Psychology

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A formative evaluation of a child abuse prevention programme in KwaZulu-Natal.
(2022) Makhathini, Sinothile Andile Sinegugu.; Frizelle, Kerry Lyn.
Background Abuse against children has been a concerning social phenomena in South Africa for many years, yet there are only a few child abuse prevention programmes that have been developed and designed to try and address this issue. Such prevention programmes aim to create awareness, educate children and families, assist with reporting cases, and provide trauma counselling and safe houses. Formative evaluations are important an important part of tracking the success in offering and managing prevention interventions. Aim: The aim of the study was to conduct a formative evaluation of a child abuse prevention programme at the Open Door Crisis Care Centre (ODCCC). To do so this study explored, from the perspective of social workers responsible for running the programme, the roles the social workers play in the organisation, the design of the child abuse prevention programme, the facilitators’ experiences in facilitating the child abuse prevention programme, the challenges faced in the implementation of the child abuse prevention programme, how those challenges can be overcome, and the areas that the child abuse prevention programme can be improved on. high workload, (3) political interference, (4) lack of funding, and (5) the lack of volunteers. These challenges are further exacerbated by the COVID 19 pandemic. Conclusion: The ODCCC child abuse prevention programme has been instrumental in helping the victims of child abuse by offering a range of services including counselling, shelter, support groups and awareness campaigns in the surrounding communities and schools. Recommendation: The social workers in the current study recommend the Department of Social Development to prioritise child abuse prevention programmes in South Africa and avail funding to these programmes across the country. As demonstrated in the current study, the child abuse prevention programme faces huge challenges, and a lack of funding is a major obstacle in the implementation of this programme. Methodology: The study adopted a qualitative design. The researcher conducted semi -structured interviews with four social workers to collect data and used thematic analysis to interpret and analyse the data collected. Findings: The findings show the ODCCC child abuse preventive programme, from the social workers perspective, provides essential services such as counselling, safe shelter, support groups and awareness campaigns for those affected by child abuse in the surrounding community. The social workers employed at ODCCC view their roles as improving the general well-being of abused children and their families by assisting them in meeting their fundamental needs which include reporting of abuse to the police, referral to a doctor to gather evidence, and preparation for court. The creating awareness has been a powerful tool because children are more cautious and aware of grooming. The findings further highlight that the ODCCC child abuse prevention programme is facing many challenges, these challenges are; (1) shortage of social workers, (2)
A qualitative exploration of lecturers’ experiences in teaching and assessment of students with disabilities at the University of KwaZulu-Natal.
(2023) Leahy, Kelly Louise.; Makhaba, Vukani Luvuyo.
Since the advent of democracy in South Africa, an inclusive education policy was implemented in the education system to address barriers to learning. Although this has increased the enrolment percentage of students with disabilities in higher education institutions (HEIs), a disjunction between policy and practice remains in HEIs in South Africa. Challenges in implementing inclusive education may stem from teaching practices and assessment methods which have not been adjusted appropriately in response to the inclusion of a diverse student body. While the experiences of students with disabilities in HEIs have received considerable research interest, the experiences of lecturers appear to be an understudied research area, particularly within the South African context. This research study drew on the theoretical framework of Differentiated Instruction and qualitatively explored the lived experiences of lecturers in teaching and assessing students with physical disabilities within a South African HEI. Data for the study was collected through individual semi-structured interviews with eight lecturers within the College of Humanities at the University of KwaZulu-Natal (UKZN), Howard College campus, and analysed using Braun and Clarke’s thematic analysis. The findings suggested an emphasis on deficit thinking among lecturers in higher education. In addition, the study revealed that both challenging and positive experiences with these students emerged during teaching and assessment which may hinder or promote the inclusion of students with physical disabilities, respectively. Conclusively, the findings suggested that further progress is required in the institution to support lecturers and their students. Recommendations to enhance inclusivity in the institution may include the incorporation of, and access to inclusive pedagogy, greater awareness and sensitisation, a reduction in attitudinal and physical accessibility barriers, and the promotion of shared responsibility and collaborative effort among relevant stakeholders.
A social science perspective on literature relating to medically prescribed stimulants: a systematic review.
(2022) Rode, Bo Staci.; Collings, Steven John.
Introduction: Ritalin, Concerta and Adderall are well-known medical drugs used to treat and manage attention-deficit/hyperactivity disorder (ADHD). Over the past couple of decades, there has been an increase in the medical prescriptions, consumption, and research of medically prescribed stimulants (MPS). A review of the literature indicated that common areas of enquiry were the use and wrongful use of MPS and suggested a great emphasis on academics and educational settings. The research indicated an ever increasing presence of MPS and reinforced the need for a consolidated overview of the available literature so that there is a deeper understanding and a guide for future research. Method: A systematic review was conducted; this was guided by the Cochrane Framework. A predetermined inclusion and exclusion were utilised, and various journal databases were searched using the JBI Reviewers Manual three-phase search strategy. The articles were analysed for eligibility for the study and then underwent coding. SPSS was used to analyse the data and measures of frequency and measures of central tendency were used. Results: This review included 167 research articles. Of that, 67.1% of them were from the USA and 89.8% of them emerged from first-world countries. Questionnaires and surveys were the most common data collection method, with 59.9% of the reviewed articles using them, and statistical analysis was the most common data analysis method, recording 46.1% of articles with this analysis method. Adults (over 18s) were the most common sample group, recording 67.1% of articles and 66.5% of the articles focused and investigated student populations. The top emerging themes associated with MPS use were academics (46.1%), prescriptions (13.8%), socioeconomic/demographic factors (12%) and attitudes and perceptions (7.2%). The top emerging themes associated with MPS wrongful use were academics (46.7%), attitudes and perceptions (12%), socioeconomic/demographic factors (8.4%) and prescriptions (6%). The majority of the data collection took place in a tertiary education setting (57.5%). Conclusion: This review recorded an abundance of MPS literature focusing on academics or an academic setting, suggesting these are frequently linked in the literature. There is an uneven representation in the literature, with minimal amounts of research emerging from developing/third-world countries. It also indicated the high concern over the wrongful use of MPS and the need for further investigations into different settings to form a comprehensive understanding of MPS.
A socio-ecological analysis of postgraduate students lived experiences while at university.
(2022) Khoza, Sisanda Natalie.; Hlengwa, Wellington Mthokozisi.
The study explored the experiences of postgraduate students at a South African tertiary institution. The intention was to understand the challenges that entwined postgraduate studies and the coping mechanisms employed by students during their postgraduate studies. In this qualitative study, the participants were interviewed utilizing a semi-structured interview schedule: with the consent of the participants the interviews were recorded using an audio-recorder. The data obtained was thematically analyzed, which gave rise to various themes. The following themes emerged: students’ motivation to enroll in postgraduate studies: the graduate unemployment problem, implications of lack of funding at postgraduate level, non-monetary challenges at postgraduate level: mental health issues, postgraduate workload, online learning challenges, coping mechanisms, social relationships, and support during postgraduate studies. The findings of this research study indicated that financial, academic, and psycho-social support positively impact postgraduate students’ experiences at university. Nonetheless, that lack of financial aid, mental health issues, postgraduate workload and online learning challenges negatively impact postgraduate student experiences.
An exploration of graduate trainee’s perceptions of their psychological contract in a South African organisation.
(2022) Makhoba, Celukuthula.
While research on the Psychological Contract has received much attention in aiding a better understanding of employment arrangements, few empirical studies have sought to understand how Graduate employees in their first year of employment create their psychological contract using Schema Theory as the Theoretical Framework particularly in the context of South Africa. To address this, the aim of the present study sought to understand the pre-entry expectations that Graduate Trainees held about employer-employee obligations and the extent to which these expectations informed how they experienced their psychological contract within the first year of joining the Nestlé Future Talent (NFT) Graduate Development Programme in a South African-based organisation (Nestlé South Africa). In doing so, the study adopted a qualitative research approach, rooted within an Interpretative Phenomenological Analysis (IPA) paradigm. Six Graduate Trainees were purposively sampled from the company’s Graduate Development Programme and in-depth semi-structured interviews were conducted with each participant. These interviews were individually audio recorded, transcribed verbatim and analysed using the six stages of IPA. From the research findings the following five themes emerged: (1) Graduate Trainee’s pre-entry expectation of employers, (2) Graduate Trainees’ perceptions of anticipated Employer’s expectations of them, (3) Graduate Trainees’ post-entry experiences in Nestlé South Africa, (4) Graduate Trainees’ socialisation processes and sources of information and (5) Graduate Trainee’s perceptions of unmet expectations. Findings revealed that Graduates Trainees held a rudimentary anticipatory psychological contract shaped by social and professional norms before being hired into the company’s graduate development programme. The findings also suggest that pre-entry encounters with the organisation in the form of campus recruitment initiatives seem to shape organisation-specific expectations in which some graduates note how information gleaned from these initiatives seemed to be inconsistent when compared with their experiences of employment since joining the organisation. Another finding, spoke to Graduate Trainees early encounters with Senior Graduates in the business and revealed the complex cognitive process of sense-making in which they sought information to better understand themselves as novice employees hired in the same graduate development programme.
An exploration of mental health in post-colonial times: perspectives from a selected sample of community members within iLembe District in KwaZulu-Natal.
(2023) Basdeo, Abhishta.; Bomoyi, Zininzi Anele.
No abstract available.
Analysis of policy for protection of HIV positive adolescent girls against vulnerabilities faced in using contraception in Malawi.
(2022) Bulage, Patience.; Govender, Kaymarlin.
There are challenges faced in accessing and using contraception by adolescent girls, but the reality is worse for adolescent girls living with HIV. Thus, it is important to investigate the extent to which current policies in Malawi put into account the vulnerabilities faced by this sub-population. This study therefore sought to answer the following research questions: 1. What are the structural and socio-cultural issues affecting the use of contraception among AGLHIV in Malawi? 2. What policy provisions are in place in Malawi to address the issues/risks faced by AGLHIV during reach and use of contraception? 3. What implementation challenges affect the effectiveness of the available policy provisions? This study was guided by the healthy policy triangle (HPT) framework and it was qualitative in nature, using both secondary and primary data collection methods. The findings include; • Access to contraception by adolescent girls living with HIV is hampered by several structural and socio-cultural issues, mainly; the mode of service provision, supply chain and infrastructural challenges, age restrictions, conditioned access, as well as integration challenges. The socio-cultural issues include; the high momentum for children, male dominance, social labelling, non-disclosure of HIV serostatus to sexual partners, social sensitivity, perpetuation of harmful content, and a general lack of social support, and poor risk perception. • The available provisions include those addressing gender-based violence, discrimination and stigma, community engagement, confidentiality, and emphasis on adolescent girls and young women. However, most of the provisions are broadly stated and gaps exist too. • Effective implementation is affected largely by cascading challenges, lack of sufficient funding, limited political will, low comprehension of policy directives, limited participation of target population, coordination challenges, social resistance, effects of decentralization, low capacity of implementing partners and the slow pace of behaviour change among the targeted population and communities. While the policy environment in Malawi is seemingly favourable, undertones exist around harmonization, and representation of interest groups, mainly PLHIV groups. Policy makers ought not to continue ignoring the importance of formulating HIV-sensitive policies which can give way to social protection programs for the most vulnerable within the society, given the benefits of a healthy youthful population.
Epistemic trust and its utility in the psychotherapeutic context: a scoping review.
(2022) Amar, Francesca Katja Ray.; Cartwright, Duncan James.
Epistemic Trust (ET) refers to one’s willingness to acquire new social knowledge from another human as trustworthy, generalizable, and relevant to one’s self. As an emergent term commonly related to mentalization and the work of Fonagy and colleagues, ET has largely been foregrounded as a developmental concept with less focus on its application to treatment and psychotherapeutic concepts. A scoping review was conducted to identify and synthesize emerging evidence from the literature pertaining to the constituent elements of ET, its conceptual understanding, use, validation, and contemporary application within the psychotherapeutic context. Arksey and O'Malley’s (2005) scoping review framework informed the protocol and Rayyan AI software was used to assist with data management and analysis. The initial search yielded 591 sources. After steps of screening and additional searches, a total of 73 sources were included for analysis. Results clarify the conceptual uses of ET relating to the creation of valid measurement tools, as well as theories of psychotherapy and psychopathology. The application of ET in the psychotherapeutic context is reported and discussed in terms of the therapeutic alliance, and as a possible psycho-marker for treatment outcomes. Structural, environmental, theoretical, and therapist-related challenges to the implementation of ET in the psychotherapeutic context are explored in conjunction with gaps in the literature that may serve as springboard for future studies, given that research regarding the use of ET in applied settings is still in its infancy.
Gender & leadership: the perceptions & experiences of black women in senior leadership.
(2023) Mkhize, Sizulu.; Isaacs, Dean Lee.
Women experience the world of work vastly differently than men do. This occurs despite the mandate for equality, empowerment and diversity through various policies and legislation for the advancement of female participation in historically male-dominated occupations. Women continue to be subjected to prejudice and marginalisation in their functioning as leaders in senior roles, occupying positions that have been dominated by the male gender. Literature on gender and leadership has primarily focused on gender differences between men and women’s leadership styles as well as the existence of barriers to the advancement of women. This research has shown that due to these barriers, there is an under-representation of women in leadership positions. This research has been qualitative in nature, focusing on the personal experiences of Black women leaders, as well as their perceptions of gender dynamics within the organisational context. It becomes of interest how some women manage to advance into senior positions, despite research indicating that women continue to be faced with many obstacles in doing so. This study aimed to explore the perceptions and experiences of Black South African female senior managers with regard to gender and leadership roles. The objectives of the study were to explore the perceptions of Black South African women based on gender roles and leadership, their experiences in leadership positions, their home and family lives and notions of gender stereotypes and prejudice. An exploratory qualitative framework and purposive sampling methods were used. Five Black female individuals with at least a year of experience in a leadership position in the private sector who were based in the Kwazulu-Natal and Gauteng provinces of South Africa were part of the study. Face-to-face semi-structured interviews were used in collecting data and an interview guide containing open-ended questions was used in guiding the interview process. Braun and Clarke’s Six Step Method of Thematic Analysis was used and themes that emerged were coordinated and coded accordingly. Participants identified certain characteristics that they believed are attributed to leaders and were also of the opinion that women and men display different types of leadership styles while at the same time sharing how they approached their leadership positions. The participants also identified various socio-cultural and organisational barriers that they viewed as preventing women from advancing to leadership positions. The participants shared anecdotes with regard to work/life balance and the various strategies that they employed in maintaining this. The participants made use of support structures composed of various individuals who provided support. Finally, the participants provided advice and strategies that could be used in advancing women’s careers as well as improving the representation of women in leadership positions.
Interventions and strategies for addressing behavioural effects of adverse childhood experiences: a scoping review.
(2023) Cramer, Athenea Faye.; Valjee, Sachet Rabindranath.
The long-term psychological and physiological effects of adverse childhood experiences (ACE) have been widely researched. Interventions that treat ACE have been less researched, but there are interventions that have shown efficacy in reducing the harmful effects of ACE. Objective: This study aims to explore the availability of evidence-based interventions for addressing the behavioural effects of adverse childhood experiences (ACE) and provides recommendations for applying them in the South African context. Methods and Analysis: A scoping review was conducted to synthesise available literature on evidence-based interventions that treat ACE. The data was charted according to author, year, study title, interventions and strategies utilised, and results. The data were screened through a PRISMA-ScR flow diagram according to the inclusion and exclusion criteria and a total of 12 studies were eligible for inclusion. Results and Discussion: Demonstrated themes were identified thematically to provide a narrative interpretation of the included literature. The interventions were reviewed according to their approach, including family, school-based, institution-led, and individual-focused. School-based interventions, parenting programmes and individual psychotherapy interventions show various levels of success as is discussed here. Gaps in the literature highlight limited research on interventions designed or tested for the South African population. Conclusion and Recommendations: Evidence-based interventions that treat the behavioural effects of ACE show efficacy in various settings and have proven to reduce the harmful effects of ACE. More interventions should be researched in the South African context as the diverse cultures, and high exposure to trauma and violence could impact the efficacy of interventions.
Lived experiences of young adults who grew up without their biological fathers.
(2022) Mulambo, Eunice Boniswa.; Bomoyi, Zininzi Anele.
This study explored the lived experiences of young adults who grew up with absent fathers. Previous studies had shown that the absence of fathers had an impact on the lived experiences of most children. This study therefore aimed to explore beyond childhood experiences. The theoretical framework for the study was the Attachment theory. Semi-structured open-ended interviews were conducted via Zoom due to COVID-19 regulations on gatherings with six young adults from the Ekurhuleni Municipality in Gauteng, South Africa to explore their lived experiences of growing up without their biological fathers. The interviews were recorded and then analysed using thematic analysis. The findings from the study showed that the absence of the father had both negative and positive impacts on young adults. Also, there were various reasons why their fathers were not present in their lives. The research findings have revealed that the absence of fathers in their children’s lives affects their behavioural and emotional well-being, as well as social aspects not only in childhood, however even in early adulthood. The research concludes that the lived experiences of the young adults were directly and indirectly shaped by their father’s absence.
Narratives from women using the dapivirine vaginal ring in an open label extension study by Kalendri Naidoo.
(2022) Naidoo, Kalendri.; Mansoor, Leila Essop.; Montgomery, Elizabeth T.
In sub-Saharan Africa, women and girls represented 63% of new Human Immunodeficiency Virus (HIV) infections in 2020. Adolescent girls and young women (AGYW) aged 15–24 years are twice as likely to be living with HIV as compared to young men. Therefore, efforts to develop and roll out safe, effective and acceptable HIV prevention products for women, are continuing. An important example of a female-initiated HIV prevention strategy is the dapivirine vaginal ring which showed a 27% reduction in HIV-1 incidence in the Microbicides Trials Network (MTN)-020/A Study to Prevent Infection with a Ring for Extended Use (ASPIRE) study and by 31% in the International Partnership for Microbicides (IPM)-027 The Ring study. The dapivirine vaginal ring was subsequently tested for safety and adherence in the Open Label Extension (OLE), MTN-025/HIV Open-label Prevention Extension (HOPE) study. The MTN-032/Adherence in HOPE and ASPIRE (AHA) study was a two-phase exploratory sub-study of the ASPIRE (AHA part 1, after ASPIRE and before HOPE study initiation) and HOPE (AHA part 2, after HOPE was completed) studies which utilised single qualitative indepth interviews (IDIs) to explore social conditions and issues related to participation around the use of the dapivirine vaginal ring as well as suitable approaches to market the study product. I report on the narratives from women participating in the AHA study (Part 2) within the context of known safety, partial product efficacy and choice, focusing on what motivated women to join the HOPE OLE study, women’s understanding of the vaginal rings’ efficacy, how they understood it to work in their bodies to prevent HIV and barriers and motivators to vaginal ring adherence.
Perceptions of racial microaggressions among university students: the notion of ‘white’ and ‘black’ cafes at the University of KwaZulu-Natal, Howard College Campus.
(2023) Dladla, Vuyelwa Lungile Nokwanda.; Cartwright, Duncan James.
While institutionalised racism was abolished in the 1990’s in South Africa, racism is still widely prevalent in our society. Although explicit forms of racism are often frowned upon today, more subtle and covert forms of racism exist and often go unnoticed. These subtle forms of racism are referred to as racial microaggressions, which, although hidden, communicate derogatory and racist ideas. There has been a wide range of research studies on racial microaggressions; however, most of these studies have been conducted with racial minorities in United States of America. Research on within-group racial microaggressions is fairly limited in the South African context, and the dynamics of minority versus majority groups are different. This study aims to explore how Black African students in a South African university perceive and experience racial microaggressions related to the racial division of spaces on campus, namely the notion of the ‘white’ café and ‘black’ café. An Interpretive Phenomenological Analysis (IPA) approach was used to capture students' perceptions and experiences through in-depth one-on-one semi-structured interviews with eleven black African students from various academic disciplines on the Howard College Campus. All interviews were transcribed verbatim and analysed using the IPA approach. Findings from this study suggest that the cafeterias serve as symbols of racial tensions among students on the campus and manifest in various ways, such as through intergroup dynamics, racial stereotypes and the general feeling of participants toward the racial division of spaces. Furthermore, data also suggests that the notion of ‘white’ café and ‘black’ café reflects South Africa's political history and the generational impact of centuries of racial oppression. Additionally, coupled with racial tensions and historical dynamics, the data further suggests that the idea of racialized spaces is associated with socioeconomic background, which speaks to issues of social class and wealth.
Remote work and work–life balance for mothers working in a local government institution during the Covid-19 restrictions in South Africa.
(2023) Biyela, Mthunzi Sanele Thando.; Bobat, Shaida.; Reuben, Shanya.
The social and economic transformations across developing industrial economies have resulted in concerns about how working mothers manage their lives across the spheres of work and life, whilst still achieving a balance between work and life roles. This research focuses on understanding the work-life balance experiences of nine working mothers who hold full-time positions and were working remotely during the COVID-19 lockdown in a Local Government Institution in South Africa. The study employs a qualitative research approach, specifically the Interpretative Phenomenological Analysis (IPA) paradigm. It utilises thematic analysis and incorporates the theoretical frameworks of spillover theory and intersectionality to address the research questions. The findings reveal that working mothers faced challenges in mediating the demands of work and private life during the lockdown. The boundaries between work and home became blurred, leading to inter-role conflict and emotional stress. Working mothers also employed coping mechanisms such as self-care practices and time-management techniques. Socio-economic disparities, gender norms, and cultural expectations were found to shape the experience of the mothers. This study concludes by recommending support for working mothers, including affordable childcare, parental leave regulations, and adaptable work schedules.

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