Tholene Sodi

Cultural Embeddedness of Health, Illness and Healing: Prospects for Integrating Indigenous and Western Healing Practices

Culture influences conceptualizations about illness, health and healthcare. In this article we argue that Western-oriented health care models have limited success when applied to health conditions of people of non-Western cultures and contend that culture is an important factor in health, illness and healing. We present two cultural modes of illness and healing to illustrate that many health conditions are meaningful and can be effectively managed with consideration of the cultural contexts of the communities concerned. We illustrate, by case examples, how these cultural conceptualisations influence the treatment of illness in three different cultural settings. In addition, we identify some of the key challenges to integrating traditional healing into counselling and psychotherapy. Integration of different cultural healthcare models is a best practice in comprehensive context sensitive delivery of healthcare.

Challenges and opportunities to integrating traditional healing into counselling and psychotherapy

This paper discusses limitations of Western psychological practice and the calls for integrating traditional healing practices into counselling and psychotherapy. It also explores challenges to and opportunities in integrated psychological practice systems which revolve around issues related to different paradigmatic perspectives about health and ill-health, practice issues and negative characterization of traditional healing and traditional healers, research into traditional healing and uses of herbal medicines. The paper concludes with discussions on educational and training opportunities, for traditional healers, counsellors and psychotherapists, for addressing challenges to integration and ensuring effective services delivery.

A Controlled Study of an HIV/AIDS/STI/TB Intervention with Faith Healers in Vhembe District, South Africa

The aim of the study was to develop an HIV and AIDS training manual, and to evaluate the knowledge, attitudes and management of faith healers of Apostolic churches regarding HIV and AIDS, before and after they attended an HIV and AIDS training programme. A quasi-experimental intervention design was used with faith healers affiliated with the United African Apostolic Church (UAAC) in the Thulamela and Musina municipalities of Vhembe District, Limpopo Province, South Africa. A total of 103 faith healers were included in this study, 58 were systematically assigned to an intervention and 45 to a control group. The intervention group received training for 2 days. At follow-up after 2 months, intervention effects were significant for HIV knowledge and to a lesser extent TB knowledge. No significant improvement was found in HIV/STI (sexually transmitted infection) management strategies such as HIV/STI risk behaviour counselling, referral of clients for HIV testing, keeping condoms at stock in church, and church community HIV/AIDS/STI education. It is important to note that faith healers address some of the major known behavioural risk and protective factors such as partner reduction and condom use. Therefore, faith healers could be more widely utilized in HIV prevention programmes as risk reduction counsellors, in particular on matters of community-level education.

Happiness and health behaviours among university students from 24 low, middle and high income countries

The aim of this study was to examine health behaviours and happiness and associated factors in low, middle and high income countries. In a cross-sectional survey, 17 508 undergraduate university students (mean age 20.9, SD = 2. 8) from 25 universities in 24 countries across Asia, Africa and the Americas self-completed anonymous questionnaires. Results indicate that the overall happiness mean score among university students across 24 countries was 13.7 (range 4–20). Generally, the study found that university students from countries of the Caribbean, South America and sub-Saharan Africa had greater happiness scores than students from countries in North Africa and Asia. In multivariate linear regression analysis, better subjective socio-economic status, coming from an higher income country, higher social support, higher intrinsic religiosity, higher personal mastery, positive health behaviours (regular breakfast, adequate physical activity, habitual seatbelt use, regular dental check-ups, not having had an injury, not drinking and driving) and negative health behaviours (not having three or more servings of vegetables and eating red meat daily) were correlated with happiness. Improvement to the happiness of university students should consider regional differences in socio-economic environment.

Cultural conceptions of a bereavement-related illness in a South African indigenous community

This study explored cultural conceptions of a bereavement-related illness among elderly (aged 34–85yrs) Northern Sotho-speaking people in Limpopo province. The participants (n = 14, females = 50%, mean age = 59 years, SD: 13.7 years) were purposively selected and interviewed using in-depth interviews. Data were analysed using Hycner’s adapted phenomenological method. Three themes emerged from the analysis: debilitating and life-threatening symptoms of the illness; aetiology explained by ritual taboo violations; and management of the illness through ritual cleansing. The cleansing process incorporates the administration of traditional herbs. The findings suggest bereavement-related illness in an African cultural community to be explained by their cultural concept of distress understandings.

Perceived Sexual Harassment Among Female Students at a Zimbabwean Institution of Higher Learning

This study analysed perceived sexual harassment experiences and responses among 136 female students (aged 19 to 40) randomly drawn from an institution of higher learning in Zimbabwe. A Sexual Harassment Questionnaire (SEQ) was administered to the participants. Data were summarized using descriptive statistics. Thirty-one percent (42) of the students acknowledged having been sexually harassed. About 69% (94) of the students appeared not to recognize sexually harassment that may have occurred to them. Only a minority of the students (7%) reported the harassment. Sexual harassment policies may help mitigate the experience of sexual experience by college students in Zimbabwe.

Marriage and Counselling in African Communities: Challenges and Counselling Approaches

The article explores a variety of marital counselling approaches relevant to African settings: indigenous, Western, Christian and Islamic. These approaches to marital counselling are influenced in their use by various social movements, including globalisation, women empowerment, sexual orientation and living with HIV/AIDS. There is potential to develop innovative approaches to marital therapy in the African context. These innovative approaches can build on the rich traditions of historical practices and the promises of the changing global socio-cultural milieu.

Pathways to mental health care by members of a rural community in South Africa

This study explored mental health help seeking pathways followed by Black South African rural community dwellers in the Limpopo province of South Africa. Ten participants (5 females and 5 males) aged between 18 and 59 years receiving services from a rural mental health care facility in the Limpopo province were the informants. They presented with psychotic disorders = 50%, substance-use mental disorders = 20%, mood disorders = 20% and epilepsy = 10%. They completed a semi-structured one-to-one interview on their pathways to mental health care services. Data were content analysed. The results showed that help seeking pathways for mental health involve several entry points. These include the utilisation of western medicine when experiencing acute symptoms, and a preference for traditional medicine when faced with chronic but manageable symptoms. The findings suggest that families and significant others are important facilitators for individuals navigating the mental health care pathways.

Academic Counselling for Graduate Research Students with Distance Learning

The study examined academic counselling needs for graduate research students enrolled with a distance education university. Participants were 17 students (males = 10, females = 7; mean years of enrollment =1). They responded to an open ended questionnaire on pertinent counselling needs in these students related to their studies. Data were analyzed qualitatively using thematic content analysis. Findings suggested counselling needs from conflicting work and family commitments. Accessibility and user-friendliness of administrative systems and support, ease of contact and approachability of academic staff and financial strain were also significant concerns. Prospective solutions to these needs included stress management, time management, self-study skills and income generation.

The Experiences of Rural VhaVenda Women Involved in Polygamous Marriages

The study explored the experiences of five rural VhaVenda women involved in polygamous marriages aged between twenty seven and sixty four years. The five participants were selected through snowball sampling method from four villages in Vhembe District (Limpopo Province). Data were analysed qualitatively using Mostyns (1985) four phases of content analysis. Participants considered polygamous marriage among the vhaVenda to be a cultural phenomenon that has both positive and negative effects. On the positive side, the participants found polygamy to provide social support and to minimise divorce and promiscuity. On the negative side, polygamy was found to lower the quality of life for women involved in such a marriage arrangement. Other negative consequences associated with polygamy included feelings of distress and entrapment, the lack of control that these women have over their sexuality, the humiliation that they experience due to constant conflicts with co-wives, favouritism and neglect by husbands, and the risk of contracting HIV/AIDS because of the multiple relationships.