Relevance and professional psych in SA Flashcards

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1
Q

There was an intellectual debate regarding the ‘relevance’ of psychology in meeting mental health needs of ordinary SAns in the 1980s. Centred on three main concerns, what were they?

A

1.The Euro-American bias of the discipline
2. The marginalized experiences of the black majority
3. Concern about inherent conservatism of psychology and it’s indifference to human rights
abuses of the state

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2
Q

The post-apartheid debate about relevance in SA can broadly be said to revolve around 3 things. what are they?

A

1.The white, middle-class, European/American, ethnocentric and coloniser worldview of the discipline.
2. A lack of broader, systemic, socio-political interventions – it’s still focused on the
individual-level.
3. Ongoing silences around apartheid practices, race, class, gender etc. “and how these relate to issues like poverty, power, inequality and exploitation” (Ahmed & Pillay, 2004: 631)

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3
Q

name and explain the 4 key drivers of the contemporary relevance debate

A
  1. Theoretical issues: That psychology still has a Euro-American bias
  2. Professional issues:
    ‘Race’: majority registered are still white
    Language: majority can only speak English and/or Afrikaans, and don’t cater to the mental health needs of the majority of SAns
  3. Training issues:
    -Selection criteria: concerns that they’re biased along cultural, class and racial lines
    -Selection panels: also largely white
  4. Research issues:
    >SA psychologists and academics display a largely poor uptake of government priorities2% of articles look at HIV/AIDS (SAJP 1999-2003)
    >2% of articles are about ‘race’ (SAJP 2007-2012)
    >More broadly, there’s a concern about side-lining of socio-economic issues / issues of concern to poor and working-class communities
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4
Q

what does OASSSA stand for

A

Organisation of Appropriate Social Services inSA (OASSSA).

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5
Q

why is there a lack of progress in terms of relevance of psychology in sa. Name and explain 3 reasons

A
  1. Cultural explanations: that SA psychology is culturally “tone-deaf”. No genuine SA
    psychology is being taught in universities (with the exception of the uni of KZN). Black
    students remain alienated from a discipline with a heavy Euro-American bias.
  2. Institutional practices: up until quite recently, UCT had a prerequisite that required students to have studied maths in high school. But this largely excludes students who didn’t go to ex-Model C, private schools who weren’t given quality education. Those who
    are able to get a decent education tend to be white kids.
  3. The profession itself: the thinking is that psychology just is an inherently conservative pursuit. It operates at the level of individual-analysis, so tends to be indifferent towards
    social explanations.
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6
Q

it can be argued that this question of relevance is not restricted to SA. where else has there been these relevance debates

A
  1. American psychology
  2. European psychology
  3. ‘Third World’ psychology
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7
Q

what is the emergence of concerns regarding the relevance of psychology correlated to

A

political instability

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8
Q

explain the American psychology in crisis debate

A

-The artifact crisis: Researchers were beginning to pose very troubling questions about the reliability and validity of psychological knowledge that had been produced through the experimental methods.
-Researchers were beginning to identify ‘subject effects’: that participants could
manipulate their responses based on what they thought they were meant to do.
-On the other hand, they were identifying ‘experimenter effects’: experimenters giving
subtle cues about the study, biasing results.
- There was also an ethics crisis e.g. Milgram’s shock experiments. There seemed to be no limits. Participants were being treated unethically in the name of knowledge creation.
- The relevance crisis: Critics argued that experimentalists were more interested in ‘fun-and-games values’: competing with each other to design the cleverest experiment, rather than tackling real-world concerns.
-Social psychology as history: some argued that the kind of knowledge being produced
was historical knowledge, not timeless universal truth. The knowledge would become internalised by society, and changed by it. The knowledge was thus no longer valid.

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9
Q

explain the European psychology in crisis debate

A

-Student revolution rampaging across Europe. American social psychology was regarded as the enemy, that it had been imported to promote a certain ideology.
Believed that it was not a reliable indicator of social realities in Europe.
- Also concerned about the lack of theory in European social psychology – it seemed to allbe about method.
-Thus, psychology was plunged into a state of crisis amid political tumult on both sides of the Atlantic

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10
Q

explain the third world psychology in crisis debate

A

.e. Africa, India, Philippines, Latin America, Middle East etc.
- Euro-American psychology roundly criticised to be invalid and not speaking to on-the-ground relaties
“…concerned intellectuals have been arguing since the late 1970s that psychological theories remain beholden to American and European (especially Germanic) explanations of human functioning (Holdstock, 1981a; Turton, 1986) and that the paradigmatic
inclinations of psychology are in keeping with “the worldview of the colonizer” (Ahmed & Pillay, 2004).” (Long, 2012)
- But they didn’t really move beyond critique. Didn’t come up with any credible alternative to Euro-American psychology.
The 60s and 70s were thus an age of relevance. Relevance became the animating question across the world of psychology

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11
Q

name 2 earlier debates about relevance

A

The debate about relevance can be traced back further than the 1960s:
● 1936: The founding of society of psychological study of social issues (SPSSI) as a form
of protest against perceived indifference of mainstream psychology towards social
issues.
● 1920s: a fallout between two leading psychologists, Boring and Terman –
experimentalism versus applied psychology (in the ‘real world’).
● 1911: ‘The crisis of experimental psychology’ (Kostyleff).
● 1899: ‘The crisis in psychology’ (Willy).
It is difficult to pinpoint when an intellectual trend takes root. But we can conclude with some degree of confidence that concerns about the relevance of psychology have been around as long as the discipline has been around.

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12
Q

why is this question of “relevance” so persistent?

A

> Immediate problem has to do with the subject matter of the discipline
- There’s been a failure to define it, which is highly unusual for a discipline. Psychology
has failed to settle on it’s fundamental questions and “stock” methods of investigation.
- It’s boundaries are largely undefined. If the subject matter is disagreed upon, there will
always be an argument about what ‘relevant’ psychology is. It’s almost inevitable that psychologists will be accused of irrelevance.

> There remains a significant degree of indecision about psychology’s cognitive interest.
-The sciences can be categorized as empirical, interpretive, or emancipatory/critical. The
knowledge defined in each type of science entails clear cognitive interests. E.g.
empirical try to predict and control; interpretive aims to understand phenomenon; critical is concerned with human liberation.
- In other words, knowledge always has an angle/aim, it’s never neutral.
- But what is psychology’s cognitive interest? All three. Psychologists do different things
with the knowledge they produce, so once again there is a disagreement.
- Because of psychology’s ambiguous disciplinary structure and lack of unifying cognitive discipline, the different “camps” can accuse one another of irrelevance

> The culture of scientism within the field of psychology: the glorification of quantitative forms of research.
- Psychology has been accused of being “a cult of numbers”.
- Since its beginnings, Psychology has been battling to establish its scientific credentials.
Quantitative study has been seen as the way to accomplish that.
- But the obsessions with observation and measurement has restricted psychology to the confines of the experimental laboratory.
- So mainstream psychological knowledge cannot be extrapolated to the outside world, which has uncontrolled variables and unpredictability. There are thus issues surrounding ecological validity

> A consequent difficulty theorizing rapid social change, which has accelerated over recent decades.
- Psychology’s reliance on the scientific method and the laboratory hinders it from fully understanding such change in the real world. It cannot “hold its own” in the real world.

> Different conceptions of ‘relevance’: When we speak about ‘relevant’ we’re not just talking aboutan adjective. Relevance is a concept, of which people simply have different understandings.

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13
Q

what are the 3 types of relevance

A

1: Social relevance: the expectation that the discipline must contribute to human welfare.
2: Cultural relevance: that it must be Afrocentric and accessible to the majority of SAns.
3: Market relevance: the knowledge produced must be internationally benchmarked

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14
Q

what does PsySSA stand for

A

the Representative body of Psychologists in SA

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15
Q

define relevance

A

> relevance’ refers to the benefits psychology is thought to offer society.
Underlying the talk of ‘relevance’ is the notion of the ‘public good’.
So when discussing relevance, we need to ask “relevant to whom”?

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16
Q

why is it important to consider language when we talk about relevance

A

-Language “does” things: When we speak, we’re creating and not simply describing the world.
-Language has consequences, it isn’t neutral
-Ways of speaking about ‘relevance’ in SA explain the past lack of progress in the discipline and can ‘predict’ the future of the discipline.
-How is the profession speaking about ‘relevance’ in the post-apartheid era?
-One way to investigate this would be to analyse addresses delivered at national psychology congresses.
>Fairly evenly distributed between market and social relevance.
>But the small sample of psychologists in this analysis don’t seem to be speaking the language of social relevance.
>Can thus make the preliminary observation that the psychologists seem to be on the side of market relevance, whereas the non-psychologists were largely speaking the language of social
relevance.

17
Q

provide 3 stats that help explain why registered counselling has struggled to launch in SA

A

● SA has a black majority of 90%
● 79.6% of South Africans are black African (Stats SA, 2006)
● 46% of the population lives in non-urban areas
● 16% of the nation is covered by medical aid
● 40% speak isiXhosa or isiZulu as a home language
● 80-90% of registered psychologists speak exclusively English and/or Afrikaans
● 25% of psychologists are black (Cooper, 2014

18
Q

why was the registered counselling (RC) category introduced back in 2003

A

The number of mental health professionals in SA is extremely poor, contributing to the large treatment gap of 75%.

19
Q

what were the criticism of Post-apartheid governmental policy to integrate services for serious mental disorders at
PHC level

A

● Common mental disorders need to be addressed too (almost half of all diagnosed in SA suffer from anxiety or depression)
● High prevalence of scholastic problems / intellectual disability
● PHC nurses have neither the time nor expertise to treat mental disorders across the board

20
Q

what is one possible proposed solution to the criticism of Post-apartheid governmental policy to integrate services for serious mental disorders at
PHC level

A

The registered counsellor. Objectives of this new practise category
was to…
● Design preventive programmes
● Offer supportive counselling
● Provide basic psychometric services
● Provide all of the above in underserviced areas

21
Q

RCs aimed at making mental health services much more accessible to the SA public through what

A

● Screening and identification of mental health challenges;
● Containment of presenting difficulties;
● Providing preventative counselling services and interventions;
● Psycho-education and training;
● Promotion of primary psycho-social well being;
● (Keywords = prevention and promotion. People often only given clinical attention when
they’re already in a state of crisis.)
● Referral to appropriate professionals or other appropriate resources;
● Working in a context-appropriate, multi-professional team;
● Conducting basic assessments (e.g. scholastic/aptitude testing, non-projective Draw-a-Person tests etc.)
● Community-based care.
But excludes psychotherapeutic intervention

22
Q

what are the current realties of RCs

A

> Counsellors are not registering with the HPCSA, compared to psychologists.
Of those that do register, only 46% are actually working as counsellors.
The category is white- and female-dominated.
Most counsellors work in urban areas.
Most universities have abandoned their registered counselling programs.

23
Q

The RC has not met the objective of making mental health services more accessible to the majority of SAns: they’re not registering as much, they remain concentrated in urban areas, and they’re not demographically representative of the SA public. why has this happened?

A

● Poor implementation of the category: Lack of public awareness about the role of RCs.
● RCs report a lack of acknowledgement from other mental health care practitioners.
● There are negative perceptions about the category (similar to how nurses used to be
perceived within the field of medicine. Hierarchical).
● For many RCs, it’s a stepping stone to becoming a psychologist. It’s not their final
professional goal.
● Lack of jobs: “… the promise of public sector jobs simply did not materialise” (Abel & Louw, 2009: 106).
● Poor communication between universities and the Professional Board. E.g. the board
expected universities to provide supervision for RCs, which was not always possible.
Contributed towards the abandonment of the RC training programmes

24
Q

According to 8 Departments of Psychology across the country what are trainers looking for in prospective clinical psychologists

A

● Personality traits
● Flexibility
● Openness
● Insight
● Stress / workload management
● Congruence / authenticity
● Psychological mindedness: an ability to step away from one’s life experiences, and
reflect on them. Thinking about how you’ve psychologically come to where you are now.
Interpersonal skills
● Individual settings
● Group settings
Social consciousness e.g. volunteering for NGOs
● Community mindedness
● Involvement
Additional criteria
● Life experience (note how this may be biased towards those with the money to travel
and volunteer, for example)
● Compatibility with the training programme e.g. psychodynamic
● Demographics: Previously disadvantaged candidates

25
Q

in terms of clinical psychology in SA, how transformed is it

A

● Training candidates from ‘previously disadvantaged’ backgrounds (PDB):
● Transformation often gets equated with entry and participation in the pre established institutional order. The rules of engagement have already been decided. Simply picking students from PDB is not enough.
● Transformation = “equalisation of entry into, and participation in, the already established institutional order” (quoted in Ahmed & Pillay, 2004: 637). Transfer of psychological knowledge amounts to cultural imperialism:
● Training becomes “a value-laden, political enterprise, which serves to maintain relations of power and domination” (Ahmed & Pillay, 2004: 640).
● Training to become a clinical psychologist is not a neutral project as it arguably
prioritizes Western values:
Values “issues of the self” (independence, insight, introspection, understanding
boundaries etc.)
● Leads to possible alienation of black trainees
There are also silences around systemic issues
● Whether systemic issues (relating to class, ‘race’ and gender as biographical details) are
addressed depends on the trainer’s life experience and whether they’ve had to deal with
them
● Life histories are framed as the sum of relationships with individuals, rather than
interactions with broader structures within society
●So the numbers of black students in postgrad training is certainly on the rise, which is an improvement. But there are still issues around the curriculum and whether it “socialises” candidates from PDB into a style of thinking that is Western-centric and bourgeoisie.

26
Q

name 3 Nationally coordinated transformation objectives for clin psychologists

A

● Selection criteria: the criteria of ‘life experience’ can be biased against upper class
students (who have been able to travel and volunteer with charities)
● Equity targets / quotas: picking people of certain demographics
● Indigenous language requirements: indigenous language requirements are a powerful
tool in helping transform the profession
● Black staff recruitment: trainee psychologists must be able to identify with their trainers.
Training teams must be diverse
● Curriculum changes such as…
○ demystifying psychotherapeutics
○ focus on short-term, preventive community-focused interventions (rather than
standard, 1 on 1 interventions)
○ deemphasizing psychometrics
○ organisational development skills
○ critical psychological orientation
○ developing “innovative and uniquely South African alternative theories and
methodologies” (de la Rey & Ipser, 2004: 549)