Sexual risk behaviour among HIV-infected women in the first twelve months after delivery in South Africa

This study aimed to assess sexual risk behaviour and its social correlates in HIV-infected women living in rural South Africa at six and twelve months post-partum. Participants were 699 HIV-positive women recruited prenatally by systematic sampling from twelve community health centres in Mpumalanga province, South Africa (mean age = 28.4 years, SD = 5.7; married =41.1%; serodiscordant or unknown partner status = 74.9%). They self-reported on their sexual activity six to twelve months after delivery; including use of condoms and partner involvement. Generalised linear mixed models were utilised to estimate unsafe sex outcomes from a prevention of mother to child transmission (PMTCT) intervention, socio-demographic factors, disclosure, and male involvement. About 20% of sexually active women in the past week had used condoms inconsistently at six and twelve months after delivery. Moreover, 16% and 18% of the women had not used a condom at last sex and 11% and 13% had unprotected sex with HIV-uninfected or unknown-status partners following delivery at six and twelve months, respectively. Higher inconsistent condom use was likely with lower male involvement. Promotion of condom use post-partum, as well as male involvement in sexual decisions, are important for safer sex post-partum by seropositive women.     

Experiences of supervising postgraduate community psychology students at Wits university,South Africa

In this article, the authors discuss problems and challenges of supervising postgraduate community psychology students at the University of the Witwatersrand, South Africa. As part of their community work, students developed community projects in schools in Alexandra Township, aimed at dealing with social ills such as HIV/AIDS, gangs, violence, substance abuse and teenage pregnancy. Students found community work to be extremely exhausting, stressful and demanding. Therefore, community psychology supervision became an important space in helping students to reflect on the experiences, anxieties and frustrations. This article discusses key themes that have emerged in community supervision, including gender, race and class issues. In conclusion, recommendations are provided on how to improve community psychology supervision based our experiences. Supervisors need to be proactive in helping students to reflect on their experiences and actively engage with some of the theoretical and practical issues that emerge in community work. Copyright © 2010 John Wiley & Sons, Ltd.     

Agency,resilience and coping: Exploring the psychosocial effects of goat ownership on orphaned and vulnerable children in Western Kenya

Despite an increase in goat donation programmes geared at orphaned and vulnerable children in sub‐Saharan Africa, the social psychological effects of goat ownership on the lives of these children have yet to be investigated. To shed light on the ways in which goat ownership affects children's psychosocial well‐being, this paper presents a case study of a goat donation programme in Western Kenya, paying particular attention to children's interaction with the goats. Informed by social psychological understandings of resilience and coping, we involved fifteen children (aged 12–17) in this qualitative study, using photographs and written reflections to describe the impact of goat ownership on their lives. The children also created daily routine diagrams and community maps and participated in two group discussions to explore their experiences further. The guardians of two of the participating children were also interviewed. A thematic content analysis of all our data revealed that goat ownership, within this social environment, enabled children to (i) generate income as a result of their participation in goat management, (ii) negotiate social support and (iii) create positive images of self and life – deriving emotional benefits. We conclude that goat ownership provides orphaned and vulnerable children with opportunities for positive social participation and community engagement that can facilitate children's resilience. Copyright © 2011 John Wiley & Sons, Ltd.     

Continuities across continents: Assessing African American cultural themes among Black and Coloured South Africans

Much of the scholarship concerning African American culture is premised on the notion that it is a legacy of African origins but there has been essentially no attempt to document that relationship empirically. This paper briefly reviews existing evidence for cultural continuity in the Diaspora and then compares the responses of Black and Coloured South African and African Americans on measures of culture emic to African American populations. The observed patterns of psychometric performance, participants' responses, and the predictive utility of the measures employed were consistent with the thesis that despite inevitable variation, these three groups of the African Diaspora share similar orientations on the cultural themes assessed. This research hopes to initiate empirical work on the continuity thesis as it applies to connecting African American culture with a legacy of Africa and as related more broadly to the study of global Diasporas.     

Challenges to providing a support group for HIV-positive prisoners in South Africa

In prison populations around the world, the prevalence of HIV is often higher than that of the general population. The prison population is at high risk for HIV infection, particularly through the sharing of contaminated needles and high-risk sexual activity. Counselling is regarded as a key element in the prevention and treatment of HIV infection. Support groups provide essential supportive counselling for HIV-positive individuals struggling to cope. This paper looks at the challenges to providing a support group for HIV-positive prisoners. The author's experience of attempting to provide a support group highlights two key challenges: organisational issues which lead to disruptions for the group; and challenges to ensuring confidentiality, a core ethical principle in HIV counselling.     

Psychosocial Influences on Substance Abuse in a Sample of South African Youth: A Qualitative Analysis

This study investigated the lived experience of substance abusers in the South African context. Participants were 10 individuals attending a drug treatment centre in Durban, South Africa. Data were collected using open-ended interviews with data being analysed using thematic analysis. Findings suggest that normative social influences and levels of social support play an important role in shaping, maintaining, and determining the trajectory of drug usage.     

Luria in Uzbekistan: The Vicissitudes of Cross-Cultural Neuropsychology

If the material conditions of culture shape cognitive structures, as Luria and Vygotsky argued, the extraordinarily deep and rapid restructuring of historical forms (Luria, 1971, 265) in the Soviet Republics that followed the Bolshevik revolution of 1917 provided a natural laboratory to determine whether processes of modernization changed traditional ways of thinking. This was the purpose of Luria's 1931 expedition to the Soviet Republic of Uzbekistan in central Asia. Luria's initial reports attracted vitriolic criticism because he had allegedly belittled primitive Uzbeki culture. The lasting importance of the Uzbek expedition is its emphasis on culture as a determinant of cognitive processes that remains valid to the present: in 1984, Gilbert replicated Luria's field studies in South Africa with near-identical results. Yet current neuropsychology has been slow to recognize the need for culturally sensitive assessment.     

Cultural and environmental pressure against left-hand preference in urban and semi-urban Malawi

The study assessed views of teachers, pupils and their guardians on left-hand preference. Seventy-five percent of the responders indicated that the left hand should not be preferred for habitual activities and 87.6% of them indicated that left-handers should be forced to change the hand. Gender had significant effect on the view on left hand preference (df = 1, OR (odds ratio) = 0.465, p = 0.027). Giving a handshake when greeting a person, drawing and writing were the three top target activities against left-hand preference. An assumption that the left hand is less skilled and less powerful than the right one was the most common reason for negative view on left-hand use. Most of volunteers reported that parents and close relatives were the primary group of people who usually discourage left-hand use. Eighty point one percent of the responders indicated that people should stop preferring the left hand as soon as somebody noticed their left-handedness. The results indicated that cultural and environmental pressures might significantly affect visibility of left-handedness in urban Malawian populations.     

The (HI)Stories We Live by: Power/Knowledge and Family Therapy in Africa

There is a need to Africanise family therapy so as to serve the interest of local communities. Western approaches to family therapy have been accused of being irrelevant to African contexts. They are seen as forming part of a dominant scientific knowledge which invalidates local folk and cultural psychologies and thereby continuing a historical tradition of oppressive colonial power relations. This paper aims at archaeologising and evaluating such criticism by situating family therapy within different fields of knowledge that have emerged historically and are currently co-existing in Africa. The advantages and disadvantages of dominant family therapy approaches in African contexts are explored by focussing on power relations between different knowledges in Africa. It is argued that many global narratives of family therapy offer congenial companionship to many local African narratives, but that family therapists should pay more attention to local spiritual and political narratives so as to attain more legitimacy and validation by local communities.     

Training Family Therapists in a Multicultural Setting

Authors describe a multicultural training model for family therapists and psychologists at a traditionally conservative Afrikaans speaking university in South Africa. Black psychologists are now receiving high priority in a masters degree program that leads to professional registration licensure because of the needs of the population. The authors emphasize the importance of being able to think multidimensionally and creating a context in which students can do the same in such contexts.