The social diagnostics of stroke-like symptoms: healers, doctors and prophets in Agincourt Limpopo Province, South Africa

This paper focuses on the clinical and social diagnostics of stroke-like symptoms in Limpopo Province, South Africa. The research questions addressed here are: what are the lay understandings of strokelike symptoms and what are the health-seeking behaviours of Tsongan Mozambican refugees and South Africans in this area? The study site is ten villages in the Agincourt sub-district of Limpopo Province which are within the health surveillance area of the Agincourt Health and Population Unit (AHPU) of the University of Witwatersrand. The population are Tsongan who speak Shangaan and comprise self-settled Mozambican refugees who fled to this area during the 1980s across the nearby border and displaced South African citizens. The latter were forcibly displaced from their villages to make way for game reserves or agricultural development and moved to this area when it was the former ‘homeland’ of Gazankulu. The team collected data using rapid ethnographic assessment and household interviews as part of the Southern Africa Stroke Prevention Initiative (SASPI). The main findings are that stroke-like symptoms are considered to be both a physical and social condition, and in consequence plural healing using clinical and social diagnostics is sought to address both these dimensions. People with stroke-like symptoms maintain their physical, mental and social well-being and deal with this affliction and misfortune by visiting doctors, healers, prophets and churches

An exploration of perceptions and experiences of Xhosa speaking women in abusive relationships

Magister Psychologiae - MPsychThe problem of abusive relationships has attracted national attention in South Africa. Historically South Africa has a strongly entrenched patriarchal system, which gives men proprietary rights over women. Traditional and cultural values as means of resolving conflict are critical in shaping and perpetuating violence of men toward women. A woman’s social status is believed to be derived by her relative position to a man that is as daughter, wife, girlfriend or mother of his children. One solution to ending the abuse and leading violence free lives would be to leave the relationship. While this is a possible solution it should be noted that in order for women to leave it requires enormous restructuring of material, physical and social relations. A qualitative feminist research methodology was used with a convenience sample of 8 women who agreed to participate in the study. In depth interviews were conducted with the participants to explore the perceptions and experiences of Xhosa women in abusive relationships. The participants resided in Khayelitsha, Phillipi and Langa. The interviews lasted from 30 minutes to 45 minutes, were audio taped and transcribed. In view of the qualitative nature of the study, the researcher employed thematic analysis. Women mentioned their experiences of abuse and discussed their help seeking strategies. A number of themes that emerged from the study suggested clearly women’s perceptions and experiences to remain in their abusive relationships. These themes relate to commitment, staying because of children, cultural beliefs (lobola), economic dependence and lack of social support. It also emerged from the discussions with women that the emotional and structural support that these women received from the NGO played a huge role. The most important finding from the study was that change occurred as a result of abuse.South Afric

The Social Diagnostics of Stroke-Like Symptoms: Healers, Doctors and Prophets in Agincourt, Limpopo Province, South Africa

This paper focuses on the clinical and social diagnostics of stroke-like symptoms in Limpopo Province, South Africa. The research questions addressed here are: what are the lay understandings of stroke-like symptoms and what are the health-seeking behaviours of Tsongan Mozambican refugees and South Africans in this area? The study site is ten villages in the Agincourt sub-district of Limpopo Province which are within the health surveillance area of the Agincourt Health and Population Unit (AHPU) of the University of Witwatersrand. The population are Tsongan who speak Shangaan and comprise self-settled Mozambican refugees who fled to this area during the 1980s across the nearby border and displaced South African citizens. The latter were forcibly displaced from their villages to make way for game reserves or agricultural development and moved to this area when it was the former 'homeland' of Gazankulu. The team collected data using rapid ethnographic assessment and household interviews as part of the Southern Africa Stroke Prevention Initiative (SASPI). The main findings are that stroke-like symptoms are considered to be both a physical and social condition, and in consequence plural healing using clinical and social diagnostics is sought to address both these dimensions. People with stroke-like symptoms maintain their physical, mental and social well-being and deal with this affliction and misfortune by visiting doctors, healers, prophets and churches.</p