The psychosocial well-being of a “forgotten” South African community: the case of Ndumo,KwaZulu-Natal

This study investigated the psychosocial well-being of an indigenous cultural community in South Africa, using a sequential explanatory mixed-methods design. Data on life satisfaction and emotional, social and psychological well-being were collected from 521 local residents (48% female) of Ndumo in KwaZulu-Natal, South Africa using the Satisfaction-with-Life Scale and Mental Health Continuum. In addition, interviews were conducted with 20 Ndumo residents (35% female). Findings revealed that community members had above-average levels of psychosocial well-being and exhibited significant resilience towards countering socio-economic under-resourcing, including poverty and unemployment. The community resources found to aid resilient living included being able to live off the land, a pleasant climate, personal safety, hope for a better future, and instrumental, material, and social support from philanthropic organisations.     

The present and absent object—on thinking and the capacity to symbolize

In this paper, Bion's different theories on the development of thinking will be introduced: on the one hand, his theory of thoughts as resulting from tolerance for the absence of the object, and on the other hand, dream thoughts and thoughts as resulting from the presence of the object, originally through the mother's containing function. The effects of failures in this development will be discussed; among other things, a hypertrophy of the apparatus of projective identification at the expense of thinking capacities. Briefly, a comparison will be made between a facilitating relation between container and contained and the oscillation between the paranoid-schizoid and depressive position, which Bion describes as a prerequisite for open symbolizing processes. Bion's theories and concepts will be supplemented by Winnicott's theories on the “creative illusion” and the breast/the mother as a “subjective object” as a precondition for the symbolizing capacity that later develops in the “potential space”. Very briefly, a comparison is made between Winnicott's term “the subjective object” and Segal's term “symbolic equation”. Clinical vignettes are interpolated.     

Busy lifestyles and mammography screening: Time pressure and women’s reattendance likelihood

Time pressure is often cited as a reason for non-attendance at mammography screening, although evidence from other areas of psychology suggests that time pressure can improve performance when barriers such as time pressure provide a challenge. We predicted that time pressure would negatively predict attendance in women whose self-efficacy for overcoming time pressure is low, but positively predict attendance when self-efficacy is high. Time pressure was operationalised as the self-reported number of dependent children and others, and average number of working hours per week. Australian women were surveyed after being invited to attend second or subsequent screenings at a free public screening service, and subsequent attendance monitored until six months after screening was due. The majority (87.5%) attended screening. Women with more dependent children and higher self-efficacy showed greater attendance likelihood, and women with fewer non-child dependants and lower self-efficacy were less likely to attend. Working hours did not predict attendance. Findings provide partial support for the idea that time pressure acts as a challenge for women with high self-efficacy.