Indigenous Healing Practices in Malawi

One of the most important areas of African culture in which the significant presence of traditional beliefs can be seen is through sickness and healing. In many traditional cultures, illness is thought to be caused by psychological conflicts or disturbed social relations that create a disequilibrium expressed in the form of physical or mental problems. In Malawi, traditional healing has been practised for centuries even before colonialisation. It is said that about 80 per cent of the population utilise traditional healers and medicine for their health needs. This paper sets out several of the issues and controversies that surround traditional healing and medicine in Malawi. An overview of the traditional Malawian theory of illness, the diversity of healing practices for somatic and psychosocial disorders, the socio-cultural context of healing and cultural interpretations of disease and intervention are provided. The problem of efficacy and scientific validation of traditional medicine is discussed.     

Where is the Faith? Using a CBPR Approach to Propose Adaptations to an Evidence-Based HIV Prevention Intervention for Adolescents in African American Faith Settings

African American adolescents are at increased risk for HIV/AIDS. Using a community-based participatory research approach, we engaged three black churches in adapting an evidence-based HIV prevention intervention, Focus on Youth (FOY)+ImPACT, for faith settings. To identify potential adaptations to increase FOY’s relevance, utility, and efficacy for faith settings, we conducted eight focus groups pre- and post-intervention. Recommendations for maintaining FOY’s core elements and enhancing its cultural authenticity include the following: incorporating faith tools, building pastor capacity, strengthening parent–child communication skills, and expanding social support for parents and youth. Engaging faith communities in adapting and implementing evidence-based HIV prevention programs could reduce HIV/AIDS disparities.     

Voices of African Traditional Healers: Cultural Context and Implications for the Practice of Counselling in Sub-Saharan Africa

The healing paradigm implicit in many sub-Saharan African cultures is embedded in African cosmology, and thus the recognition of this is essential for understanding Traditional African Healing practices and implementing collaborative counselling practices. To this end, this article focuses on the cultural importance, or voice, of traditional healers in sub-Saharan Africa. The current article uses an ethnographic approach to analyse systematically the cultural context of indigenous healing practices in sub-Saharan Africa. The anthropological importance of Traditional Healing practitioners, the context of healing, and the changing legal and ethical status of Traditional Healers are addressed as pivotal in furthering the development of this crucial, yet under utilized resource. The authors propose that such cultural understanding is highly relevant to the work of professional counselors.     

Using the Theory of Gender and Power to Examine Experiences of Partner Violence,Sexual Negotiation,and Risk of HIV/AIDS Among Economically Disadvantaged Women in Southern India

This article uses the Theory of Gender and Power to examine women's vulnerability to HIV/AIDS in order to: understand the vulnerability of female sex workers/poor women due to poverty and lack of educational resources; explore women's vulnerability in the context of client/partner violence, alcohol use, male partner's high-risk behaviors, and women's lack of control in their intimate relationships; and explore the role of traditional heterosexual gender norms in the outcomes of sexual negotiation. Ethnographic data were collected from 32 women and 38 men in India as part of an ongoing National Institute of Mental Health study. Results highlighted women's vulnerability to HIV/AIDS stemming from partner violence, alcohol use, poverty, dangers of sex work environments, and tacit acceptance of cultural/gender norms.     

Working class homosexuality and HIV/AIDS prevention some recent research from Sydney,Australia

Abstract

Surveys on gay and bisexual men in Sydney and non-metropolitan New South Wales (NSW) indicate uneven patterns of HIV/AIDS knowledge and sexual behaviour change. As a follow-up action-research study, the Class, Homosexuality and AIDS Prevention (CHAP) project pursued audio-recorded, semistructured interviews with men in western Sydney and Nullangardie, a provincial city in NSW, to investigate the relationship between homosexuality and class.

One-to-one interviews with working-class, homosexually active men revealed particular patterns of homosexual initiation and sexual relationships, and a distinct culture being slowly affected by notions of being “gay” and “gay community”. This impact of modern gay life on western Sydney was different from that in the provincial city. More prominent were the effects of class—unemployment, poor education, poverty, and cultural marginalisation—on the experience and elaboration of homosexuality. Group interviews confirmed an experience of “difference” from prominent gay communities, especially Sydney's “Oxford Street” gay quarter. Working-class men offered a critique of gay community-initiated HIV/AIDS prevention strategies, pointing toward different education initiatives involving local social networks.

Case studies are presented to argue the importance of the relation between sexuality and class, and its consequences for HIV/AIDS education.     

Healing in the Midst of Chaos: Nah We Yone's African Women's Wellness Group

This article discusses the creative use of the group treatment modality to provide psychosocial support to African women refugees and asylum seekers with a history of refugee trauma, war, and human rights abuses who have fled to the United States. In particular, this article describes the African Women's Wellness Group developed by Nah We Yone, Inc., a small grassroots organization in the New York City area. This women's group draws on the tenets of traditional Western group psychotherapy while using African cultural awareness to provide healing. The rationale for this type of treatment, group design, specific techniques used to provide healing, along with various group-related themes and challenges are described. This type of treatment provides an example of the usefulness of group therapy technique with traumatized displaced women struggling to survive in a new cultural setting.     

Effects of HIV/AIDS Information on Attitudes Toward AIDS: A Cross-Ethnic Comparison of College Students

College students (N = 274) from five ethnic groups were administered an AIDS information questionnaire and the Attitudes Toward AIDS Scale (ATAS; Goh, in press) to determine the effects of AIDS information on attitudes toward AIDS. A series of chi-squares and multivariate analyses of variance indicated significant differences among ethnic groups on the usage of HIV/AIDS information, the self-reported degree of knowledge about HIV/AIDS, measured knowledge about HIV/AIDS, and HIV/AIDS-related attitudes. Besides ethnicity, access to HIV/AIDS information and self-reported degree of knowledge about AIDS had significant effects on a person's measured knowledge of and attitudes toward HIV/AIDS.     

Memory and Narrative Healing Processes in HIV Counseling: A View from Africa

The AIDS pandemic in Africa has wreaked pain on millions of people, particularly the youth. Beyond physical symptoms, the disease destroys the emotional and psychological well-being of its victims and their families. Although psychotherapists are desperately needed, most of those in Africa have not been given sufficient training in HIV counseling. In addition, access to specific models of healing for those traumatized by the news of infection with HIV disease is hardly available. Memory healing processes, which are essential in grief work in Africa, can be combined with ritual theory within a narrative framework to provide a model for bringing healing to clients traumatized by the news of HIV infection. Augustine Nwoye, Ph.D., is presently Associate Professor, and formerly Chairman, Department of Psychology, Kenyatta University, Nairobi, Kenya. A first version of the paper was presented as a Keynote Address at the International Conference in Durban, South Africa, organized by the South African Association of Marital and Family Therapy, May 2004. I thank Dr. Frida Rundell, the then President of the Association, for her invitation and hospitality.     

Islam,HIV/AIDS and activism: a critical analysis of some themes in Positive Muslims' ‘theology of compassion’

The present article is a critical analysis of the South African organization Positive Muslims' ‘theology of compassion’, put forward by its proponents as a Muslim religious initiative to combat the spread of HIV/AIDS and the stigmatization of those affected by the disease. The article addresses the hermeneutics applied and the results reached in relation to a wider contemporary Muslim religious discourse on HIV/AIDS. It also connects the ‘theology of compassion’ to a broader transnational movement of progressive Islam, of which the ‘theology of compassion’ is a practical, grass-roots application. The main analytical focus, however, is on the way in which certain features in this theology are shaped by basic assumptions on the part of its producers concerning the beliefs, emotions and background knowledge of its main stated consumers: believing Muslims.     

A six-month follow-up of adolescents' sexual risk-taking,HIV/AIDS knowledge,and attitudes to condoms

A follow-up study was conducted to investigate change in sexual behaviour, knowledge about HIV/AIDS transmission, and attitudes to condoms over a 6-month period in a sample of late-adolescent students. The study also obtained subjective reports of HIV/AIDS-relevant change. Overall there was a decrease in sexual risk-taking behaviour with casual partners but no change occurred in sexual behaviour with regular partners, knowledge about HIV/AIDS, attitude towards condoms, or intention to use a condom on next sexual encounter. Examination of individual data revealed that, for some adolescents where behavioural change had occurred, this was in the direction of less safe sex. There were few self-reports of change in sexual behaviour, intention to take precautions against HIV/AIDS, or concern about HIV/AIDS over the preceding 6 months. Subjective reports of behaviour change did not correspond with reports of actual behaviour. Low rates of behaviour change are attributed to the failure of adolescents to personalize the threat of AIDS and to their trust in the safety of sex with a regular partner as well as to the lack of relevance of HIV/AIDS education campaigns to this group.     

The Cross‐Cultural Relevance of Person‐Centered Counseling in Postapartheid South Africa

In this article, the need for effective cross‐cultural counseling in South Africa is emphasized against the background of the country's sociocultural context. The characteristics of person‐centered counseling that make it cross‐culturally suitable in the South African situation are discussed. Rogers's cross‐cultural group work during his visits to South Africa is briefly described. The ways in which specific cross‐cultural obstacles can be overcome by means of the person‐centered approach are pointed out. The relationship between person‐centered counseling and traditional African healing practices is described. Finally, ways to address the language barriers in cross‐cultural counseling in South Africa are discussed.     

Child Abuse and Neglect: Counseling and Healing Practices with People of African Ancestry

Communities worldwide condemn child abuse and agree that any form of harm should be mitigated by culturally sensitive methods. In African settings such methods are underrepresented in the literature. This article sought to identify and highlight the healing practices that counselors should consider when dealing with abused children of African descent. It further, proposes prevention that should be prioritized since most African communities are living in precarious circumstances which could expose children to further abuse. The article recommends that counselors in African settings need to adopt holistic approaches such as involving parents, community and other relevant institution when dealing with survivors of abuse, rather than to work in isolation. In addition, the legislation that protects children and the traditional support system needs to be strengthened and aligned to international conventions as inconsistencies could undermine their effectiveness and hamper the implementation of anti-child abuse policies.     

HIV/AIDS prevention support resourcing with family and peers: University student perspectives

This study explored how students construct family and peers as resources for their HIV prevention. The participants were 20 education students from a South African technology education university (female = 60%, black = 85%; age range = 18 to 24). They completed a semi-structured interview on their access to family and peers talking about HIV/AIDS prevention in the context of perceived cultural influences. The data was thematically analysed using open-coding. Findings suggest that students shared information about HIV/AIDS prevention with peers, and less so with family. They perceived cultural taboos around sex talk to be a barrier to open discussion of HIV/ADS. Students may need to acquire strategies to negotiate HIV/AIDS prevention approaches with family in the context of culture.     

Social and Cultural Sensitivity in Group-Specific HIV and AIDS Programming

In this article the authors encourage counselors and other human development professionals to provide HIV (human immunodeficiency virus) and AIDS (Acquired Immune Deficiency Syndrome) prevention programming that is sensitive to the social and cultural contexts of the specific group(s) addressed. The focus is on four groups that have been both the target for societal oppression and dramatically affected by the HIV and AIDS epidemic: women, gay and bisexual men, African Americans, and Latinos. First, information is provided to help professionals become more aware of the social and cultural contexts of behavior related to HIV and AIDS prevention in the four groups named. Second, four recommendations are made to assist professionals to sensitively apply that awareness to the planning and implementing of HIV and AIDS prevention programming. Four exemplar programs illustrate the implementation of these recommendations.     

Counseling Native Americans

This article addresses the issues facing White counselors in providing services to Native Americans, whose values differ significantly from the dominant culture's. Native Americans have been consistently threatened with cultural assimilation. Previously published recommendations to counselors are reviewed and the relevance and possible uses of traditional Native American healing practices are discussed. One such practice, the vision quest, is described in detail. Counselors need to learn culturally relevant metaphors in order to promote healing and change and, in effect, must themselves undergo an acculturation process.     

African Children's Literature,Spirituality, and Climate Change

African children's literature is well placed to make an effective contribution to discussions on climate change. However, this literature is often marginalized within literary studies in particular and in society in general. This article examines the relevance of African children's literature in contributing to the response to climate change. Through an analysis of two selected texts, the article argues that African children's literature can equip children and adults to adopt practices that promote environmental sustainability and mitigate the impact of climate change. The first section gives the background, while the second concentrates on climate change and its impact on Africa. The third section is devoted to African traditional folklore and children's literature, considering how the two are deployed by society to teach children to respect the environment. The subsequent parts of the article examine the role played by spirituality in folktales, religion, and climate change, while the final section concludes the article.     

Sex and the Right to HIV/AIDS Education in Early Childhood

This study explored how early childhood teachers (n=5) and young children (n=174) (age range 7 to 8 years; males = 81; females = 93) in two primary schools constructed and interpreted the right to HIV/AIDS education. Data were captured using individual interviews with teachers and group interviews with young children. Analysis of the data showed that teachers viewed young children's right to health information positively but did not consider the right to sexual information. Teachers operated within discourses which upheld the image of the child as innocent requiring protection from sexual knowledge. Children's perceptions of their rights to knowledge of sex in HIV/AIDS education showed ambiguity. Some accepted the right to know whilst others felt that knowledge about HIV/AIDS was inconsistent with childhood innocence.     

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.     

The colour of AIDS

Abstract

The African debate on HIV/AIDS has been approached in terms that either foreground its biomedical implications, on the one hand, or its economic challenges, on the other. From the biomedical perspective, HIV/AIDS is a health problem, calling for appropriate behaviour modification strategies; from the economic perspective, however, HIV/AIDS in Africa is viewed as a structural effect of capitalist-induced poverty. This article aims at providing a philosophical basis for understanding the African debate on HIV/AIDS. Its primary contention is that, in order to understand the African experience of HIV/AIDS, we need to overcome the crippling legacy of the modernist-colonialist discourse on Africa, in which “reason” is invariably regarded as the exclusive privilege of the (“white”) Western philosophical “mind”.