Cerebral palsy is a condition primarily defined by damage to the developing brain primarily resulting in a physical impairment, although the affected individual may present with concomitant impairments. The number of children presenting with cerebral palsy appears to be increasing, and while the medical effects of this disability have been well documented in the literature, a paucity of knowledge exists on the parental experience of caring for a child with cerebral palsy, particularly in rural South Africa. This dissertation will report on a study conducted in Tonga, a rural area of South Africa, which assessed caregivers’ experiences of caring for a child with cerebral palsy. Qualitative methods, including participant observation and narrative interviews were used and the SiSwati narratives of 27 participants were transcribed and analysed using theoretical coding. A number of recurrent themes emerged including the impact of gender on caregiving, the influence of traditional beliefs and practices and the experience of western medicine. However, the pervasive nature of poverty served to influence all aspects of caring for a child with cerebral palsy. These themes are discussed in relation to current healthcare policies, the influence of the HIV/AIDS pandemic, the concept of ‘ubuntu’ and socio-political aspects of healthcare. The findings highlight the value of using cultural narratives and participant observation as a means of exposing aspects related to the experience of disability that cannot be portrayed using quantitative methods. It emphasizes the nature of disempowerment amongst marginalized communities and draws attention to the need for both multisectoral and community involvement to bring about transformation.

In South Africa, where a large portion of the population lives in townships, more often than not, the therapist and client do not share a similar cultural context. Cultural knowledge is therefore pertinent to generating a complex and thorough interpretation of any psychological assessments. This study aims to explore possible cultural narratives evoked in the responses to the Thematic Apperception Test so that cross-cultural use of the test would be more effective in the Mamelodi township. The research is done from a narrative point of view, where lived experience is understood by organising it into structured narratives or stories that repeat throughout a person’s life. The pictures of the TAT were viewed as a context that could elicit such life narratives from respondents. TAT stories from five adolescent residents in Mamelodi were thematically analysed as a method of identifying common stories that could reflect the cultural narratives that young persons in Mamelodi draw from to make sense of their world. The results indicated common narratives concerning the following: the experience of violence and danger, the experience of close relationships, dealing with challenges, and the role that clothes play. These findings, and possible findings from similar future research, might aid psychologists towards a better understanding of the TAT in the township context. Copyright / Dissertation (MA)--University of Pretoria, 2013. / Psychology / unrestricted

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The present research study is a deconstructive collaborative project situated within a postmodern paradigm. The research is premised on a notion that disability has been constructed by societies to reflect their values and norms. Despite various ancient and contemporary worldviews stabilising this normative paradigm, disability has remained a shifting and fleeting concept. For the most part, it has cast the disabled identity in more negative and alienating ways than positive. The Christian cultural context of Lesotho within which the study is situated has not done any better in terms of portraying people with disabilities. Instead, it has inherited the legacy of the ancient Mediterranean world and further re-read it in the light of the demands of contemporary society on the disabled identity. For instance, people with disabilities are still constructed as „sinners‟, „monsters‟, „add-ons‟, and pathological burdens who cannot by themselves survive the challenges of the contemporary world. Using the ideas of Foucault and Derrida, the study examines ways in which such a notion of disability is not only linguistically unstable but also founded on the binary opposites. The participatory nature of the study brings the important voices of people with disabilities to further destabilise the notion of disability and to deconstruct the dominant disability story. The immersion of this study within the participatory ethics and consciousness of Kotzé and Heshusius respectively, has led to an ambitious proposing of the participatory model of disability. The latter has leanings towards metaphors of the church as communion founded on and nurtured by the theologies of embrace, interdependence, healing and botho. It also resonates with the metaphor of the church as expounded in I Corinthians 12. As members of the body of Christ, no member can suffer without the rest of the body feeling the same. If one member of the body is disabled all the body is disabled. Alienating and marginalising others has no place in such a metaphor of church as communion, since by its own definition, all belong to and participate within it. / Practical Theology / D. Th. (Practical Theology with specialisation in Pastoral Therapy)

The present research study is a deconstructive collaborative project situated within a postmodern paradigm. The research is premised on a notion that disability has been constructed by societies to reflect their values and norms. Despite various ancient and contemporary worldviews stabilising this normative paradigm, disability has remained a shifting and fleeting concept. For the most part, it has cast the disabled identity in more negative and alienating ways than positive. The Christian cultural context of Lesotho within which the study is situated has not done any better in terms of portraying people with disabilities. Instead, it has inherited the legacy of the ancient Mediterranean world and further re-read it in the light of the demands of contemporary society on the disabled identity. For instance, people with disabilities are still constructed as „sinners‟, „monsters‟, „add-ons‟, and pathological burdens who cannot by themselves survive the challenges of the contemporary world. Using the ideas of Foucault and Derrida, the study examines ways in which such a notion of disability is not only linguistically unstable but also founded on the binary opposites. The participatory nature of the study brings the important voices of people with disabilities to further destabilise the notion of disability and to deconstruct the dominant disability story. The immersion of this study within the participatory ethics and consciousness of Kotzé and Heshusius respectively, has led to an ambitious proposing of the participatory model of disability. The latter has leanings towards metaphors of the church as communion founded on and nurtured by the theologies of embrace, interdependence, healing and botho. It also resonates with the metaphor of the church as expounded in I Corinthians 12. As members of the body of Christ, no member can suffer without the rest of the body feeling the same. If one member of the body is disabled all the body is disabled. Alienating and marginalising others has no place in such a metaphor of church as communion, since by its own definition, all belong to and participate within it. / Philosophy, Practical and Systematic Theology / D. Th. (Practical Theology with specialisation in Pastoral Therapy)