- Title
- Culturally-informed coping strategies of posttraumatic stress disorders among the black Africans in the greater Accra region of Ghana and black Africans in the eastern cape of South Africa
- Creator
- Thompson, Sandra
- Subject
- Post-traumatic stress disorder -- Ghana -- Accra
- Subject
- Post-traumatic stress disorder -- South Africa -- Eastern Cape Cultural psychiatry Psychoanalysis and culture
- Date Issued
- 2019
- Date
- 2019
- Type
- Thesis
- Type
- Doctoral
- Type
- DPhil
- Identifier
- http://hdl.handle.net/10948/45160
- Identifier
- vital:38259
- Description
- The influence of culture in coping with Posttraumatic Stress Disorders (PTSD) has been highlighted in literature. However, these culture specific coping strategies are not as yet, extensively explored. The research sought to explore and describe the culturally-informed coping strategies of PTSD among the black Africans in the Greater Accra Region of Ghana and black Africans in the Eastern Cape of South Africa. A qualitative methodological approach was used to explore the phenomenon under study. Purposive non-probability sampling was employed to obtain access to participants who could inform the objectives of the study. Data was collected using semi-structured interviews with traumatised individuals and focus group discussions with cultural leaders. All interviews were audio-recorded, transcribed, translated and analysed using thematic content analysis to facilitate the description and comparison of the similarities and distinctive features emerging from the two African communities. The findings indicated that a number of cultural factors influence interpretation of symptoms of PTSD and the adopted coping strategies. Participants’ understanding of symptoms of PTSD relied heavily on Christian Religious and African cultural understandings. It was evident that almost all explanations were purely spiritual and minimal knowledge was expressed on cognitive interpretations. A great deal of emphasis by the Ghanaians and isiXhosa of South Africa, was on dreams and such interpretations were deferred to an authoritative individual (especially the traditional healer). An obvious hierarchy for coping emerged with the traditional healer playing a major role for the Ghanaian and isiXhosa participants. Performing rites and the use of plants were essential to healing for these group of individuals. Whereas, the Coloured-Afrikaans made reference to a higher power “God”. An outstanding observation was the extent to which Ghanaian and isiXhosa participants have incorporated Christian and traditional practices (i.e. praying to God, performing rites and using herbs or plants). Even where an individual did not wish to mix practice because of upbringing, they acknowledged the existence and effectiveness of these practices. Colonisation was drawn on as an explanation for such mixed practices. The advent of Christianity was explained as having established Western culture (specifically Christianity) that is incorporated by participants. The Coloured-Afrikaans on the other hand, were consistent with the Christian practices “prayers to God”. A great deal of consistency however existed among all participants. Social support was considered very important. Talking with family and friends were relevant to the healing process as it gets rid of distorted thought patterns and avoids isolation considered as a serious current threat to healing. While there was an element of cognitive understanding, Western based treatment using cognitive restructuring was not a treatment option. Clinical practitioners or Psychologists that come into contact with the black Ghanaians and black South Africans should consider collaborative treatment strategies using the draft checklist as a guide.
- Format
- xxiii, 369 leaves
- Format
- Publisher
- Nelson Mandela University
- Publisher
- Faculty of Health Sciences
- Language
- English
- Rights
- Nelson Mandela University
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| Thumbnail | File | Description | Size | Format | |||
|---|---|---|---|---|---|---|---|
| View Details Download | SOURCE1 | Thompson, S 214053733 Thesis Dec 2019.pdf | 3 MB | Adobe Acrobat PDF | View Details Download |