Thesis (MA (Psychology))--Stellenbosch University, 2008. / Recent research in the field of HIV/AIDS prevention suggests that for more effective interventions to be developed, it is necessary to understand, consider, and address the social context in which high risk sexual behaviours occur, and particularly to understand how issues of gender are implicated in the perpetuation of these behaviours. Based on the broad theoretical premise that social discourses play an integral role in the production and maintenance of gender and sexual identity, and in line with research suggesting that more attention needs to be paid to the role that men and masculinity play in HIV transmission through sex, this pilot study employed a social constructionist framework to explore constructions of masculine sexuality, high risk sexual behaviours, HIV/AIDS and the relationships between these, amongst a small sample of 10 young adult Xhosa speaking males that reside in or around Cape Town in the Western Cape, South Africa. The findings of this study indicate that the participants generally construct their gender and sexual identities in ways that are highly consistent with social discourses that construct men as dominant over women. There was also strong evidence that, for the participants, their sexual identity represented a primary source of their identity as men. This sexual identity appeared in itself to be constructed primarily along patriarchal lines, and maintained by pervasive reference to what is normative for men within their social contexts, thereby setting up a self perpetuating loop. The data revealed a number of dimensions to this sexual identity, such as the role that sexual success and prowess plays in maintaining and enhancing a sense of self and public esteem, that provided participants with logical motivations for engaging in high risk sexual behaviours (although participants did not necessarily construct them as such) such as having multiple sexual partners, casual sex, non-use of condoms and, importantly, sexual coercion: 70% of the participants indicated that they either do not use condoms consistently or don’t use them at all while 80% reported having sexually coerced at least one partner. There is strong evidence to support the suggestion that the content of the participants’ masculine sexual identity is inextricably linked both to the social gender discourses present in the social context, and their sexual behaviour. There was also evidence to suggest that this link represents a psychological motivation for behaviour that is often more powerful than the participants’ cognitive awareness of the risk of contracting HIV and their own personal morality put together.

Thesis (MA (Psychology))--University of Stellenbosch, 2007. / South Africa has been a democratic country for more than ten years, and still transformation is not visible in many areas. Psychological services are inaccessible and unaffordable for the larger part of South-Africans. The B.Psych degree was specifically implemented to address this problem. The course aims to give graduates access to registration as counsellors at the HPCSA in order to bring psychological services to people more easily. This study thus explores the employment patterns of registered counsellors in South Africa. These counsellors have been trained to deliver services within the primary health care sector because most people use services within this sector. Only eight percent of registered counsellors in South Africa are working within this sector. Most registered counsellors are working in the education sector or the private sector. Counsellors that are working in the education sector are primarily delivering educational services and not psychological services. Counsellors that are working in the private sector are contributing to making services inaccessible and unaffordable to many people. The absence of workers in the primary healthcare sector is mainly because there is little employment for registered counsellors within this sector. The findings of this study are in accordance with the findings of Kotze (2005) that accessibility to psychological services did not significantly change with the implementation of the B.Psych course.

Thesis (MA (Psychology))--University of Stellenbosch, 2007. / The main objective of this study was to investigate interpreting practices within the psychiatric hospital San Marco1, in the Western Cape. More specifically, the aim was to determine what factors might lead to the obstruction of accuracy by asking employees that act as official and unofficial interpreters to report on certain issues relating to interpreting practices. The second objective of the study was to gain some understanding of what interpreters experience when doing interpreting especially since unofficial interpreters (nurses, cleaners and administrative staff) are often used to act as interpreters within South Africa’s public health services and this may not only have implications for accuracy but also for interpreters’ own mental health. A cross-sectional qualitative interview design was used. The research participants consisted of eight employees of San Marco, (including two administrative clerks/ interpreters, two bilingual security guards, and four bilingual nurses), and two bilingual psychiatrists, who, though not being employees of San Marco, yet have experience in interpreting while working as psychiatrists within psychiatric institutions in South Africa. Participants were asked to respond to semi-structured questions. In addition, participants took part in a structured task in which they were asked to translate and back-translate commonly-used diagnostic questions. Content analysis was used to analyse data collected from semi-structured interviews and participants’ translations and back-translations were checked for inaccuracies. The analysis of interviews revealed the following information: • not all of the participants who act as interpreters are in fact functionally bilingual in the context with which they work • none of the interpreters are trained in interpreting; and • a clear distinction could be drawn between interpreters who have training in mental health compared to those who lack training in mental health or psychiatry. Furthermore participants’ translations of the nine questions were approximately right. Participants’ translations conveyed more or less the same messages as what was intended with the original English questions. In fact the translations were fairly accurate for untrained interpreters. However, participants were not always specific as to what they were asking about. Interpreters need to translate questions in such a way that it is diagnostically specific in order for the clinician to make an accurate diagnosis. It is crucial that patients have a clear understanding about what the interpreter are asking them and this was not always evident in participants’ translations. The abovementioned results may for obvious reasons lead to the obstruction of accurate interpretation however it should not be attributed to a lack of competence on the interpreters part but should rather be attributed to challenges in a health system which has inherited a history of discrimination and continues to discriminate against certain patients, even when clinicians and interpreters alike may be doing their best not to discriminate. The problem is structural rather than individual, and needs to be addressed as such, and in the context of competing demands in public health care. Although the interviews did reveal valuable information regarding the obstruction of accuracy it should be kept in mind that an analysis of actual recorded interpreting sessions between the clinician, patient and interpreter is necessary for a more in depth understanding of the obstruction of accuracy as investigated in this study and such a study is currently in the planning phase.

Thesis (MA (Psychology))--University of Stellenbosch, 2005. / Psychology as a human science is rendered desperate by the human vacuum in its own contents. This paper argues that by adopting the methods and techniques of the natural sciences, psychology and psychotherapy not only transform the patient or client into an a-historical and a-social entity, but also propose an utopian view of reality and lose the inherent moral character of the psychotherapeutic endeavour. It seems as if the Post-Modern theoretical and psychotherapeutic alternatives do not offer a solution that solves the above mentioned problems. This paper aims to introduce the work of the French philosopher Emmanuel Levinas, as a stimulus providing a different starting point in the search for solutions to the mentioned problems. Such an approach seeks to understand the radically ethical character of the therapeutic meeting by recognising the fundamental responsibility of the therapist, not to “totalise” (that is to reduce) otherness (the not me) into sameness (the for me) by assigning differences into pre-established characteristics, properties and categories. Only by recognising the otherness of the client in the “face-to-face meeting” and reacting to the call of the other can psychotherapy be ethical and render justice to historical and social situatedness of the other facing us in therapy. Some of the implications that the ethical challenge of Levinas holds for psychology will be explored. This includes the implications for the therapeutic meeting, psychological ethics, and the possibility of a “Levinasanian psychology”.

Thesis (MA (Psychology))--University of Stellenbosch, 2007. / Same-sex sexuality research in the field of psychology has adopted various different perspectives during recent history. Often these perspectives have been limiting in how sexuality is understood, and in answering why different forms of expression manifest. The normative research approach is to comprehend sex and sexuality as a set of physical behaviours that ideally should be regulated through models of rational decision making. Also, much of same-sex research has placed an almost exclusive focus on the behaviours of white, middle-class men. International same-sex sexuality research places heavy emphasis on matters of sexual health, notably that of HIV. Furthermore, the research is strongly influenced by quantitative methods of capturing information. Limited studies have been conducted on African same-sex interactions. The work that has been done is clustered mainly around the field of historical, sociological and anthropological investigations. In South Africa, it is remarked that we have not yet begun to debate the complexities of differing ‘sexual orientations’, both in terms of how it relates to HIV, as well as how sexual orientation is understood amongst the many cultural and ethnic groups in the country. Also, sexuality in all its forms has historically been understood as a private matter, and was also highly regulated by the state apparatus, resulting in the extreme limitation of any kind of public sexual dialogue. Still, even in post-apartheid South Africa, sexuality remains contested. This study attempted to address some of the many issues relating to sexuality research in South Africa and elsewhere. It was decided to collect information on same-sex sexuality by focusing on coloured1 men from a rural district in the Western Cape. This target group was selected due to the immense lack of knowledge in the field of South African psychology regarding the constructions of sexuality of both same-sex practices and coloured men. The objective of the study was to gain an understanding of how sexuality is constructed and experienced in this specific community. This goal was reached by collecting qualitative data from in-depth, unstructured interviews. The qualitative results indicate a highly complex interplay between understandings of gender identity and sexuality. The respondents all identified as ‘gay’ men, connecting this with being feminine and “like a woman.” A strong focus on a specific type of bodily representation was also noted. The sex act was read by me as an act of submission, with respondents placing great emphasis on behaviour, with little or no weight given to the emotional loading of the event. Sex just “happens”, with participants constructing experiences that strongly suggest the importance of them being passive. This in turn lead to me interpreting narratives as suggesting continued exposure to sexual coercion. Meanings around oral and anal sex were also explored. The grounded theory method was used to analyse the qualitative data. The core category identified the need to be like a woman and to demonstrate extreme forms of femininity. I showed that specific communities of practice produce and hold the idea of equating gay with having to be feminine. Further, I argued that the idea of a passive female subjectivity strongly informs the participants’ sexual decision making. I conclude by suggesting that a different way of being feminine is needed in order for these participants’ to expand their sexuality.

Thesis (MA (Psychology))--University of Stellenbosch, 2005. / The purpose of this study was to ascertain whether certain Ron Davis techniques which have been applied by the Davis Dyslexia Correction Center in America the past two decades could in the short term have a significantly positive influence on the reading ability and psychological functioning of children with a reading disorder, especially regarded against the background of escalating concern about the reading ability of South African learners in general and learners with a reading disorder in particular.

Thesis (MA (Psychology))--University of Stellenbosch, 2006. / The primary aim of this study was to identify the characteristics and resources that families possess that enable them to adapt successfully, and as such, be resilient despite the presence of an autistic child in the family. The study was rooted within the contextual framework of the Resilience Model of Adjustment and Adaptation of McCubbin, Thompson and McCubbin (1996). Self-report questionnaires were completed by the parents of 34 families whose children attend either the Alpha School for Autistic Learners, the Vera School for Autistic Learners, or the Special Needs Adapted Programme. The self-report questionnaires were based on the Resilience Model of Adjustment and Adaptation. In addition, families were required to complete a biographical questionnaire and an open-ended question relating to their experience of factors relating to adaptation. The results pointed towards the importance of resilience factors in adaptation. The most significant resilience factors identified in this study include higher socioeconomic status; social support; open and predictable patterns of communication; supportive family environment, including commitment and flexibility; family hardiness; internal and external coping strategies; a positive outlook; and family belief systems. The clinical utility of the study in facilitating adaptation lies in its ability to provide parents with confirmation of the value of their efforts to improve the quality of life of their autistic child, as well as the family, and in providing all those involved in helping the autistic child, albeit parents or professionals, with insight into ways of creating a family environment, which will enhance the well-being of the autistic child, without detriment to the total family system. Family resilience theory provides a relevant framework within which the process of adapting to an autistic child can be considered. By applying these theories to their specific crisis situation, families of autistic children can work towards identifying, as well as implementing those factors which will lead to better adaptation, and thus increased resilience.

Thesis (MA (Psychology))--University of Stellenbosch, 2006. / An immense burden is placed on families caring for a member with a mental disorder as a result of deinstitutionalisation in South Africa. The aim of present study was to identify resilience factors in families living with and caring for a member with a mental disorder. The focus was on families living in an underprivileged, semi-rural area; caring for a patient using the state-sponsored psychiatric services. Using a cross-sectional survey design, interviews were conducted with 34 family representatives. During these interviews, qualitative and quantitative data was gathered by means of a biographical questionnaire, an open-ended question and set of self-report questionnaires. The results yielded from the data analysis are in keeping with findings from international and South African family resilience studies. After content analysis of the qualitative data, three themes related to resilience factors emerged: internal factors within the home, external factors outside of the home and factors related to the member with a mental disorder. The most commonly mentioned resilience factors cited by the family representative were religion and spirituality, characteristics of individual family members (excluding the patient), family characteristics, and social support. Spearman’s correlations and best subsets multiple regression analysis were performed on the data to ascertain which factors are significantly correlated or associated with family adaptation. In both statistical analyses, communication styles of the family unit were the most important. Spearman’s correlations further revealed that in addition to family communication, the ability of the family to work together, and communication between the marital couple had the strongest correlation with adaptation. Passive acceptance of problematic issues in the family has a negative correlation with family adaptation. The two most significant predictor variables of family adaptation are the family’s style of family communication during crises and the family’s use of passive appraisal as a coping style.

Thesis (MA (Psychology))--University of Stellenbosch, 2006. / The study attempted to gain insight into the behavioural response to termination/ graduation of a group of ten female graduates from a community intervention programme. The participants, aged between eleven and fourteen years and predominantly from low socio-economic backgrounds, attended the Usiko Girls Youth Community Programme. The eighteen month programme aimed to facilitate their transition from girlhood to womanhood. To this end, the program was conceptualized as having various components including, but not limited to, Initiation, Life skills training, Cultural activities, Camps, and graduation. After the graduation ceremony, which culminated in the termination of the programme for these participants, they returned to the programme, stating different reasons for doing so. A single group, post-test design, utilizing a structured interview was employed with the main focus being the graduation and termination component, to help understand this phenomenon. Thematic analysis and descriptive statistics were used to analyze the data. Results suggest that the participant’s identification with the programme made it difficult for some to terminate.

Thesis (MA (Psychology))--University of Stellenbosch, 2007. / While children are young, they look to their parents for all their needs; they expect them to have the answers to all their questions. When they enter adolescence they go in search of their own answers. If they do not find guidance at home or with other responsible adults within their community, they may start to look to their peers for advice, information, and direction. “Earlier work on gangs in South Africa has suggested that the effects of poverty and Apartheid’s massive social engineering created social stress to which gangs were a teenage response. The result of this uprooting and neglect is that the solid core of contributing adult members crumbles, and the institutions that provide the foundations of community fall apart. The community safety net is left in tatters. Parents, exhausted by long hours required to make ends meet or demoralized by their inability to cope with the hardships of poverty, may turn to drugs and alcohol. Kids are left on their own in …. adultless communities.” (Sarah Van Gelder as cited in Pinnock, 1997, p.5) To counteract these negative social patterns that prevail in disadvantaged communities, a community based intervention was conceptualised to provide youth at risk with a rites of passage diversion programme. In 2001, a programme called the Community Building Leadership Programme was developed and piloted by USIKO in partnership with the University of Stellenbosch and a peri-urban community in Jamestown, near Stellenbosch. Twenty-one boys (mentees) and thirteen men (mentors) from Jamestown and the surrounding areas were selected to be pioneers in this process. This thesis expounds the experiences and recommendations of the thirteen men who were the entrepreneurs of the first Jamestown USIKO Youth Project.