Electronic Theses and Dissertations (Masters)

Permanent URI for this collectionhttps://hdl.handle.net/10539/37990

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Start date: 2011Subject: search.filters.subject.Mental health

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Now showing 1 - 8 of 8
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    Child and Adolescent Mental Health in South Africa: Experiences of Black Psychologists
    (University of the Witwatersrand, Johannesburg, 2023-10) Seboka, Kanelo; Amod, Zaytoon
    This study explored the experiences of Black psychologists working with children and adolescents within the South African context. The purpose of this investigation was to shed light on these experiences, whose insights could contribute to teaching and training as well as to policy developments in relation to child and adolescent mental health in this country. A descriptive qualitative approach was employed for this study. Individual, semi-structured interviews with ten Black psychologists who are registered with the Health Professions Council of South Africa (HPCSA) was the primary data collection method, analysed using thematic data analysis. Eight themes were identified: Perceptions of Psychology and Mental Health; Systemic Influence and Understanding; Parent/Caregiver Psychoeducation; Inter-Professional Collaboration; Professional Competence; The ‘Black Culture’ and Context; Indigenous Knowledge and Practices and Mental Health Resources and Policies in South Africa. Findings indicated the need for promotion of the following aspects: mental health psychoeducation to eliminate negative health-seeking behaviours, professional inter collaboration and overall child and adolescent mental health. Findings further indicated the need for more cultural diversity in psychology training programmes as well as the prioritisation of child and adolescent mental health in government policies. Based on this, it is recommended that schools/clinics be reliable sources of mental health information; inter-professional training that has cultural relevance be offered at tertiary level; and for promotive and intervention programmes to be implemented in schools as a form of psychosocial support for the learners, teachers and the broader community.
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    Understanding the experiential intersections of violence, gender identities and mental health, in the accounts of male parolees, in Gauteng, South Africa
    (University of the Witwatersrand, Johannesburg, 2023-03-15) Kallenbach, Jessica Jade; Bowman, Brett
    Imprisonment in South Africa has been categorized by untold hardships and suffering. Some of the major factors which influence life in correctional centres in South Africa, are embedded within violence, gender identities and mental health. These three constructs – violence, gender identities and mental health – appear embedded within the logic of the correctional centre regime. Thus, to understand the entirety of an offender’s experience during incarceration, it is necessary to investigate the intersections of violence, gender identities and mental health. This was achieved using a qualitative hermeneutic phenomenological approach to centre on the participants’ experiences. This research consisted of six semi-structured face-to-face interviews with male parolees at Zonderwater Correctional Community Centre. The interviews were based on a self-developed questions derived from research by Akhona (2014), Bantjes et al. (2017), Celinska and Sung (2014) and Gear and Ngubeni (2002). The interview questions were open-ended and focused on the participants’ subjective meanings, understandings and experiences regarding the dynamic intersection of violence, gender identities and mental health in South African correctional centres. The findings of this research revealed that the exposure to and involvement in violent acts are inextricably related to the fundamental deprivations that offenders are subjected to and the associated “pains of imprisonment”. This revelation demonstrated the negotiation of gender that takes place within these confines, making acts of sexual assault and violence deemed more acceptable. In navigating this system of violence and gender identity negotiations, the findings of this study illustrated the emotional and mental impact that this environment has on offenders. This highlighted the pertinent need for the Department of Correctional Centres (DCS) to address current gaps in the rehabilitation models they use. These gaps could account for the recidivism rate in South Africa. It is clear that the intersection of violence, gender identities and mental health play an influential role in determining the reported experiences of offenders. The study thus has the potential to contribute to policies, by illustrating that a multi-layered approach to rehabilitation is required.
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    An exploration of the Lived Mental Health Experiences of psychologists working in the public sector during the COVID-19 pandemic in South Africa
    (University of the Witwatersrand, Johannesburg, 2023) Harvey, Zena; Laher, Sumaya
    The COVID-19 pandemic severely impacted mental health in South Africa, exacerbating the existing mental healthcare treatment gap. Psychologists working at public institutions have been at the forefront of providing mental health care to the public during the crisis. However, psychologists themselves may be considered a vulnerable group at risk of developing adverse mental health outcomes, such as depression, anxiety, burnout and vicarious traumatisation due to the nature of their profession. This vulnerability may have been further amplified during the COVID-19 pandemic. The well-being of psychologists is integral to ensuring high quality patient care and to the overall management of pandemic and other disease outbreaks. There remains a significant dearth in the available literature examining the lived mental health experiences of psychologists, especially those working in the public sector. This study aims to address this pertinent gap by investigating the lived mental health experiences of ten psychologists employed in South African public institutions, amidst COVID-19 pandemic. Semi-structured interviews comprising sixteen questions were conducted with each psychologist. The following five overarching themes emerged from an Interpretive Phenomenological Analysis (IPA): ‘The personal effects of COVID-19 on psychologists’, ‘Changes to therapy During COVID-19’, ‘Experiences of COVID-19 exposure in public hospitals’, ‘Coping Mechanisms’ and ‘Survivor Guilt: Privilege during the pandemic’. A discussion of the abovementioned findings highlighted the importance of addressing, prioritising and monitoring the psychological wellbeing of these public sector-psychologists, during pandemic and other disease outbreaks to increase their support structures.
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    Exploring attitudes, aetiology and help-seeking behaviours for Mental illness in the community of Diepsloot
    (University of the Witwatersrand, Johannesburg, 2023-02) Mkhize, Sandile Dionne; Laher, Sumaya
    Mental illness is a serious nation-wide health concern, with many individuals suffering from mental disorders. This study explored the attitudes of Diepsloot community members towards mental illness, their beliefs about the aetiology of mental illness and their help-seeking behaviours. Further the study explored whether attitudes and aetiology beliefs predict help-seeking behaviours in Diepsloot community members. Furthermore, issues of stigma and poverty were explored as factors contributing to understanding of and help-seeking behaviours for mental illnesses. A convenience sample of 154 community members in Diepsloot completed a questionnaire consisting of a demographics section, the Living Standards Measure, the Public Perceptions of Mental Illness questionnaire and two open ended questions asking about the factors that contribute to mental illness and the kind of advice the participants would give to a person who has mental illness. Quantitative data were analysed using descriptive statistics and multiple regression analyses. The open-ended questions were analysed qualitatively using thematic analysis. The results indicated that the participants had more neutral attitudes towards mental illness overall but an item-by-item analysis of the attitudes scale indicated negative attitudes. The participants perceived mental illness to be caused by biological and stress related causes but did identify other causes in their responses to the open ended question. In particular, psychological factors, substance use, social components/aspects in their community, financial challenges, biological influences and cultural influences were all identified. Among the participants, there was an endorsement of help-seeking behaviours that were aligned with western medicine, hospitalization, consulting with family and friends, and religion in both the quantitative and qualitative analyses. Seeking help from traditional healers was less dominant in the responses to the open ended question. The multiple regression results, with regard to predicting attitudes towards mental illness, suggested that the participants had positive attitudes towards mental illness if their level of knowledge was higher. A variety of predictors were revealed regarding the various help-seeking behaviours. An overlap was observed among the stress aetiology and the cultural beliefs aetiology as predictors. These results are discussed within the broader context of access to mental healthcare in South Africa as well as the need for more collaborative interventions.
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    The experiences of grade 6 children at a mainstream urban primary school in Johannesburg on the effect of COVID-19 on their wellbeing
    (University of the Witwatersrand, Johannesburg, 2023-10) Nakaonga, Chitalu Ruth Sokoni; Watermeyer, Jennifer; Pretorius, Edmarie
    The COVID-19 pandemic produced a plethora of mental and physical health issues. It was well understood that COVID-19 had affected the world in various ways, but little existed on how children in schools had been affected. With COVID-19 bringing about never seen before issues, this study explored how children were impacted by it. This research study allowed for an exploration of the experiences of grade 6 children in terms of how COVID-19 influenced their wellbeing whilst expected to focus on their schoolwork. As explored within this study, children in the school setting already have other school related stresses to deal with, COVID-19 was an unnecessary addition. A qualitative research approach and a phenomenological design was used in this research study. This research approach allowed for an in depth understanding of the children’s experiences. Purposive sampling, a type of non-probability sampling was used to sample seven grade 6 children to participate in the study. Data was collected through face-to-face semi-structured interviews using an interview guide. The collected data was analysed thematically. The research found that children were affected by COVID-19. Children shared how their learning looked different due to COVID-19 and how their relationships with others looked different due to the pandemic. This study also highlighted the level of understanding children had of what COVID-19 was. Through this study, there was a highlight on the importance of healthy relationships and dynamics within children’s immediate family. Their family played the greatest role in supporting them (the children) as they experienced life and school differently.
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    Understanding the experiential intersections of violence, gender identities and mental health, in the accounts of male parolees, in Gauteng, South Africa
    (University of the Witwatersrand, Johannesburg, 2023-03) Kallenbach, Jessica Jade; Bowman, Brett
    Imprisonment in South Africa has been categorized by untold hardships and suffering. Some of the major factors which influence life in correctional centres in South Africa, are embedded within violence, gender identities and mental health. These three constructs – violence, gender identities and mental health – appear embedded within the logic of the correctional centre regime. Thus, to understand the entirety of an offender’s experience during incarceration, it is necessary to investigate the intersections of violence, gender identities and mental health. This was achieved using a qualitative hermeneutic phenomenological approach to centre on the participants’ experiences. This research consisted of six semi-structured face-to-face interviews with male parolees at Zonderwater Correctional Community Centre. The interviews were based on a self-developed questions derived from research by Akhona (2014), Bantjes et al. (2017), Celinska and Sung (2014) and Gear and Ngubeni (2002). The interview questions were open-ended and focused on the participants’ subjective meanings, understandings and experiences regarding the dynamic intersection of violence, gender identities and mental health in South African correctional centres. The findings of this research revealed that the exposure to and involvement in violent acts are inextricably related to the fundamental deprivations that offenders are subjected to and the associated “pains of imprisonment”. This revelation demonstrated the negotiation of gender that takes place within these confines, making acts of sexual assault and violence deemed more acceptable. In navigating this system of violence and gender identity negotiations, the findings of this study illustrated the emotional and mental impact that this environment has on offenders. This highlighted the pertinent need for the Department of Correctional Centres (DCS) to address current gaps in the rehabilitation models they use. These gaps could account for the recidivism rate in South Africa. It is clear that the intersection of violence, gender identities and mental health play an influential role in determining the reported experiences of offenders. The study thus has the potential to contribute to policies, by illustrating that a multi-layered approach to rehabilitation is required.
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    Exploratory Study on Educators' Experiences of the Mental Health Needs of High School Learners in the North West Province
    (University of the Witwatersrand, Johannesburg, 2023-08) Mziwakhe, Boitumelo; Amod, Zaytoon
    In many developing countries, including South Africa, adolescents’ mental health receives little attention within the larger field of mental health. This is despite the probability that developing mental health problems is significantly higher during adolescence than in any other developmental period. In line with the interpretivist paradigm approach, this study employed a qualitative research approach and adopted an exploratory and descriptive research design. The study aimed to explore and describe educators' experiences of the mental health needs of high school learners in the North West province of South Africa (North West). A semi-structured interview was used to collect data from 11 high school educators. Data in this study were analysed using thematic analysis. Understanding psychosocial development in relation to identity development in adolescent mental health and the ecological systems theories served as a theoretical framework for understanding the phenomenon under study. This study's findings indicated that factors affecting learners' mental health include disrupted family structures, child-headed households, poverty, sexual abuse, school violence, bullying, and psychoactive substances among learners. The findings also highlighted the importance of establishing school-community partnerships and the essential role the school-based support team plays in addressing the psychosocial needs of learners. Conversely, mental health stigma, social worker delays in addressing the psychosocial needs of learners, and ancestral calling were identified as barriers to learners seeking and accessing psychosocial services in schools. Based on the findings from this study, some recommendations to contribute to the mental health of high school learners include the development of age-specific and appropriate mental health policies and interventions. Further contributions would be to increase education funding to employ school nurses and social workers and establish positive school-community partnerships.
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    Exploring the mental health and well-being experiences of high school learners during covid-19 in Sebokeng, Vanderbijlpark
    (University of the Witwatersrand, Johannesburg, 2023-06) Nkomo, Andile Prudence; Pretorius, Edmarie; Watermeyer, Jennifer
    The coronavirus that causes COVID-19 is an acute infection that affects people. The World Health Organization declared it a pandemic on March 11, 2020, and an international public health emergency on January 30, 2020. Residents of Sebokeng in South Africa suffered throughout the lockdown stages brought by COVID-19, finding it difficult to maintain a regular way of life in the face of the unique circumstances due to a shortage of money and business closures. The pandemic caused unimaginable disruptions in many aspects of society, including interruptions for learners in the classroom. It presented high school learners with challenges that increased their likelihood of developing mental health issues. Thus, the study aimed to explore high school learners' experiences of mental health and well-being during COVID-19 in Sebokeng, Vanderbijlpark. Against this background, the objective of the study was to gain an in-depth understanding of the lived experiences of high school learners in Sebokeng, Vanderbijlpark during COVID-19 and, explore the perceived influence of the pandemic on learners' mental health and well-being. The study used semi-structured one-on-one interviews to gather data. The framework for analysing and comprehending the results of my research was provided by the social context perspective, a subset of the ecological systems theory method. The data were analyzed using thematic analysis. The key themes and subthemes that emerged from the data are presented in this study, along with the research findings. The impact of COVID-19 on the learner's mental health will be investigated initially. The impact of COVID-19 on participants' academic progress, financial losses as a result of COVID-19, and overall COVID-19 experiences are then explored. Therefore, there has never been a more ideal time to investigate how learners' COVID-19 experiences may have affected their mental health. This study provides some insight into the use of support treatments for mental health issues.