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Item Social Constructions of Criminal Victimisation and Traumatic Stress Responses in Relation to Male Victims and Gender(University of the Witwatersrand, Johannesburg, 2017) Gqweta, Ntokozo; Eagle, GillianLiterature findings suggest that there are differences in male and female trauma exposure patterns (Norris & Slone, 2013). With this background in mind the aim of the study was to analyse the kinds of discursive patterns and themes that are prominent in conversing about male and female victims of crime related trauma and about their responses to being traumatised in this way. This aim was achieved through exploring the contributions of gender related attributions to constructions of victims of crime by university students in response to scenarios presented to them. The element of particular interest in this study was the gendering of victimisation and trauma related responses, focusing especially on male victims. The participants were first year psychology students and data was collected using focus groups in which participants were asked to comment on a vignette describing a fellow student’s victimisation by mugging and their subsequent trauma related responses. Four focus groups were conducted in two of which the victim was portrayed as female and in two of which as male. The discussions from the four groups were transcribed and subject to a thematic analysis and discursive reading of the material focusing particularly on gender related material. Seven core themes emerged which were referred to as: 1) Victim blame, 2) Legitimacy of trauma reactions; 3) Desensitisation, minimising of the nature of the event and related assessment of the responses 4) Victimisation as an identity position, 5) Evaluation of the role of social support and help-seeking, 6) Gender related constructions of victimisation and traumatisation, and 7) Evidence for contestation of gender stereotypes. The participants tended to construct both the male and female victim’s traumatic experience as resulting from irresponsibility, naivety and ignorance. Furthermore, the victim’s traumatic reactions were typed as either normal or abnormal, with intense and more enduring traumatic reactions being considered abnormal and dispositional. The perception of violence and crime as ubiquitous and uncontrollable within the South African context contributed to an underplaying of the significance of the victim’s experiences. There was some indication that perceptions of the victim’s identification with the victim role contributed to an emphasis on the need for self-reliance, control and circumscribed help-seeking in relation to peers. Although there was a degree of difference in response to the gender of the hypothetical victim these differences were less marked than might have been anticipated. While rather critical evaluations of trauma responses were made in respect of both male and female victims, male victims received more censorial responses in general. It was evident that male victims of crime were viewed and constructed somewhat differently from their female counterparts and that reference to patriarchy, gender socialisation, and stereotypic masculinity appeared to play a critical role in the construction of male victims. These findings have implications for the provision of support, care, sympathy and understanding of crime and violence victims generally, and male victims in particular. .Item Balancing the roles of Employee Aad Primary Child Caregiver: Experiences of Single Mothers formally Employed in Otjiwarongo, Namibia(University of the Witwatersrand, Johannesburg, 2020) Markus, Julia NdeyapewaThe number of single mothers entering the workforce is an ever-increasing trend throughout the world, including countries in sub-Saharan Africa, such as Namibia. Usually, single mothers face many challenges fulfilling the roles of employee and primary caregiver simultaneously. Although the challenges experienced by employed, single mothers have been well researched in developed Western and European countries, there is a gap of knowledge regarding how formally employed, single mothers in sub-Saharan Africa, including Namibia, experience trying to balance the responsibilities of employee and primary caregiver of their children. Occupational social workers can play a meaningful role in supporting employees in the workplace, including employed, single mothers who are facing caregiving challenges that are negatively impacting on their work responsibilities. The main aim of this research was thus to explore how employed single mothers in Namibia experience trying to balance the roles of primary caregiver and employee, so that key role players within the workplace, especially occupational social workers, can gain more insight into how these challenges can best be addressed. To realise this aim, a qualitative research approach was adopted using the phenomenological research design. Fifteen employed mothers in Otjiwarongo, a small town of about 28 000 inhabitants in the Otjozondjupa region, were purposively selected as the research sample. Data were gathered by conducting individual interviews with the participants. The research tool was pre-tested with an employed single mother who met the sample selection criteria. Thematic analysis was employed to analyse data. The main findings based on data analysis were that fulfilling the role of mother is difficult when facing work pressure and working long hours. Stress experienced in the work environment is often carried over to the home environment, and vice versa. Focus on work activities can also be undermined when experiencing concerns about the well-being of their children, especially if they are young. Women try to balance their simultaneous roles by employing reliable caregivers to take on the responsibility of caregiving when they are at work. Based on research findings, it is recommended that occupational social workers work towards implementing policy and practice within the work environment that facilitates personal contact between mother and child.Item Rendering services to people with substance use disorders: perceptions of Social Workers in Ehlanzeni District, Mpumalanga Province(University of the Witwatersrand, Johannesburg, 2020) Singwane, Thembinkosi PeterSubstance use disorders are a global challenge with detrimental effects on health, wealth and security of nations. Historically social workers have been and continue to be among the primary service providers to individuals who experience Substance Use Disorders (hereafter referred as SUDs). Although substance use disorders are a prevailing treatment issue, addiction remains under-identified as a primary practice area for clinical social workers. Since social workers play a crucial role in the identification and treatment of people with substance use disorders, their perceptions of these patients have consequences on the nature and quality of services delivered to them. The researcher’s interest in the study was informed by the ever-escalating increase of people with SUDs in South Africa. Over the past five years, according to statistics as reported by the South Community Epidemiology Network on Drug Use, the Ehlanzeni District Municipality in Mpumalanga Province has seen an extensive spread of SUDs. For this reason, this study adopted the qualitative approach by employing the multiple case study design to execute this research. The purpose of the study was exploratory and descriptive in nature. The population consisted of social workers who specialize (or work) on substance/ addiction management from two Non-Governmental Organizations (hereafter referred as NGOs) namely; South African National Council on Alcoholism and Drug Dependence (SANCA) Lowveld and National Institute for Crime Prevention and Reintegration of offenders (NICRO). The study also included social workers (practicing in the substance/ addiction management) from the Department of Social Development (hereafter referred as DSD) who work with SUDs, 4 (four) social workers in the focus group from DSD. Since Social workers from SANCA (6) and NICRO (7) were numerical minority, they were included in two separate focus group respectively. The study made use of focus group discussions for both NGOs and the DSD after participants (Only from Ehlanzeni district) have been identified through the purposive sampling technique. The researcher used thematic analysis for analyzing data.Item The social nature and outcome of the interactions in a non-monetary centred sharing economy: from a social exchange theory perspective(University of the Witwatersrand, Johannesburg, 2021) Radaelli, StephanoThe sharing economy is a collective name for emerging platforms that are bringing strangers together and changing the landscape of consumption. Individuals have been using these sharing economy platforms as an alternative to traditional trade to exchange resources. This study refined to the context of a non-monetary form of the sharing economy, namely Couchsurfing, where the reliance on social relationships were expected to be more prevalent. The social relationships between peers during an exchange offered an opportunity to find applicability and relevancy for social exchange theory. This study aimed to clarify the social nature of the interaction in Couchsurfing and determine the outcomes from these Couchsurfing interactions. Using a phenomenological research design, 19 in-depth semi-structured interviews were conducted together with an immersive experience as an active participant of the chosen sharing economy platform, Couchsurfing. Couchsurfing is a sharing economy platform that enables travellers to stay with other members for free. The positionality of the researcher was from an insider perspective studying other insiders. The data collected was analysed using a thematic analysis approach. Social exchange theory was supported in finding that the social nature of the interaction in Couchsurfing was reciprocal. The reciprocal exchange was clarified as co-created, continuous and dynamic. Individuals revealed that there was a necessity for a reciprocal response directly from the recipient. The findings confirmed that Couchsurfers had unspoken and explicitly stated expectations of a reciprocal relationship which impacted the continuity of the exchange after the Couchsurfing experience. This study also identified different social benefits that individuals gained from their Couchsurfing interactions. Throughout, these 2 research findings espoused and expanded on previous contributions to the theoretical framework. The presence of generosity during the reciprocal exchange has challenged the theoretical premise that individuals wanted to maximise their gains. Further research into generosity during the reciprocal exchange has been recommended.Item The navigation of sexual identity between novice therapists and their queer clients: therapists’ perspectives(University of the Witwatersrand, Johannesburg, 2021) Kgosamang, Rebaone; Prof Carol LongQueer research related to psychotherapy is relatively scarce. The necessary emphasis of queer research on the HIV epidemic, social inclusion and exclusion and political and legislative issues surrounding the queer community has resulted in a relative neglect of mental health issues. Given the historical context of homophobia in psychology and psychiatry, therapists’ experiences of working with queer clients are important to investigate. The current study aimed to explore how novice therapists navigate sexual identity with their queer clients in therapy. A qualitative study was conducted in which six (6) participants were interviewed using a semi-structured interview schedule. The study’s sample comprised of an intern Clinical Psychologist, a newly qualified Educational Psychologist and four newly qualified Clinical Psychologists who are all in private practice. Demographically, there were two white men both of whom are cisgendered and identify as queer and four black women of whom are all cisgendered with one identifying as queer and the rest as heterosexual. A thematic analysis was conducted on the results that emerged from the interviews with the participants. The following three major themes emerged: Disclosing sexual identity, Taking care to avoid pathologising queer clients and therapy shaped by therapists’ own sexual identity. The results indicated the complexity involved in navigating sexual identity in psychotherapy. Therapists experienced a process of initial unexpected openness, followed by an awareness of guardedness as well as a growing awareness of their clients’ expectations of prejudice in their encounter with sexual identity in therapy. This appeared to be influenced by clients’ internalised homophobia. Additionally, therapists’ own sexual identity influenced how they broached sexual identity in the room, with heterosexual therapists noting a fear around misunderstand and queer therapists acknowledging a struggle with overidentification. The results implicitly revealed a gap within training programmes. Implications for practising therapists are discussed.Item Constructing identities through discourse: Examining the textual representation of prostituted women in post-apartheid South Africa(University of the Witwatersrand, Johannesburg, 2021) Landman, Tiaan A.The current study explores the intersectional social identities of four ‘prostituted women’ in post-apartheid South Africa as they are represented through discourse. The socio-cognitive model of critical discourse studies is employed to explore the way in which their social identities are represented through texts. These texts were retrieved from the online blog of a non-profit organisation, Embrace Dignity (2019), which advocates for the rights of women and girls. The texts were written to represent the personal experiences of four black women who identify as ‘prostituted’. This study found, through the engagement with biopolitical and intersectional feminist theory, that conditions which are paramount to a ‘social death’ are often proliferated for the subjects at the intersection of their gender, sex, sexual, and racial identities. Furthermore, these conditions are often concealed through the guise of class. The subjects make meaning of their social identities through a range of experiences, which are facilitated by sociohistorical systems of oppression aimed to disenfranchise feminised and blackened bodies in South Africa. These systems of oppressions are communicated through discourses of Bantu education, unskilled labour, violence, sexual perversion, limited access to services, marginal citizenship, geography, movement, and displacement, as well as a discourse of care, to name a few. The study found that these discourses are fostered and realised through the political project of domination, enforced by white heteropatriarchy that was institutionalised by the apartheid government. The study further indicates how the women who are represented by the texts, have been positioned within contexts that suppress their lives. This study emphasises the importance of exploring the intersectional social identities of black prostituted women in order to appropriately support the women within this community and their voices.Item Explicit Regulation of Positive and Negative Emotion in Pre-Adolescents in a Kenya County(University of the Witwatersrand, Johannesburg, 2021-10) Mwangi, Ruth Waitherero; Kasese-Hara, MambweThis study addresses a gap in research on how pre-adolescent boys and girls of age 10-12 explicitly regulate their positive and negative emotion as influenced by social-economic environments of peri-urban Kenya. This study took an explanatory sequential approach, employing quantitative and qualitative tools to respond to two research questions. It investigated pre-adolescents’ application of cognitive reappraisal and expressive suppression strategies, based on their awareness and expression of positive and negative emotion. The quantitative results showed that pre-adolescent boys and girls are aware of, express and apply explicit emotion regulation strategies to both positive and negative emotion experiences similarly. Important socio-economic factors were also identified for further qualitative consideration. The qualitative findings revealed that pre-adolescent boys and girls outwardly express positive and negative emotion. This was shown to be variably influenced by pre-adolescents’ school and family contexts, as well as their interaction with teachers, parents and peers.Item Experiences of probation officers working at Department of Social Development, Gauteng, JHB Metro Region on occupational stress and their coping mechanisms(University of the Witwatersrand, Johannesburg, 2022) Monnye, OlebogengThe United Nations Children’s Fund (UNICEF) states that the majority of children in conflict with the law have committed petty crimes such as alcohol abuse, begging, absenteeism from school and vagrancy. Probation officers have an important role to play in the lives of people in conflict with the law. Some of their responsibilities include conducting thorough investigations to assess the offenders who have committed crimes. It can be understood that the nature of their job can at times cause occupational stress. The aim of the study was to explore the occupational stressors and coping mechanisms adopted by probation officers working at the Department of Social Development (DSD), Johannesburg (Jhb) Metro Region in the Gauteng province of South Africa. A qualitative approach was used to conduct the study. Fifteen participants were selected using non-probability purposive sampling. Face to face in-depth interviews were conducted to collect the data. The interviews were audio recorded and the data was analysed using thematic analysis. It was anticipated that insights into the occupational stressors and coping strategies adopted by probation officers would be revealed. This study revealed that probation officers have high caseloads, but have good coping mechanisms to curb occupational stress in that they confide in their supervisors and their colleagues. The significance of the study for social work was that it may help probation officers to determine how they can better deal with occupational stress. Little research has been conducted in South Africa regarding probation officers’ occupational stressors. Therefore, this study contributed to literature on the matter.Item South African academics’ intent to quit and intent to emigrate: an integration of turnover and emigration theories(University of the Witwatersrand, Johannesburg, 2022) Callaghan, Natasha ChombaThe present study contributes to the existing body of knowledge on factors that affect academics’ intent to quit and intent to emigrate. The objective of the study was to investigate relationships between individual differences (core self-evaluations), work attitudes (job satisfaction), contextual or work environment (perceived organisational support), and external or societal conditions (satisfaction with quality of life in South Africa), and their effects on academics’ intent to quit and intent to emigrate. The overarching goal was to integrate, review, and test turnover and migration theories and to investigate determinants of academics’ intent to quit, and intent to emigrate. Respondents (full time academics) from five higher education institutions, namely University of Pretoria, University of the Witwatersrand, University of Cape Town, Central University of Technology, and University of Fort Hare were invited to participate. Usable data from 471 respondents were analysed using statistical package for the social sciences (SPSS) software and structural equation modelling or SEM using Analysis of Moment Structures Software (AMOS SPSS). The direct relationship between core self-evaluations and academics’ intent to quit, and between core self-evaluations and intent to emigrate was tested in the presence of indirect paths (mediators, a moderator, and an interaction variable). A non-significant relationship between core self-evaluations and academics’ intent to quit, and a non-significant relationship between core self-evaluations and academics’ intent to emigrate was found. Tests of mediation found perceived organisational support to fully mediate the relationship between core self-evaluations and intent to quit, and to fully mediate the relationship between core self-evaluations and intent to emigrate. Job satisfaction was also found to fully mediate the relationship between core self-evaluations and intent to quit, and to fully mediate the relationship between core self-evaluations and intent emigrate. Results of tests of moderation found satisfaction with quality of life to moderate the relationship between core self-evaluations and intent to quit such that the relationship between core self-evaluations and intent to quit was stronger. Satisfaction with quality of life did not moderate the relationship between core self-evaluation’s and intent to emigrate. Although a majority of academics had no intention to quit or emigrate, an interesting finding was that those that were intending to emigrate were more than those intending to quit. This study contributes to the current literature on turnover and migration theory and extends the discussion to merging predictors of turnover and migration intentions in higher education contexts. This study also extends earlier turnover and migration research by confirming that predictors of turnover intentions and migration intentions are similar.Item Experiences of loveLife Trust telephone counsellors about the EWP employed within Gauteng(University of the Witwatersrand, Johannesburg, 2022) Mpekana, RebeccaGlobally, most Non-Profit Organisations (NPOs) do not prioritise employee wellness programmes (EWPs). NPOs’ funding is often allocated for rendering their primary programmes rather than improving their employees’ wellness. Employees in NPOs are left to devise their own means to best cope with work-related stress and challenges. Some employees rely on support from community-based organisations or their colleagues. loveLife Trust is a South African NPO that operates nation-wide. loveLife Trust recently introduced EWP to be utilised by its employees who are telephone counsellors. As of year 2022, loveLife Trust employs about 12 telephone counsellors. The loveLife Trust counsellors render psychological support to youth country-wide. Dealing with the youth’s presenting problems exposes the telephone counsellors to burnout and anxiety. This study aimed to explore how telephone counsellors experience the loveLife Trust EWP service. This was a qualitative study that allowed the participants to openly share their views. The total participants for this study were 12 telephone counsellors who were working on the toll-free line which is based in Gauteng. In addition, two key informants; the team supervisor and an EWP account manager, were interviewed. All participants were interviewed through ZOOM Cloud Meetings. A qualitative interview schedule that was guided by open-ended one-on-one interview questions was used for data collection. Thematic data analysis was used to derive different themes for the study. The aim of the study was to explore the experiences of telephone counsellors on EWP at loveLife Trust. The telephone counsellors are based in the call centre in Gauteng. The study revealed that telephone counsellors have not utilised the EWP as a way of support. The telephone counsellors prefer collegial support for taking care of their wellness. To spark interest amongst telephone counsellors to utilise the service, loveLife management should prioritise EWP awareness.Item Men’s responses to the #menaretrash movement on Reddit: a social constructionist and psychoanalytic analysis(University of the Witwatersrand, Johannesburg, 2022) Stroucken, Paige AlexandraGender-based violence (GBV) has been declared a global pandemic by the United Nations and has been linked to traditional gender roles and societal pressure to achieve certain masculinities. The necessity of including men in conversations around gender and GBV interventions has been highlighted, however, there is limited research on men’s responses to GBV or to protests against GBV. This study aimed to contribute to the inclusion of men in GBV conversations by focusing on men’s responses to a particular online protest movement, #MenAreTrash (#MAT). This movement began in South Africa in 2016/17 in response to violence against women and was adopted by women across the world as a means to express anger toward broader gender discrimination, violence and gender power imbalances. This study examined men’s responses to the #MAT movement on Reddit (a free online social media platform). In particular, these men’s constructions of masculinity, women, and the #MAT movement were examined. Subreddits threads and posts (including comments) using the hashtag from January 2019 to January 2021 were analysed. An interpretive thematic analysis that utilized psychodynamic and social constructionist frameworks was conducted, which allowed for both intrapsychic and social aspects of responses to be explored. This study found that the predominant emotion displayed by men in the threads was anger, in response to feeling threatened. However, underlying this anger was anxiety. Anxiety was understood as an underlying response to feeling the need to defend their masculinity. Masculinity was constructed in two ways: as either unfairly under attack or needing to change. Some men felt that the good parts of masculinity were being ignored. Other men viewed masculinity as capable of being more responsive and adaptive to female causes. However, within these two constructions the complex nature of masculinity emerged, within which there were shifting positions of agency and victimhood. Men in the study constructed all women who support the #MAT movement as feminists, however, splits in this construction were also evident: women were either ‘reasonable feminists’ who demonstrate less combative support of the movement, or ‘radical feminists’, who aim to annihilate and alienate men. Overall, #MAT was constructed as damaging and stereotyping. However, a small number of men viewed the movement as helpful and necessary in generating awareness of GBV.Item The role of the Community Work Programme (CWP) in poverty alleviation: a case of Naledi Local Municipality in Dr Ruth Segomotsi Mompati District, North West Province(University of the Witwatersrand, Johannesburg, 2022) Mongale, OntiretseSouth Africa is of a typical example of countries which adopted development welfare services. Social development approach has been practiced since 1994 in South Africa. Evidently development policies, projects and programmes illustrate such. The Community Work Programme (CWP) was adopted in 2009 to contribute towards poverty alleviation in South Africa. CWP is a Public Employment Programme (PEP) led by government which provide regular employment and social protection to people vulnerable to poverty. Therefore, this study aimed to explore contributions of CWP in poverty alleviation in Naledi Local Municipality (NLM) in Dr Ruth Segomotsi Mompati District, North West Province. The research approach was qualitative in nature, and an instrumental case study design was applied. This research is rooted in interpretivism paradigm hence purposive sampling technique was used to select participants who could provide in-depth examination of the topic. The sample consisted of twenty research participants. These include thirteen CWP participants, four field supervisors and three participants from the office staff and implementing agent. Three different semi-structured interview guides were used to collect data. Data was collected through in-depth face to face interviews to collect data from CWP participants and field supervisor while visual platform called Zoom was used to collect data from office staff members. Covid19 protocols were adhered to during face to face interviews with respondents. Thematic analysis was used to analyse data. The main conclusion derived from the study is that the CWP provides sufficient benefits to its participants and community of NLM that accelerate government efforts to alleviate poverty and reduce unemployment. The study also established that the CWP has the potential to improve provision of basic social needs and skills required to enter in the job market only if multiple stakeholder partnerships and collaborations are enhanced. The study concludes with an optimistic view that social protection directly reduces the effect of unemployment across South Africa.Item Towards the development of a screening tool for Anorexia Nervosa in men(University of the Witwatersrand, Johannesburg, 2022) Reeves, Megan Moya; Prof. Sumaya LaherAnorexia Nervosa (AN) in men is still not wholly understood and is often misdiagnosed. The primary aim of this tri-phasal exploratory, mixed methods study was to propose content domains and items that may be used to inform the development of future quantitative tests to screen for AN in men. It has been reported that there is currently no quantitative instrument available, which has been specifically designed to measure anorexic symptomatology in men (Darcy et al., 2012; Murray et al., 2012). The quantitative content domains and test items developed in this study may be used in future self-report screening measures to help improve the accurate recognition of AN symptoms in men. These items will help to counter the effects of gender biases evident in current AN screening tools and biases held by clinicians and psychiatrists that are reported when screening for AN in men. These test items and content domains were developed in the third phase of this study and were derived from the findings of the first two phases. In phase one, a comprehensive thematic list of symptoms reportedly experienced by men diagnosed with AN was developed from an integrative literature review of peer-reviewed journal articles published between July 2000 to July 2013 on PsychINFO, SA ePublications, and Google Scholar. The data from phase one were supplemented by a thematic analysis of 14 interviews with South African clinical psychologists and psychiatrists, conducted under phase two, which deconstructed their beliefs regarding AN in men. Ultimately, the study’s three phases cumulatively showed how the symptoms reportedly experienced by men differed to those of women, deconstructed the beliefs held by a sample of South African clinical psychologists and psychiatrists, recommended a gender sensitive and identity based conceptualisation of AN that served to explicate theory, and finally proposed original test items that may be used in future research to develop a test to more validly and reliably screen for AN symptomatology in men.Item Anxiety as a Mediator of the Associations Between Stressful Life Events and Social Media Use Intensity in Young Adults(University of the Witwatersrand, Johannesburg, 2022-05) Ramoroka, Morongwa Rebaabetswe Elina; Price, EstherIntroduction: This study quantitatively explored the associations between SLEs, anxiety, and social media use intensity. The study explores whether anxiety mediates the relationship between SLEs and social media use intensity across all four domains. This study further aims to explore whether social media use intensity, operationalized as an avoidance coping strategy, is possibly due to poor emotional regulation and distress tolerance skills. The first-time undergraduate student population are often inadequately prepared for the transition to university during a critical period of their development. As a result, they may drift towards health compromising behaviours such as intense social media use. The findings will set a precedent for the development of preventative programs and/or interventions in order to assist young adults with emotional regulation. Methods: This was a cross-sectional design that was analysed quantitatively. The participants were invited to participate in online questionnaires which assessed stressful life events, anxiety, and social media use intensity. While a total sample of 402 students completed parts of the online survey questionnaires, a final sample of 360 participants was used in the study as their data sets were complete for all the variables. The Social Readjustment Rating Scale, Beck's Anxiety Inventory, and the Facebook Intensity Scale were the measures used. Results: Positive associations were found between SLEs, anxiety and social media use intensity. Anxiety mediated the relationship between SLEs and social media use intensity across all four domains. This reflected that social media use intensity is a form of avoidance coping mechanism that emerges due to poor emotional regulation and distress tolerance skills. Conclusions: The present study highlights the challenges experienced and how to set a precedent for the development of preventative programs and interventions. Keywords: stressful life events, anxiety, avoidance coping, social media use intensityItem Investigation of Middle Ear Function Through Wideband Absorbance Measure in Adults Living with Human Immunodeficiency Virus in Gauteng Province, South Africa(University of the Witwatersrand, Johannesburg, 2022-06) Sebothoma, Ben; Khoza-Shangase, KatjahBackground: The association between the human immunodeficiency virus (HIV) and auditory pathologies, including middle ear pathologies, has been extensively researched. However, most of this research has documented the middle ear pathologies of people living with HIV using conventional tympanometry with single probe tone, which has been shown to have poor sensitivity and specificity. Consequently, middle ear function and pathologies of people living with HIV may not have been accurately represented. While wideband acoustic immittance (WAI) such as wideband reflectance or/and absorbance measures emerged as a potential measure that can accurately identify early signs of middle ear pathologies and provide an accurate picture of the middle ear function, little is known about middle ear function and pathologies of adults living with HIV using wideband acoustic immittance. The value of preventive audiology in this population that comprises a big component of South Africa’s quadruple burden of disease cannot be overemphasized. Purpose: The primary purpose of this study was to investigate middle ear function through WAI in adults living with HIV. Specific objectives included to: review evidence on trends of middle ear pathologies in adults living with HIV; determine current practices employed by South African audiologists in identifying middle ear pathologies; determine the usefulness of using tele-practice to identify middle ear pathologies in adults living with HIV; determine the usefulness of wideband absorbance measures in identifying middle ear pathologies in adults living with HIV; determine the sensitivity, specificity, and characteristics of wideband absorbance measures in adults with and without HIV; determine the combined effects of HIV and comorbidities on hearing function; and explore risk factors that influence the development of middle ear pathologies in adults living with HIV. Participants: A non-probability purposive sampling was used to recruit and select participants. South African adults aged 18 years and above who were diagnosed and living with HIV in the Gauteng Province and attending an HIV clinic, as well as adults who are HIV negative as a control group were recruited and included in the study. Design: While the general methodology for this research comprised of a quantitative, cross-sectional design, each research article that forms part of this study has its own specific research design and methodology, and this is presented in each article. Data analysis: Data were analysed using the STATA version 1.5. For each paper (presented as chapters in this thesis), specific statistical analysis procedures were adopted, and are reflected in each of the chapters. Results: Findings in this study revealed that middle ear pathologies are common and highly prevalent in adults living with HIV, reaching approximately 60% in the current sample. These pathologies vary according to type and severity, and this is influenced by the middle ear measure used for assessment. The common middle ear pathologies in this study were otitis media with effusion, chronic suppurative otitis media, with conductive hearing loss. Despite the existence and occurrence of middle ear pathologies, some audiologists do not regularly incorporate tympanometry into their clinical practice. Asynchronous tele practice, through video-otoscopy, was found to be useful and feasible in the identification of middle ear pathologies in adults living with HIV, with substantial agreement (K=0.5801 to 0.6047) between otorhinolaryngologists. The wideband absorbance measure was found to be more accurate in identifying middle ear pathologies than the tympanometry with 226Hz probe tone and pure tone audiometry using air/bone gap. The sensitivity of wideband absorbance reached 88%, while that for tympanometry with 226Hz probe and pure tone audiometry was below 20%. In addition, the wideband absorbance patterns, measured at ambient pressure and tympanometric peak pressure, were also established for participants with normal middle ear function and middle ear pathology. While there was a difference between the wideband absorbance pattern of participants with normal middle ear function and middle ear pathologies, with middle ear pathologies being lower in the low to mid frequencies (226Hz to approximately 3000) for both ambient pressure and tympanometry peak pressure, this difference was not statistically significant between and within groups. Finally, findings of this study indicated that adults living with HIV, with comorbidities such as hypertension and hypercholesterolemia, and risk factors such as advancing age and an extended use of ART, have an increased the risk of developing various types of hearing loss. Conclusion: Current findings highlight the importance of preventive tailored care for adults living with HIV. The study indicated that middle ear pathologies and hearing loss are high in adults living with HIV. The development of these pathologies is associated with comorbidities and other risk factors. Wideband absorbance measures appear to offer promise as a diagnostic measure for middle ear pathologies in this population. However, wideband absorbance must be used in conjunction with other middle ear measures such as video otoscopy to improve early identification and intervention of middle ear pathologies. While this study indicates that middle ear pathologies are common in adults living with HIV, the patterns of wideband absorbance suggest that middle ear function in this population may not be different to HIV negative control group. Findings of this study also highlighted the importance of training facilitators to capture quality video otoscopic images that can be used for tele practice in a South African context where demand versus capacity challenges exist in as far as ear and hearing care healthcare practitioners are concerned. Finally, this study raises implication for resource distribution, ensuring that accurate measures such as wideband absorbance measures are available in clinical setting, which will improve early identification and intervention in adults living with HIV.Item Academic anxiety and a micro-online intervention for enhancing psychological capital(University of the Witwatersrand, Johannesburg, 2022-06) Rambau, Karabo Fellicia; Siemers, IanThis study investigates the effectiveness of a Psychological Capital (PsyCap) intervention in reducing students’ levels of academic anxiety. In essence, the current study focuses on academic anxiety with the aim of investigating whether a PsyCap intervention is able to reduce students’ perceptions of academic anxiety. Regarding this, the current study also aims to enhance students’ levels of PsyCap so that students can be able to cope with academic anxiety. This study also utilised the Conservation of Resources (CoR) model to frame the relationship between PsyCap and academic anxiety by arguing that the accumulation of personal resources (i.e., PsyCap) could act as a buffer and reduce the experience of academic anxiety among students. It is of paramount importance that students are equipped with the necessary resources or skills that are needed in order to survive and excel within higher education. This is because being a university student can come with countless challenges that are sometimes unbearable. Regarding this, Rehman (2016) have argued that students entering the higher education system often come across numerous issues such as, academic anxiety, academic stress, academic depression, as well as socio-economic hardships. The lack of research regarding enhancing students’ PsyCap in order to help them cope with academic anxiety has motivated the researcher to engage in this topic. In engaging in this topic, the current study adopted a positive psychology approach which focuses on individual’s strengths and capabilities. This study employed a quantitative quasi-experimental research design. Additionally, a non-probability, convenience sampling technique was utilised. Data was collected using a questionnaire, the questionnaire consisted of a self-developed demographic questionnaire, the Psychological Capital Questionnaire (PCQ) (Luthans, Avolio, Avey, & Norman, 2007; Luthans, Youssef, & Avolio, 2007), and the Academic Anxiety Scale (AAS) (Cassady, Pierson & Starling, 2019). The final sample (N=110) consisted of first year Psychology students from the University of the Witwatersrand, Johannesburg, in South Africa. Results of the current study confirm the effectiveness of the PsyCap intervention in enhancing students’ level of PsyCap. This implies that the intervention was effective in enhancing students’ PsyCap. Nonetheless, the intervention was not effective in reducing students’ levels of academic anxiety. The results of the current study also indicated that PsyCap and academic anxiety are related. In this case, a significant, negative relationship was found between PsyCap overall and academic anxiety, in Time 0, Time 1, and in Time 2. The results of the current study were discussed in relation to previous literature and previous research.Item How Undergraduate Students at the University of Witwatersrand Make Meaning of Non -Disclosure of Suicidal Ideation(University of the Witwatersrand, Johannesburg, 2022-07) Mboweni, Ntwanano Harnelly Charmain; Jithoo, VinithaThe self-concealment of suicidality poses a significant threat to the well-being of university students around the globe. Suicidal concealment greatly exacerbates emotional and psychological distress within this cohort and unabated leads to a suicide death. Suicidality concealment within the university student population presents a perplexing and unique problem to university stakeholders, clinicians, and researchers. University students are in proximity to psychological care that is freely offered on university campuses, and yet more than half of students who contemplate and eventually die by suicide do not take up these services. Even more vexing is that students choose to deny and conceal suicidal distress from intimate support networks. There is an undeniable need to explore the factors that influence students’ decision to conceal suicidal ideation as well as the factors that facilitate disclosure of suicidality within this population. Using a constructivist grounded theory approach the present study explored understanding of concealment concerning suicidal ideation among university students. It focussed on understanding the personal narratives and lived experiences that motivate students to conceal their suicidal thoughts, feelings, and intentions. Focus groups were used to make sense of students’ understanding and meaning making of suicidal thoughts and why talking about suicidal desires is so challenging. The study concluded that suicide and concealment among university students are multifaceted. The reasons for concealing suicidal thoughts reflect both internal motivations, such as feelings of shame, helplessness, feeling isolated, and mental health concerns, and external motivations, such as fear of consequences that may result from telling others. Attitudinal factors, such as being a burden to others, stigma and its consequences, lack of perceived need for help, mistrust, and desire to be self-reliant, emerged more frequently than structural factors, such as lack of access to help. Additionally, several reasons unique to university life, such as academic competence, performance-related anxiety, financial difficulties, and a sense of belonging, emerged. Student voices echoed the need for mental health and suicide literacy programs and greater cohesiveness and a sense of belonging within the university community could encourage greater engagement with emotional distress.Item First-year psychology students' understanding of traditional healing and treatment of mental illness(University of the Witwatersrand, Johannesburg, 2022-07) Mkansi, Akani Patience; Human, LeonieMental illness has shown high prevalence in local South African communities, however, the lack of knowledge and understanding of mental illness has an impact on the treatments that patients choose. Research shows that most individuals understand mental illness and define mental illness somatically and as resulting from biological causes (Memon et al., 2016), whereas there are other reasons for developing mental illness. Although patients consult psychologists and psychiatrists there is still a high number of individuals that consult traditional healers for the treatment of mental disorders (Zingela, 2019). Culture, beliefs, and the value placed on traditional healers results in continued consultation with traditional healers. A shared understanding of culture can help address barriers related to resistance due help-seeking behaviour (Zhou et al., 2021). The objective of the study is to explore first-year psychology students' understanding of mental illness and treatments. The data was collected using phenomenological interviews with ten first year psychology students registered with the University of the Witwatersrand, aged 18 and above. Semi-structured and open-ended interviews were conducted virtually using the Zoom meeting platform and lasted about 45 minutes to one hour. The data was analysed using thematic content analysis. The following themes were identified from the collected data: (1) understanding of mental illness (2) Healing of mental illness (3) role of traditional healers (4) reasons for consulting with traditional healer (5) The role of indigenous South African Cultural Understanding of mental illness (6) African cosmology and mental illness (7) challenges to understanding mental illness. The results presented various understandings of mental illness and treatments. Participants have identified culture, beliefs and several challenges as having an impact on access to mental healthcare services, therefore, it is noteworthy to have future interventions that consider a culturally accommodative and comprehensive framework for understanding mental illness.Item Mental Health Problems and Perceived Barriers in Seeking Psychological Help: A Survey of Students at the University of the Witwatersrand(University of the Witwatersrand, Johannesburg, 2022-09) Ngcobo, Zinhle Penelope; Jithoo, VinithaAim: The study examined help-seeking behaviours and attitudes among students at the University of the Witwatersrand, Johannesburg. The goal was to investigate students' referred sources of help while they were experiencing psychological distress, as well as the perceived barriers to getting psychological care. The Health Belief Model (HBM) was used as the theoretical framework, which attempted to discover whether the HBM variables predict formal help-seeking among students. Methods: The data was acquired from a suitable sample of 165 students using a cross-sectional survey design. A demographic questionnaire, a list of different sources of assistance, the Health Beliefs about Mental Illness (HBMI) instrument, the Barriers to Care Evaluation (BACE) scale, and the Barriers to Help Seeking (BHSS) scale were all included in the survey. The Statistical Package for the Social Sciences (SPSS, version 27) was used to analyse the data. Results: The findings revealed that only one-third (33.3%) of the students preferred seeking help from a mental health professional. The most important barriers identified were students preferring to deal with psychological issues on their own as they perceived symptoms not to be serious enough to warrant professional intervention; stress and anxiety were considered a normal part of life, and many students were unaware of helping resources and how to access them. The logistic regression analysis indicated that only the perceived benefits made a unique statistically significant contribution to the model, recording an odds ratio of 2.99. The results revealed that the odds of seeking formal help are about 3 times greater for students who perceive seeking formal help as beneficial compared to those who perceive formal help-seeking as not beneficial (OR 2.99; 95% CI: 1.45-6.20; p = 0.003). Conclusion: Understanding barriers to psychological help-seeking is imperative to ensuring early access to psychological services and improving mental well-being. Therefore, the current findings suggest that strategies and initiatives such as psycho-educational programs and awareness campaigns highlighting the availability and purpose of psychological services on campuses, as well as the benefits of utilizing psychological services, are necessary. This would make psychological services more desirable to students, thereby reducing the identified barriers.Item Caregivers’ Perceptions of the Influence of Covid-19 Pandemic on the Well-Being of Secondary School Learners in the Vosloorus Area, Gauteng, South Africa(University of the Witwatersrand, Johannesburg, 2023) Mqadi, Slindile Alicia; Pretorius, EdmarieThe COVID-19 pandemic did not only impact the education system in South Africa but as affected the lives of learners when remote learning was introduced to the education system. This new way of learning affected the well-being of learners in different ways. The purpose of the study was to explore the caregivers' perception of how the COVID-19 pandemic influenced the well-being of secondary school learners in Vosloorus, Gauteng, and South Africa. The ecological perspective was the theoretical framework underpinning the research study. A qualitative research approach and a phenomenological design was used to focus on the social meaning that individuals attach to their circumstances, experiences, and situations. The design allowed exploring the caregivers’ perceptions on how COVID -19 pandemic affected the well-being of their grade 10-12 school going children. The population of the study was caregivers of grades 10 to 12 learners, at a secondary school in Vosloorus Gauteng. Purposive sampling was used to sample eight caregivers of grades 10-12 learners. The research instrument used was a semi-structured interview guide and the method of data collection was face-to-face interviews with caregivers. Thematic analysis was applied to analyse the data. The main findings showed that the COVID-19 pandemic left most homes in devastating condition, it left many mourning for their loved ones. Many learners were left orphaned or with one parent. Very few families did not experience the death of a loved one during this time, if it wasn’t a death of a family member, it was the passing on of a schoolteacher, a friend, or just someone you knew. This resulted in learners being bereaved, developing anxiety, and living in fear. Following the death of loved ones, the high rate of job losses was catastrophic. For caregivers and learners, the loss of employment or receiving a decrease in income added to their already poor socioeconomic status and it had other consequences for families and learners. Another major finding was that learners experienced overwhelming emotions, like fear, anxiety, and loneliness. There was also a high rate of grades dropping and learners being pushed to the next grade. Lastly caregivers perceived that COVID-19 contributed to the use of substances among learners.