Perceptions of alcohol risk among people on antiretroviral treatment in South Africa: a qualitative study

This study explored perceptions of alcohol abuse risk among people on antiretroviral treatment (ART) who self-identified as alcohol users. Twenty six people receiving ART from an out-patient setting were interviewed on their alcohol abuse risk perception. Data were thematically analysed. Findings suggest participants developed routines to drink alcohol around the times they took their antiretroviral medications to reduce adverse impact. They also reported alcohol abuse risk reduction strategies such as reducing alcohol use because of the event of an HIV positive diagnosis and/or getting on antiretroviral treatment, and alcohol use reduction following health education or counselling by health care staff. These findings suggest a need for alcohol interventions tailored to ART patients.     

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.     

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.     

'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.     

Relationship between church attendance and mental health among Mormons and non-Mormons in Utah

A prevention model was applied to assess the protective effect of religion and church attendance against mental illness among respondents to the 1996 Utah Health Status Survey. Compared to Mormons that attend church weekly (active), less active Mormons, less active non-Mormons, and those with no religious preference, because of emotional problems, are at increased risk of accomplishing less than desired (model 1); having trouble doing work or other activities as carefully as desired (model 2); and seeking professional help (model 3). After adjusting for alcohol and tobacco use, education, income, physical activity, general health status, employment, body mass index, gender and age, only less active Mormons and those with no religious preference remained at significantly increased risk in model 3. Self-reported health status was the strongest predictor of mental health in each model. Active Mormons reported having the best health status and, consequently, the lowest levels of mental illness.     

Risk Factors for Educator-Targeted Bullying: A Social-Ecological Perspective

This study investigated educator-targeted bullying (ETB) in a South African school setting from a social-ecological perspective. Seven survivors of ETB were interviewed using open ended questions. The data were content analysed for themes. The main findings of the study were: (1) bullies are undisciplined individuals who lack parental support; (2) school and classroom management styles may encourage ETB; and (3) a lack of positive values in the community and a disregard for authority figures perpetuate ETB. Survivors of ETB perceived to lack support from colleagues, school management, and parents of the offending learners.     

Researching Child Sexual Abuse in South Africa: Complexities in the Field

This study reports on my fieldwork experiences applying qualitative research strategies to study child sexual abuse in South Africa. It considers the challenges associated with, at three stages of data collection: ethical clearance, recruitment and data collection, followed by possible solutions. The study also considers the challenges from ethical and epistemological perspectives. I used a reflective self-study to analyse my experiences. My experiences revealed the following challenges: ethical process due to reasons not linked to the content of the research process would cause delays to the field-work. In addition, the use of [formal institutions] welfare institutions as sole research sites would result in a homogenous sample that does not permit comparison of experiences among the abuse cases. The costs to the researcher in terms of emotional and physical investment can be significant.     

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.     

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.     

Articulation effects in melody recognition memory

Various surface features—timbre, tempo, and pitch—influence melody recognition memory, but articulation format effects, if any, remain unknown. For the first time, these effects were examined. In Experiment 1, melodies that remained in the same, or appeared in a different but similar, articulation format from study to test were recognized better than were melodies that were presented in a distinct format at test. A similar articulation format adequately induced matching processes to enhance recognition. Experiment 2 revealed that melodies rated as perceptually dissimilar on the basis of the location of the articulation mismatch did not impair recognition performance, suggesting an important boundary condition for articulation format effects on memory recognition—the matching of the memory trace and recognition probe may depend more on the overall proportion, rather than the temporal location, of the mismatch. The present findings are discussed in terms of a global matching advantage hypothesis.