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07 April 2020 | Story Dr Jacques Jordaan | Photo Supplied
Dr Jacques Jordaan
Dr Jacques Jordaan.

All South African citizens are by now aware of the global pandemic caused by the COVID-19 virus. Our president, Cyril Ramaphosa, placed the entire country in a state of lockdown to limit the spread of the virus in South Africa. Schools, tertiary institutions, churches, and numerous businesses (which do not provide essential services) had to close. The lockdown aims to ensure that citizens stay at home, isolate themselves from others, and that those who can work from home should do so. The consequence and reality, however, is physical and social isolation, which of course also means that many people are currently alone and lonely.

Working from home
There are several benefits to working from home; for example, you can manage your own time, work in comfortable clothes, and you can work undisturbed and with less interruptions. Although the lockdown – and thus social isolation – will only last for (maybe) 21 days, there are psychological disadvantages associated with social isolation. Many people could soon become discouraged and demotivated because of the time away from others due to social isolation. Social isolation is the absence of social interaction, contact, and relationships with loved ones, colleagues, strangers, and even society as a whole. Humans, by nature, are social beings who strive towards social interaction with others, and social interaction is essential for people's well-being and survival. Although it is also natural to occasionally seek alone time, the effect of social isolation can have negative consequences for the emotional well-being of individuals.

Consequences of social isolation
Studies have shown that long-term social isolation has dire consequences for people's physical and mental health, such as increased risk of premature death and higher tendencies towards depression. Still, social isolation – even for a few weeks – can also have a negative psychological impact on people's lives. Social isolation can lead to feelings of despair and loneliness, depression, anxiety, substance abuse, and sleep difficulties. Furthermore, in times of social isolation, individuals tend to exhibit more forms of unhealthy behavior than usual, such as smoking and drinking more alcohol. Feelings of loneliness tend to worsen when individuals are isolated with people with whom they do not have a close relationship and, therefore, loneliness becomes a more significant struggle during times of social isolation. This can turn into a vicious cycle, leading to more loneliness and depression if not dealt with. During these isolation periods, individuals may even become complacent, and consequently do not have goals and routines.

Social isolation will, however, affect people differently. More extroverted people will long for social engagement with others and might feel as if they want to climb the walls. They will just want to go shopping and spend time with others. More introverted individuals may enjoy this alone time and spend time taking long baths and reading books. However, everyone will start to experience social isolation negatively at some point. Families will, for example, not be used to these extended periods together, and this may lead to increased conflict between family members. Individuals with big homes can spend time in their gardens and exercise on their lawns, but what about those individuals living in overcrowded flats or informal accommodations. Such individuals may be more inclined to experience depression, anxiety, and loneliness. Individuals with drinking and smoking habits may become more dependent on these substances during the lockdown. Also keep in mind those individuals who have small children who are now home for several weeks and need to be kept busy and entertained by their parents. Parents are not used to being responsible for keeping their children busy productively.

Socializing through social media
People might still be fine and feel good now, but we have not yet reached the halfway point of the lockdown, and how will individuals cope if the lockdown is extended. There is, of course, hope. It is important to remember that although people are currently isolated, they can still attempt to be social by using various forms of social media. Recent studies have shown that individuals may experience less loneliness when interacting with others through various forms of social media. Accordingly, individuals need to make more contact with others and reach out to those that they have not heard from in a while. Social interaction is crucial, as many of us need social interaction to cope with daily challenges. However, also beware of negative content or fake news. Social interaction via the internet might not fulfil everyone’s needs as with interpersonal communication and interaction, but it still allows us to experience a sense of congregation and community.

Stay positive
The reality is, however, that many people also do not have access to the internet and social media, and therefore cannot communicate with others. It then becomes essential that people should continue with certain routines in their lives and to not just sit in front of the television. People still have to set goals (even smaller goals) for themselves and try to achieve them. Everyone should try to change their perspective by trying to stay positive. People need to attempt any form of exercise and keep their minds occupied with books or brain games. Fortunately, when it comes to children, most schools have provided parents with study material to keep their children busy educationally. Alternatively, parents should create some form of structure and routine for their children during the lockdown. Families can play board games and create their own fun activities. Children should also be allowed to engage with their friends via social media if they become lonely. And parents should allow their children to share their worries and concerns openly. Individuals need to be prepared, because when this mandatory period of isolation ends, everyone will have to resume their normal activities.

Get help
If not addressed, these experiences of overwhelming loneliness, sadness or lack of meaning may continue long after the lockdown has ended. Individuals who experience depression and loneliness after the lockdown should reach out to others, try to eat healthy foods, do fun things, and exercise more. Such individuals should also consider contacting mental healthcare professionals for assistance. They can also visit the South African Depression and Anxiety Group's website or Facebook page for help.

Social distancing is vital at this stage, but as South African citizens, we must remember that we are not going through this alone. We are isolated from others, but together we are all fighting the same battle against COVID-19.

Opinion article by Dr Jacques Jordaan, Lecturer and Undergraduate Coordinator: Psychology Programme Director: B.Soc.Sc. Faculty: The Humanities, University of the Free State

News Archive

Stem cell research and human cloning: legal and ethical focal points
2004-07-29

   

(Summary of the inaugural lecture of Prof Hennie Oosthuizen, from the Department of Criminal and Medical Law at the Faculty of Law of the University of the Free State.)

 

In the light of stem cell research, research on embryo’s and human cloning it will be fatal for legal advisors and researchers in South Africa to ignore the benefits that new bio-medical development, through research, contain for this country.

Legal advisors across the world have various views on stem cell research and human cloning. In the USA there is no legislation that regulates stem cell research but a number of States adopted legislation that approves stem cell research. The British Parlement gave permission for research on embryonic stem cells, but determined that it must be monitored closely and the European Union is of the opinion that it will open a door for race purification and commercial exploitation of human beings.

In South Africa the Bill on National Health makes provision for therapeutical and non therapeutical research. It also makes provision for therapeutical embryonical stem cell research on fetuses, which is not older than 14 days, as well as for therapeutical cloning under certain circumstances subject to the approval of the Minister. The Bill prohibits reproductive cloning.

Research on human embrio’s is a very controversial issue, here and in the rest of the world.

Researchers believe that the use of stem cell therapy could help to side-step the rejection of newly transplanted organs and tissue and if a bank for stem cell could be built, the shortage of organs for transplants would become something of the past. Stem cells could also be used for healing of Alzheimer’s, Parkinson’s and spinal injuries.

Sources from which stem cells are obtained could also lead to further ethical issues. Stem cells are harvested from mature human cells and embryonic stem cells. Another source to be utilised is to take egg cells from the ovaries of aborted fetuses. This will be morally unacceptable for those against abortions. Linking a financial incentive to that could become more of a controversial issue because the woman’s decision to abort could be influenced. The ideal would be to rather use human fetus tissue from spontaneous abortions or extra-uterine pregnancies than induced abortions.

The potential to obtain stem cells from the blood of the umbilical cord, bone-marrow and fetus tissue and for these cells to arrange themselves is known for quite some time. Blood from the umbilical cord contains many stem cells, which is the origin of the body’s immune and blood system. It is beneficial to bank the blood of a newborn baby’s umbilical cord. Through stem cell transplants the baby or another family member’s life could be saved from future illnesses such as anemia, leukemia and metabolic storing disabilities as well as certain generic immuno disabilities.

The possibility to withdraw stem cells from human embrio’s and to grow them is more useable because it has more treatment possibilities.

With the birth of Dolly the sheep, communities strongly expressed their concern about the possibility that a new cloning technique such as the replacement of the core of a cell will be used in human reproduction. Embryonic splitting and core replacement are two well known techniques that are associated with the cloning process.

I differentiate between reproductive cloning – to create a cloned human embryo with the aim to bring about a pregnancy of a child that is identical to another individual – and therapeutically cloning – to create a cloned human embryo for research purposes and for healing human illnesses.

Worldwide people are debating whether to proceed with therapeutical cloning. There are people for and against it. The biggest ethical objection against therapeutical cloning is the termination of the development of a potential human being.

Children born from cloning will differ from each other. Factors such as the uterus environment and the environment in which the child is growing up will play a role. Cloning create unique children that will grow up to be unique individuals, just like me and you that will develop into a person, just like you and me. If we understand this scientific fact, most arguments against human cloning will disappear.

Infertility can be treated through in vitro conception. This process does not work for everyone. For some cloning is a revolutionary treatment method because it is the only method that does not require patients to produce sperm and egg cells. The same arguments that were used against in vitro conception in the past are now being used against cloning. It is years later and in vitro cloning is generally applied and accepted by society. I am of the opinion that the same will happen with regard to human cloning.

There is an argument that cloning must be prohibited because it is unsafe. Distorted ideas in this regard were proven wrong. Are these distorted ideas justified to question the safety of cloning and the cloning process you may ask. The answer, according to me, is a definite no. Human cloning does have many advantages. That includes assistance with infertility, prevention of Down Syndrome and recovery from leukemia.

 

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