Thesis(M Med.(Family Medicine))--University of Limpopo, 2009. / Aim: The aim of this research was to explore the experiences of female rape survivors seen at Bopanang Centre in Upington, Northern Cape Province. The objectives of the study were: 1 To describe the experiences of female rape survivors who received health care at Bopanang Centre Upington, Northern Cape. 2 To enable caregivers understand the experiences of women who survived rape. Design: The design was a descriptive exploratory qualitative study using in depth interviews on females who survived rape. The interviews were conducted in both English and Afrikaans and recorded on audio tapes while field notes and a research diary were documented by the researcher. Setting: The setting was Bopanang Centre in Upington town in the Northern Cape. Study population: The study population was all female rape survivors seen at Bopanang Centre, Upington in the Northern Cape Province. The sample size of women interviewed was 10 participants. Results: Most female rape survivors recall exceptionally well the events leading to the rape. All the survivors experienced various post rape distressful feelings ranging from anger, bitterness, humiliation, sadness, and confusion, self-blame and guilt, lack of trust and fear of men to the most extreme feelings such as crushed dignity and dead inside even considering committing suicide. Variable and inconsistent care of services had been offered to them, without fully considering their specific needs and experiences of females who had survived rape. Victimization and stigma were barriers for disclosure and reporting of the rape. Excessive alcohol use and abuse of sleeping pills had been reported by some of the survivors as a means to alleviate the post rape distress. From the study disclosure was the most important factor in determining how one was able to cope with distress following the rape. All those survivors who had good family support could cope reasonably well to deal with post rape distress. Conclusion: The study concludes that the experiences of female rape survivors seenat Bopanang Centre in Upington Northern Cape have not been adequately addressed by health care providers and stakeholders, health care and post rape services offered to them. Female rape survivors having a good family support cope reasonably well despite the distressful post rape feelings experiences they experience on a daily basis.

A thesis submitted to the Faculty of Arts in fulfilment of the requirements for the degree of Doctor in Community Psychology in the Department of Psychology at the University Of Zululand, South Africa, 2015 / The incidence of rape in South Africa is high. A total of 50 481 rape cases were reported in 2010. Rape trauma is exacerbated by the fact that the country has a limited number of professionally trained therapists to attend to survivors. Most survivors end up looking for assistance from their churches, and therefore claim to be healed spiritually. This study was conducted in the Nkangala district of South Africa because of the high incidence of reported rape cases. While it is estimated that one woman is raped in every five minutes in this district, there are only three psychologists employed by the government to attend to a population of 1 020 592. As a result of the scarcity of health care professionals, survivors end up looking for assistance from their churches. South Africa is a country in which spirituality is clearly important. Seventy five percent of the population claim to be Christian and twenty percent claim allegiance to other religions In-depth interviews were conducted with eight female rape survivors between the ages of 18 and 40yrs, who considered themselves to have experienced spiritual healing. Content analysis indicated that spiritual healing approximated psychotherapeutic interventions in the provision of unconditional positive regard, empathy, congregational support and respect. Survivors strongly believed that their healing occurred as a result of prayer, reading Holy Scriptures, church support and spiritual guidance, which gave them strength to forgive perpetrators and move on with their lives. / Department of Health Mpumalanga Province

In the United States, Black women are more likely to be sexually victimized than any other ethnic group. Despite the higher rates among Black women, there is little research that provides therapists with approaches and techniques that are culturally specific to Black women. Instead, most literature has focused on women as a whole, rather than examining the different cultural values and forms of support that are needed for recovery in different ethnic groups. Therefore, this report will provide therapists with a sociocultural lens to increase awareness of the Black woman's identity, while suggesting a Womanist theoretical approach to group psychotherapy as an ideal method of treatment. / text

Internationally, there have been few studies examining the attitudes of people who have been raped towards police (Jordan, 2001a; Lievore, 2005; Temkin, 1997, 1999). Little research in Australia (particularly South Australia) has examined the experiences of victims/survivors of rape with police. Existing data do show that women who have been raped rarely report assaults to police. This has been attributed by researchers to a range of reasons, both personal and systemic, including the influence of stereotypes and myths about rape on victims’/survivors’ decision-making. Rape myths often reflect community attitudes, social norms and police responses. For example, victims/survivors may blame themselves and also expect police will blame or disbelieve them. Such expectations (or subsequent experiences) of negative police responses undermine victims’/survivors’ faith in police. However, this is not the whole story. In reality, police responses to rape are complex and inconsistent, influenced by both individual and organisational factors. I initiated this study to explore victims’/survivors’ expectations of, and experiences with, police in a transparent and accessible forum. Based on semi-structured, in-depth interviews with 11 women who had been raped in South Australia, my findings illustrated the diversity of South Australia Police responses to victims/survivors of rape and suggested that South Australia Police practices were similar to those of other Australian and English-speaking jurisdictions. Overall, interactions with South Australia Police ‘simultaneously provide grounds for hope and are disappointing (Lievore, 2005: 59; emphasis added). In many cases police responses were disappointing, through service provision that was partly or wholly negative. Specific individual and organisational factors were associated with satisfactory or unsatisfactory police practices. Poor service provision was evident in individual police officers’ apathy and dismissive or disbelieving responses, and through low prioritisation and limited resourcing of sexual violence at an organisation level. However, my findings indicated that there was also much to be hopeful about when considering South Australia Police responses to rape. The participants in my study often reported exemplary service from individual officers. At the reporting and investigation stages, good practices were based on ‘procedural justice’ rather than ‘outcome justice’: characterised by strong communication, empathy and professionalism at an individual level and consistency at an organisational level.

Aim and objectives. Although many international sources in literature describe the treatment regimes for the management of adult female rape survivors, very few actually evaluate if the care that is implemented, are beneficial and supportive towards an optimal level of health. The researcher initiated this study to specifically determine what the experiences of adult female rape survivors were with regards to the management they received from health care workers in the emergency care environment. This information that was gathered was then incorporated into the writing of recommendations for health care services towards the improvement of patient-centred care. Method. A qualitative phenomenological methodology guided the research process in which ten semi-structured voluntary interviews was held with adult female rape survivors. This study was conducted in a private hospital in Gauteng, South Africa, which is at the top of the international statistics list for the incidence of rape. Findings. Patient management with regards to accessibility to health care services, the forensic examination and the use of medications proved to be a major concern. Participants in this study emphasized the value and importance of the physical presence of family members or significant others. A positive attitude from these support-givers improved the patient’s psychological state, memory and co-operation. Prolonged waiting times in all areas of management contributed to an increased level of anxiety, where as the prompt and competent interventions by empathetic multi-disciplinary team members had improved patient satisfaction. Various patient responses after the rape incident warranted that minimal, but yet effective and professional health care workers be involved in rape survivor management. Confidentiality and honest, effective communication that is based on patient preference, should guide all interventions. Conclusion. The medical management of adult female rape survivors in this hospital compared favorably to international standards, however, the need to improve the level of specific patient-centred care exists in order to ultimately facilitate a better quality of service provision. Copyright / Dissertation (MCur)--University of Pretoria, 2009. / Nursing Science / unrestricted