M.A. (Social Work) / Please refer to full text to view abstract

M.A. / A sample population of nine men arrested in Johannesburg, for killing their female partners (former spouse or girlfriend) is analyzed in the context of their killings. The analysis approaches homicide as a Public Health problem and a preventable phenomenon. The analysis proceeds from Public Health and Bulhanian theoretical perspectives. These theories emphasize the relationship and interplay between the social, political, psychological and economic environments and the overall effect they have on individual processes. By contextualising the homicide event into pre-event, event and post-event categories, the study is able to identify risk factors which played a role in the homicide act. The tool of analysis employed in the service of this study is called the Haddon Matrix and is widely used in the Public Health domain as a means of identifying and considering, section by section, the risk factors associated with the injury, the relevant research and other knowledge available and what is needed for the future and the priorities for countermeasures. Analysis includes demographic and social characteristics of the perpetrator and the incident. The results indicate problems in education, communication and the concept of the nuclear family. In the Public Health-Bulhanian sense, the results indicate that the homicide incident originates and occurs within the context of the prevailing conditions of social structural constraint, in the experienced psychological strain of individuals and in the prevailing threshold of social tolerance. The lack of basic human needs, such as professional help, for example, is an indication of the impact that the cumulative effect of social structural constraint has on the family's health. The study also found that individuals experience trauma and pain in a context where objective social conditions affect the rights and privileges of individuals and there is a strain being created on the subjective world of perception, feeling and meaning. It is this wealth of information on the trauma points which presents opportunities for prevention. Among the proposed areas for interventions are: Change individual knowledge, skills or attitudes, such as conflict resolution education, for example. Change social environments, such as better housing, economic incentives for family stability and counselling centres. Change physical environments and agents of violence, such as the availability of dangerous weapons and the increased policing of high risk areas, for example. In conclusion, the study aspires to enrich existing debate in the area of homicide as a Public Health issue.

D.Litt et Phil. / The study explored strategies abused women use to overcome power and control in their intimate relationships, using their own self-agency. Data was collected through the technique of triangulation in which three women who were legally divorced, wrote their own stories, after which each was individually interviewed by the researcher to get information about the process of leaving and staying away from their abusive relationships, and clearing up and moving on with their lives. Grounded theory was used to analyse the stories, the individual interviews, and the focused group discussion to generate information about the process of leaving abusive relationships on a more abstract level. The study is based on the epistemological underpinnings of post-modernism and feminism. The categories of open coding were generated from the research process and the data: These are abuse, emotional absence, dependence, resistance, use of absolutes, expectations, idealism, independence, decision-making, empowerment, recovery, innate strength and resources, self-esteem, culture and religion, introspection, verbal conceptualisation, hope, spirituality, and absence of social justice. Participants used a broad range of empowerment strategies in the process of leaving their abusive marital relationships and showed that leaving an abusive relationship is a recursive process of leaving and returning, for which women cannot be blamed. They had to make a paradigm shift to establish a basis for leaving, use their internal and external resources to make it on their own, and utilise aspects of psychological, social, racial/cultural, and religious forms of empowerment to advocate on their own behalf. The process of decision-making enabled them to gradually reclaim control over their lives. The empowerment of abused women was not necessarily equivalent to their full recovery from abuse, even though this was a pivotal point in the recovery process that began long before the women left their relationships. The results show that those women who had innate strength and were able to use it to access community resources, were more likely to leave abusive relationships. The women who participated in this study managed to leave their abusive marriages, despite having their lives threatened; each of them grew and developed personally and transformed their lives. Each has realised that there is life after abuse.

M.Cur. / The primigravida's experience of childbirth is influenced by the knowledge and expectations she has of childbirth. Her expectations of childbirth are based on the information she got from the antenatal clinic, the nursing staff, her mother, friends and family. The purpose of this research was to determine the knowledge and expectations the primigravida has of childbirth. An exploratory, descriptive design was used within the context of an academic hospital in Johannesburg. The survey method was used. The method of research firstly consisted of a literature study of the primigravida's knowledge and expectations of childbirth. This was done in order to put the problem in perspective and also to serve as a theoretical framework for the study. Secondly, a structured questionnaire was used to make a survey of the primigravida's knowledge and expectations of childbirth. The test sample comprised all white primigravidas between the ages of 15 and 39 years with a pregnancy duration of 37 weeks and more who visited the antenatal clinic of an academic hospital in Johannesburg. Over a period of 11 weeks, from 15 october to 30 December 1989, 29 primigravidas participated in this research project. The questionnaires were completed with their visit to the antenatal clinic and then returned to the clinic staff. Descriptive statistics and frequency tables were used to interpret the results of the research. From this research it is clear that the respondents had insufficient knowledge of childbirth and the handling of pain during childbirth. This insufficient knowledge can mainly be attributed to the poor attendance of antenatal . preparation classes, inadequate professional counselling and the mother of the primigravida as the primary source of information on childbirth. The respondents, however, had realistic expectations· with regard to their handling of labour, as well as of the role of the midwife and the doctor.

M.Sc. (Research Psychology) / Mental health is known to be adversely affected by gender inequality and poverty. The World Health Organization (WHO) reported that psychological disorders affect half the global population (WHO, 2010) and South African estimates posited that 16.5% of the population presented with common mental disorders in 2007 (Williams et al., 2008). Depression and anxiety disorders in women, specifically, are posing a major public health concern in developing countries due to inadequate treatment (Aidoo & Harpham, 2001). Protective factors, namely intrapersonal, interpersonal, community and cultural factors, were identified by Ungar (2008) as a mechanism that promotes resilience and alleviates the effects of adversity. In order to develop knowledge geared toward intervention strategies to promote mental health in socio-economically disadvantaged women in urban communities, this study employed an explanatory mixed methods research design (which included both quantitative surveys and qualitative interviews) to establish an incidence of depressive symptoms, and levels of ego-resilience, among women in Doornkop, Soweto. This was done in order to explore, first, the relationships between selected socio-demographic variables and depression and ego-resilience, and second, to investigate if there was a relationship between depression and ego-resilience. Finally, the study aimed to gain an understanding of how women perceived the role of protective resources in their lives which might promote positive mental health outcomes. The statistical component of the study found a weak negative correlation between the two constructs of depression and ego-resilience. Symptoms of depression appeared to be related by exposure to a high number of difficult life experiences, and particularly in instances of having been a victim of crime or violence. While ego-resilience seemed to be related to increased participation in community groups, it also correlated with adversity, namely, unemployment. This led the researcher to the conclusion that for this sample, depression and ego-resilience were independent constructs, and although they were divergent concepts, both were shaped by exposure to adversity. The interview data further explored exogenous sources of resilience as set out by Ungar (2008). These findings highlighted the importance of interpersonal relations on feelings of well-being. While the protective factors varied in the sources from which they arose (from children, romantic partners, parents, peers and community groups to music and television, and faith in God), they all provided a sense of purpose, belonging and self -worth, which enabled positive feelings. The main recommendation that arose from the research was the need for community education about mental illness, the services available to communities, and the importance of developing and maintaining family and community systems of support. These measures may go some way toward enhancing resilience in women and reducing vulnerability to mental disorders arising from experiences of adversity. Furthermore, a focus on community-based interventions, such as education and life skills, is vital in shifting the focus of interventions from mental illness to the promotion of mental health. Ongoing research is fundamental to developing our existing knowledge of both psychopathology and the promotion of mental well-being in women in socio-economically deprived communities. Research, in light of the challenges facing community mental health services in poor areas, could include foci on the beliefs of professionals including the knowledge and skills required to deliver effective mental health services. Knowledge of this nature should serve to enhance our understanding of the complexities of mental health and inform the development of innovative and appropriate treatment modalities that are oriented to the particular needs of women in resource-poor communities.

The main purpose of this qualitative research study was to investigate strategies to improve the representation of black females in senior levels within the South African banking industry. This was done through investigating the challenges that black women face in their career advancement within the banking industry and the strategies which currently exist and can be implemented to improve this representation. In as much as the research is aimed at seeking strategies to improve black women representation in senior positions, it also seeks to understand the barriers experienced by black women in different levels within the industry as these levels serve as a pipeline for senior management. This problem was addressed through answering the research objectives. The research objectives were achieved through conducting a literature review to explore the existing research topic and conducting an empirical study. Empirical evidence was obtained through conducting semi-structured interviews with seven black women who are currently working in the banking sector. Semi-structured interviews were used due to the target population being specific to black women as well as the need to acquire in-depth knowledge from black women of their experiences in climbing the corporate ladder in the sector. The key findings of the research found that the participant’s perception was that black women were at the bottom, that black women were displaying behaviours that were inhibiting their progress to senior positions. The study also found that black women struggled to advance to senior positions due to different challenges that they encountered. The study is finalised by the participants providing recommendations in terms of how the representation of black women could be improved.

PhD (Sociology) / Department of Social Work

MPH / Department of Public Health

Dissertation submitted in partial compliance with the requirements for the Masters Degree in Technology: Fine Art in the Department of Fine Art, Durban Institute of Technology, 2006. / This study will investigate and critically evaluate the reconstitution of African women’s spiritualities in the context of the Amazwi Abesifazane project. This project forms part of the endeavours of Create Africa South, a Non Governmental Organisation situated in Durban, KwaZulu-Natal, which was initiated by the artist Andries Botha. It encourages women, post trauma, to ‘re-member’ themselves by creating memory cloths of embroidery and appliqué reflecting on their experiences in pre- and post-apartheid South Africa. This interdisciplinary study theorises that it is an archive that speaks about African women resisting destructive forces and reconstituting their spiritualities through the therapeutic effects of creativity. The study will not include research into the many other activities undertaken by Create Africa South. Rupture is implied in the use of the word ‘reconstitution’. Reconstitution encompasses the act of constituting again the character of the body, mind and spirit as regards health, strength and well-being of the women (McIntosh, 1970:261). In this study, spirituality is defined as the way in which the women in the Amazwi Abesifazane project reflect upon and live out their belief in God. The power of storytelling is examined from the perspectives of narratology, narrative therapy, sewing and orality/literary studies as resources for the women’s reclamation of their lives. Defining feminisms in South Africa is problematised by issues of race, class and culture. In a context of poverty, everyday survivalist strategies are the diverse forms of resistance seen in the Amazwi Abesifazane project. The women’s stories, cloths and interviews are triangulated as primary data. They are examples of the rich art of resistance against despair and are located in a paradigm of hope. In conclusion, I strongly call for government support in declaring the project a national archive. The multidimensional mediums of the Amazwi Abesifazane/ UbuMama projects nurture the women’s creativity and revitalise their spiritualities towards personal and national transformation.

Thesis (PhD)--Stellenbosch University, 2014. / ENGLISH ABSTRACT: A review of the past decade of literature on the subject of depression in South African women revealed a paucity of research that documents the perspectives of low-income women who have been diagnosed with depression. Informed by this and recent feminist critiques of the concept of depression, this study aimed to bring traditionally overlooked perspectives to the fore by providing rich descriptions of the subjectively lived experience of depression, as recounted by low-income women themselves. This feminist phenomenological study took place in a poor, rural community in the Western Cape Province of South Africa. Semi-structured in-depth interviews were conducted with ten low-income women who had been diagnosed with depression. The transcribed interviews were analysed using Interpretative Phenomenological Analysis. A number of important findings emerged. Firstly, participants were seen to express somatic complaints ahead of (and more frequently than) disclosures of sadness. Secondly, participants often described experiencing their psychological distress as anger, anxiety and a changed sense of self. Thirdly, participants generally attributed these experiences (and their overall distress) to a history of childhood trauma, the loss of important relationships, being physically, sexually or emotionally abused, feeling under supported and overburdened by multiple responsibilities, living in dangerous communities, and/or the various consequences of poverty. Finally, it was observed that while symptoms of suicidal ideation and intent were present in many of the women interviewed, strong religious and cultural norms existed and generally functioned to silence and deny the subject. Overall, the women’s subjective experiences, understandings and descriptions of depression allowed a more complex picture to emerge than that which is currently offered by mainstream biomedical models. Consequentially, the current conceptualisation of the term “depression” was deemed to be inadequate, specifically because it does not fully capture low-income women’s experiences of distress, and also because it tends to obscure the possible impact of socio-economic and political contexts on their mental health. Implications of these findings include firstly, that not only does the diagnosis of depression serve to medicalise women’s misery, but it may simultaneously serve to obscure their feelings of anger, anxiety, sadness, hopelessness and other symptoms of distress that are intrinsically linked to their disadvantageous social and living conditions. Secondly, the findings indicate that the use of traditional diagnostic and suicide assessment interviews may be unhelpful or even irresponsible in some South African contexts. Finally, many of the study findings warrant further investigation and psychological research. Recommendations to this end are thus included and stress the need to use theoretical perspectives and research methodologies that are sensitive to the multilayered, complex psychological experiences of depression in low-income women. / AFRIKAANSE OPSOMMING: ’n Oorsig van die afgelope dekade se literatuur oor depressie by Suid-Afrikaanse vroue dui op ’n gebrek aan navorsing oor die perspektiewe van vroue uit lae-inkomstegroepe wat met dié toestand gediagnoseer word. Na aanleiding hiervan sowel as onlangse feministiese kritiek op die konsep van depressie, was hierdie studie dus daarop toegespits om tradisioneel miskende perspektiewe na vore te bring deur middel van ’n ryke beskrywing van die subjektiewe ervaring van die lewe met depressie soos vroue uit lae-inkomstegroepe self daarvan vertel. Hierdie feministiese fenomenologiese studie is in ’n arm, landelike gemeenskap in die provinsie Wes-Kaap, Suid-Afrika, onderneem. Semigestruktureerde diepte-onderhoude is gevoer met tien vroue in die laeinkomstekategorie wat met depressie gediagnoseer is. Die getranskribeerde onderhoude is op vertolkende fenomenologiese wyse ontleed. ’n Aantal belangrike bevindinge is gemaak. Eerstens het die meeste deelnemers somatiese klagtes gehad voordat (en meer dikwels as wat) hulle oor hul neerslagtigheid en terneergedruktheid gepraat het. Tweedens het heelwat deelnemers hul sielkundige nood as woede, angs en ’n gewysigde selfbeskouing beskryf. Derdens het die vroue merendeels hul ervarings (en hul algehele nood) aan ’n geskiedenis van kindertrauma, die verlies van belangrike verhoudings, fisiese, seksuele of emosionele mishandeling, ’n gebrek aan ondersteuning tesame met ’n oormaat verantwoordelikhede, hul gevaarlike woonbuurte en/of die verskillende gevolge van armoede toegeskryf. Laastens is waargeneem dat hoewel die ideasie en voorneme van selfdood wél as simptome by baie van die respondente opgemerk is, daar terselfdertyd sterk godsdienstige en kulturele norme bestaan waarvolgens dié onderwerp oor die algemeen doodgeswyg en ontken word. In die geheel skets die vroue se subjektiewe ervarings, begrippe en beskrywings van depressie ’n meer komplekse prentjie as wat hoofstroom- biomediese modelle tot dusver gebied het. Dus blyk die huidige konseptualisering van die term ‘depressie’ onvoldoende te wees, veral omdat dit nie die ervarings en nood van vroue uit lae-inkomstegroepe ten volle vasvang nie, en ook geneig is om die moontlike impak van sosio-ekonomiese en politieke kontekste op dié vroue se geestesgesondheid te misken. Die implikasies van hierdie bevindinge sluit eerstens in dat die diagnose van depressie nie net hierdie vroue se nood ‘medikaliseer’ nie, maar terselfdertyd dalk ook hul gevoelens van woede, angs, hartseer, hopeloosheid en ander simptome van nood wat ten nouste met hul minderbevoorregte maatskaplike en lewensomstandighede verband hou, verberg. Tweedens dui die bevindinge daarop dat die gebruik van tradisionele diagnostiese en selfdoodevalueringsonderhoude in sekere Suid-Afrikaanse kontekste nutteloos en selfs onverantwoordelik kan wees. Laastens regverdig baie van die studie se bevindinge verdere ondersoek en sielkundige navorsing. Aanbevelings in hierdie verband word dus ingesluit, en beklemtoon onder meer die behoefte aan teoretiese perspektiewe en navorsingsmetodologieë wat gevoelig is vir die meervlakkige, komplekse sielkundige ervarings van depressie by vroue uit laeinkomstegroepe.