Cognitive style and suicidal behaviour: implications for therapeutic intervention, research lacunae and priorities

Cognitive style is a well-established theoretical construct but there is considerable ambiguity in the way it has been used and uncertainty regarding the nature of its role in suicide. There is no evidence that specific cognitive dispositions prime people for suicide but there are indications that suicide is associated with a constriction in cognitive style. This constriction leads to decrements in problem-solving and information processing that can be addressed in therapeutic contexts. To help a suicidal person become a better problem-solver is not a trivial task but the evidence suggests that enriching cognitive styles through the development of thinking skills is possible when the therapy session is construed as a learning collaboration.     

PHILOSOPHERS,THEIR CONTEXT,AND THEIR RESPONSIBILITIES

Abstract: It has at various times been said, both before and since the fall of apartheid, that philosophers in South Africa are neglecting to do certain sorts of work. Behind this accusation lies a general claim that philosophers have responsibilities to their contexts. This essay is dedicated to (i) defending this claim against objections, and (ii) offering a positive argument for there being moral pressure on philosophers to increase understanding. My aim is not to accuse any philosopher or community of philosophers of neglect. It is rather to defend an understanding of both philosophy and ethical responsibilities that makes room for philosophers to have moral responsibilities. Whether or not it has ever in fact been appropriate to accuse philosophers in South Africa, or indeed anywhere else, of neglect, philosophers do indeed have responsibilities to their contexts.     

The development of generosity and moral cognition across five cultures

Morality is an evolved aspect of human nature, yet is heavily influenced by cultural environment. This developmental study adopted an integrative approach by combining measures of socioeconomic status (SES), executive function, affective sharing, empathic concern, theory of mind, and moral judgment in predicting sharing behavior in children (N = 999) from the age of 5 to 12 in five large‐scale societies: Canada, China, Turkey, South Africa, and the USA. Results demonstrate that age, gender, SES, culture, and social cognitive mechanisms explain over 20% of the variance worldwide in children's resource allocation. These findings are discussed in reference to standard cultural comparisons (individualist/collectivist), as well as the degree of market integration, and highlight continuities and discontinuities in children's generosity across urban contexts.     

People,State and Civic Responses to Immigration,Xenophobia and Racism in the New South Africa

As a result of its political transformation, South Africa has become a victim of its own success, in that the shift in political power brought about a range of new discriminatory practices and victims. South Africa became a magnet for nationals from African countries who came to ‘the rainbow nation’ to share in the fruits of more stable governance and enjoy the benefits of a larger more dynamic economy, instead find themselves faced with xenophobia and racism. The aim of this paper is to analyse the development of immigration policy in post-apartheid South Africa in terms of the vulnerabilities and protections it has afforded migrants, as well as ways in which it has informed the behaviour of state officials from 1994 to 2008. It highlights trends and tensions surrounding immigration reform in the new South Africa and argues that legislation has made significant strides in informing the behaviour of high- and low-ranking officials in government and state departments but still has a long way to go.     

The physical environment and child development: An international review

A growing body of research in the United States and Western Europe documents significant effects of the physical environment (toxins, pollutants, noise, crowding, chaos, and housing, school and neighborhood quality) on children and adolescents' cognitive and socioemotional development. Much less is known about these relations in other contexts, particularly the global South. We thus briefly review the evidence for relations between child development and the physical environment in Western contexts, and discuss some of the known mechanisms behind these relations. We then provide a more extensive review of the research to date outside of Western contexts, with a specific emphasis on research in the global South. Where the research is limited, we highlight relevant data documenting the physical environment conditions experienced by children, and make recommendations for future work. In these recommendations, we highlight the limitations of employing research methodologies developed in Western contexts (Ferguson & Lee, 2013). Finally, we propose a holistic, multidisciplinary, and multilevel approach based on Bronfenbrenner's (1979) bioecological model to better understand and reduce the aversive effects of multiple environmental risk factors on the cognitive and socioemotional development of children across the globe.     

The (HI)Stories We Live by: Power/Knowledge and Family Therapy in Africa

There is a need to Africanise family therapy so as to serve the interest of local communities. Western approaches to family therapy have been accused of being irrelevant to African contexts. They are seen as forming part of a dominant scientific knowledge which invalidates local folk and cultural psychologies and thereby continuing a historical tradition of oppressive colonial power relations. This paper aims at archaeologising and evaluating such criticism by situating family therapy within different fields of knowledge that have emerged historically and are currently co-existing in Africa. The advantages and disadvantages of dominant family therapy approaches in African contexts are explored by focussing on power relations between different knowledges in Africa. It is argued that many global narratives of family therapy offer congenial companionship to many local African narratives, but that family therapists should pay more attention to local spiritual and political narratives so as to attain more legitimacy and validation by local communities.     

Integration and Social Identity of Foreign African Professionals in South African Organisations

This study explored integration and social identity of foreign African nationals in the South African workplace. The study also explored the implications of the Employment Equity Act of 2006 as interpreted by foreign African nationals within the contexts of integration and social identity. The study interviewed eight men and two women working in South Africa. The average age of the participants was 37 years. Data on integration and social identity of African professionals working in South Africa were collected through interviews and the data were analysed qualitatively. The findings of the study were that the South African labour legislation on employment equity was perceived as discriminatory to foreign African nationals. The professional foreign African workers perceived less xenophobia and racism directed at them that could be experienced by others in nonprofessional positions.     

Handling Spirituality/Religion in Professional Training: Experiences of a Sample of Muslim Psychology Students

With increasing research interest in the relationship between spirituality/religion and mental health, the present study uses semi-structured interviews on a select group of Muslim students to explore their understanding and handling of spirituality in a secular training programme. Their understanding of spirituality, its perceived role in therapy and their training experiences are subjected to qualitative analysis using the framework approach (Ritchie & Spencer, 1994. In A. Bryman & R.G. Burgess (Eds), Analysing Qualitative Data. London: Routledge). All five participants perceived spirituality as central to human functioning. Probes into their training experience uncovered issues of bias against religious applicants, apprehension about demonstrating religious commitment, fear of punishment for compromising religious integrity, better rapport with Muslim patients but general uncertainty about handling spiritual issues in therapy, and a strong desire for the integration of spirituality/religion in the program.Cynthia Joan Patel, M.A., is a Lecturer in the School of Psychology at the University of Kwazulu-Natal, Westville Campus, Durban, South Africa. She is a Registered Counselling and Research Psychologist with the Health Professions Council of South Africa). Her research interests include women and religion, attitudes toward abortion, and the meaning of work in women’s lives. Armas E. E. Shikongo, M.A., is a Lecturer in the Department of Psychology at the University of Namibia. His research area is the psychology of spirituality.     

“The other”: Persistent beliefs regarding HIV risk in South Africa

This study explored stereotype constructions people may impute on to others in the context of a contagious disease epidemic. Participants were 30 undergraduate students from a large university in Johannesburg, South Africa. They completed the open-ended Build-A-Character Questionnaire, which described the “typical” person in South Africa who they currently believed to be at particular risk of HIV infection. The data were thematically analysed and interpreted. Seven themes resulted, based on the stereotyping of marginalised groups in South Africa considered as being at higher risk for HIV due to historical disadvantage: blacks, women, and the poor. A social cognitive framework explains these stereotypes as they apply to perceived out-groups, and they carry risk to undermine public health interventions regarding the HIV pandemic in South Africa across population segments.     

The validity of the Big Five personality traits for job performance: Meta‐analyses of South African studies

Previous meta‐analyses have established the Big Five personality traits as important predictors of job performance around the globe. This study extends the international generalizability of Big Five criterion‐related validity through systematic review and meta‐analyses of personality–performance research conducted in South Africa. We meta‐analyzed data from 33 studies and 6,782 individuals to estimate validities of Big Five traits for various job performance criteria. Results showed that the Big Five traits have similar validity for job performance criteria as found in other cultural contexts. Conscientiousness was the strongest predictor across performance criteria, while other traits showed validity for specific criteria or subsamples. Results demonstrate the importance of psychometric meta‐analysis for building cumulative knowledge and support applied use of personality assessments in South Africa. Consistency of the results of this study with those of previous meta‐analyses in other national contexts supports the argument that personality–performance relations are a cultural universal.     

Managing Self-Uncertainty Through Group Identification

Hogg's uncertainty-identity theory (UIT) is briefly described to identify similarities and differences to Van den Bos's uncertainty management model (UMM). Against a background of significant overlap in scope, mission and concepts, four differences are identified: First, UMM is primarily a theory of motivation for ideological conviction; UIT is a theory of motivation for group identification. Second, UMM talks about personal uncertainty; UIT talks about self-uncertainty—the implications of this difference in terminology are discussed. Third, both theories focus on uncertainty about self; but UIT also focuses on an array of moderating variables that affect the experience of uncertainty and the way in which self-uncertainty is reduced. Finally, and most significantly, UMM does not detail the process of uncertainty reduction; UIT does—it specifies social cognitive processes that reduce self-uncertainty and contexts that direct these processes toward “normal” group phenomena or toward more extreme group phenomena.     

Liberalism,Communitarianism and the Project of Self

Abstract

In this article the authors seek to conceptualize a dynamic and inclusive understanding of personal identity within multicultural democracies such as South Africa, which will draw on both the liberal and communitarian traditions’ respect for the project of self. A preliminary layout for such a project emerges from a literature survey of recent, primarily South African publications on identity and culture, and it suggests that selfhood depends on: a) virtues, cultivated within cooperative communities which allow for effective freedom; b) a venture into existential uncertainty, which alleviates that fear of loss of identity that is supposedly central to many multicultural conflicts; c) the hermeneutic construction of identity through narratives that allow for a plurality of voices; and d) the creative transcending and re-interpretation of values and traditions. The authors contend that such an understanding of identity goes some way towards addressing the question of the way that diverse personal and group identities are to be accommodated in South Africa’s multicultural democracy, and to rethinking the unity which underlies diversity without resorting to liberalism’s reduction of personal identity to rational autonomy.     

Psychological management intervention guidelines for rape survivors with post-traumatic stress disorder (PTSD): A brief exploratory systematic literature review

This exploratory systematic literature review aimed to characterise the current evidence on psychological management intervention guidelines for use with rape survivors with post-traumatic stress disorder (PTSD) symptoms. For the data searches we accessed the following electronic databases: Google Scholar, Science Direct, EBSCOhost, and PsychInfo. We utilised search terms with variations of the following key words: psychological management guidelines of PTSD*, rape survivors*. Inclusion criteria were guidelines for rape survivors with PTSD that consider referral, treatment, and preventive and health promotion in an international setting. We excluded guidelines that did not address PTSD resulting from rape in an international setting. We employed a narrative synthesis data analysis approach to integrate the evidence from across studies. Findings suggest prevalent guidelines for rape survivors with PTSD focus on cognitive behavioural therapy and other psychological management interventions in highly specialised areas and Primary Health Care (PHC) settings in international countries, but not in other countries such as South Africa. Emerging guidelines are needed for PTSD psychological management interventions in rape care clinics situated in South Africa.     

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.

     

Witnessing, wonder, and hope

This article is based on a keynote address I gave in South Africa at the Eighth International Conference of The South African Association of Marital and Family Therapy. The phenomenon of witnessing is explored in a number of contexts, and a distinction is made between witnessing with and without awareness, and from an empowered or a disempowered position. I propose that the African philosophy of ubuntu--the emphasis of which is on the self in community, in contrast to the Western emphasis on the individual--may be a better fit for my view of hope, which, I propose, is not just a feeling but, rather, something people do.     

Cognitive and Behavioral Contributions to Depression Severity,Quality of Life,and Functioning Among People Living With HIV in South Africa

Cognitive-behavioral treatments for depression typically address both behavioral (e.g., activation) and cognitive (e.g., rumination) components, and consequently improve quality of life (QOL) and function in high-resource settings. However, little is known about the cross-cultural applicability and relative contribution of these components to depression symptom severity, QOL, and functional impairment in South Africa and other resource-limited global settings with high HIV prevalence rates.Persons with HIV (N = 274) from a peri-urban community outside Cape Town, South Africa, were administered multiple measures of depression (Hamilton Depression Scale, Centre for Epidemiological Studies Depression Scale, South African Depression Scale), cognitive and behavioral components related to depression (Ruminative Response Scale, Behavioral Activation for Depression Scale), and measures of QOL and functioning (Sheehan Disability Scale, Quality of Life Enjoyment and Satisfaction Scale—Short Form). Multiple linear regression models were fit to assess the relative contribution of behavioral and cognitive components to depression severity, QOL, and functional impairment in this population.Models accounting for age and sex revealed that lower levels of behavioral activation (BA) were significantly associated with all measures of depression, as well as with QOL and functional impairment (all ps < .01). Rumination was associated with all measures of depression (all ps < .01), but not with QOL or functional impairment.The consistent and unique association of BA with depression, QOL, and functional impairment bolsters its importance as a treatment target for this population.     

Training Family Therapists in a Multicultural Setting

Authors describe a multicultural training model for family therapists and psychologists at a traditionally conservative Afrikaans speaking university in South Africa. Black psychologists are now receiving high priority in a masters degree program that leads to professional registration licensure because of the needs of the population. The authors emphasize the importance of being able to think multidimensionally and creating a context in which students can do the same in such contexts.     

Researching HIV/AIDS,Education & Childhood in the African Context

This article offers a reflective review of 12 articles and 4 brief reports included in this special issue of the International Journal of Psychology in Africa with the theme, ‘HIV/AIDS, education and childhood in the African context’. Muthukrishna and Ramsuran (2007) have emphasised that the consequences of HIV/AIDS can be far-reaching for children and young people resulting in unequal life chances. It is thus fitting that this special issue should be edited by them in KwaZulu-Natal, South Africa, in the country (and province) with the highest levels of incidence of HIV/AIDS in Africa. In this article I offer a commentary on how the interpretive lenses of the authors who are located in various disciplines provide a theorised understanding of what shapes knowledge constructions in situated African contexts.