The practise of male traditional circumcision is severely challenged with enormous problems ranging from hospitalisation of the initiates as well as deaths of the initiates. The background of the problem is focused in the Eastern Cape Province where the researcher has noted several initiates being treated in hospitals for physical and as well for psychological problems. The objective of this study was to explore and describe newly initiated Xhosa men's experiences of traditional circumcision rites at East London in the Eastern Cape Province and to describe the guidelines for support of these newly initiated Xhosa men by public health professionals. A qualitative explorative, descriptive contextual and phenomenological design was followed. Purposive sampling technique was used to select the participants. Fourteen participants volunteered to participate in the study after they met the eligible criteria. Focused group interviews were used as a method for data collection. Data analysis of the study showed that there are several factors affecting newly initiated men whilst undergoing circumcision rites. These factors can present at any of the three circumcision stages i.e. pre-circumcision, peri-circumcision and post-circumcision. The recommendations of the study strongly suggest a cultural competence in rendering effective health care services to culturally and ethnically diverse clients. All the five constructs of cultural competence are entailed in the support guidelines that have been developed by the researcher. They are cultural awareness, cultural knowledge, cultural skill, cultural encounter and cultural desire. Finally limitation of the study and the need for a further research has been clearly stated. / Health Studies / M.A.

This thesis examines the discourse strategies used to construct initiation schools in online media and message boards. The focus is on understanding the tensions that come with enacting traditional practices in the face of modernity and its associated cultural expectations. The thesis describes the manner in which these tensions are constructed in text by the media in news reports and participants in discussion forums. While there is still debate around whether the internet will revolutionise public participation and create a digital utopia; the internet is acknowledged as one of the widest reaching sources of information and entertainment. Specifically, the internet provides a platform to challenge the traditionally top-down communication between the elite, who have privileged access to the media, and the general public, who were previously constructed as passive recipients of information. Using the male circumcision initiation rite, this thesis examines how the South African public discursively constructs the epistemic location of African traditions in South Africa. The study drew on a sample of news articles from the News24 site, the largest news site in South Africa, ranging from January 2008 to December 2013. A corpus of 62 articles were analysed using the Critical Discourse Analysis technique described by Teun van Dijk. The findings of the thesis were that the initiation rite is used as a rhetorical tool to argue for the abandonment of African cultural practices in favour of modern, Western influenced beliefs and values. The findings also indicate that the initiation rite is reduced to the act of circumcision in the media by focusing on the injury and deaths of the initiates and excluding the meaning of the rite as a meaningful cultural practice. The conclusion of the thesis challenges the epistemicide committed against the male circumcision initiation rite from within the Decolonial school of thought, which critically examines everyday interaction for universalising, normative language that aims to commit cultural epistemicide to reinforce the white, male, European, Christian traditions of masculinity. / Psychology / D. Litt. et Phil. (Psychology)

The practise of male traditional circumcision is severely challenged with enormous problems ranging from hospitalisation of the initiates as well as deaths of the initiates. The background of the problem is focused in the Eastern Cape Province where the researcher has noted several initiates being treated in hospitals for physical and as well for psychological problems. The objective of this study was to explore and describe newly initiated Xhosa men's experiences of traditional circumcision rites at East London in the Eastern Cape Province and to describe the guidelines for support of these newly initiated Xhosa men by public health professionals. A qualitative explorative, descriptive contextual and phenomenological design was followed. Purposive sampling technique was used to select the participants. Fourteen participants volunteered to participate in the study after they met the eligible criteria. Focused group interviews were used as a method for data collection. Data analysis of the study showed that there are several factors affecting newly initiated men whilst undergoing circumcision rites. These factors can present at any of the three circumcision stages i.e. pre-circumcision, peri-circumcision and post-circumcision. The recommendations of the study strongly suggest a cultural competence in rendering effective health care services to culturally and ethnically diverse clients. All the five constructs of cultural competence are entailed in the support guidelines that have been developed by the researcher. They are cultural awareness, cultural knowledge, cultural skill, cultural encounter and cultural desire. Finally limitation of the study and the need for a further research has been clearly stated. / Health Studies / M.A.

This thesis examines the discourse strategies used to construct initiation schools in online media and message boards. The focus is on understanding the tensions that come with enacting traditional practices in the face of modernity and its associated cultural expectations. The thesis describes the manner in which these tensions are constructed in text by the media in news reports and participants in discussion forums. While there is still debate around whether the internet will revolutionise public participation and create a digital utopia; the internet is acknowledged as one of the widest reaching sources of information and entertainment. Specifically, the internet provides a platform to challenge the traditionally top-down communication between the elite, who have privileged access to the media, and the general public, who were previously constructed as passive recipients of information. Using the male circumcision initiation rite, this thesis examines how the South African public discursively constructs the epistemic location of African traditions in South Africa. The study drew on a sample of news articles from the News24 site, the largest news site in South Africa, ranging from January 2008 to December 2013. A corpus of 62 articles were analysed using the Critical Discourse Analysis technique described by Teun van Dijk. The findings of the thesis were that the initiation rite is used as a rhetorical tool to argue for the abandonment of African cultural practices in favour of modern, Western influenced beliefs and values. The findings also indicate that the initiation rite is reduced to the act of circumcision in the media by focusing on the injury and deaths of the initiates and excluding the meaning of the rite as a meaningful cultural practice. The conclusion of the thesis challenges the epistemicide committed against the male circumcision initiation rite from within the Decolonial school of thought, which critically examines everyday interaction for universalising, normative language that aims to commit cultural epistemicide to reinforce the white, male, European, Christian traditions of masculinity. / Psychology / D. Litt. et Phil. (Psychology)