However, employment status did not have a significant relationship with SWB, suggesting the relative importance of other social indicators of social functioning in this population.     

Correlates of tobacco use among tuberculosis patients in South Africa: A brief report

This study examined tobacco use by tuberculosis (TB) patients through socio-health variables. The sample comprised 724 TB patients (mean age 37.1 years, SD = 11.3; males = 71.4%) receiving care from 40 primary health facilities across South Africa. They completed a questionnaire at baseline and also at a six-month follow-up. Multivariate logistic regression analysis using generalised estimation equation (GEE) modelling found that daily or almost daily tobacco use significantly reduced over time overall. In terms of socio-health variables, males and those with a comorbid chronic disease had had signficantly higher usage of tobacco over the observation period.     

The Transportability and Utility of Cognitive Therapy in South African Contexts: A Review

Cognitive therapy could be more widely promoted in South Africa given the great disparity between the need and provision of psychological therapies. Three possible objections to the promotion of cognitive therapy are considered: uncertainty surrounding the effectiveness of cognitive therapy in South African contexts; uncertainty surrounding the applicability in multicultural contexts; and suggestions that cognitive therapy is decontextualised and therefore objectionable in a country facing major social challenges. A systematic review of the literature indentified 15 outcome studies, and suggests that cognitive therapy is a viable and much-needed approach in South Africa.     

Psychological Well-Being and Health Related Quality of Life among a Group of Low-Income Women Living with HIV/AIDS in South Africa

This study documented the relationships among biomedical factors, psychosocial factors, health related quality of life (HRQOL) and suicidality in respect of HIV positive women in KwaZulu-Natal. One hundred and thirty three (133) women over the age of 18 years (mean age 32.96 yrs; SD = 7.28) participated in the study. Participants completed a Suicidality Measure (SM: Sheebhan, Janavs, Amorim, Janavs, Weiller, Hergueta, Baker & Dunbar, 1998), Multidimensional Scale of Perceived Social Support (MPSS: Zimet, Dahlem, Zimet & Farley, 1988) and the Health Related Quality of Life Survey—SF-36 (Ware, Kosinski & Dewey, 2002). Information on social/contextual variables including income, marital status, employment status, number of children was obtained. Participants completed two biomedical measures, CD4 count and time since diagnosis information. The findings revealed a compromised level of HRQOL in the participants. After controlling for biomedical factors, psychosocial measures did not explain differences in quality of life. Perceived social support was inversely related to suicidality. Newly diagnosed patients were less likely to think of suicide as an option.     

Experiences of the health care delivery system in a rural South African setting

This exploratory study aimed to examine health care provider work-related experiences in a rural South African context. Participants were a convenient sample of 12 medical practitioners (private sector = 55%). The practitioners responded to an open-ended question on their health care delivery-related experiences. Thematic analysis of the data revealed that the medical officers experienced both care provider fatigue and satisfaction from their work roles. Experiences of care provider fatigue were characterised by stress, anxiety, hopelessness, depression, burnout, frustration, and anger. Care provider satisfaction was associated with happiness, ability to cope, security, conscience, and commitment. Job retention and satisfaction of the health care providers were dependent on material and manpower resourcing of health services.