Teaching Community Psychology into Obscurity: A Reflection on Community Psychology in South Africa

The terms “community” and “community psychology” need to be examined within the context of human diversity in order to understand the apparent marginalisation of community psychology in South Africa. Community psychology might be marginalized as the term “community” tends to be associated with black, poor individuals. Current teaching practices in community psychology in South Africa may unwittingly reinforce these stereotypes by having predominantly junior, black and female staff teach community psychology, by generally introducing community psychology at post-graduate level only, and by making community psychology courses predominantly elective. These common teaching practices might contribute to producing raced, gendered and classed student perceptions of community psychology which would devalue psychological activity in communities as less important than individual psychotherapeutic practice in middle class communities. South African psychology would be better able adequately prepare psychologists for public mental health service with a more thoughtful infusion of community psychology teaching into most graduate programmes. Some of the ways in which our teaching can challenge our own and others' views about community psychology in local and international perspectives are discussed.     

Sport,Girls, Trouble and Humour: Black and Indian Boys Negotiating Gender,Race and Class in a Formerly White Single Sex School in South Africa

This article reports on an interview study conducted by Deevia Bhana and Rob Pattman of Grade 11 (16–17 year old) boys attending different kinds of public schools in the Durban, South Africa. It investigated their accounts personal lives and identities as young men and women in and outside their schools. We conducted semi-structured interviews with the participants to determine how they experienced school and how they presented themselves in the interviews, their interests, aspirations, relations with other boys and girls in and out of school, and the kinds of identifications they made. The data for this are from two interviews conducted with black and Indian boys at Elmsdale, a formerly white boys' high school near Durban with an excellent academic and sporting reputation. We analyzed the data using narrative and discourse analysis. Concerns about being marginalised in school were expressed by both the black and the Indian boys. Issues of gender, race, class, sexuality and power were prominent in the interviews, notably when the boys were discussing sport, trouble, being funny and girls.     

The Lived Experiences of Sex Workers in South Africa: An Existential Phenomenological Exploration

We explored the lived experiences of sex workers in South Africa by employing a phenomenological methodology. Five women between the ages of 34 and 48 years who were/are involved in this industry were interviewed between January and March 2008. Through the use of thematic analysis four common themes in their experiences were identified and are elucidated in this article. These themes are: (a) pervasive experiences of abuse and neglect during childhood, (b) entry into sex work, (c) life as a sex worker and (d) trauma and resilience. The lived experiences of the participants were integrated with the literature in order to create a contextualised picture and a deeper understanding of the experience of a sex worker, as well as to assist informing the debate on sex work in South Africa.     

The feminization of psychology: data from South Africa

In many countries, women outnumber men in psychology, both as students and as professionals. Much of this information is drawn from Europe and the USA, and the information available about the situation in developing countries is a lot less detailed. The steady increase in the presence of women in psychology in South Africa is examined, via access to two large national databases and telephone interviews. These sources are the most reliable available, and are comprehensive enough to give a very good snapshot of women in psychology in this country over the last 12 years. The data indicate that psychology as a profession in South Africa is dominated by women. Although the applied practical aspects of the discipline attract women disproportionally, women are also over-represented in research psychology and academia (except at the professorial level). The racial composition of the profession remains skewed, with white psychologists in the majority. Although the data in this regard are incomplete, approximately 5% of registered psychologists are black. An examination of student enrolments suggests that this situation will continue in future, as women (and white students) enrol in much greater numbers for both undergraduate and postgraduate degrees. In 2002, 74% of psychology majors were women, and 78% of all Master's degrees in psychology were awarded to women. Thus it would appear that the feminization of psychology in this country is further advanced than in Europe and the USA. It is not a question of men abandoning the profession, but rather that women entered the profession at a much higher rate in recent years.     

Counselling psychology in South Africa

The origin and development of counselling psychology in South Africa has been profoundly influenced by the country’s sociopolitical history and the impact of apartheid. As a result of this, counselling psychologists in the country face a number of challenges and opportunities for the future. In this paper we provide a portrait of counselling psychology in South Africa by describing the current character of the specialty and the context in which South African psychologists work. We critically discuss the challenges that the specialty faces to meet the country’s mental health care needs, contest the current Scope of Practice; affirm multiculturalism without essentialising or reifying race and ethnicity, and build an evidence base for community interventions in the country. We also consider how, in the future, counselling psychologists in South Africa may make a more meaningful contribution within public health and the country’s health care and education systems.     

Experiences of supervising postgraduate community psychology students at Wits university,South Africa

In this article, the authors discuss problems and challenges of supervising postgraduate community psychology students at the University of the Witwatersrand, South Africa. As part of their community work, students developed community projects in schools in Alexandra Township, aimed at dealing with social ills such as HIV/AIDS, gangs, violence, substance abuse and teenage pregnancy. Students found community work to be extremely exhausting, stressful and demanding. Therefore, community psychology supervision became an important space in helping students to reflect on the experiences, anxieties and frustrations. This article discusses key themes that have emerged in community supervision, including gender, race and class issues. In conclusion, recommendations are provided on how to improve community psychology supervision based our experiences. Supervisors need to be proactive in helping students to reflect on their experiences and actively engage with some of the theoretical and practical issues that emerge in community work. Copyright © 2010 John Wiley & Sons, Ltd.     

Understanding and management of epilepsy in a rural community in South Africa: An exploratory study

The aim of the study was to explore how people living with epilepsy in an indigenous rural South African community understood and managed their epilepsy. Six people with epilepsy were informants (male = 3, female = 3; age range = 16 to 58 years, unemployed = 5, learner = 1). They completed individual interviews on their meanings of epilepsy and also on their experiences managing the illness. The results indicated that the participants’ understanding of epilepsy is closely linked to their own experiences of the condition, as well as to cultural beliefs about seizure disorder. Moreover, they reported that the unpredictability associated with a seizure generated a greater level of distress to the participants than the fact that they had seizure disorder. The participants reported to rely on family, and both traditional and Western medicine to manage their epilepsy.     

社会阶层心理学视角下的公平研究

社会阶层代表了一个人拥有的社会资源和对自己所处社会等级的感知。社会阶层因其概念的独特性、功能的广泛性、影响的深刻性和结论的系统性, 成为了心理学中的前沿热点领域, 目前主要有劳动、健康心理、社会文化、等级和社会认知五种研究视角。基于现有视角对社会阶层与社会公平的关系研究相对较少, 从社会认知视角出发, 围绕着不同阶层感知公平的差异、社会公平对不同阶层的影响作用以及低阶层感知不公平的应对策略三个方面开展了研究。未来研究可以从概念辨析、理论整合、加强应用研究等角度来推进社会阶层心理学的发展。     

Contrast and contradiction: Being a black adolescent in contemporary South Africa

This study aimed to gain in-depth understanding of the lived identity of black African adolescents in a contemporary South African setting. A purposive sample of 59 adolescents (females = 47%; Sesotho = 46%, Setswana = 36%, Other = 18%) from the Motheo district of the Free State, South Africa, participated in focus group discussions and in-depth individual interviews. Thematic analysis suggested that black South African adolescents experience transitional identities characterised by contrasts and contradictions. Altruism, autonomy, religiosity and cultural experiences were important to their lived identities. The interplay between African rituals, Christian principles, Western values and the globalisation of cultures provided fertile ground for developing a nuanced and multi-dimensional identity as an adolescent living in contemporary South Africa.     

Politics and emotion: Working with disadvantaged children in South Africa

This paper discusses the experience of consulting to organizations involved in the provision of care to disadvantaged groups of children in South Africa. It draws particular attention to the impact of South Africa's painful political history on the emotional life of these organizations. This has created an additional burden for organizational staff who often work under difficult conditions with very troubled groups of children. The paper highlights the common experiences of deprivation and loss, fears around the abuse of power and problems with acknowledging differences between people, which are a part of South Africa's political legacy. These kinds of issues were found to have a powerful impact on the functioning of organizations and also on the quality of the consultancy relationship itself. We argue that it is important to recognize the emotional demands of child-care work generally, but also that it is equally necessary work, through our political experiences, to achieve some kind of understanding of these. Lack of containment for these experiences will impact on the quality of care organizations are able to offer to children in our context.     

Training service providers working with traumatized children in South Africa: The navigations of a trainer

In South Africa, counselling training poses two related difficulties: working in a situation of ubiquitous, ongoing violence, and offering training to people who have minimal or no qualifications and are often overwhelmed by enormous workload. In this context, there is a temptation either to give up hope in the face of the enormity of the task, or defensively to package counselling as a set of techniques which can be taught without much self-reflection. In this article we discuss, by contrast, an intervention which used psychodynamic principles to develop learner-centred training drawing on trainees' own experiences. We consider the benefits of this approach even in a context of violence and meagre resources.     

The Marikana Violence in South Africa: A Brief Psychodynamic Extrapolation

This study applies psychoanalytic concepts in making sense of the individual, group and collective factors that may have contributed towards the Marikana violence. Speculatively, individual factors might include the death instinct, repetition compulsion, and intra-psychic splitting. Related group dynamics such as identification with the aggressor, group and projective identification might be relevant as would the collective psychological influences of history of oppression, severe trans-generational traumatisation, and mystical cultural interpretations in a divided society. Further public truth, reconciliation and forgiveness processes in addition to other integrative forms of healing are proposed.     

Challenges to providing a support group for HIV-positive prisoners in South Africa

In prison populations around the world, the prevalence of HIV is often higher than that of the general population. The prison population is at high risk for HIV infection, particularly through the sharing of contaminated needles and high-risk sexual activity. Counselling is regarded as a key element in the prevention and treatment of HIV infection. Support groups provide essential supportive counselling for HIV-positive individuals struggling to cope. This paper looks at the challenges to providing a support group for HIV-positive prisoners. The author's experience of attempting to provide a support group highlights two key challenges: organisational issues which lead to disruptions for the group; and challenges to ensuring confidentiality, a core ethical principle in HIV counselling.     

Acceptability and feasibility of a brief substance use intervention for adolescents in Cape Town,South Africa: A pilot study

Substance use is prevalent among South African adolescents, but few interventions exist to reduce risk of harm. This study assesses the feasibility, acceptability and preliminary effects of a brief intervention for reducing adolescent substance use and other risk behaviours. This single-arm feasibility test recruited 30 substance-using adolescents and their primary caregiver. Participants received separate interventions (2 sessions for adolescents, 1 session for caregivers), with a subsample randomly selected for post-intervention interviews. Feasibility was measured by the proportion of eligible adolescents who were enrolled and retained in the study. Interviews explored acceptability, and changes in outcomes from baseline to 1-month follow-up assessed preliminary effects of the intervention. Thirty of 43 (69.8%) eligible adolescents and their caregivers were enrolled, with 29 adolescents (96.7%) and 28 caregivers (93.3%) completing the intervention. Twenty-eight adolescents (93.3%) and 29 caregivers (96.7%) were retained at follow-up. Frequency of alcohol, cannabis use and delinquent-type behaviours decreased significantly from baseline to follow-up. Participants appreciated the intervention content and delivery and felt that it facilitated behaviour change. Suggestions for improving the intervention were provided. This study found that the intervention is feasible, acceptable and had promising effects on adolescent behaviour. Efficacy must be established with a randomised controlled trial.     

Knowledge,Beliefs and Attitudes Regarding Abortion in South Africa Among a Sample of University Students

A survey study design was used to determine the knowledge of a sample of South African university students regarding the Choice on Termination of Pregnancy (CTOP) Act and their beliefs and attitudes toward abortion. A total of 146 (110 female, 36 male) undergraduate psychology students participated in the study. As part of a larger study participants were given a questionnaire on knowledge, beliefs, attitudes and practices regarding sexuality among young South Africans. The results showed that most of the students were unaware of key provisions of the Act. The data also indicated opposition to abortion except in the case of rape or when the pregnancy posed a threat to the health of the woman. It is concluded that increasing public awareness of the Act is vital not only in improving access to abortion services but also in terms of reducing the stigma that seems to be associated with abortion in South Africa.     

The History of Family Therapy in South Africa

The history of family therapy in South Africa is presented from 1960 up to the present. The early days leading to the establishment of the South African Association of Marital and Family Therapy, national conferences, publications, national and international links are discussed.     

A Psychology of Indigenous Healing in Southern Africa

Converging lines of evidence from various scientific disciplines consistently point to humanity's African roots. In this context, the term “indigenous healing” is used to refer to universal forms of healing that began in Africa and were developed further both locally and internationally. This article examines the notion of a psychology of indigenous healing and suggests that investigations continually reveal essential structures and practices of a perennial psychology underlying modern scientific, academic and professional forms of this discipline. Examination of such structures and practices illuminates an original psychological theme in Southern African indigenous healing involving recognition of Spirit as Source of Self that extends into transpersonal realms. Related themes include ancestral consciousness, familial and communal spirituality, healers and specializations, illness prevention, health promotion and various forms of empathy. The need for future in depth research into such psychological themes and issues is identified and explicated.     

Domestic Workers' Experiences of Power and Oppression in South Africa

This study examines the work experiences of domestic workers in the context of socio-economic-political legislation promulgated to protect their social rights in the new South Africa. It gains insight into the power relations and embedded tensions between employers and domestic workers with the aim of identifying forms of oppression affecting domestic workers. In-depth interviews were conducted with nine female domestic workers employed in African households and analyzed using thematic content analysis. Results indicate that despite inclusion in labour legislation, domestic workers remain a vulnerable group. They experience oppression in the form of exploitation, marginalization, powerlessness, violence and some class-based cultural imperialism. Despite this, agency and resistance in the face of oppression was a key finding. Although some gains may have been obtained through inclusion in legislation, the asymmetrical power relationship with employers remains problematic.     

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.