The nature of quality of life in residential care facilities: the case of White older South Africans

This study describes the nature of quality of life (QoL) from the perspective of older South Africans (n?=?41) in residential care facilities (female =?75%; age range 62–95 years). The residents participated in individual in-depth interviews and focus groups. They also set down their narrative reflections on their QoL in journals. Data were analysed by means of interpretative phenomenological analysis. Findings reveal the resident older South Africans regard QoL as a spiritually informed worldview of life events, coping with challenges and being mindful of others. The residents perceived QoL to include proximity and quality and reciprocity with others. QoL among older people is context and people specific.     

Maternal attitudes towards pre-natal substance abuse,medical care,and treatment in a historically disadvantaged South African community

This study explored maternal substance abuse and the access to pre-natal medical care and treatment for substance abuse during pregnancy. Respondent mothers (n?=?102; mean age?=?27.8 years, SD?=?10.9 years) were from Mitchell’s Plain, a historically disadvantaged South African community. The mothers completed a mixed methods interview on the context and influences of their substance abuse during their pregnancy. Findings suggest that these mothers adopt the drug taking behaviour in their social environment. Women with prior histories of substance abuse were active consumers and dependent on drugs while childbearing. These findings may be important for possible intervention strategies among this particular group of vulnerable women.     

Offender interviewing in custodial settings: Understanding validity,value and veracity issues

The purpose of this scoping literature review was to identify trends regarding validity, value and veracity issues when conducting (qualitative) interviews with offenders in custodial settings. We selected for review works from electronic databases in SAGE, Springer, and Taylor and Francis by using e-journals, Google Scholar and the behavioural science database, PsycINFO. The inclusion criteria for our studies were based on whether sources addressed offender interviewing as a wellspring of information, but excluded those that focused solely on the acquisition of clinical information (at the expense of focusing on validity, value and veracity issues). We utilised the content analysis approach to identify themes/ patterns in the research findings. Key findings suggest that offenders with impression management motivations deceive and manipulate in their research interview presentations. When gathering data from inmates in custodial care settings, best practice includes cross-checking offender interview data against other sources of evidence and taking into account the context in which they are serving their sentences.     

Exploring the Role of Spirituality in the Context of the Five Factor Model of Personality in a South African Sample

The study explored the relationship between the Five Factor Model of personality and spirituality by using the NEO PI-R (Costa & McCrae, 1992) and the Spiritual Transcendence Scale (STS) (Piedmont, 1999) respectively. Participants were 94 psychology undergraduate students at a large South African university (mean age = 19.1 years; SD =1.43, males =19, females=75). Data were analyzed using both correlations as well as principal components analysis with varimax rotation. Evidence from both correlations and factor analysis suggest separate domains within the FFM as well as a separate factor for spirituality. These results provide support for claims that aspects of spirituality are not accounted for by the FFM as operationalised by the NEO-PI-R and by implication the FFM may not be a complete taxonomy of personality.     

Confidentiality protection in consulting with modern medicine following use of traditional medicine: perspectives of South African clients

This study explored the confidentiality values and needs of clients of traditional medicine practitioners who also consulted with modern medical care facilities. Participants were 12 clients of traditional healers who were also receiving modern medicine services (9 males; Sotho, Sepedi and Tswana speaking). The clients responded to an in-depth interview on their confidentiality values, needs and consultations with traditional and modern medicine, in the absence of a formal referral between the two systems. Data were thematically analysed using Tesch's (1990 Tesch, R. (1990). Qualitative Research: Analysis types and software tools. Bristol, PA: Falmer. [Google Scholar]) open coding method. Results indicated that clients valued their rights to confidentiality being respected by modern medicine and when also consulting with traditional healers. The clients also expressed concern about being ostracised by nurses for consulting traditional healers. Consultation confidentiality with regard to traditional medicine is important with traditionalist Africans.     

Indulgences in the Catholic Reformation

Abstract

Ever since Luther’s ‘Ninety-five Theses’ (1517), indulgences have been synonymous with corruption in the Catholic Church, although their proper use was to be reaffirmed at the Council of Trent. This article comprises firstly, an exploration of the theory, nature, uses, and evolution of indulgences after Luther up to about 1700; secondly, an examination of indulgences as a product of ecclesiastical jurisdiction of popes and bishops; and thirdly, an exploration of the individual acquisition of pardons and the progression of different devotions over time. The focus will be on France as a case study. It will be shown how indulgences in Catholicism survived Luther, were reinvented and emerged as a powerful tool of personal and institutional reform. They provide a lens through which to explore the history of the institutional Church, in particular relationships between centre and periphery during the Catholic Counter-Reformation centuries.     

Extended problem solving treatment for depression

Introduction: Effective brief psychological approaches for depression that can be delivered by a variety of health professionals with minimal training increase access to treatment by patients. Problem Solving Treatment (PST) was developed for primary care and was modified for this study (EPST) to better meet the needs of mental health patients. Method: A total of 92 therapists from different professional backgrounds completed EPST workshops and treated 92 patients with major depression with interval clinical and treatment process assessments. Results: EPST achieved a significant reduction in depressive symptom scores, life problem scores, and there were few treatment non‐completers. Treatment outcome was predicted by process and therapist variables. Discussion: EPST is an effective and easy to teach treatment that can be delivered by a variety of practitioners and suitable for busy primary mental health care settings.     

Sourcing stereotypes: constructing and challenging simplified knowledge

The social media uproar in Fall 2017 over a nursing textbook chart that presented generalised characterisations of minority groups generated an assumption that medical training needs more Religious Studies expertise. Analysing the sources that the chart cited, we trace the authors’ assertions to studies of varying quality and identify several specific processes involved in simplifying knowledge for dissemination, as the authors disregarded the limits of each specific study and ignored counter-evidence or otherwise evaded critical scrutiny. Comparing this example to examples from world religions discourse illustrates both differences and similarities in the process of constructing simplified presentations. While both presumably developed out of good intentions, they generate significant problems in their effort to shape material to support larger arguments. Thus, scholars across disciplines should critique and complicate their own processes for generating simplified knowledge.     

The ‘Connection’ Health Care Providers Make with Dying Patients

SUMMARY

The literature confirms illness and hospitalisation can become spiritual encounters for patients and their families. Further, it has been established that both patients and their families are better equipped to deal with loss and change if they have a healthily developed spiritual sense of self. The aim of the study sought to determine the benefit or otherwise of a previous model of spiritual care. It asked ‘from the perspective of the nurse and other health care providers, what constitutes spiritual care giving?’ An ethnography was undertaken where data consisted of field notes, interviews, records, and diary entries. This paper reports on interview data, from which themes were derived. The major theme titled their space is expressed via a new model of spiritual care. It was shown that when caring for patients and their relatives, nurses and other health care professionals enter the world of the other to determine the other's needs. In so doing they typify agapé (altruistic love), where the individual cares for a complete stranger as if that stranger were family. This connection with the patient and their family is the foundation for spiritual care.