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06 February 2024 | Story Dr Munita Dunn-Coetzee | Photo SUPPLIED
Munita Dunn-Coetzee
Dr Munita Dunn-Coetzee is Director: Student Counselling and Development, Division of Student Affairs, University of the Free State.

Opinion Article by Dr Munita Dunn-Coetzee, Director: Student Counselling and Development, Division of Student Affairs, University of the Free State.

The discovery of two hidden rooms with disturbing images and materials at Wilgenhof Men’s Residence (Stellenbosch University) last month has rekindled conversations about hazing and hazing practices. Wilgenhof, with a manifesto emphasising it as a place of belonging where all are free to be themselves, is described as a ‘house of horrors’, as punishment was seemingly doled out to male students as determined by an informal disciplinary committee.

Hazing is an ancient, universal practice. In society, whether past or modern, the need to join a group is an aspect of humanity. Hazing in educational institutions tends to occur as part of the hidden curriculum and manifests in a cyclical nature, for example, at the beginning of an academic year. A number or practices are associated with joining groups – it may take the form of a rite of passage, a ceremony, hazing, or paying a fee. The goal of participating in hazing activities is to be admitted and accepted in the group. By participating, prospective members can also prove their commitment to the group. When people freely choose to undergo a difficult initiation, it often increases their commitment and group cohesion – they need to believe the price of membership was worth it. The whole point of hazing is to build solidarity between members of a group.

Successfully navigating intimate, reciprocal relationships

The cohort of students joining higher education in South Africa typically fall in the 18- to 25-year-old range, and thus within the developmental phase of emerging adulthood. Erik Erikson, a German American child psychoanalyst known for his theory on psychosocial development of human beings, emphasised that this stage of development is about successfully navigating intimate, reciprocal relationships with others. A developmental need at university is therefore to fit in, to belong to a group, and to be part of campus activities – it brings security and protection. Hazing, however traumatising or painful, fulfils a developmental need.

Research has shown that the length of time for young people to actually create a personal identity has increased to the mid-to-late 20s. Emerging adulthood in Western culture can therefore be a time of shifting identities. This brings about a continued risk of experimentation with unhealthy behaviour. They are no longer minors and are faced with two additional life challenges: increased adult responsibilities and decreased familial support. From the onset of puberty through age 25, the adolescent brain undergoes profound changes in structure and function. A core element in the journey to adulthood involves the attainment of autonomy – on an emotional and behavioural level – learning to make your own decisions and manage your own emotions. Another developmental need is thereby met through hazing practices. 

Psychological consequences of hazing

While a few hazing rituals may appear mildly risky, many rituals cross the line. It is believed that humans are psychologically wired to form social groups in response to a threat, and this is what makes hazing effective in creating group identity. Despite the fact that hazing is potentially fatal and emotionally damaging, it is also believed that new students should have the same hazing experience as their predecessors. The hazing culture is therefore reproduced and enforced.

The psychological consequences of hazing can be rife. The concept of hazing is built upon psychological manipulation, degradation, and humiliation. Negative consequences that might have lasting effects include sleep problems, difficulty forming relationships, difficulty trusting others, decreased self-esteem, depressive tendencies, anxiety, self-harming tendencies, as well as academic underperformance. Unfortunately, hazing can also consist of social isolation, forced exercise, excessive drinking, and activities with a sexual innuendo. This results in embarrassing, abusive, exploitative, and dangerous activities. 

A student who has experienced hazing might feel a loss of control and empowerment, feeling more like a victim than before the hazing. This may appear directly after the hazing or later. Students who might have experienced traumatic events prior to hazing are more at risk for negative psychological reactions to hazing. This also applies to students witnessing hazing. They may experience feelings of guilt and shame for not having intervened to assist the hazing victim. And ironically, those who initiate hazing are not horrible, malicious human beings. They may believe the actions are expected of them and that they are carrying on a tradition for their residence. Those who haze others may also experience some of the same psychological consequences. We need to also remember that these psychological consequences would be significantly exacerbated should a student pass away due to a hazing-related activity. 

Will you still send him?

The focus thus far has been on the student, but what about the student’s parents, caregivers, and support system? Within the South African education system, not all South Africans have access to higher education. As a student finishing Grade 12, your dream is to enter tertiary education and to become the one breaking the cycle of poverty. Despite claiming that a university is a welcoming community assisting students to optimise their potential, hazardous hazing activities – such as the current discourse on Wilgenhof’s ‘house of horrors’ – have far-reaching negative physical and psychological consequences for both parents and students. 

Joining any group or team should not mean sacrificing your psychological health and well-being. It should be optimising your sense of self and enriching you systemically. If your son has been accepted at Wilgenhof Men’s Residence for 2024, will you still send him?

News Archive

Heart diseases a time bomb in Africa, says UFS expert
2010-05-17

 Prof. Francis Smit

There are a lot of cardiac problems in Africa. Sub-Saharan Africa is home to the largest population of rheumatic heart disease patients in the world and therefore hosts the largest rheumatic heart valve population in the world. They are more than one million, compared to 33 000 in the whole of the industrialised world, says Prof. Francis Smit, Head of the Department of Cardiothoracic Surgery at the Faculty of Health Sciences at the University of the Free State (UFS).

He delivered an inaugural lecture on the topic Cardiothoracic Surgery: Complex simplicity, or simple complexity?

“We are also sitting on a time bomb of ischemic heart disease with the WHO (World Health Organisation) estimating that CAD (coronary artery disease) will become the number-one killer in our region by 2020. HIV/Aids is expected to go down to number 7.”

Very little is done about it. There is neither a clear nor coordinated programme to address this expected epidemic and CAD is regarded as an expensive disease, confined to Caucasians in the industrialised world. “We are ignoring alarming statistics about incidences of adult obesity, diabetes and endemic hypertension in our black population and a rising incidence of coronary artery interventions and incidents in our indigenous population,” Prof. Smit says.

Outside South Africa – with 44 units – very few units (about seven) perform low volumes of basic cardiac surgery. The South African units at all academic institutions are under severe threat and about 70% of cardiac procedures are performed in the private sector.

He says the main challenge in Africa has become sustainability, which needs to be addressed through education. Cardiothoracic surgery must become part of everyday surgery in Africa through alternative education programmes. That will make this specialty relevant at all levels of healthcare and it must be involved in resource allocation to medicine in general and cardiothoracic surgery specifically.

The African surgeon should make the maximum impact at the lowest possible cost to as many people in a society as possible. “Our training in fields like intensive care and insight into pulmonology, gastroenterology and cardiology give us the possibility of expanding our roles in African medicine. We must also remember that we are trained physicians as well.

“Should people die or suffer tremendously while we can train a group of surgical specialists or retraining general surgeons to expand our impact on cardiothoracic disease in Africa using available technology maybe more creatively? We have made great progress in establishing an African School for Cardiothoracic Surgery.”

Prof. Smit also highlighted the role of the annual Hannes Meyer National Registrar Symposium that culminated in having an eight-strong international panel sponsored by the ICC of EACTS to present a scientific course as well as advanced surgical techniques in conjunction with the Hannes Meyer Symposium in 2010.

Prof. Smit says South Africa is fast becoming the driving force in cardiothoracic surgery in Africa. South Africa is the only country that has the knowledge, technology and skills base to act as the springboard for the development of cardiothoracic surgery in Africa.

South Africa, however, is experiencing its own problems. Mortality has doubled in the years from 1997 to 2005 and half the population in the Free State dies between 40 to 44 years of age.

“If we do not need health professionals to determine the quality and quantity of service delivery to the population and do not want to involve them in this process, we can get rid of them, but then the political leaders making that decision must accept responsibility for the clinical outcomes and life expectancies of their fellow citizens.

“We surely cannot expect to impose the same medical legal principles on professionals working in unsafe hospitals and who have complained and made authorities aware of these conditions than upon those working in functional institutions. Either fixes the institutions or indemnifies medical personnel working in these conditions and defends the decision publicly.

“Why do I have to choose the three out of four patients that cannot have a lifesaving operation and will have to die on their own while the system pretends to deliver treatment to all?”

Prof. Smit says developing a service package with guidelines in the public domain will go a long way towards addressing this issue. It is also about time that we have to admit that things are simply not the same. Standards are deteriorating and training outcomes are or will be affected.

The people who make decisions that affect healthcare service delivery and outcomes, the quality of training platforms and research, in a word, the future of South African medicine, firstly need rules and boundaries. He also suggested that maybe the government should develop health policy in the public domain and then outsource healthcare delivery to people who can actually deliver including thousands of experts employed but ignored by the State at present.

“It is time that we all have to accept our responsibilities at all levels… and act decisively on matters that will determine the quality and quantity of medical care for this and future generations in South Africa and Africa. Time is running out,” Prof. Smit says.
 

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