Academia.edu no longer supports Internet Explorer.
To browse Academia.edu and the wider internet faster and more securely, please take a few seconds to upgrade your browser.
The origin and development of counselling psychology in South Africa has been profoundly influenced by the country’s socio-political history and the impact of apartheid. As a result of this, counselling psychologists in the country face a number of challenges and opportunities for the future. In this paper we provide a portrait of counselling psychology in South Africa by describing the current character of the specialty and the context in which South African psychologists work. We critically discuss the challenges that the specialty faces to meet the country’s mental health care needs, contest the current Scope of Practice; affirm multiculturalism without essentialising or reifying race and ethnicity, and build an evidence base for community interventions in the country. We also consider how, in the future, counselling psychologists in South Africa may make a more meaningful contribution within public health and the country’s health care and education systems.
International Journal for the Advancement of Counselling, 1987
Within a counseling context, cognisance should be taken of differences in language and culture codes, problem presentation and interpretation, counseling expectations, problem solving methods, and views on the world, reality and self. In South Africa as elsewhere in the world, political activism and the disruption of individual life styles have direct implications for the life and world view of the Blacks, and therefore also for the counseling process itself. Rightfully or not, White counselors are often perceived as symbols of the Establishment, and the Black client is likely to impute all the negative experiences of oppression to the counselor.
Social Science & Medicine, 1990
In accepting the principles that psychology and politics are intertwined and that major political transformation in South Africa is inevitable, the question that arises is to what extent appropriate transformation of the mental health care system is possible in a post-Apartheid state. A variety of factors need to be considered in exploring this question: the affordability of extending the mental health service; the expense of tertiary care; the increased demand for treatment; Apartheid mental health professionals' resistance to change; the inclusion of non-professionals within the care system, and community involvement; and the problems posed by having residential areas still occupied by certain racial groups in a post-Apartheid society. All these factors are likely to make the transformation of psychology and the mental health care system more difficult to achieve.
2009
All registered counsellors on the database of the Professional Board for Psychology of the Health Professions Council of South Africa were surveyed to establish their demographic characteristics and the nature of their employment. A relatively low number of counsellors (N = 256) have registered since the creation of the category “registered counsellor”, and not many register each year. Responses were received from 82 counsellors (response rate 32.8%). Of the sample, only 46% are actually working as registered counsellors. The majority are white women who work in urban areas. Results also indicate that only 12 of them are working as full-time registered counsellors, while the rest work in some part-time capacity. The majority are quite negative about their chosen profession and about the role of the Professional Board. These results cast serious doubt on the likelihood that the category will live up to initial expectations.
South African Journal of Psychology, 2013
With the profession of clinical psychology and its formal training programmes less than 40 years old in South Africa, it is important that efforts are made to critically examine its challenges and the extent to which it is meeting the prevailing mental health needs. The profession has gone through a chequered history in South Africa and needs to look at how it realigns its goals and practices, to be in tune with the imperatives of democracy, and to ensure that mental health benefits accrue to all of the country’s people, rather than a minority. To this end, the authors examine training issues, such as recruitment, curricula, and future directions. We assert that a clinical psychology that draws from current resources and foregrounds a primary health-care orientation can start to address some of the challenges facing training in South Africa.
As part of a growing literature on the histories of psychology in the global South, this paper outlines some historical developments in South African psychologists’ engagement with the problem of “health”. Alongside movements to formalize and professionalize a U.S.-style “health psychology” in the 1990s, there arose a parallel, eclectic, and more or less critical psychology that contested the meaning and determinants of health, transgressed disciplinary boundaries and opposed the responsibilization of illness implicit in much health psychological theorizing and neoliberal discourse. This disciplinary bifurcation characterized South African work well into the post-apartheid era, but ideological distinctions have receded in recent years under a new regime of knowledge production in thrall to the demands of the global market. The paper outlines some of the historical-political roots of key trends in psychologists’ work on health in South Africa, examining the conditions that have impinged on its directions and priorities. It raises questions about the future trajectories of psychological research on health after twenty years of democracy, and argues that there currently is no “health psychology” in South Africa, and that the discipline is the better for it.
2020
The mimicry of Europe and United States of America (US) in South African psychology in the early 1900s and the continual presence of Euroamericanised psychology continues to marginalise Black, poor, and working-class people. In this dissertation, I investigated the misalignment of counselling and clinical psychologists' professional training, specifically the first-year Masters psychology training programme with the South African socio-political context. To counter the usual reliance on hegemonic Euroamerican-centric approaches I elaborated on an Africa(n)-centred perspective so as to make sense of the training of counselling and clinical psychologists in the South African context. I argued that the Africa(n)-centred perspective was pluriversal (accepting of multiple epistemologies), endogenous (developing from within), and focuses on Africans not as the excluded Other but rather as the Subject at the centre of their lifeworlds. I elucidated curriculum practices within the professional training programmes as part of the investigation into the intransigence of Euroamerican-centric epistemologies in the professional training curriculum. I conducted in-depth semi-structured interviews with 23 people, 8 of whom were course coordinators and 15 intern psychologists. The participants were from 5 universities falling into the 4 generic categories: Historically Black University (HBU), Historically White Afrikaans-speaking University (HWASU), merged university (MU), and Historically White English-speaking University (HWESU). For my analysis, I employed what I termed an Africa(n)centred critical discourse analysis, which builds on the discursive turn in psychology, taking seriously the talk of people in the reproduction of socially unjust practices. All the interviews with the course coordinators and intern psychologists were dominated by talk of race and the Professional Board for Psychology. The interviews yielded a number of discourses, namely: 1) viii viii | P a g e meritocracy, 2) diversity (which referenced issues of race, gender, and curriculum), 3) access, exclusion and privilege as related to language, 4) class, and 5) relevance (including social, market, and cultural relevance, with cultural relevance spoken about in relation to the curriculum). I conclude the dissertation by gesturing towards a constructive engagement (by which I mean a building) of an Africa(n)-centred professional training of counselling and clinical psychologists.
1995
Bibliography: leaves 51-55.Despite an ever-growing body of international literature on multicultural counselling or psychotherapy, comparatively little has been written on multicultural counselling in South Africa, or the need to train South African clinical psychologists to work in a multicultural milieu. My own experience of the training course in clinical psychology at the University of Cape Town was that there had been very little formal or informal discussion of multicultural issues in counselling. Considering South Africa's multicultural population, I wondered whether we had been sufficiently equipped to work with a culturally, racially and socio-economically diverse clientele. Seventeen clinical psychology interns at the University of Cape Town were interviewed to find out their perceptions of this aspect of the course. A qualitative, ethnomethodological approach to the study was taken. A semi-structured interview schedule was used so that the interns' responses could...
Journal of Health Psychology, 2018
In contrast to the institutionalization of health psychology in North America and Europe, much psychological work on health issues in South Africa emerged as part of a critical revitalisation of South African psychology as a whole, coinciding with the dismantling of Apartheid and global shifts in health discourse. The field’s development reflects attempts to engage with urgent health problems in the context of rapid sociopolitical changes that followed democratic transition in the 1990s, and under new conditions of knowledge production. We provide an account of these issues, as well as reflections on the field’s future, as inflected through the experiences of twelve South African psychologists whose careers span the emergence of health-related psychology to the present day.
Journal für Psychoanalyse, 2015
The following paper seeks to describe the trajectory of psychoanalytic endeavours in South Africa since the political thaw of the 1990s. The first part, written by Elda Storck – van Reenen, centres on the alignment of psychoanalytic training to international standards and the formation of institutions to contain these developments. Encouraging demographic and professional diversity and addressing the deficit of personal therapy – «Selbsterfahrung» – in formal training modalities are of primary importance. The second part, written by Mary-Anne Smith, elaborates on the application of basic psychoanalytic concepts to community and outreach work in an impoverished and traumatized society. In addition, the aspiration of engaging the interest and support of governmental agencies around the value and relevance of psychoanalytic thinking for primary and preventative health care is explored.
American Journal of Psychotherapy, 1975
In this paper the authors cite examples of problems experienced in conducting psychotherapy in a highly prejudiced societal context-South Africa. The conclusion is drawn that not enough attention is paid to sociopolitical exigencies in the formulation of the goals of therapy and the role of the psychotherapist.
2012
position statements Contents 1. SESIG aims and objectives 2. Background Position Statement 1 on national mental health policy 3. Proceedings of the SESIG strategic workshop and identified key issues Position Statement 2 on psychiatry and mental health 3.1 Infrastructure and resources Position Statement 3 on infrastructure and resources 3.2 Standard treatment guidelines (STGs) and essential drug lists (EDLs) Position Statement 4 on STGs and EDLs 3.3 Mental health and psychiatric disorders in context of the global burden of disease, including HIV/AIDS and substance-related problems 3.3.1 HIV/AIDS and neuropsychiatry Position Statement 5(a) on HIV/AIDS in children Position Statement 5(b) on HIV/AIDS in adults 3.3.2 Substance abuse and addiction Position Statement 6 on substance abuse and addiction 3.4 Community-centred psychiatry and referral levels Position Statement 7 on community psychiatry and referrals 3.5 Recovery framework Position Statement 8 on recovery and integration 3.6 Culture, mental health and psychiatry position statements
Psychotherapy and Politics International, 2012
This article attempts to foreground the role played by the local context in influencing the development of Indigenous Psychology. The development of psychology in South Africa is discussed in relation to global trends and models that describe the developmental process of any Indigenous Psychology. This discussion is illustrated with reference to the impact of African traditional beliefs on the psychological wellbeing of the indigenous people of South Africa, and the impact of not taking local context into consideration when conducting counselling; and to a particular research study conducted under the author's supervision. In terms of developing a South African Indigenous Psychology, the article concludes by outlining certain shifts necessary in order to move towards, in Azuma's model, indigenisation and integration.
South African Journal of Psychology, 2015
Problem statements 1 2. Research aim 7 3. Concept definitions 7 4. Research methodology 8 4.1. Context of the research 8 4.2. Literature review 8 4.3. Empirical investigation 9 4.3.1. Research approach and design 9 4.3.2. Participants 4.3.3. Research procedures 4.3.4. Data analysis 4.4. Trustworthiness 4.5. Ethical considerations 5. Choice and structure of the research article 6. Summary 7. References iii Part II: Literature review 1. State of mental health in South Africa 2. Mental health services 3. The gap in mental health in South Africa 4. The evolution of registered counsellors in the last decade 4.1. The evolution of mental healthcare 4.2. Originally envisaged role of registered counsellors 4.2.1. Original scope of practice-2003 4.2.2. 2011 changes in the scope of practice 4.3. Implications of a revised scope of practice 5. Conclusion 6. References SECTION B
This historical account of SA psychology spans over hundred years of its engagement with international psychology and the influence of racism on its development. It traces Jan C. Smuts’s correspondence with Adler, Koffka and Perls and Allport’s extensive contact with SA psychologists. The positive impact of the academic boycott in turning psychology towards the concerns of the oppressed is delineated, as well as the response of professional organizations to apartheid. The extensive reciprocal visits of US and Dutch phenomenologists are described and the contributions of Wolpe, Rachman and Lazarus to behavior therapy are noted.
South African journal of occupational therapy, 2024
Background: Healthcare systems reflect worldviews, specifically in mental health, where norms dictate what is normal and abnormal. The era of coloniality promoted Western dogma over collectivist cultures, which were marginalised. This study explored the perspectives and experiences of Black, isiZulu-speaking, South Africans who utilised multidisciplinary services, based on a Western-based therapy model at a private psychiatric facility in KwaZulu Natal. Methods: A qualitative descriptive design was utilised. Purposive sampling was utilised to recruit 10 participants. Data was collected through semi-structured interviews. Braun and Clarke's six phases of thematic analysis were used to guide the data analysis. Findings: Three themes with sub-themes emerged from the data: personal perceptions, which explored how isiZulu-speaking people made sense of mental health and mental illnesses. Cultural perceptions were the collectivist method of problem-solving, which stressed the importance of spiritual beliefs. Health-seeking behaviour considered the experience of the isiZulu-speaking mental health care user. Cognitive dissonance prevailed due to the difference between westernised mental health treatment and traditional healing systems. The family and community are intertwined in participation, reputation, and healing. There is an emphasis on enduring hardship and following traditions, which are preserved by valued elders. Disregarding these norms can outcast the Zulu individual who strives toward inclusion within the community. • Intervention cannot only be at individual level but also community level. • Including the family in psychoeducation and therapeutic goal settingwould be beneficial to the Zulu MHCU. • Group programmes should address gender-specific issues. • Occupational therapists must recognise the importance of participating in spirituality for the healing of the Zulu MHCU and appropriately include it in intervention. • Mental health resources and awareness programmes need to be disseminated atcommunity level. • Competency in the isiZulu language is recommended.
South African Journal of Psychiatry, 2012
It has been widely known for some time that the gap is increasing between the number of those requiring treatment for mental ill-health conditions and the number of those able to provide appropriate treatment. Vikram Patel illustrated, with simple arithmetic and using India as an example, how there is no possible way in low-and middle-income countries (LAMICs) that the current numbers of psychiatrists are able to meet the needs of the country. Very clearly, the same conclusion can be drawn for a country like South Africa, where the 700+ registered psychiatrists can hardly be seen as sufficient to meet the needs of the country's population (approaching 50 million); especially considering that roughly 50% (350+) of these psychiatrists are likely to be in private practice. Patel suggested that unless LAMICs begin training psychiatrists differently, to equip them with skills and knowledge in the field of public mental health, and without a shift of focus to the type of mental health systems to be put in place, there is very little hope of the gap narrowing. Are we minding the gap? Looking at the regulations for sitting the college examinations and the curricula of training institutions, our focus remains on that of training psychiatrists for first-world countries. Why, and what is the hope for the future? Opportunities for transnational and translational research in Europe
Journal of College Student Psychotherapy, 2015
A: The following responses are based on the opinion and experience of the counseling staff at the Counselling and Careers Development Unit (CCDU): On the whole, there is a receptiveness to and great demand for counseling across the population of Johannesburg for diverse issues, such as trauma; depression; anxiety and stress; HIV/AIDS; sexual assault; abuse; self-esteem difficulties and anger issues. Based on our use of and referral to counseling services in a range of Johannesburg clinics/hospitals, we are aware that these counseling organizations and private practices are well utilized. In some areas mental health services are insufficient to address the high demand. On our campus there has been an annual increase in the numbers of students requesting counseling.
2013
Problem statements 1 2. Research aim 7 3. Concept definitions 7 4. Research methodology 8 4.1. Context of the research 8 4.2. Literature review 8 4.3. Empirical investigation 9 4.3.1. Research approach and design 9 4.3.2. Participants 4.3.3. Research procedures 4.3.4. Data analysis 4.4. Trustworthiness 4.5. Ethical considerations 5. Choice and structure of the research article 6. Summary 7. References iii Part II: Literature review 1. State of mental health in South Africa 2. Mental health services 3. The gap in mental health in South Africa 4. The evolution of registered counsellors in the last decade 4.1. The evolution of mental healthcare 4.2. Originally envisaged role of registered counsellors 4.2.1. Original scope of practice-2003 4.2.2. 2011 changes in the scope of practice 4.3. Implications of a revised scope of practice 5. Conclusion 6. References SECTION B
South African Journal of Psychology
The emergence of the COVID-19 pandemic has drawn renewed attention to telepsychology. This study reports on the experiences of psychologists in response to the implications of the COVID-19 pandemic pertaining to the provision, application, and accessibility of telepsychology services in the South African context. The findings highlight the direct and indirect implications of the pandemic and its impact on both practitioners and clients. The core themes comprise an increase in mental health care needs, challenges pertaining to therapeutic modalities in response to crises, as well as contextual considerations. The latter include barriers to telepsychology, such as the costs of data, as well as limitations to confidentiality and privacy.
South African Journal of Psychology, 2018
Conceptual disagreement remains rife with regard to African psychology with some scholars mistakenly equating it to, for example, ethnotheorizing and traditional healing, while others confound African psychology with Africanization and racialization. Using writing as inquiry, this article aims to clear up some of the conceptual confusion on African psychology while engaging with the issue of a decolonizing African psychology. Accordingly, questions such as ‘What is the main dispute between Africa(n)-centred psychology and Euro-American-centric psychology in Africa?’; ‘Does Africa(n)-centred psychology not homogenize Africans?’; ‘What can be gained from imbricating decolonizing perspectives and feminist Africa(n)-centred psychology?’; and ‘What would a decolonizing Africa(n)-centred community psychology look like?’ are pertinent in the clarification of the conceptual confusion. Arising from an inventive dialogical and collaborative method, the aim of this article is not only to illum...
International journal of mental health systems, 2018
In an effort to promote greater access to voluntary counseling and testing for HIV, it has become practice in many countries, including South Africa, to establish non-medical testing sites and to de-couple HIV testing from other medical and mental health care services. While it is well established that HIV infection is associated with a range of psychopathology, much of the literature has assumed that it is receipt of an HIV positive diagnosis that causes people to become depressed, traumatized, or develop other psychiatric symptoms. Empirical data about the baseline psychiatric condition and mental health care needs of persons seeking HIV testing is scarce. Understanding the psychological health of persons seeking HIV testing and documenting how psychiatric symptoms develop over time following receipt of an HIV positive diagnosis, has important implications for mental health care systems. We describe a study protocol to investigate: (1) the level of psychological distress and the p...
In die skriflig, 2023
Contribution: This article makes a valuable contribution to the ongoing discourses on the abuse of religion among neo-Pentecostal churches by proposing an integration of professional counselling. This type of counselling is important for the ethical conduct of Pentecostal pastors as counsellors, correct diagnosis of problems, and providing an accurate solution.
Journal of Community Psychology, 2020
The appropriateness of the paradigm underlying competency frameworks and their specific application in the list of definitions developed by a Task Group of Society for Community Research and Action (SCRA) for US community psychologists need further consideration. This paper considers the technicist and behavioural roots of some of these concepts, illustrating tensions when applying them to community psychology. It then proposes a competency perspective from the global South. Drawing from focus group discussions with, and written reflections from, postgraduate Master's students in training as clinical and counselling psychologists, this paper builds inductively from the recorded data. Following a template analysis of the material, four integrating themes were evident. The distinctive nature of community psychology is highlighted through the themes: relational foundations, activity evolution, self-management and the awareness and influences of processes. Proposals for an alternative framework ("RASP") are based on its emergence from the applications of learning to practice, emphasising community-based principles. The importance of reflection as the basis for the learning is highlighted. The imperatives to foreground social justice and to enable reflexive thinking on action are discussed, along with concepts based on Humanist and Social Paper presented at ICCP 2018, Conference title: "The Community in Motion: Building Diverse Spaces, Social Cohesion and Change." Constructivist paradigms, to lead to more interactive and inclusive processes in work on competencies.
Loading Preview
Sorry, preview is currently unavailable. You can download the paper by clicking the button above.