Substance Abuse in the New South Africa

ABSTRACT

Over the past five years South Africa has experienced a political transformation that has riveted attention around the world. A country once known for its policy of racial separation or apartheid has emerged as a new democracy with a racially integrated government of national unity. South Africa is now one of the most sought after tourist destinations and has attracted foreign investment from every major country around the world. Ironically, it is also emerging as one of the most lucrative countries for drug trafficking, substance abuse and the crime that typically follows. This article will examine the growing problem of drug and alcohol abuse in the new South Africa. The social and economic implications and the demand reduction methods will also be explored. Finally, the status of chemical dependency treatment and available support groups will also be discussed.     

‘Your Mind is the Battlefield’: South African Trainee Health Workers Engage with the Past

A key problematic in any post‐conflict society is how to account for the injustices of the past, while at the same time making a space for the development of a shared future. In South Africa, there is an increasing demand for health and social service workers, who are required to address the impact of an unjust past upon individuals and communities. Educators of health and social service workers are thus faced with the complexities of finding pedagogical practices that would allow students to recognize these past injustices and their impact on present problems. This article looks at data taken from a teaching project across two South African universities, where students from three professions engaged in online discussions about their personal, social and future professional identities. During some of these discussions, students spontaneously entered into disagreements about the relevance or irrelevance of the past in modern‐day South Africa. The data indicates considerable reluctance on the part of some students to talk about the past and its relevance to the present. The authors suggest that while talking about the past is both difficult and potentially painful for students, it is nevertheless the responsibility of educators to facilitate such discussions among trainee professionals.     

Social Protection in a Context of HIV/AIDS: A Closer Look at South Africa

Abstract

South Africa is unusual in that it is experiencing high levels of AIDS morbidity and mortality, but is also able to afford a relatively developed system of social assistance. However, HIV/AIDS is affecting poverty in some unique ways and compounding other challenges such as unemployment. Its nature is such that it demands immediate action, balanced with a focus on long-term development. This is requiring a conceptual shift from ‘social security’ to ‘social protection’, since social assistance is not managing to address all dimensions of poverty and is also creating perverse incentives for people not to maximise their health. In South Africa, household studies comprise the most useful evidence to explore the particular challenges posed by HIV/AIDS. They indicate a need to review policies in all the social sectors and to focus on the issue of human capital.     

Cost Effective Quality Services in the Context of the Health Care Crisis

South Africa is facing a health care crisis of staggering proportions. The article provides an overview of the South African health care system, an analysis of the current problems and the implications and patented opportunities for EAPs in health care management in South Africa.     

Race-Making/Race-Mixing: St. Helena and the South Atlantic World

Abstract

This paper focuses on the South Atlantic Oceanic World, and the pivotal place of the Island of St. Helena within that world, as both a context and a conceptual tool for thinking about race-making and race-mixing in South Africa. Drawing on various historical ‘snapshots’ from documentary and archival sources on St. Helena, as well as from exploratory fieldwork in South Africa, St. Helena, an Atlantic World of flux and fluidity, is invoked as a contrast to an Apartheid world that insists upon fixity. These contrasting worlds are the context for thinking about the racial identifications made by St. Helenian immigrants, and their descendants in South Africa. Following Robert Young the paper is interested in ‘counter-active’ constructions of race, which means that the context of race-mixing that this paper invokes is simultaneously a context for race-making.     

Family Therapy and the Pedagogy of the Oppressed: Therapeutic Use of Songs in Apartheid South Africa

A central issue for family therapy is the critical question of how to define its role in influencing social change. Family therapy has tended to focus on how to liberate and empower individual clients, not communities, from the travails of tradition. This article highlights social change mechanisms implemented by the oppressed majority in South Africa during the apartheid period. It draws inspiration from the pedagogy of the oppressed articulated by Steve Biko and other members of his generation. This enabled the Black majority in South Africa ‘to name their world by reflecting on their conditions, imagining a better world, and then taking action to create it’ (Freire, 1968, p. 253) through the use of revolutionary songs that resulted in the collapse of the cruel apartheid system. The implications for family therapy are discussed.     

Manuel Castells and the New South Africa

The revisionist literature of the 1970s approached social stratification in South Africa with the insistence that proper ‘weighting’ of the race and class factors should occur. Arguing that class and not racial consciousness was the key determinant of social structure in pre‐industrial South Africa, it concluded that eighteenth century Cape society in certain areas of the colony was characterised by greater fluidity than the caste system of the American South or industrialised South Africa. George Fredrickson's comparative analysis of American and South African history rejects the first mentioned approach but agrees with the conclusion. This article argues that Fredrickson erred by characterising Cape society as being largely based on class and a permeable colour line. The extent to which Cape Town or frontier society can be categorised as such was limited, while the agrarian Western Cape, in terms of manumission rates and the incidence of mixed marriages, was one of the most rigid caste societies in the world. The article concludes by observing that only by studying how political and class relationships reinforced each other can the full complexity of eighteenth century Cape society be revealed.     

The transformative power of civil society in South Africa: an activist’s perspective on innovative forms of organizing and rights-based practices

ABSTRACT

This essay analyses recent campaigns to fulfil human rights to quality basic education and access to mental health care services, led by SECTION27, a social justice organization in South Africa. It investigates how these campaigns were able to impact on inequality in education and health care and the ways in which they mobilized and empowered communities to demand social justice and drive pro-poor transformation. In particular, it looks at the way SECTION27 used human rights law and the Courts to advance social justice. It records many positive outcomes. But concludes by asking whether, if inequality is enabled by elite power can it only be disabled by people’s power? How can civil society overcome fault-lines in its sustainability, representativity and power structure? It argues that civil society must do more to tackle the systems and not just scratch at the symptoms of a more and more unequal world.     

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.     

The place of South African philosophy in the future of South African philosophy

The title of my paper reads like an oxymoron if not downright confusion. However, it is not meant to be an oxymoron and it does not betray my private confusion. It is deliberate and perhaps a bit political. These two words “South Africa” rightly conjure up an image of things that are either in the south of Africa or things that are African in the south. I find the first image deserving of attention for my purposes. Juxtaposing the concerns of academic philosophy in South Africa (the country) alongside the ordinary reference of the term South Africa (and resultant expectations), I seek to argue that the practice of philosophy in South Africa does not sufficiently show South African characteristics. I specifically argue that the practice of philosophy in South Africa is far removed from the place in which it operates. While there are historical reasons to explain this state of affairs, the future of philosophy in this place can only be secured by an active renunciation of the status quo accompanied by a deliberate responsiveness to the philosophical needs of South Africa. It is incumbent on the dominant philosophers to make this renunciation and foster deliberate responsiveness.     

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.     

Empowering,invasive or a little bit of both? A reflection on the use of visual and narrative methods in research with migrant sex workers in South Africa

Although migration plays a critical role in the economic landscape of the world, government officials and researchers do not sufficiently include migration and/or migrants in research studies and development policies. In South Africa, many migrants – both internal and cross-border – engage in informal livelihood strategies, including sex work (see Richter et al. 2012). Currently, the bulk of research that is being conducted in South Africa in the areas of migration and sex work rely heavily on the use of traditional research approaches and focus mainly on concerns surrounding issues of public health, with increased attention to HIV (for example, see SANAC 2013; Scheibe, Drame and Shannon 2012; Scorgie et al. 2011). While this work is invaluable, there is a need for research that can counter the stigma that sex workers overwhelmingly face in light of HIV/AIDS. Participatory visual and narrative research approaches – as part of mixed method study designs – that examine the lived experiences of migrant sex workers can provide important insights that ‘move beyond the polarized and simplistic arguments that have circulated in South African about migrant sex workers’ (Nyangairi and Palmary, 2014, 132). This methodological approach makes important and necessary contributions to national and international discourses on migration and sex work (see Oliveira and Vearey 2015). In addition, these methods provide a unique platform where the normative discourses that portray migrants as a homogenous vulnerable and apolitical group of people can be contested (Palmary 2006). In this article, I present and discuss three participatory visual and narrative research projects that have been conducted with migrant men, women and transgender persons who sell sex in two Provinces of South Africa and examine the suitability of these approaches.     

Qualitative perceptions of the meaning of “headship” and female-headed households in post-apartheid South Africa

The identification of one household member as the head of the household remains a feature of household surveys conducted by Statistics South Africa. While the analytical relevance of this practice has been critiqued and while many national statistics agencies have abandoned the concept of a household head altogether, researchers in South Africa often use the characteristics of the household head in order to classify households. In particular, recent research has documented a rise in female headship in South Africa and a growing gap in poverty risks between female- and male-headed households in the post-apartheid period. Some of this work has also shown that the increase in female headship is due to the growing incidence of women living in households without men. The way that headship is assigned and what it actually means, however, is something of a “black box” in social science research. This paper presents the findings from a qualitative investigation of headship in South African households. The results suggest that most respondents attach meaning to the notion of a household head but that, as expected, some clear contradictions in the way that headship is assigned were encountered in the data. The paper concludes with a discussion of the implications for using the characteristics of the head (and gender in particular) as a way to classify households and identifies some lessons for survey research protocols.     

Contradictions in consciousness or variations in tradition: Hindu women in the South African diaspora

The introductory section of this paper reviews previous studies of the Indian diaspora to show their lack of attention to gender issues. While ideals of Hindu fundamentalism and social conditions imposed by caste are unlikely to be recreated in South Africa, it is proposed that Hindu women in South Africa are custodians of Hindu values. The paper goes on to present a brief history of middle and upper-class Hindu women in South Africa to place them within the context of the Indian diaspora. After describing the fieldwork and methodology (data were gathered from extensive interviews with 20 women representing the four major linguistic groups currently living in Durban), some of the distinctive characteristics of women's experiences and the problems these present because they are either contradictions or variations of conditions in India are discussed. The study then demonstrates that the individual choices made by the women are inconsistent with the apartheid notions of unambiguous social boundaries and also challenge the opposing Marxist perspective that ethnic consciousness is false. It is concluded that cultural adornments and self-imposed limitations on travel and socialization publicize status and ethnic identity and continuity with tradition. Hindu women in South Africa emphasize this continuity through personal beliefs or through the way they present themselves in public.     

Local economic development and urban poverty alleviation: the experience of post-apartheid South Africa

Urban poverty is a policy issue of growing significance in post-apartheid South Africa. In terms of the new Constitution the developmental role of local governments is given considerable attention. Against a background analysis of the best practice of local anti-poverty strategies in the developing world, this paper reviews the experience of eight case studies of local economic development (LED) initiatives. The case studies review a cluster of research findings from South African metropolitan areas (Midrand, Port Elizabeth, inner-city Durban, Khayelitsha and Winterveld) followed by issues from secondary cities (Nelspruit, Harrismith) and small towns (Stutterheim). A key conclusion from the experience of post-apartheid South Africa is that LED practitioners are currently struggling to find means to integrate their LED initiatives with the task of poverty alleviation.     

Determinants of Bias Perceptions in South Africa: The Case of A Highly Unequal Society

While objective class dynamics have received much attention in South Africa, less is known about the subjective social positions individuals place themselves in. For example, in a highly unequal society like South Africa, some individuals would overestimate (inflate) or underestimate (deflate) their social position compared to their objective class position. This paper aims to provide further information on status inconsistency in South Africa by assessing some of the socioeconomic determinants of bias perceptions. Using International Social Survey Programme (ISSP) data and a multinomial probit model, the results show that education and race play a significant role in influencing the biased perceptions of individuals in South Africa. For example, individuals with higher education levels have a stronger tendency to deflate their social position, while Coloreds, Indians/Asians, and whites tend to inflate their social positions more than Africans. The results indicate the vital role of race and education in determining status inconsistencies in a society that is still suffering from high levels of racial and education inequality due to the lingering legacy of apartheid. The results provide a better understanding to policymakers and government on the dynamics behind social status perceptions in South Africa.     

Making space: the counterpublics of post‐apartheid independent literary publishing activities (1994–2004)

This article explores how independent literary publishing activities in South Africa during the period 1994–2004 sought to engage in public debate and deliberation, and thereby moved beyond purely literary concerns. It focuses on the publishing activities of five publishers – Dye Hard Press, Botsotso, Timbila, Kotaz and Chimurenga – and draws on a series of interviews with the publishers. The article considers how the publishers understood their publishing activities as acts of public engagement and contestation, and argues that they can usefully be thought of as counterpublics, a characteristic which feels unique to the post‐apartheid period. It argues that public sphere theory offers a way of talking about the divergent characteristics of the publishing activities, which can be considered acts of poetic world making that position themselves in contestation with the post‐apartheid mainstream. However, it suggests that their relationship to the mainstream is at times ambivalent and their independence not always assured. This is particularly felt in the reliance of some of the publishers on state and state‐aligned arts bodies for funding for their survival, but also in other areas such as their difficult relationship with commercial book dealers and the mainstream media. Their proximity to the mainstream in terms of state funding also suggests the need for a theorisation of what we might call ‘embedded counterpublics’ in highly stratified societies such as South Africa.     

Towards migration research networking in Eastern-Southern African subregions

This article reports efforts made by a small group of Eastern-Southern African (ESA) subregion scholars to adopt a systematic approach to establishing a regional network Migration Network in Eastern and Southern Africa (MINESA). The approach involved: 1) holding a conference at which symptomatic types of internal and international migration would be discussed; 2) publication of the conference proceedings; and 3) establishment of MINESA as a network of policy-oriented research in the two subregions. The first stage has been accomplished, the second is nearly complete, and the third has yet to be undertaken. During the African Population Conference organized by the International Union for Scientific Study of Population in Dakar, Senegal, on 5-9 November 1988, a small group agreed on a timetable to establish MINESA. At the ESA conference, papers were presented on ESA issues; internal migration processes and mechanism; refugee movements and their implications for countries; the effects on the economies of Southern African states, of emigration to the Republic of South Africa (RSA). In a keynote address, Adepoju surveyed migration and development in Western-Central (Middle) Africa and Eastern-Southern Africa, which included colonial and post-colonial historical epochs, internal and international migration, and labor and refugee movements. A paper on Kenya by Oucho discussed the implications for rural-urban balance of internal migration based on 1969 and 1979 censuses. Rural-urban migration from the traditional economy to Nairobi and Mombasa in particular has created an unacceptable rural-urban imbalance, adversely affecting rural development. Eastern and Southern Africa has seen massive and wide spatial dispersal of refugees (victims of wars, drought, and famine). Two papers were presented on Tanzania and one on Uganda. The final set of papers addressed the effects of labor migration to the RSA on Swaziland and Lesotho.     

International migration: an assessment for the '90s

A quarter century ago, the world of international migration looked much different than it does today. International migration was then favorable regarded in many parts of the world. Today, this mood has soured. Guestworkers in Germany in 1989, particularly Turks, are the subject of widespread hostility and a growing anti-immigrant political party. France, too, has developed a significant anti-immigrant political party and now facilitates the repatriation of unemployed Algerian nationals with cash assistance. In the US, a chapter thought closed forever in 1964 might well be reopened as the federal government, in 1989, will decide whether or not to admit replenishment agricultural workers. In the Arab region, the Palestine Liberation Organization was created in 1964 to represent one of the world's largest refugee population - the 1 million Palestinians who fled during the 1'947-1949 fighting and their offspring. Today, Africa contains an estimated 4-5 million refugees. In Asia, the Gulf of Tonkin crisis in 1964 served as a pretext to escalate the war in Indochina that would create millions of refugees. Little concern was expressed 25 years ago about illegal migration from developing countries. Asia, Africa, and Latin America seemed to lie outside the usual path of international migration. A conference on international migration was held at Bellagio, Italy, in July 1988. The contributions comprising this volume were presented at the Bellagio Conference. Each contribution approaches the subject matter of international migration from a distinctive theoretical, disciplinary, or thematic perspective. This volume therefore reflects a large measure of the scholarly diversity that coexists in international migration studies. One of the themes of the conference is the realization that states vitally affect international migration and are greatly affected by the phenomenon. The Bellagio conferees also agreed on the importance of comparative research to greater scientific understanding of international migration. In a world of increasing interdependency, the inevitable effect of a knowledge shortfall is a glaring gap in understanding.     

Social workers’ perspectives on the recovery-oriented mental health practice in Tshwane,South Africa

The challenge facing the mental health field today is the lack of knowledge related to interventions and services that will help people recover from severe mental health problems. In addition, the reluctance of social workers to embrace the recovery-oriented mental health practice is attributed to their lack of knowledge. Hence, they regard recovery in mental health as misleading and unrealistic.The article provides the findings on the social workers’ lack of knowledge and understanding of the recovery-oriented mental health practice. The social workers are based in non-governmental organizations in Tshwane, South Africa. Semi-structured interviews were conducted to gather data from social workers. Findings confirmed the lack of knowledge regarding the recovery-oriented approach, which has not yet been implemented in South Africa. Mental health services continue to be informed by the traditional medical model.