Latest News Archive

Please select Category, Year, and then Month to display items
Previous Archive
26 August 2020 | Story Kubeshni Gounder and Carel van Wyk | Photo Unsplash

This article coincides with Women’s Month under the theme Generation Equality: Realising Women’s Rights for an Equal Future, and hears the raised voices, calls for the empowerment of women in the political, public, and educational spheres, but also highlights the fact that the marginalisation of women severely compromises progress. 
 
We are continuously faced with the reality of gender-based violence, an insidious element that remains prevalent in many, if not all communities.

Several articles have been written on gender-based violence (GBV), and the questions most often suggest a linear, casual way of thinking, which is one-dimensional in nature. In the Department of Social Work at the University of the Free State, a circular way of thinking is followed that addresses gender-based violence from a developmental perspective. From a developmental approach, we will not criminalise perpetrators, but rather treat them from a restorative justice perspective, giving them a voice. 

Addressing gender-based violence 

In attempting to address the issue of gender-based violence, it is important to get clarity on the perpetrator and the reasons why a person is engaging in such a vicious crime. The motive behind a crime can often not be attributed to a single reason but is rather multifaceted. Factors leading to GBV is ultimately rooted in patriarchy, which contributes to gender power inequality.

Patriarchy, a belief in male superiority, can manifest in men feeling entitled, strict reinforcement of gender roles, and hierarchy, which results in women having low social value and power.

This is where men hold most of the power – financially, politically, and within a community or society. This often stems from the messages that are generated from society and within cultures, including that men are the head of the household, have greater physical strength, are providers and protectors of their family; as such, women are expected to take a more submissive role. 

Poverty has a fervent role to play in GBV, particularly within the SA context, as our economic climate remains unstable, the divide between social classes is disparate and has subsequently increased over the decades with HIV/AIDS, unemployment, and the impact of COVID-19. Substance/alcohol abuse is linked to an increased risk of GBV.
Women are becoming financially independent; this financial confidence means that they can contribute to the family income, which creates uneasiness in households where the man is traditionally the head of the household. Emotions flare up as jealousy, anger, fear, and rage become common because men are feeling undermined, belittled, and threatened by an independent woman. This often leads to IPV (intimate partner violence), which is the most common form of GBV, and includes physical, sexual, and emotional abuse and controlling behaviour by a former or current intimate partner or spouse; it can occur in same-sex or heterosexual relationships.


Violence is about power and control. Controlling behaviour and coercive control is the way in which an abusive person gains and maintains power and control over another person in order to subject them to physical, psychological, sexual, or financial abuse. 

Challenging social norms and gender stereotypes

To address the core of this issue, one must challenge social norms and gender stereotypes. GBV requires a multidimensional response and commitment from all stakeholders, including government and civil society. On a preventative level, initiatives look at how GBV can be prevented. These ‘response’ efforts need to be complemented by prevention programmes and policy planning. By addressing the underlying causes of GBV as a country, we can work collectively towards addressing it.

Despite the current laws in place, SA has seen a surge in GBV. Legislation exists; however, there are many factors that contribute to what South Africa sees as ineffective in the fight against GBV. There appears to be a lack of education and information available to those who report a crime/offence, as well as the structures to support the reporting. The existing budgetary constraints make it difficult to meet the needs of the victims of GBV.

Understanding the victim in a violent relationship is imperative, as there are many reasons for the individual to remain in these circumstances. Several reasons for this have been highlighted below. However, these are not comprehensive. 
• Low self-esteem- When an abusive partner constantly puts someone down by belittling them or blaming them for the abuse, it can be easy for the victim to believe that the abuse is their fault.
• Fear- A person may be afraid of what might happen if they leave the relationship – fear of further retribution from the perpetrator.
• Believing abuse is normal- Victims of GBV may not know what a healthy, functional relationship is. They tend to normalise the dysfunctional behaviour, and as such, may not recognise that the behaviour is abusive.
• Fear of being exposed/outed- If a person is in an LGBTQIA relationship and has not informed their family or community, their partner may threaten to expose the victim.
• Bringing embarrassment or shame on their family/community- It is difficult for a person to admit that they are being abused. They may internalise their abuse and think it is their fault becoming involved with an abusive partner.
• Cultural/religious reasons- Traditional gender roles supported by someone’s culture or religion may force them to stay in the relationship rather than bringing shame upon the family.
• Lack of money or resources- The victim may not have the financial means to leave the relationship (financial abuse). They are dependent upon their partner for resources to survive; without money, resources, or a place to go, they find it impossible to leave.
• The compulsion to repeat- Freud developed this concept to explain that, due to certain psychological processes, a person has the urge to replay certain events in his/her life. Simply put, this is done because the person wants to gain control over the events; for example, if a child has been subjected to domestic violence, this process (compulsion to repeat) may result in him/her subconsciously selecting perpetrators of violence to have relationships with. The victim situation is therefore repeated.

In addition to the above-mentioned reasons, women may find it difficult to leave these dysfunctional and abusive relationships, as the victim feels genuine love for their partner. They may have children with them and may thus want to preserve the sense of family, despite how dysfunction it may be. Abusive partners may appear charming and loving, especially at the beginning of the relationship. 

The victim may be hopeful that their partner will return to being that ‘kind, loving person’ again. For the victim, they just want the violence to stop, not for the marriage or relationship to end completely.

Disability is another huge factor for the victim not leaving an abusive relationship, particularly if a person is physically dependent upon an abusive partner. The person may believe that their well-being is dependent on him/her, and so, may find reporting the issue difficult.

Perpetrators and their victims are bound together by secrets and silence

The perpetrators and their victims form a highly emotive relationship, bound together by secrets and silence. These are not strangers, but people who often know each other well and play a role in each other’s lives. Disentangling this relationship is as painful and as harmful as the abuse itself.

Identifying a victim of domestic violence is seldom easy, as the victim tries to conceal behaviour or signs that may reveal the possible abuse. Highlighted below are some identifying signs of possible domestic violence and the impact thereof.
This is not a definitive list to identify victims of GBV, but rather an indicative one.

• Unable to make plans to meet friends/family
• Isolate themselves socially
• Money restrictions
• Change in behaviour when in a new relationship
• Unexplained bruises – refusing to seek assistance from a healthcare professional
• Long unexplained absences from work
• The individual refuses to disclose her personal details such as contact number
• She/he does not attend meeting consultations on her/his own
• Post-traumatic stress
• Complex trauma (persistent feelings of emptiness, anger, sadness, self-mutilation) 
• Suicidal ideations
• Living in fear

The impact of GBV 

The impact of GBV is far-reaching and extends beyond the individual survivor to the family and society. It erodes the victim’s psychological, emotional, and physical well-being. Psychological scars often impede the establishment of healthy and rewarding relationships in the future.

Other factors include:

• GBV threatens family structures; children suffer emotional trauma from being exposed to the violence. 
• The family may break up, leaving the new female head of the household to struggle with increased poverty and social repercussions.
• Some victims may discover that they have contracted HIV/AIDS, an unwanted pregnancy, or an STI.

Heed the call of vulnerable women

 Social intervention is crucial if the incidence of gender-based violence is to be reduced or eradicated. The following approaches can be strengthened.

• Advocacy and lobbying for the rights of victims of GBV. 
• Making GBV clinical services more accessible to individuals at primary levels.
• Developing guidelines for building systems that address GBV – implementing laws, raising awareness of services, and making budgets available.
• Providing vital training to professionals such as police, social workers, and courts to help them manage the reporting of GBV in a manner that is effective, protects the victims, and is least dehumanising.

GBV in South Africa and across the world can only be addressed effectively through a collective effort. As we face the new normal with a pandemic that has gripped the world, it is important for us as South Africans to take cognisance of what our President, Mr Cyril Ramaphosa, described as a ‘second pandemic’, and to use the next 30 days to heed the call of vulnerable women who desperately need to be heard. 

 

Opinion article by Kubeshni Gounder and Carel van Wyk, Lecturers in the Department of Social Work, University of the Free State

News Archive

Higher than expected prevalence of dementia in South African urban black population
2010-09-22

 Prof. Malan Heyns and Mr Rikus van der Poel

Pilot research done by University of the Free State (UFS) indicates that the prevalence of dementia, of which Alzheimer’s disease is only one of the causes, is considerably higher than initially estimated. Clinical tests are now underway to confirm these preliminary findings.

To date it has been incorrectly assumed that dementia is less prevalent among urban black communities. This assumption is strongly disputed by the findings of the current study, which indicates a preliminary prevalence rate of approximately 6% for adults aged 65 years and older in this population group. Previous estimates for Southern Africa have been set at around 2,1%.

The research by the Unit for Professional Training and Services in the Behavioural Sciences (UNIBS) at the UFS and Alzheimer’s South Africa is part of the International 10/66 Dementia Research Group’s (10/66 DRG) initiative to establish the prevalence of dementia worldwide.

Mr Rikus van der Poel, coordinator of the local study, and Prof. Malan Heyns, Principal Investigator, say worldwide 66% of people with dementia live in low and middle income countries. It is expected that it will rise to more than 70% by 2040, and the socio-economic impact of dementia will increase accordingly within this period. 21 September marks World Alzheimer’s Day, and this year the focus is on the global economic impact of dementia. Currently, the world wide cost of dementia exceeds 1% of the total global GDP. If the global cost associated with dementia care was a company, it would be larger than Exxon-Mobil or Wal-Mart.

The researchers also say that of great concern is the fact that South Africa’s public healthcare system is essentially geared toward addressing primary healthcare needs, such as HIV/Aids and tuberculosis. The adult prevalence rate of HIV was 18,1% in 2007. According to UNAIDS figures more than 5,7 million people in South Africa are living with HIV/Aids, with an estimated annual mortality of 300 000. In many instances the deceased are young parents, with the result that the burden of childcare falls back on the elderly, and in many cases elderly grandparents suffering from dementia are left without children to take care of them. “These are but a few reasons that highlight the need for advocacy and awareness regarding dementia and care giving in a growing and increasingly urbanized population,” they say.

Low and middle income countries often lack epidemiological data to provide representative estimates of the regional prevalence of dementia. In general, epidemiological studies are challenging and expensive, especially in multi-cultural environments where the application of research protocols relies heavily on accurate language translations and successfully negotiated community access. Despite these challenges, the local researchers are keen to support advocacy and have joined the international effort to establish the prevalence of dementia through the 10/66 DRG.

The 10/66 DRG is a collective of researchers carrying out population-based research into dementia, non-communicable diseases and ageing in low and middle income countries. 10/66 refers to the two-thirds (66%) of people with dementia living in low and middle income countries, and the 10% or less of population-based research that has been carried out in those regions.

Since its inception in 1998, the 10/66 DRG has conducted population based surveys in 14 catchment areas in ten low and middle income countries, with a specific focus on the prevalence and impact of dementia. South Africa is one of seven LAMICs (low and medium income countries) where new studies have been conducted recently, the others being Puerto Rico, Peru, Mexico, Argentina, China and India.

Mr Van der Poel says participating researchers endeavour to conduct cross-sectional, comprehensive, one-phase surveys of all residents aged 65 and older within a geographically defined area. All centres share the same core minimum dataset with cross-culturally validated assessments (dementia diagnosis and subtypes, mental disorders, physical health, anthropometry, demographics, extensive non-communicable risk factor questionnaires, disability/functioning, health service utilization and caregiver strain).

The local pilot study, funded by Alzheimer’s South Africa, was rolled out through an existing community partnership, the Mangaung University of the Free State Community Partnership Programme (MUCPP).

According to Mr Van der Poel and Prof. Heyns, valuable insights have been gained into the myriad factors at play in establishing an epidemiological research project. The local community has responded positively and the pilot phase in and of itself has managed to promote awareness of the condition. The study has also managed to identify traditional and culture-specific views of dementia and dementia care. In addition, existing community-based networks are being strengthened, since part of the protocol will include the training and development of family caregivers within the local community in Mangaung.

“Like most developing economies, the South African population will experience continued urbanization during the next two decades, along with increased life expectancy. Community-based and residential care facilities for dementia are few and far between and government spending will in all probability continue to address the high demands associated with primary healthcare needs. These are only some of the reasons why epidemiological and related research is an important tool for assisting lobbyists, advocates and policymakers in promoting better care for those affected by dementia.”

Media Release
Issued by: Mangaliso Radebe
Assistant Director: Media Liaison
Tel: 051 401 2828
Cell: 078 460 3320
E-mail: radebemt@ufs.ac.za  
21 September 2010

 

We use cookies to make interactions with our websites and services easy and meaningful. To better understand how they are used, read more about the UFS cookie policy. By continuing to use this site you are giving us your consent to do this.

Accept