Childhood Exposure to Community and Domestic Violence: Prevalence,Risk Factors and Posttraumatic Outcomes in a South African Student Sample

The effects of exposure to direct and vicarious community and domestic violence on the posttraumatic adjustment of 323 South African students were examined. Data were collected using self-administered questionnaires, with the relationship between exposure to violence and posttraumatic outcomes being explored using binomial logistic regression analyses. Two hundred and sixty-two participants (81 %) reported that they had been exposed to some form of interpersonal violence during childhood. An analysis of risk factors for exposure to violence indicated that males were more than twice as likely as females to have experienced victimization by a community member. Direct exposure to domestic violence was the only form of violence which was found to be associated with Posttraumatic Stress Disorder (PTSD). Among participants who had experienced direct domestic violence, clinically significant levels of PTSD were significantly predicted by both gender (being female) and by abuse chronicity.     

The School Functioning of Individuals with Childhood Experiences of Sexual Abuse: Results and Implications of a South African Study

This study investigated the school functioning of individuals with childhood sexual experiences in South Africa. The nature of the study was qualitative, and employed two data collection strategies: in-depth individual interviews with 22 survivors of child sexual abuse and focus interviews with two groups of teachers. The study revealed that participants' emotional reaction to the abuse affected three broad areas of school functioning: concentration, interest in school-related activities and school adjustment. The intensity of these problems varied across participants. The findings are consistent with Finkelhor and Browne's (1986) traumagenic model, which suggests that the experience of child sexual abuse often results in feelings that interfere with one's cognitive development and emotional orientations to the world and causes trauma by distorting the victim's self concept and worldview.     

Home Brewed Alcohol use Among High School Students in a Rural South African Community

This study investigates the use of home brewed alcoholic beverages among adolescents in high schools in a rural community in South Africa. There is much concern about alcohol misuse among young people and very little information exists on alcohol produced by the informal liquor industry in South Africa. A total of 1600 high school students participated in the study. The prevalence rates for past year use of home brewed alcohol was 22.2%. There was association between home brewed alcohol use and correlates such as “lived in city”; “raised by both parents”; “repeating school year”; “poor scholastic progress”; “absenteeism” “getting into trouble”, “arguing with parents/friends”; “neglecting homework”; and “recreation/leisure”. The prevalence rates for home brewed alcoholic beverages use in this rural schools calls for more research that focuses on home brews which could lead to the development of appropriate health promotion intervention in schools.     

Standardization of a Spirituality Scale with a South African Sample

The study reports on the psychometric properties of a Spirituality Scale developed in the USA in a South African setting. Respondents were 218 women and 84 men with a mean age of 25.54 years and an age range from 17 to 85 years. The majority (70%) were isiZulu speakers. Factor analyses suggested a multidimensional structure, consisting of three factors, labelled perennial spirituality, respect and purpose. The scores from the scale were moderately reliable in their internal consistency. A shortened 12-item Spirituality Scale (SS-12) has potential for research use in South Africa.     

HIV infection in the South African construction industry

South Africa has one of the highest HIV prevalences in the world, and compared with other sectors of the national economy, the construction industry is disproportionately adversely affected. Using data collected nationally from more than 57,000 construction workers, HIV infection among South African construction workers was estimated, together with an assessment of the association between worker HIV serostatus and worker characteristics of gender, age, nature of employment, occupation, and HIV testing history. The HIV infection of construction workers was estimated to be lower than that found in a smaller 2008 sample. All worker characteristics are significantly associated with HIV serostatus. In terms of most at-risk categories: females are more at risk of HIV infection than males; workers in the 30–49 year old age group are more at risk than other age groups; workers employed on a less permanent basis are more at risk; as are workers not having recently tested for HIV. Among occupations in the construction industry, general workers, artisans, and operator/drivers are those most at risk. Besides yielding more up-to-date estimated infection statistics, this research also identifies vulnerable sub-groups as valuable pointers for more targeted workplace interventions by construction firms.     

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.     

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.

     

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.     

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.     

Christian hip hop as pedagogy: a South African case study

Drawing on interviews with creators of Christian hip hop music in South Africa, this article demonstrates that this genre of popular music and youth culture is utilised as a form of pedagogy to transmit religious beliefs and values to contemporary youth. The pedagogical aspects of hip hop have been recognised in research on the topic, but the religious pedagogical uses of hip hop have been under-analysed within the social sciences. After outlining the global development of hip hop as a pedagogical practice, this article will demonstrate that, under the influence of North American Evangelicalism, South African Christian hip hop attempts to promote Evangelical orthodoxy and orthopraxy in response to the secular and religious practices of South African youth.     

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.     

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.     

'You get used to it': Working with trauma in a burns unit of a South African children's hospital

I report here on the first stages of my work as a consultant clinical psychologist in a burns unit of a South African children's hospital. I show how the enormous trauma of the work leads inevitably to the adoption of defences on the part of staff against the pain and load of their work. I use the writing of Menzies Lyth and other authors as a basis for understanding staff defences in their daily work. I then describe the process whereby it has become possible to institute a form of group support for the staff. It has been important to think not only of the maladaptive but also of the helpful function of defences, and to recognize the staff's need for continuity and acceptance on the part of the consultant.     

Depression as a Creative Illness: A South African Case Study

This case study presents a cultural perspective to supporting health and wellbeing in a young South African adult with depression and unresolved paternity issues. Issues around cultural identity appeared to influence the experience of depression and addressing the identifying aspects was helpful to recovery and wellbeing. Therapy facilitated the discovery of the client’s biological father and necessary ritual to reunite him with his African ancestry.     

Manualised health support interventions: Their efficacy in a South African primary healthcare setting

The study examined the implementation efficacy of a stress-reduction intervention for people living with HIV/AIDS by health care workers in the Eastern Cape Province, South Africa. Informants were 20 health care workers drawn from two health facilities. There were 17 females (85%) and 3 males (15%). Participants engaged in a focus group discussion on their experiences using a theory-based manualised stress-reduction support intervention in primary care settings. Thematic content analysis of the data yielded the following themes characterising costs to faithful implementation: departure from manualised instructions and ad hoc improvisation of theoretical concepts; disruptive power dynamics; lack of grounding in community values; and implementation resource limitations. Manualised intervention implementation efficacy by health workers needs customisation to local culture and health service support services.     

Trauma exposure and life satisfaction among at-risk black South African adolescents

This study aimed to construct a model to explain trauma exposure and life satisfaction among black South African school learners. A random sample of 366 black adolescents selected from ten South African schools participated (females = 63.2%; rural = 24.2%; mean age = 13.9 years). The school learners were surveyed on trauma exposure, resources, coping and resilience, and life satisfaction. A structural equation modelling analysis indicated that interpersonal, intrapersonal and affective strengths, coping skills, family involvement, and school functioning were associated with increased resilience, which in turn predicted life satisfaction. Interventions aimed at increasing resilience in contexts characterised by high levels of trauma exposure should prioritise helping adolescents access both internal and external resources, such as coping skills and family involvement respectively.     

The relationship between parental physical availability and child sexual,physical and emotional abuse: a study among a sample of university students in South Africa

The relationship between perceived parental physical availability and child sexual, physical and emotional abuse was investigated. The sample comprised 722 undergraduate students of psychology at the University of the North, South Africa. Participants filled in a retrospective self-rated questionnaire in a classroom setting. The questionnaire asked about perceived parental physical availability during childhood, and childhood sexual, physical and emotional abuse. Logistic regression analysis showed that, among all the participants, the factors "the participant not living with the natural (biological) mother until he or she was at least 16 years old" and "have ever had a stepfather or adoptive father until he or she was at least 16 years old" predicted child sexual abuse; and "have ever had a stepfather or adoptive father until he or she was at least 16 years old" predicted child emotional abuse. None of the other aspects of parental availability considered predicted child physical abuse. Mental health and social workers, educators and law enforcement agencies dealing with prevention and protection against child abuse should take note of the above identified predictors while designing programs for the eradication of child sexual, physical and emotional abuse.