Electronic Theses and Dissertations (Masters)

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

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    Caregiver experiences of Attachment and Bonding Practices in Neonatal Intensive Care Units in Gauteng, South Africa
    (University of the Witwatersrand, Johannesburg, 2024) Prinsloo, Engela Maria; Neill, Joanne; Sawasawa, Cynthia
    Background: Infant attachment and bonding are crucial within the early post-natal period to ensure a secure and healthy relationship from which the infant can explore the world thereby allowing for the development of a variety of skills. Context and culture are known to influence attachment and bonding practices. Then considering the challenging Neonatal Intensive Care Unit environment it is crucial to explore how this environment might influence attachment and bonding with a specific focus on context and culture. Objectives: This study aimed to describe the experiences of caregivers regarding attachment and bonding practices in the Neonatal Intensive Care Unit in central Gauteng, South Africa. Methods: A qualitative design was used to explore caregiver experiences around attachment and bonding practices concerning context and culture in the Neonatal Intensive Care Unit. An advertisement was posted on online forums for caregivers in South Africa who have had infants admitted to the Neonatal Intensive Care Unit. Non-probability, purposive sampling and snowball sampling was used to collect data. Both in-person and remote semi-structured interviews took place and were used to collect data. Thematic analysis was used as data analysis. Results: The following themes and subthemes were identified; the act of mothering in the NICU (with subthemes loneliness and disempowerment of caregivers, the emotional roller coaster ride, and the need for psychological/emotional support), Culture in the NICU (with subthemes care in the NICU, the influence of culture and caring for a baby in the NICU, and limited information-giving practices in the NICU), and a Sense of missing out (with subthemes unexpected pre-term birth, feeling estranged, and the tension between society’s image and the reality of having a baby in the NICU). While context and culture influence attachment practices amongst caregivers, in the case of an infant being admitted to the NICU, these practices do not take precedence, but rather the health of the infant. Implications: Methodological recommendations include alternative sampling and data collection methods than online advertised snowball sampling that allow for a larger and more diverse sample size. Policy and practice recommendations for NICUs include improving accessibility to psychological support services and orientating information on the NICU for caregivers.
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    First-year psychology students' understanding of traditional healing and treatment of mental illness
    (University of the Witwatersrand, Johannesburg, 2022-07) Mkansi, Akani Patience; Human, Leonie
    Mental 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.