Le sida est l’objet d’une abondante production discursive faisant intervenir une pluralité d’acteurs au Cameroun. Tous les acteurs de la communication sociale sur le sida ne lui accordent cependant pas la même signification. Les uns le considèrent comme une affection au même titre que les autres affections connues c’est-à-dire résultant de l’action pathogène d’un micro-organisme naturel appelé vih ; pour d’autres, le sida est un état physiologique ouvert à la maladie du fait de la déficience immunitaire ; une dernière catégorie le considère comme une maladie mystique c’est-à-dire, due soit à l’action des sorciers, soit à la colère de Dieu. Une analyse fondée sur la définition révèle que les convictions et certitudes exprimées par les acteurs de la communication sociale sur le sida ne sont pas le reflet d’une réalité ontologique, incréée, palpable et décelable objectivement ; il s’agit plutôt des constructions. Deux types de constructions se dégagent de ce processus : l’une, scientifique, fait intervenir des acteurs partageant les mêmes savoirs et pratiques scientifiques. Ils s’expriment dans des espaces symboliques particuliers qui sont : l’hôpital, le laboratoire d’analyses médicales, les médias et les institutions publiques. Les discours scientifiques changent, modifiant ainsi les représentations et convictions conséquentes. Le deuxième type de construction fait intervenir d’une part, les acteurs non scientifiques et les spécialistes des disciplines autres que la biologie et d’autre part, des biologistes considérés comme en marge de l’orthodoxie. Alors que les acteurs de la dynamique scientifique disposent des instances d’arbitrage et de consensus permettant d’harmoniser leurs vues, ceux de la dynamique populaire évoluent sans coordination. La dynamique populaire intègre les discours scientifiques dans des systèmes de savoirs et pratiques culturelles, autant qu’il procède à des formulations relatives aux différentes manières dont les cultures concernées se représentent la santé et la maladie. Il en résulte des convictions et représentations particulières, différentes de celles suggérées par les discours scientifiques. Parce que les discours populaires intègrent discours scientifiques dissidents, ils suscitent la réplique ou le réajustement des discours dominants. L’interaction entre les discours dominants et les discours dominés participe d’une construction de synthèse qui rend encore plus mouvante, la saisie du sida. / In Cameroon, the Aids issue is the subject of an abundant discursive work that brings in a plurality of actors. However, all the social communication actors on AIDS do not give the same meaning to the issue. Some consider it as affection, in the same way as the other known affections. For them, it results from the pathogenic action of a natural micro-organism called HIV; for others, AIDS is a physiological state open to the sickness due to immunodeficiency; and a last category considers it as a mystical sickness which is due either to the action of witch – doctors or to God’s anger. But an analysis based on the definition of the concepts used reveals that the convictions and certainties expressed by the social communication actors on AIDS, are not the reflection of an ontological, uncreated, palpable and objectively discernable reality. They are rather possibilities. Two types of possibilities emerge from this process: the scientific one which brings in actors who share the same scientific knowledge and practices, who have the same viewpoint and are recognized by others as being competent to talk about AIDS. They usually express themselves in specific symbolic places like hospitals, medical analysis laboratories, media and public institutions. The scientific discourse sometimes changes, thus modifying the consequent thoughts and convictions. The second type of possibility brings in non scientific actors and specialists in other fields than biology, but also biologists who are considered as being in the margin of the orthodoxy. Whereas the actors of the scientific dynamic have at their disposal the consensus and arbitration bodies that permit them to harmonize their views, those of the popular dynamic move along without any coordination. The popular dynamic integrates scientific discourse into cultural practices and knowledge systems, as well as it makes formulations relating to the different manners the cultures concerned think of health and sickness. The end results are the specific thoughts and beliefs different from those suggested by the scientific discourse. Due to the fact that popular discourse integrates dissident scientific discourse, it gives rise to the reply or the re-adjustment of the prevailing discourse. The interaction between the prevailing discourse and the non prevailing discourse contributes to a synthesis building up which renders again more unstable, the understanding of AIDS.

Human realities are formed in particular contexts, and can be understood through telling the story of experiences related with these realities. Homelessness is a reality for many in various parts of the world. The condition of homelessness involves various discourses, each of which can be dominant in different people. Dominant discourses bring with them inherent understandings which in the case of the reality of homelessness can negatively influence the daily activities and future prospects of homeless people. These dominant discourses define the experiences of the homeless people and cause them to assess themselves negatively. This study is in the field of Practical Theology, based on a social constructionist paradigm which holds that meanings are socially constructed and there is no single “Truth”. The processes of telling stories, listening to these stories and constructing new meanings make up a narrative approach to counselling, which I use in the context of interactions with homeless youth at the Street Centre run by Pretoria Community Ministries. My approach is qualitative, and the data are evolved from narrative interventions and unstructured interviews with homeless youth. As this process is a journey into the experiences and stories of these young people, empirical sampling is irrelevant. Listening to the stories of the young people from the streets filled me with enthusiasm to take this narrative journey with them through their stories. Examining the impact of economic factors in their discourses and narrations gave me new understanding of their meanings and challenged me, because many of these were unpredictable. The epistemological approach of postfoundationalism used on this journey allowed a wide range of knowledge types and interactions, which I elucidate through interdisciplinary investigation and identification of the traditions that inform the dominant discourses. The seven-movement methodology used for this work is relevant in the context of the homeless youth, because it allows me as researcher to continue the full length of the journey with the homeless youth, leading eventually to new possibilities. On the way certain themes evolved and their meanings constructed. Listening for the discourses and identifying their economic factors helped me to deconstruct these discourses, and so guide the stories into more hopeful channels. Of course, constructing alternate stories and acknowledging the importance of economic factors will not alone change the future of these young homeless people. Economic restructuring of society is needed. This possibility challenges jobless, homeless individuals not to acquiesce in the negative patterns of society, but rather to work with conviction to create new possibilities. In this project I listened to the stories of ten homeless young people, for each of which two sessions are presented in this report. These stories show that the story tellers are the real researchers, who create new alternate stories of hope in the course of this project. “God-talk” and the discussion of “God-experiences” throws light on the role of God in their lives and in their stories. The research journey charted in this report describes first the theological context and research model, and then the particular context of these young people’s lives. This is followed by descriptions of the discourses. Description of the context of the stories and interpretation of the stories themselves moves into assessment of the stories in their individual context. Interdisciplinary investigation and identification of the traditions that inform the discourses thicken our understanding of the realities experienced by these young people, and deeper interpretations arise which are applicable beyond the local context. Each petal of this flower blooms with new colours of understanding and new fragrances of possibility. The findings of this project are not the final end of this journey, but rather lights for future journeys into the experiences of homeless youth. / Thesis (PhD (Pastoral Family Therapy))--University of Pretoria, 2007. / Practical Theology / PhD / unrestricted

This study examines the theme of hybridity in Charlotte Brontë’s novel Jane Eyre and Jordan Peele’s film Get Out. Both the narrative text in the novel and the script with visual elements of the film use the concept of hybridity through Gothic motifs: a mad non-white woman in the attic in Jane Eyre and a psychological place in Get Out, where members of a white family hypnotise black people in order to exploit their physical capabilities. This is employed to disrupt dominant discourses of authoritative class, revealing the ways in which these discourses are constructed through the exclusion of certain identities. Bertha Mason, the Creole wife of Edward Rochester in Jane Eyre, and Chris Washington, the African American protagonist of Get Out, both embody a sense of hybridity that challenges established norms of individuality and representation. Through a comparative analysis of these characters, this essay argues that hybridity serves as a means of exposing and subverting the power structures that reinforce presiding stereotypes of othered characters. By deconstructing these sovereign discourses, hybridity creates space for alternative voices and perspectives that are often excluded from ascendant literatures. Ultimately, this essay accentuates the importance of inspecting the intersectional identities of characters in literature and film, as a means of challenging prepotent discourses and promoting social justice.

no / Current literature has indicated a concern about standards of maternity care experienced by pregnant women who are seeking asylum. As the next generation of midwives, it is important that students are educated in a way that prepares them to effectively care for these women. To understand how this can be achieved, it is important to explore what asylum seeking means to midwifery students. This article is the first of three parts and reports on one objective from a wider doctorate study. It identifies dominant discourses that influenced the perceptions of a group of midwifery students' about the pregnant asylum seeking woman. The study was designed from a social constructivist perspective, with contextual knowledge being constructed by groups of people, influenced by underpinning dominant discourses, depending on their social, cultural and historical positions in the world. In a United Kingdom University setting, during year two of a pre-registration midwifery programme, eleven midwifery students participated in the study. Two focus group interviews using a problem based learning scenario as a trigger for discussion were conducted. In addition, three students were individually interviewed to explore issues in more depth and two students' written reflections on practice were used to generate data. Following a critical discourse analysis, dominant discourses were identified which appeared to influence the way in which asylum seekers were perceived. The findings suggested an underpinning ideology around the asylum seeker being different and of a criminal persuasion. Although the pregnant woman seeking asylum was considered as deserving of care, the same discourses appeared to influence the way in which she was constructed. However, as the study progressed, through reading alternative sources of literature, some students appeared to question these discourses. These findings have implications for midwifery education in encouraging students to challenge negative discourses and construct positive perceptions of asylum seeking.

No description available.

This qualitative study focuses on the stories of a bereaved couple living with the death of two of their children. The effect of the children's death on the parents is explored, as well as the way in which the parents live with the death of their two sons. The stories of the bereaved couple show their courage and resilience in continuing with their lives, maintaining their bond with their deceased sons and trying to make meaning of their death. As a study in practical theology and pastoral care one aim of this study was to help transform the lives of the parents for the better. In one of the chapters of the research report a study of some literature on bereavement and the death of children is presented. Dominant cultural discourses about death, bereavement, grief and mourning are discussed, as well as voices protesting against these discourses. / Practical Theology / M.Th. (Pastoral Therapy)

In this thesis I explore the social construction of sexuality and sexual dysfunction. Interviews were undertaken with 20 sex therapists practising in Aotearoa/New Zealand in order to elicit accounts of contemporary sex therapy practice in the local context. Using a feminist poststructuralist lens, I explicate and critically examine the dominant discourses informing the construction of sex therapy, and heterosexual sexual relations, and what these discourses enable and constrain. I draw attention to some of the assumptions embedded in the construction of the sexual dysfunctions in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR, APA, 2000), and in accounts of sex therapy practice, examining the ways in which these are based on taken-for-granted norms of (hetero)sexuality and highlighting the differently enabled gendered sexual subjectivities they (re)produce. Although there are nine sexual dysfunctions identified in the DSM-IV-TR, all of which I briefly outline in Chapter Four, I restrict my focus in the analytical chapters to the conceptualisation and treatment of vaginismus, orgasm difficulties in women, discrepancies in desire and, relatedly, the gendering of desire through powerful sociocultural discourses and representations. I pay particular attention to the implications of these for heterosexual women’s sexuality. I also explore some of the generic concepts that dominate the construction of therapy at a broader level than that of sex therapy alone, arguing that while these offer some useful ways of framing therapy they also constrain therapy practice in important ways. Through a critical review of the sex therapy literature and accounts of practice from those interviewed, I contend that contemporary sex therapy tends to reify dominant cultural and sexological norms rather than challenge them. My analyses show that the dominant discourses informing constructions of sex therapy and heterosexual sexual relations produce particular types of sex as normal whilst marginalizing sexual acts or practices that fall outside of such restrictive parameters. In particular, I argue that the genital-coital-orgasm construct that is hegemonic within sex therapy restricts possibilities for alternative erotic pleasures and possibilities amongst heterosexuals whilst contributing to the invisibilization of sexual identities other than heterosexual. Accounts of sex therapy practice that were able to contest such framings are also highlighted. Because these came from sex therapists drawing on radical feminist or feminist poststructuralist discourses, I suggest that these discourses offer important possibilities for a deconstructive (sex) therapy practice that is able to challenge an often inequitable sexual status quo. Attention is also drawn to the significant constraints which act to restrict clients’ choices and possibilities for sex therapists to practise in more critically questioning ways. I conclude this thesis with an ‘invitation to reflection’ where I briefly discuss some deconstructive approaches that I have found useful for developing ongoing reflexive analysis of my own taken-for-granted assumptions in the area of sexuality, and for aiding my thinking about therapeutic practices that support my political and theoretical commitments and that attend to some of the issues outlined in this thesis. / Whole document restricted, but available by request, use the feedback form to request access.

In this thesis I explore the social construction of sexuality and sexual dysfunction. Interviews were undertaken with 20 sex therapists practising in Aotearoa/New Zealand in order to elicit accounts of contemporary sex therapy practice in the local context. Using a feminist poststructuralist lens, I explicate and critically examine the dominant discourses informing the construction of sex therapy, and heterosexual sexual relations, and what these discourses enable and constrain. I draw attention to some of the assumptions embedded in the construction of the sexual dysfunctions in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR, APA, 2000), and in accounts of sex therapy practice, examining the ways in which these are based on taken-for-granted norms of (hetero)sexuality and highlighting the differently enabled gendered sexual subjectivities they (re)produce. Although there are nine sexual dysfunctions identified in the DSM-IV-TR, all of which I briefly outline in Chapter Four, I restrict my focus in the analytical chapters to the conceptualisation and treatment of vaginismus, orgasm difficulties in women, discrepancies in desire and, relatedly, the gendering of desire through powerful sociocultural discourses and representations. I pay particular attention to the implications of these for heterosexual women’s sexuality. I also explore some of the generic concepts that dominate the construction of therapy at a broader level than that of sex therapy alone, arguing that while these offer some useful ways of framing therapy they also constrain therapy practice in important ways. Through a critical review of the sex therapy literature and accounts of practice from those interviewed, I contend that contemporary sex therapy tends to reify dominant cultural and sexological norms rather than challenge them. My analyses show that the dominant discourses informing constructions of sex therapy and heterosexual sexual relations produce particular types of sex as normal whilst marginalizing sexual acts or practices that fall outside of such restrictive parameters. In particular, I argue that the genital-coital-orgasm construct that is hegemonic within sex therapy restricts possibilities for alternative erotic pleasures and possibilities amongst heterosexuals whilst contributing to the invisibilization of sexual identities other than heterosexual. Accounts of sex therapy practice that were able to contest such framings are also highlighted. Because these came from sex therapists drawing on radical feminist or feminist poststructuralist discourses, I suggest that these discourses offer important possibilities for a deconstructive (sex) therapy practice that is able to challenge an often inequitable sexual status quo. Attention is also drawn to the significant constraints which act to restrict clients’ choices and possibilities for sex therapists to practise in more critically questioning ways. I conclude this thesis with an ‘invitation to reflection’ where I briefly discuss some deconstructive approaches that I have found useful for developing ongoing reflexive analysis of my own taken-for-granted assumptions in the area of sexuality, and for aiding my thinking about therapeutic practices that support my political and theoretical commitments and that attend to some of the issues outlined in this thesis. / Whole document restricted, but available by request, use the feedback form to request access.

In this thesis I explore the social construction of sexuality and sexual dysfunction. Interviews were undertaken with 20 sex therapists practising in Aotearoa/New Zealand in order to elicit accounts of contemporary sex therapy practice in the local context. Using a feminist poststructuralist lens, I explicate and critically examine the dominant discourses informing the construction of sex therapy, and heterosexual sexual relations, and what these discourses enable and constrain. I draw attention to some of the assumptions embedded in the construction of the sexual dysfunctions in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR, APA, 2000), and in accounts of sex therapy practice, examining the ways in which these are based on taken-for-granted norms of (hetero)sexuality and highlighting the differently enabled gendered sexual subjectivities they (re)produce. Although there are nine sexual dysfunctions identified in the DSM-IV-TR, all of which I briefly outline in Chapter Four, I restrict my focus in the analytical chapters to the conceptualisation and treatment of vaginismus, orgasm difficulties in women, discrepancies in desire and, relatedly, the gendering of desire through powerful sociocultural discourses and representations. I pay particular attention to the implications of these for heterosexual women’s sexuality. I also explore some of the generic concepts that dominate the construction of therapy at a broader level than that of sex therapy alone, arguing that while these offer some useful ways of framing therapy they also constrain therapy practice in important ways. Through a critical review of the sex therapy literature and accounts of practice from those interviewed, I contend that contemporary sex therapy tends to reify dominant cultural and sexological norms rather than challenge them. My analyses show that the dominant discourses informing constructions of sex therapy and heterosexual sexual relations produce particular types of sex as normal whilst marginalizing sexual acts or practices that fall outside of such restrictive parameters. In particular, I argue that the genital-coital-orgasm construct that is hegemonic within sex therapy restricts possibilities for alternative erotic pleasures and possibilities amongst heterosexuals whilst contributing to the invisibilization of sexual identities other than heterosexual. Accounts of sex therapy practice that were able to contest such framings are also highlighted. Because these came from sex therapists drawing on radical feminist or feminist poststructuralist discourses, I suggest that these discourses offer important possibilities for a deconstructive (sex) therapy practice that is able to challenge an often inequitable sexual status quo. Attention is also drawn to the significant constraints which act to restrict clients’ choices and possibilities for sex therapists to practise in more critically questioning ways. I conclude this thesis with an ‘invitation to reflection’ where I briefly discuss some deconstructive approaches that I have found useful for developing ongoing reflexive analysis of my own taken-for-granted assumptions in the area of sexuality, and for aiding my thinking about therapeutic practices that support my political and theoretical commitments and that attend to some of the issues outlined in this thesis. / Whole document restricted, but available by request, use the feedback form to request access.

In this thesis I explore the social construction of sexuality and sexual dysfunction. Interviews were undertaken with 20 sex therapists practising in Aotearoa/New Zealand in order to elicit accounts of contemporary sex therapy practice in the local context. Using a feminist poststructuralist lens, I explicate and critically examine the dominant discourses informing the construction of sex therapy, and heterosexual sexual relations, and what these discourses enable and constrain. I draw attention to some of the assumptions embedded in the construction of the sexual dysfunctions in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR, APA, 2000), and in accounts of sex therapy practice, examining the ways in which these are based on taken-for-granted norms of (hetero)sexuality and highlighting the differently enabled gendered sexual subjectivities they (re)produce. Although there are nine sexual dysfunctions identified in the DSM-IV-TR, all of which I briefly outline in Chapter Four, I restrict my focus in the analytical chapters to the conceptualisation and treatment of vaginismus, orgasm difficulties in women, discrepancies in desire and, relatedly, the gendering of desire through powerful sociocultural discourses and representations. I pay particular attention to the implications of these for heterosexual women’s sexuality. I also explore some of the generic concepts that dominate the construction of therapy at a broader level than that of sex therapy alone, arguing that while these offer some useful ways of framing therapy they also constrain therapy practice in important ways. Through a critical review of the sex therapy literature and accounts of practice from those interviewed, I contend that contemporary sex therapy tends to reify dominant cultural and sexological norms rather than challenge them. My analyses show that the dominant discourses informing constructions of sex therapy and heterosexual sexual relations produce particular types of sex as normal whilst marginalizing sexual acts or practices that fall outside of such restrictive parameters. In particular, I argue that the genital-coital-orgasm construct that is hegemonic within sex therapy restricts possibilities for alternative erotic pleasures and possibilities amongst heterosexuals whilst contributing to the invisibilization of sexual identities other than heterosexual. Accounts of sex therapy practice that were able to contest such framings are also highlighted. Because these came from sex therapists drawing on radical feminist or feminist poststructuralist discourses, I suggest that these discourses offer important possibilities for a deconstructive (sex) therapy practice that is able to challenge an often inequitable sexual status quo. Attention is also drawn to the significant constraints which act to restrict clients’ choices and possibilities for sex therapists to practise in more critically questioning ways. I conclude this thesis with an ‘invitation to reflection’ where I briefly discuss some deconstructive approaches that I have found useful for developing ongoing reflexive analysis of my own taken-for-granted assumptions in the area of sexuality, and for aiding my thinking about therapeutic practices that support my political and theoretical commitments and that attend to some of the issues outlined in this thesis. / Whole document restricted, but available by request, use the feedback form to request access.