A Social Constructivist Perspective on the Potential Relevance of Selected DSM‐5 Disorders for South African Children and Youth

In South Africa, careless implementation of child psychiatry's biomedical model of ‘mental disorder’ could stigmatise children and youth who have been made vulnerable by the lingering effects of apartheid — poverty and malnutrition, violence and abuse, and the HIV/AIDS pandemic. A focus on DSM‐5 category changes — regarding post‐traumatic stress disorder and ADHD — demonstrates that these psychiatric labels are impracticable and irrelevant in a post‐colonial developing country, where mental health care is delivered in the context of scarce services and unequal access. A social constructivist perspective enables us to broaden policy decisions and suggest directions for research.     

Keynote 3. Living in the Valley of Death

Abstract

In 2003 alone, HIV/AIDS killed more than three million people, of which between 2.2 and 2.4 million were from Sub-Saharan Africa. This disease is having a devastating effect on the previously firm foundations of intergenerational relationships in affected countries. For many nations in Africa, Asia and South America, life has become a mirage, a paradox in which almost everything is overshadowed by the pangs of death. Poverty, HIV/AIDS and, surprisingly, compassion are the combined common causes of death. Consequently, social, ecological, economic, political and educational systems are almost entirely dislocated. Traditions demand that the young ones should outlive their elders. So there is a deliberate effort on the part of the elderly to embrace death in attempting to be compassionate. This paper is an attempt to explore this scenario with the aim of articulating the linkage between poverty and HIV/AIDS, and proposing ways of reducing their impact through intergenerational programming.     

The crisis of waged work and the option of a universal basic income grant for South Africa

ABSTRACT

Waged work is widely seen as a sufficient basis for meeting basic needs, achieving social inclusion and realizing essential social rights. Yet waged work that provides a livable income on reasonably secure terms is rare in ‘developing’ economies and increasingly scarce in ‘developed’ economies. This trend is likely to persist and worsen as the disruptive impacts of economic volatility and climate change intensify and labour market restructuring continues. Aggravating the impact is the diminishing access to livelihood options outside the wage economy. South Africa is an extreme example of this trend, with a very large proportion of the working age population superfluous to the formal economy, high levels of poverty and severe inequality. This paper describes this crisis at the global level and then specifically in South Africa, before considering the option of a universal basic income grant (UBIG). It examines the critiques and the potential merits and risks of such an intervention. To realize its transformative potential, a UBIG would have to be deployed as part of a broad transformation strategy that is led by an active state and driven by a mobilized civil society.     

CHILD CARE AND POVERTY IN SOUTH AFRICA

This article draws on ethnographic research with children and their caregivers to explore the interaction between poverty and the nature and quality of child care in a resource-poor urban community in South Africa. The authors attend to issues such as mobility and “family fragmentation,” the role of the extended family and other networks, and children's contributions to their own and others’ care, all matters that provoke particular concern in the context of HIV/AIDS. The research challenges some of the more conventional interpretations on these matters by pointing to the continuities children experience in what can appear a disrupted care setting as well as the positive aspects of children's involvement in care. It also supports the case for a closer look at men's participation in various child-care roles in a climate where they are often dismissed as absent or unemployed and therefore non-contributory. Future research and policy on child care would benefit from the conceptual approach adopted across this work, which employs a relational lens and encompasses the dynamic contexts in which care is experienced and performed.     

Voice,authenticity and ethical challenges: the participatory dissemination of youth-generated visual data over social media

Using the theoretical frameworks of childhood studies and visual ethics, this article explores ethical ways of engaging children and young people in disseminating self-generated visual data (‘participatory dissemination’) over social media. The discussion draws on a research project carried out with a group of young people in an underserved community in South Africa. The project was an educational intervention that aimed to enable the participants to bring out their experiences with the HIV and AIDS pandemic in South Africa and to reflect on related issues through participatory video making. The methodological focus was on exploring visual ethics in the context of participatory dissemination. Despite a growing interest in social media, few studies have been conducted in relation to ethics in using social media as an outlet to disseminate visual data created by young people. This article contributes to addressing this knowledge gap. It is argued that (1) the process of remaking visual data can enhance the ethics of dissemination by offering young participants an opportunity to reflect on self-representation more carefully and (2) the verbal contextualisation of participant-generated visual data can contribute to a further clarification of young people’s ideas, thereby making dissemination more ethical. I am cautious, however, to overstate the significance of disseminating young people’s verbal and visual expressions without researchers’ discretion because such expressions may contribute to stigmatising the young people.     

Children orphaned by HIV and AIDS in middle childhood in Potchefstroom,Northwest: The role of a social worker

ABSTRACT

The effects of HIV and AIDS have devastated families and communities in South Africa. The scourge has also left many children orphaned in the country. Given the vulnerability of orphaned children, social workers are in the forefront of ensuring that these children are cared for and protected from any harm. Hence, the purpose of this paper was to explore the role of a social worker in issues related to children orphaned by AIDS in their middle childhood. This study was situated within a qualitative research paradigm utilizing purposive, non-probability sampling of 10 participants recruited from Potchefstroom in the Northwest Province of South Africa. A semi-structured interview schedule was employed as a research tool, and in-depth one-on-one interviews were adopted as the method of data collection. A thematic content analysis was used to analyze the data collected during the interviews. The main findings point towards the need to educate children about HIV and AIDS and to empower their caregivers. The primary conclusion drawn from this study is that social workers play various key roles which contribute towards the well-being of orphaned children. Recommendations are posed in relation to social work service providers, government interventions, and future research.     

Analysis of HIV Caregivers in South Africa: A South African Depression and Anxiety Group

ABSTRACT

The severity of the HIV/AIDS epidemic in South Africa is well documented. However, little is known regarding the well-being of caregivers of persons with HIV/AIDS in South Africa. This study sought to evaluate characteristics, similarities and differences between groups of HIV caregivers in rural, semi-rural, and urban areas of South Africa. Interesting trends were noticed in the areas of suicidality, alcohol abuse, and intimate trauma. Findings indicate a substantial need for further study in the area of suicidality, denial of or lack of desire to know HIV status and the accompanying diagnostic stigma, and the need for a support network within lay caregivers.     

Of desire,the Farang,and textual excursions: Assembling ‘Asian AIDS’

ABSTRACT

This article documents and discusses the neo-orientalist tendencies in the First World's sporadic coverage of ‘Asian AIDS’, with a particular focus on the localized context of Thailand. It takes the problem of ‘Asian AIDS’ as a critical point of articulation between a health crisis and the specific geopolitical movements of capital, tourism, and desire within the processes of globalization. In order to highlight the episodic nature of the First World's narrative about HIV/AIDS in Thailand and to witness the necessarily fragmentary quality of representation in the global sphere involving competing and constantly moving voices, I attempt to enact an imaginary dialogue in the form of what Trinh T. Minh-ha has termed ‘textual excursion’. The purpose of this imaginary dialogue is to elaborate on the various strands of narratives and different levels of discourse (for example, the documentary, the theoretical, the imaginary, the political) that comprise the field of jumbled voices. As the HIV/AIDS pandemic in Pacific and Southeast Asia is taking shape around the configurations of globalist imperatives, it illuminates a dual process: the revitalization of orientalist fantasies in the global sphere and the self-orientalizing tendencies within the Asian world captured by global development. It also illuminates the necessity of addressing the problem of ‘Asian AIDS’ as a migrating vector.     

Women migrants in the global economy: a global overview (and regional perspectives)

ABSTRACT

Huge advances have been made in deepening and expanding our knowledge of gendered migration over the last decades in both theoretical and methodological terms. Empirically it is, however, still the case that North–South migration is at the basis of most theorisations, leaving the characteristics of South–South migration at the margins. In this paper we, therefore, shift the focus to intra- and trans-regional migration in a South–South context in exploring what this means for women migrants. While feminist scholars have highlighted care and the ways in which migration challenges social reproduction as an important issue, mainstream approaches continue to focus predominantly on the ‘productive’ lives of migrant workers. With migration theories still largely drawing on the experience of South–North migration, there continues to be relatively little understanding of South–South migration’s gender dynamics, despite the fact that many of the highly feminised, yet hyper-precarious, migration flows occur intra-regionally.     

Contested Concepts in Violence Against Women: ‘Intimate’, ‘Domestic’ or ‘Torture’?

Abstract

Ritualistic, overwhelmingly violent bikie gang or cult-inflicted abuse of women, entrenched by co-opting third party cult or gang members, has been referred to as ‘domestic violence’, ‘intimate violence’ or ‘intimate partner violence’. The present article questions the aptitude of these terms to convey the realities of this violence, in light of the experiences of women attending a South Australian domestic violence service, all of whom were escaping violent partners who were members or associates of bikie gangs and cults. The paper asks, ‘is torture an appropriate term for such violence?’ and discusses the impact of social, legal, organisational and human rights parallel states that collaborate to make it almost impossible for these women to escape this violence and make it difficult for social workers to work effectively with them. The paper concludes that the State needs to adopt a human rights rather than legal focus when addressing the issue of violence against women.     

Why do People Disclose their HIV Status? Qualitative Evidence from a Group of Activist Women in Khayelitsha

Abstract

This study explores the bio-psychosocial context of HIV/AIDS in which eleven HIV-positive activist women from Khayelitsha negotiated the process of disclosing their HIV-positive status to significant others, specifically biological household members. The study is based on the narratives of a group of HIV-positive peer-educators in Cape Town, South Africa. The results suggest that community perceptions of HIV/AIDS are shaped by a wide variety of factors particular to the socio-cultural and political context of HIV/AIDS in South Africa. The process and outcomes of disclosure to others occurs within this shifting web of meanings, and in turn, reshapes them as people respond to the person who has just disclosed. Eight out of the eleven women disclosed to a close biological household member as these significant-others provided, or had the potential to provide, the appropriate support. Six of the eleven participants disclosed during the symptomatic phases of HIV/AIDS, while five were asymptomatic at the time. Four of the five who disclosed when asymptomatic were diagnosed while pregnant and had never experienced severe opportunistic infections. Additionally, these same four disclosed some time after diagnosis (nine months > t < two years). Of the six who disclosed in a state of ill-health, five disclosed immediately after diagnosis in order to access health-related social support. At this time, concerns regarding health and mortality superseded fears of rejection and discrimination due to AIDS-related stigma. The perceived potential benefits (social and health-related support) outweighed the perceived risks (stigmatisation and discrimination). When participants had never experienced serious illness, they disclosed in order to educate loved-ones, gain emotional support or challenge false popular perceptions of HIV/AIDS.     

Gendered Economic,Social, and Cultural Challenges to HIV/AIDS Prevention and Intervention for Chinese Women

ABSTRACT

China is experiencing the most rapidly expanding HIV prevalence in the world, with the percentage of Chinese women living with HIV/AIDS also increasing significantly. Chinese women's risk of HIV infection is heavily influenced by patriarchal cultural beliefs, Confucian doctrines, and rapid social and economic changes in China. Chinese women generally have a low level of awareness of HIV/AIDS. With inherent inferior social status and economic disadvantage, their vulnerability to HIV infection is heightened by adverse impacts of massive rural-to-urban migration, explosion of the commercial sex industry, and prevalence of gender-based violence. In order to target HIV/AIDS prevention and treatment programs for Chinese women, their specific needs and gendered obstacles must be addressed and tackled. These include strategies that aim to fight against poverty, improve education, enhance HIV/AIDS awareness, facilitate new life-skills acquisition and behavior change, make available woman-centered services for testing and treatment of HIV, and eradicate gender-based discrimination and violence. There is also an urgent need to further develop various public health infrastructure in China, especially in remote and rural areas. The pool of gender experts in China should also be expanded to conduct a thorough gender analysis and design a national response to address the evolving HIV/AIDS epidemic in Chinese women.     

Transforming the Springboks: Re-imagining the South African Nation through Sport

Abstract

Nation-building occurs not only through the creation of formal institutions, but also through struggles in cultural and symbolic contexts. In apartheid South Africa, the rugby union Springboks both symbolised and institutionalised a racially based form of ‘bounded citizenship’. In post-apartheid South Africa, the Springboks have emerged as a contested and significant site in the attempt to build a non-racial nation through reconciliation. To explore these contests, we undertook a qualitative thematic analysis of newspaper discourses around the Springboks, reconciliation and nation-building in the contexts of the 1995 and 1999 Rugby World Cups. Our research suggests, first, that the Springboks have been re-imagined in newspaper discourses as a symbol of the non-racial nation-building process in South Africa, especially in ‘media events’ such as the World Cup. Second, we find that there are significant limitations in translating this symbolism into institutionalised practice, as exemplified by newspaper debates over the place of ‘merit’ in international team selection processes. We conclude that the media framing of the role of the Springboks in nation-building indicates that unless the re-imagination of the Springboks is accompanied by a transformation in who is selected to represent the team, and symbolically the nation, the Springboks' contribution to South African nation-building will be over.     

Stigma,AIDS, and HIV Prevention in Africa: Reports from Community Organizations Providing Prevention Services

ABSTRACT

The AIDS epidemic in Africa remains a serious health crisis. Nongovernmental organizations (NGOs) in Africa play a critical role in the delivery of HIV prevention services. An important barrier to their HIV prevention efforts is stigma directed at persons living with HIV/AIDS. In order to understand how stigma affects HIV prevention programming, we conducted in-depth qualitative interviews with NGO directors in 29 African countries. Qualitative analytic approaches were used to identify key themes. Substantial discrimination and stigmatization of HIV-positive persons was reported. HIV-positive women were particularly likely to suffer negative social and economic consequences. The stigma associated with HIV interfered with disclosure of HIV status, risk-reduction behaviors, and HIV testing, creating significant barriers to HIV prevention efforts.

Interventions to reduce AIDS-related stigma in Africa are urgently needed. Reducing the burden of stigma is critical to fighting the epidemic in Africa and could play an important role in global HIV reduction.     

Insurrectional Politics in Colonial Southeast Asia: Colonial Modernity,Islamic ‘Counterplots’, and Translocal (Anti-colonial) Connectivity

Abstract

This article focuses on the idea of ‘colonial modernity’ to pursue a dual theoretical purpose: to interrogate the givenness of ‘modernity’ as an overarching and over-determining epistemological framework; and, secondly, to indicate how movements against colonial modernity were part of a ‘deep, global infrastructure of anti-colonial connectivity’. By examining a number of Islamic movements in the Dutch Indies and in British Malaya, this article seeks to map out some of the translocal spaces created and occupied by these movements, which linked North Africa to Saudi Arabia and to South East Asia. The focus on translocality speaks also to the existence and enactment of exteriorities to modernity. My deployment of ‘exteriority’ signals here certain historical, political, and cultural lateral relations among colonial spaces, through which the colonized generate and activate what June Nash calls ‘counterplots’ to colonial modernity.     

Young people's reproductions of the ‘father as provider’ discourse: intersections of race,class, culture and gender within a liberal democracy

ABSTRACT

Despite a plurality of paternal forms available to men, certain enactments of fathering remain immobile. In South Africa the ‘father as provider’ discourse, which establishes the legitimate father as one who provides financially for his family, continues to be regarded as the primary mark of a good father. Using photo-elicitation interviews to interrogate the persistence of this discourse, this paper examines how adolescents from two low-resourced South African communities construct fathering. Using a critical intersectional discursive framework, the analysis focuses on how gender, race, class and culture are implicated in the reproduction of the ‘father as provider’ discourse. Participants’ constructions suggest that the father’s duty to provide is intensified within marginalised contexts. Central to participants’ reproductions of the ‘father as provider’ discourse was a neoliberal conception of ‘freedom of choice’. The paper concludes that South Africa’s post-apartheid reliance on discourses around liberal democracy has cast the low-income father’s ability to fulfil the provider role as a conscious choice. While the father is made responsible for his failure to provide, broader structural oppressions are in turn rendered largely invisible by such discourse.     

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.     

Global HIV and AIDS: Calling all Social Work Educators

As the HIV/AIDS global pandemic continues to grow through a third decade, the need for social work educators to prepare social workers in distinct fields of practice with skills to assist those infected with and affected by HIV is of paramount importance. HIV/AIDS holds multi-level and multi-system effects for vulnerable populations. This article features global HIV and AIDS teaching resources beginning with common global practice challenges. Next, five teaching units focus on practice needs and challenges of divergent vulnerable populations including men who have sex with men, women, injecting drug users (IDU), commercial sex workers, and children orphaned by AIDS. Discussion questions, selected readings and electronic resources accompany each unit. The authors close the article with suggested recommendations for content integration into social work courses, and next steps for the profession.     

Social Security in Africa

Abstract

Africa is the poorest region of the world and has the youngest and least developed social security programs. Most Africans are not covered by social security programs. The high prevalence of HIV/AIDS in some sub-Saharan countries and internal armed conflicts in others have created difficult problems in some countries for social security programs. As a result, some countries do not have functioning social security programs. The social security programs that do exist in Africa are influenced by their colonial heritage, with the programs in English-speaking Africa differing from those in French-speaking Africa. Six different patterns of social security provision can be identified.     

Social work education,training and standards in Africa

This paper describes the historical development of social work education in South Africa, paying particular attention to the transformation of social work education and training post‐1994, and provides some detail about the efforts being made toward the development of a regional qualifications framework. It also describes the constitution of the Social Work Standards Generation Body (SGB), its functions, the processes followed by the SGB, and details the outcomes generated by the SGB. The potential costs and benefits of the development of minimum standards are discussed, with specific reference to the debates around the ‘whole qualifications’ and ‘unit standards’ approaches to generating standards. Although the registration of social work qualifications on the National Qualifications Framework (NQF) is a statutory requirement of the South African Qualifications Authority (SAQA), and was imposed, it holds promise and signifies an achievement by the social work profession. Since the inception of social work education and training in South Africa in the 1920s these are the first nationally formulated standards that have been accepted.