A Model of Heterosexual Adaptive Relationship Functioning in South Africa: Implications for HIV Prevention Interventions

Abstract

Objectives: Couple-based HIV prevention efforts are an important HIV prevention strategy in South Africa but there is a lack of understanding as to what constitutes healthy relationships in South African sociodisadvantaged communities. Methods: To address this, 8 focus group discussions were conducted with 27 men and 23 Black African women living in a large disadvantaged community in Cape Town, South Africa. Results: A model of adaptive relationship functioning is put forth, which involves four primary relationship components that emerged as central to healthy relationships: active relationship building, emotional support/display, communication, and problem-solving. Conclusions: The results of this study can inform couple-based HIV prevention efforts.     

A Review of Lesbian Depression and Anxiety

SUMMARY

The Surgeon General's first report on mental health identified depression and anxiety as significant mental health issues that disproportionately affect women. Research indicates that lesbians experience depression at rates that parallel those of the general female population, suggesting that depression is an important mental health issue for lesbians. Given the high rate of comorbidity between depression and anxiety disorders, it is likely that many depressed lesbians have struggled with problems related to anxiety as well. This paper reviews literature pertaining to lesbians and depression including incidence rates, risk factors, suicidality and treatment approaches, and stress and anxiety that may also contribute to the experience of depression among lesbians.     

Addressing Female Condom Use among Women in South Africa: A Review of the Literature

Abstract

Objective: To review the literature on the female condom (FC) and determinants of its usage among females in South Africa. Method: The Boolean method was used to search for studies focusing solely on the female perspectives of the FC. Only South African studies in English were included. Results: Fifteen studies met the inclusion criteria. Despite high levels of awareness, use of FC is low, particularly among younger females. Users were often not aware of availability. Clinical failure ranged between 1–7.7% and decreased over time. Negotiation skills were poor. Conclusion: Campaigns to improve uptake and promote correct use are required.     

Greater involvement of people living with HIV/AIDS in South Africa

This study reports on a pilot project, the greater involvement of people living with HIV/AIDS Workplace Model, which places trained fieldworkers living openly with HIV/AIDS in selected partner organisations sectors, where they set up, review or enrich workplace policies and programmes. The project adds credibility to partners' HIV/AIDS programmes and creates a supportive environment for people living with HIV/AIDS (PLWHA) and others to speak about HIV/AIDS. Eleven men and women living with HIV, aged between 30 and 45, and with varied life experiences and education levels, shared a willingness to speak about their HIV status in their workplace. They worked in very different environments but their collective experiences showed that PLWHA can add value to workplace HIV/AIDS programmes in a way that is relevant, effective, efficient, sustainable and ethical. They made companies and communities more aware of the intense need for HIV/AIDS policies and encouraged care and support for infected and affected people.     

Anxiety and Depression: Implications for Older Adults

By the year 2030, it is projected that one in every three Americans will be 55-years-old or older. This age group is by far the fastest growing segment of the population. With the growing number of older adults, the importance of understanding aging and common disorders of later life is essential. In particular, anxiety and depression are among the most common problems in older adults. However, differentiating anxiety and depression at the mood, symptom, and syndromal levels has been a long-standing problem in psychopathology research. In addition to a growing need for research, clinicians will also need to take an active role in the development and implementation of treatment as the population of older adults increases. In particular, mental health service providers must become informed about the economic implications for older adults as the structure of health insurance continues to change.     

Differences in Refugee Anxiety and Depression

ABSTRACT

Using the HSCL-25, the lev els of anx i ety and de pression were mea sured for ref u gees from Viet nam, So ma lia, and the for mer Yugoslavia (N = 60) who were clients of a community social services agency. De pression and anx i ety lev els were high est among the Viet nanr ese cli ents, anx i ety lev els were high est among the Somalians, and both anxiety and depression level were lowest for former Yugoslavians. Based on gen der, anx i ety lev els were high for both the Viet nam ese and Somalian males, while de pression lev els were high est for the Viet nam ese males. Single fe males as a group ex ceeded the cut ting score at higher rates than single males; in con trast, mar ried males ex ceeded the cut ting score at a higher rate than mar ried fe males. A highly cor re lated re lation ship was dem on strated between anx i ety and de pression (£ = 0.70, p < 0.001). Using ANO VA, de pression sig nif i cantly differed be tween the ref u gee groups (p = 0.007); differ ences in anx i ety be tween ref u gee groups were not sta tis ti callysignificant.     

Child abuse in South Africa: rights and wrongs

In a country in which human rights feature prominently in our discourse about who we are, as well as in the South African constitutional and legal framework, so many wrongs continue to be done to children. One category of wrongs is abuse, but it is not the only one. Poverty, patriarchy and gender violence, as well as the socialised obedience, dependency and silence of women and children, create conditions in which abuse can occur, often with few consequences. South Africa has extremely high rates of both physical and sexual abuse of children. Progressive, rights‐based legislation exists to protect children, but it is not adequately supported or resourced by services to fulfil their provisions. Child abuse and neglect will not be significantly reduced in South Africa, without simultaneous improvements in the social and economic conditions in which very large numbers of children live. Copyright © 2008 John Wiley & Sons, Ltd.     

South Africa: Anti-Apartheid NGOs in Transition

Under apartheid, there were an ever-increasing number of nongovernmental organizations (NGOs) concerned about challenging the South African state and furthering a nonracial democratic society. In the 1990s, with the transition to an African National Congress-led democratic government, these organizations underwent profound changes. This article describes the key dynamics of this process, outlines the challenges currently confronting the new NGO sector, and concludes that the prospects for progressive NGO work in dealing with the poor and marginalized are constrained by the prevailing neoliberal economic climate.     

Exploring Mental Health Adjustment of Children Post Sexual Assault in South Africa

Large numbers of children are affected by child sexual abuse in South Africa. This study aimed to assess psychological adjustment of children post sexual assault. In-depth, semistructured interviews were conducted with caretakers, and structured interviews using mental health assessment screening tools were given to children at three intervals over a five-month period after presentation at a sexual assault center. Almost half of the children met clinical criteria for anxiety, and two-thirds met criteria for full symptom post-traumatic stress disorder two to four weeks post disclosure. With standard care, we observed some recovery; 43.3% of children still met full symptom post-traumatic stress disorder nearly six months postdisclosure. Our findings indicate that current practice in South Africa does not promote adequate recovery for children.     

Modelling the economics of gaming in South Africa

This paper considers the application of two models for determining the optimal location and characteristics of a casino in a post-apartheid South Africa. The intention in developing the models was to allow provinces a facility for considering how to maximize the return to the stakeholders in the license award process, namely society at large, as represented by the provincial government, and the casino operator. The Allocation Model works on an estimate of total potential gambling spend and how that may be best distributed amongst a number of casinos. The Profitability model takes the estimated gaming spend from the allocation model and assesses the appropriate size and characteristics of the casino best suited to this level of gaming spend. It can then simulate levels of profitability for different proposed sizes and characteristics of proposed casinos. Together these models represent a powerful assessment mechanism for a country considering the introduction or radical changing of gaming legislation.     

Financing low-income housing in South Africa: Borrower experiences and perceptions of banks

South Africa is facing a low-income housing crisis, with the current backlog estimated at over three million units. An obstacle in the provision of low-income housing is the difficulty encountered by commercial banks to extend loans in this market despite supporting initiatives by Government. A lack of knowledge on the borrowing behaviour, preferences and experiences of low-income households in accessing housing finance from the commercial banking sector in South Africa hampers an understanding of the reasons for these problems. This paper's contribution is to provide information on the experiences and perceptions of low-income borrowers in the housing market of South Africa, specifically in their dealings with commercial banks. Results from a survey of 653 households across five provinces of the country are provided. In the survey, a structured questionnaire was used to obtain information on the experiences and perceptions of low-income households about their access to credit and housing finance, their experience of banks, the successes in credit approval, their judgements on the suitability of banks’ home-loan products, as well as preferences with regard to prices and interest rates.     

Gandhian fictions: rereading Satyagraha in South Africa

From 1923–24, Mahatma Gandhi wrote his recollections of South Africa from a prison cell in India. This text, Satyagraha in South Africa, was intended to be ‘helpful in our present struggle’ to liberate India, as well as ‘a guide to any regular historian who may arise in the future.’ An emphatically transnational text, Satyagraha in South Africa relies upon the mode of allegory to place South Africa and India in relation to each other. As it encourages comparison, however, it discourages common cause. Gandhi places Africans as the anterior sign in a larger system of signification: South African politics prefigures Indian anti-colonial victory to come, but the African native also represents the innocent natives of India writ large.

Without the political didactics of Hind Swaraj, the journalistic interventions of Indian Opinion or even the philosophical aspirations of My Experiments with Truth, this fictionalised history has rarely been the centre of attention. Satyagraha in South Africa, however, reveals Gandhi’s understanding of imperial geography, as he places South Africa and India in a single frame but fails to imagine them as inhabiting the same historical present. This understanding is reflected in his political decisions, as he fails to connect Indian anti-colonial agitation with struggles elsewhere.     

The Impact of Religious Intensification on Family Relations: A South African Example

Using the example of South African Jewish families in which the daughters became Ultra‐Orthodox, this article examines the reactions and adaptations of mothers to their daughters' religious intensification. A qualitative study in which 15 mothers and 15 daughters were interviewed found that the mothers' initial reactions were primarily positive and ambivalent, with some negative reactions, but over time the mothers became increasingly ambivalent. Overall, mothers and newly observant adult daughters made serious efforts to maintain family cohesion and relationships of mutual respect. The results are explained by the South African context, stress theory, the concept of family resilience, and intergenerational theory.     

The Transformation of Psychology in a Post-Apartheid South Africa: An Overview

Certain issues that are being debated in psychology in a post-apartheid South Africa are discussed, namely the development of professional organizations, indigenous healing and psychology, the psychometric movement, and forms of methodological inquiry. It is argued that South African psychology is striving to become more appropriate to the majority of its peoples, whether it be on the professional or research fronts. There is a desire to develop indigenous epistemologies and not to become excessively reliant on Euro-American epistemological traditions. Psychology is struggling to make mental health resources available to all South Africans.     

Patterns of Giving in South Africa

Abstact This paper reflects on the results of a national quantitative survey on giving in South Africa. It explores the extent and character of giving; who gives, to whom, with what intention? The survey results revealed that South Africa is richly resourced with a diverse and multicultural spectrum of giving behaviors, which are commonplace in everyday life. The spectrum of giving behaviors is so diverse in shape and form that it contradicts many of the basic assumptions of the philanthropic literature, which locate the act of giving primarily in the domain of the wealthy and powerful.     

Israeli education and the Apartheid in South Africa: ongoing insights

Focusing on education policy and politics in Israel, this essay examines how ethnic segregation is established and sheds light on the latest curricular developments that place a heavy emphasis on Jewish identity. The first part of the paper underscores the rising influence of the radical right in Israel and it’s political theology. The second part presents the Apartheid education in South Africa. In doing so, this part underscores the roles of segregation and religion in establishing a justificatory system that legitimises racial superiority and presents Apartheid education as ‘civilising’ and ‘modernising’. In the third part, the paper discusses how segregation and religious-ethnonationalism make up an apartheid-like reality in Israel, focusing on recent curricular policies. The final part presents concluding thoughts on racism and colonialism.     

Public Perceptions,Beliefs and Experiences of Fostering and Adoption: A National Qualitative Study in South Africa

In South Africa, rates of adoption remain low while the number of fostered children continually rises. Little is known about the public perceptions, beliefs and experiences that inform decisions to either foster or adopt in South Africa. This qualitative research explored these issues among a national sample of childless adults, biological parents, kin and non‐kin fostering parents and prospective and successful adopters. Fostering is driven predominantly by access to subsidies but is also informed by socio‐cultural beliefs. Low adoption rates are influenced by an absence of subsidies, poor access to quality adoptive services and a lack of information about adoption.     

The Use of Computerized Self-Help Packages to Treat Adolescent Depression and Anxiety

Despite the efficacy of cognitive-behavioral therapy (CBT) in treating adolescent anxiety, few sufferers seek treatment. Barriers to accessing psychologists include a shortage of skilled therapists, long waiting lists, and affordability. The Internet is a medium possibly able to address issues of accessibility and affordability. This study aimed to assess the efficacy of online therapy in the treatment and prevention of adolescent anxiety and depression. Participants (N = 38) were randomly allocated to one of four conditions: online CBT, face-to-face CBT, combined face-to-face/online CBT, and control. Combined face-to-face/online CBT is more effective in treating symptoms of depression and anxiety compared to stand-alone online or face-to-face therapy. The present study suggests that for those who are unable to access face-to-face therapy, computerized therapy may be a viable option. This is an important finding, especially in light of current capacity to treat and accessibility problems faced in the treatment of adolescent depression and anxiety.     

Growing Fair Trade in South Africa

Fairtrade certification is part of a larger, transnational movement aiming to preserve or create sustainability for workers and the environment. For export-food producers in the global South, it means a fair price, fair labor conditions, direct relationships with buyers, and democracy within their organizations. In democratic South Africa, Fairtrade is linked to government-incentivized Black Economic Empowerment (BEE) initiatives. The movement is, in effect, certifying and labelling transformative programmes to economically empower members of previously disadvantaged groups. This paper explores the intersection of BEE and Fairtrade in the post-apartheid wine industry. Based on interviews with relevant stakeholders and secondary sources, it shows that the South African context has necessitated some re-negotiation of fairness, and of the role of the international Fairtrade certifier. Although Fairtrade products from South Africa are primarily sold in Europe and North America, NGOs and businesses in the global North have not simply handed down the rules, asking for compliance in return for a label, as might be expected under neoliberal globalization. Rather, the Fairtrade label on South African products means that it was produced according to South African rules that aim to promote social transformation.

La certificación de Comercio Justo hace parte de un mayor movimiento trasnacional que intenta preservar o crear sostenibilidad para trabajadores y el medio ambiente. Para los productores de alimentos para la exportación en el sur global, esto significa un precio justo, condiciones de trabajo justas, relaciones directas con sus compradores y una democracia dentro de sus organizaciones. En la democrática Sudáfrica, el Comercio Justo está ligado a las iniciativas incentivadas por el gobierno al Empoderamiento económico negro (BEE, por sus siglas en inglés). El movimiento es en efecto, la certificación y etiquetación de programas transformativos para empoderar económicamente a miembros de grupos previamente en desventaja. Este artículo explora la intersección del BEE y el Comercio Justo en la industria vitivinícola del post apartheid. En base a entrevistas con las partes interesadas y fuentes secundarias, se demuestra que el contexto sudafricano ha necesitado alguna renegociación justa, y en el rol de certificador internacional de Comercio Justo. Aunque los productos del Comercio Justo de Sudáfrica se venden primariamente en Europa y Norteamérica, las ONG y los negocios en el norte global no han transmitido las reglas, pidiendo cumplimiento a cambio de una etiqueta, como se podría esperar bajo la globalización neoliberal. Por lo contrario, la etiqueta del Comercio Justo en los productos sudafricanos, significa que fue producido de acuerdo a las reglas sudafricanas que intentan promover la transformación social.

公平贸易认证属于一场更大规模的跨国运动的组成部分,该运动旨在维持或创造工人和环境的可持续发展。对于南方国家的出口食品生产商而言,公平贸易认证意味着公平价格、公平劳动条件、与买家的直接联系和组织内部的民主。在民主国家南非,公平贸易与政府鼓励的南非黑人经济振兴政策（BEE）倡议相关。这项倡议实际上通过对变革方案的认证和分类,谋求改变从前处于弱势地位的群体成员的经济地位。本文探讨了在后种族隔离时代的葡萄酒行业中,南非黑人经济振兴政策和公平贸易的交集。根据与有关利益相关者的访谈和二手资料,本文证明了在南非的环境下,公平这一概念和国际公平贸易认证机构的作用有必要进行重新谈判。在新自由主义全球化的背景下,尽管南非的公平贸易产品主要销往欧洲和北美,北方国家的非政府组织和企业却出乎意料地没有简单地制定规则并要求南非遵守,以换取其对南非公平贸易产品的承认。相反,南非产品的公平贸易标签意味着它按照南非制定的规则进行生产,这些规则旨在促进南非的社会转型。

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Privilege and precarity: public scripts and self-censorship in shaping South African social science

South African social science’s close relationship with politics and policy have long provided a source of vitality and intellectual direction. Although one of the field’s greatest strengths, intimacy with socio-political and economic transformations engenders solipsism and stagnation. Ironically, it also compromises scholars’ political autonomy and intellectual ethics by blinding analysts to the emerging socio-political formations which will shape the country’s future. As demands for decolonisation and academic transformation continue, the pressures for political alignment will only grow. Drawing on over a decade of inquiry into the formal and informal governance of human mobility into and within South Africa, this article reveals the contours of such isolation and conceptual complacency. From this we can find direction for satisfying the “dual imperative:” contributing to progressive policy while maintaining scholarly autonomy. While not disengaging from politics, we must work to destabilise the language of it even where it means potential isolation from officials, peers, and personal profits. Doing so can protect social science’s autonomy while opening new opportunities for understanding the world in which we live and new tools for challenging those who seek to describe, theorise and change it. Doing otherwise risks converting the South African academic project into a policy think tank or self-referential echo chamber.