Effects of tobacco use on non-adherence to antiretroviral therapy among HIV-positive patients in South Africa

This study aimed to estimate the relationship between tobacco use and non-adherence to antiretroviral therapy (ART) in a South African sample. Participants were 1 963 HIV patients who attended a primary care clinic in Pretoria (female = 68.5%; black African = 99.5%; median age = 37.0 years; tobacco users only = 8.6%, problem drinkers only = 14.9%, and tobacco users and problem drinkers = 10.5%). In adjusted logistic regression analysis, tobacco use only was not significantly associated with non-adherence to ART. Alcohol use only (OR: 1.72; CI: 1.26, 2.36) and tobacco use and problem drinking (OR: 2.31; CI: 1.60, 3.33) were highly associated with non-adherence to ART.     

Between God and self: exploring the attachment to God and authenticity/inauthenticity tendencies of South African Christian youths

The paper explores the relationship between attachment to God (AG) and authenticity/inauthenticity among Christian youths in relation to a range of socio-demographic variables. Cross-sectional data were collected from 100 South African Christian youths using measures of AG and authenticity/inauthenticity. The correlation results reveal that feelings of insecurity in terms of having anxiety in a relationship with God is positively related to self-alienation (feeling out of touch with oneself) and accepting external influences (conforming to the standards and expectations of others), but negatively correlated to authentic living (being in tune with one’s self). Feelings of insecurity in terms of avoidant God-attachment was also related to self-alienation. In addition, demographic differences were observed for gender and church denomination. These results suggest that insecurity with God may either be linked to feelings of authenticity or self-estrangement among Christian youths and have broad implications, both for clinical usage and further cross-cultural research.     

Daily life with early orphanhood from HIV/AIDS: An exploratory study

This study explored the everyday lived life by South African early adolescents orphaned by HIV/AIDS. Informants were ten early adolescents (age range 12 to 14 years; females?=?6; males?=?4) from a low socioeconomic status neighbourhood of Johannesburg. The adolescents completed autobiographical essays and in-depth individual interviews on their quality of life in the school, home, and community. Thematic analysis of the data revealed the early adolescents, orphaned due to HIV/AIDS, to experience extreme sadness, anxiety, and fear. Their sense of emotional distress was compounded by living in material and relational poverty, with frequent exposure to bullying at school, and crime in their neighbourhood. Integrated psycho-social interventions addressing both material and relational poverty might enhance the physical and psycho-social well-being of adolescents with orphanhood from HIV/AIDS.     

Paternal Caregivers’ Parenting Practices and Psychological Functioning among African American Youth Living in Urban Public Housing

Structural factors associated with public housing contribute to living environments that expose families to adverse life events that may in turn directly impact parenting and youth outcomes. However, despite the growth in research on fathers, research on families in public housing has practically excluded fathers and the role fathers play in the well‐being of their adolescents. Using a sample of 660 African American adolescents recruited from public housing, we examined the relationship between paternal caregivers’ (i.e., fathers’ and father figures’) parenting practices and adolescents’ depressive symptoms, attitudes toward deviance, and self‐efficacy. Using a latent profile analysis (LPA), we confirmed a four‐class model of paternal parenting practices ranging from high to low levels of monitoring and encouragement. Results from a one‐way ANOVA indicated that paternal caregivers with high (compared to moderate) levels of encouragement and monitoring were associated with youth who reported less depressive symptoms, higher levels of self‐efficacy, and less favorable attitudes toward deviance. Discriminant analysis results indicated that approximately half of the sample were correctly classified into two paternal caregiver classes. The findings provide evidence that some of these caregivers engage in parenting practices that support youths’ psychological functioning. More research is needed to determine what accounts for the variability in levels of paternal encouragement and supervision, including environmental influences, particularly for paternal caregivers exhibiting moderate‐to‐low levels of paternal encouragement and monitoring.     

Marital Expectations in Strong African American Marriages

The current exploratory study utilized a family strengths framework to identify marital expectations in 39 strong African American heterosexual marriages. Couples reflected on their marital expectations over their 10 or more years of marriage. Three themes emerged through qualitative analysis and the participants' own words were used in the presentation of the themes. African Americans indicated that there was growth in marital expectations over time, with marital expectations often beginning with unrealistic expectations that grew into more realistic expectations as their marriages progressed. Participants also indicated that core expectations in strong African American marriages included open communication, congruent values, and positive treatment of spouse. Finally, participants explained there is an “I” in marriage as they discussed the importance of autonomy within their marital relationships. Results are discussed in association with existing research and theory.     

“Go Near and Join Thyself to This Chariot…”: African Pneumatic Movements and Transformational Discipleship

Christian religious innovation has been ongoing in Africa since the early 20th century. It started with indigenous charismatic prophets calling on people to turn over their old deities and submit to the lordship of Jesus Christ. The ministries of these itinerant prophets led to mass conversions culminating in the formation of what became known as the African independent/instituted/initiated churches (AICs). For the best part of the 20th century the AICs defined what counted as Christian in an African indigenous sense. The argument of this article is that the acronym AICs has, since the closing decades of the 20th century, acquired a much broader meaning to include the new Pentecostal/charismatic movements and churches that have burgeoned across the continent. Their trademarks include youthful urban‐centred congregations, media‐driven ministries, and the preaching of a gospel of prosperity. The contributions of both the classical AICs and the contemporary Pentecostals to African Christianity have been phenomenal. As Christian churches, however, we ought to evaluate them not just in terms of numerical or sociological impact, but most especially in terms of transformational discipleship. There is much to celebrate in transformational discipleship as far as the ministries of these African Reformation movements are concerned, but there as yet remain areas of concern that need to be dealt with for the optimization of Christian impact in Africa.     

The clinician in the university: Reflections on a South African psychoanalytically oriented doctoral programme

There is increasing interest, both internationally and in South Africa, in strengthening the relationship between psychoanalytic practice and research. This paper reports on a psychoanalytically oriented doctoral programme offered at the University of the Witwatersrand in South Africa. The programme is described in relation to the broader context of the historical relationship of psychoanalysis to the university as well as to the specific context of the history of psychoanalysis in South Africa. Key challenges of the programme, specifically concerning research tensions and methodological and theoretical tolerance, are subsequently explored. The way in which these challenges manifested within a group context illustrates their potential for conflict as well as productive debate. The paper reflects on how this specific programme illuminates and extends some of the broader debates in the field of psychoanalysis.     

The California Linkages Program: Doorway to Housing Support for Child Welfare‐Involved Parents

Housing instability can complicate parents’ efforts to provide for their children. Child welfare service agencies have had difficulty adequately serving parents’ housing needs due to limited and constrained funding streams. This article integrates the voices of four important stakeholders to illuminate how an innovative model of service system coordination called Linkages addresses housing needs for child welfare‐involved parents eligible for public assistance. Facilitated by Linkages, these parents can receive supportive housing services through programs affiliated with the California public assistance program CalWORKs. Personal narratives reflecting the diverse perspectives of stakeholders in the Linkages collaboration—the statewide program director, a child welfare services coordinator, a CalWORKs caseworker, and a parent program participant—shed light on how the collaboration assists parents in attaining case plan goals, and highlights some of the factors facilitating and hindering effective collaboration between the agencies involved. Stakeholders emphasized the value of flexible service approaches, the intensity of the efforts required, the role of advocacy, and the importance of a shared vision between agencies working together to provide housing supports.     

Accountability,Collaboration, and Social Change: Ethical Tensions in an Action Research Project to Address Untested Sexual Assault Kits (SAKs)

We conducted a collaborative action research project with stakeholders in Detroit, Michigan, to develop long‐term policy strategies to resolve ~11,000 untested rape kits that were discovered in a police storage facility in August 2009. In our research, we uncovered overwhelming evidence of victim‐blaming behaviors and fundamental disrespect of rape survivors by the police, which directly contributed to their decisions not to submit kits for forensic testing. We had an ethical responsibility to report these negative findings accurately and completely, and in doing so, we were concerned that police stakeholders might disengage from the action research project and hamper our other ethical responsibilities to promote general and public welfare. In this article, we examine the ethical challenges of balancing accountability, collaboration, and social change.     

South Korean Attitudes Toward Muslims: Revealing the Impact of Religious Tolerance

This study addresses the reasons for the anti-Muslim sentiments held by some South Koreans. The research was motivated by the fact that, although previous studies have paid much attention to this issue in Western regions, such as Europe and the USA, little research has examined the perceptions of Muslims held by people in Asian countries. This empirical study of the nature of anti-Muslim sentiment in South Korea was aided by two theoretical frameworks that relate prejudice to (i) deprivation and (ii) religion. This study analysed data taken from the ‘International Social Survey Programme (ISSP) Topical Module: Religion (2008)’ [ISSP Research Group 2012 ISSP Research Group. 2012. “International Social Survey Programme: Religion III – ISSP 2008.” GESIS Data Archive, Cologne. ZA4950 Data file Version 2.2.0. doi:10.4232/1.11334 Study No. ZA4950.[Crossref] , [Google Scholar]. ‘International Social Survey Programme: Religion III – ISSP 2008.’ GESIS Data Archive, Cologne. ZA4950 Data file Version 2.2.0, doi:10.4232/1.11334 Study No. ZA4950]. The results showed that deprivation did not significantly influence South Korean attitudes toward Muslims, whereas prejudice toward Muslims among South Koreans included a distinctly religious component.