A Call to Action: October is Mental Health Month!

A Call to Action: October is Mental Health Month!

A Call to Action: October is Mental Health Month!

written by Prof Theo Lazarus, Fatima Peters, and Dr Kyle Bester for the Division for Research and Methodology

Mental health challenges leave no age, socio-economic, gender, educational or occupational group unscathed. From young children to the elderly, mental health challenges, generally referred to as stress, anxiety, or depression, have increased exponentially and it is time to act with conviction and fervour.

Although mental health has been recognised as a critical part of human life, a stark realisation of the vulnerability of individuals to stressful events became evident during and following the COVID-19 pandemic. The global COVID-19 pandemic has led to a widespread increase in depression, anxiety, and post-traumatic stress disorder, particularly due to the sudden and untimely loss of loved ones and high levels of uncertainty. As we look ahead, providing support to one another and striving to promote mental well-being for people around the world are paramount.

The recent spate of athletes who have either left their respective sporting pursuits permanently or temporarily or resorted to self-destructive behaviours, is unprecedented. The adage that ’good physical health equals good mental health’ is being challenged daily. The impact of mental health challenges on individuals and families, as well as on employers, has become pervasive in modern societies. Furthermore, the technological uptake of online interaction for work and learning has added to the burden on people’s mental health and finding new ways to manage school and work environments contributes to the mental burden. At an individual level, self-care is important especially when managing demanding work and learning environments. Economical but high reward physical and social activities can enhance work life balance and address aspects of stress, anxiety, and depression.

Like physical health, mental health requires regular ‘maintenance’ sessions to identify areas of potential emotional or relational difficulties. Without regular self-appraisal by the individual (in the case of an adult) or by a parent (for a child) or a partner in adulthood, mental health challenges may quickly escalate into crises of daily life that impact health, educability, relationships, employability, and society as a whole.

Ongoing strife between countries and ethnicities continue across the globe, filtering across media platforms and leaving a sense of doom, helplessness, and despair. There is likely to be a numbing of emotions at the continuous and increasing destruction of people, leaving a sense of despair that plays out in aberrant behaviours in daily life.

It has been long recognised that mental health difficulties are at the core of most physical illnesses, often described as the psychosomatic component of health and disease, and therefore constitute a foundational pillar of all health programmes. Against this background, a call is made for individuals and families to protect and enhance their mental health as well as that of their loved ones, particularly in the pervasively traumatic circumstances that confront societies worldwide. In light of these living conditions, access to psychological services should become part of all healthcare provisions across countries, and increased attention to training mental health professionals should be given utmost urgency.

Therefore, mental health professionals, and particularly health care professionals in South Africa, should consider availing their services, where possible, to communities where they work, to include financially disadvantaged communities in their service offerings. Group interventions and activities that facilitate affordable psychological wellness would meaningfully connect people to each other for support and further the creation of sustainable support networks.

To achieve the above, we call on the South African government to make available suitable and appropriate compensation, treatment, and recovery environments to mental health professionals. In addition, a significant effort should be made to destigmatise psychological interventions in communities by showcasing the impact appropriate interventions have on individual and family functioning and society in general. Furthermore, the South African government should consider making available funding instruments for mental health care professionals to provide psychological support services with the aim of initiating interventions that can be sustainable for the communities most vulnerable and in need in South Africa.

A Call to Action: October is Mental Health Month!

From Couch to Clarity: Exercise as Intervention for Mental Health Disorders

Willem Pieters

Willem, a registered biokineticist currently completing his internship as a counselling psychologist at Life Hunterscraig Hospital in Gqeberha, is researching how exercise is being integrated by South African psychologists when working with clients experiencing mental illness and general distress. He is interested in exploring new approaches to incorporate physical activity and exercise prescription as part of treatment for mental health disorders.

From Couch to Clarity: Exercise as Intervention for Mental Health Disorders

 

The numerous physical and mental health benefits of exercise have been recognised for centuries. Plato (427-347 BCE) is quoted as saying, “lack of activity destroys the good condition of every human being, while movement and methodical physical exercise save and preserve it” (n.d., as cited in Cooper, 2015). Although pharmacotherapy and psychotherapy are the primary treatments for many mental disorders, there is growing interest in using exercise as both a complementary and stand-alone intervention.

A substantial body of evidence now supports the positive outcomes of physical activity and exercise interventions for people with mental illness. Furthermore, exercise has a wide range of health benefits outside of those related to mental health outcomes, so it should be considered an intervention that has general health-promoting benefits over and above any desired changes in mental health outcomes. While exercise regimes appear to be feasible and effective as therapeutic interventions that carry low risk in both inpatient and outpatient mental health settings, exercise is generally not included in treatment programs.

The recommendations for individuals with depressive and anxiety disorders are similar to those for healthy individuals, but with consideration for lower-intensity activities when moderate-intensity activities are too challenging. It is important to note that even small amounts of physical activity can still provide mental health benefits, especially since people with mental health disorders are more likely to be physically inactive (Teychenne et al., 2020). Therefore, sedentary individuals may have more to gain by increasing levels of physical activity compared to those who are already active.

It has also been suggested that the most benefits in terms of exercise and depression are realised when moving from no activity to at least some (Pearce et al., 2022). This is an encouraging finding, especially for those who may find it daunting to start an exercise program. Furthermore, while most benefits related to exercise are achieved through regular and sustained practice, research has shown improved executive function, enhanced mood states, and decreased stress levels arising from even a single bout of exercise (Basso & Suzuki, 2017).

The point is this – something is better than nothing, and don’t let great be the enemy of good. Aim to do physical activity that you enjoy, at a moderate intensity, on most days of the week, for about 30 minutes if you can, and if you can’t do 30 minutes – 10 minutes is ok too! It is not about pounding away on a treadmill at the gym with headphones on and wearing the latest active gear, but rather, it is about becoming more active, moving our bodies in the way they were made to and taking advantage of the benefits that a more active life has to offer.

References

Basso, J. C., & Suzuki, W. A. (2017). The Effects of Acute Exercise on Mood, Cognition, Neurophysiology, and Neurochemical Pathways: A Review. Brain Plasticity, 2(2), 127–152. https://doi.org/10.3233/BPL-160040

Cooper, J. M. (2015). Plato’s Theaetetus. Routledge. https://doi.org/10.4324/9781315694740

Pearce, M., Garcia, L., Abbas, A., Strain, T., Schuch, F. B., Golubic, R., Kelly, P., Khan, S., Utukuri, M., Laird, Y., Mok, A., Smith, A., Tainio, M., Brage, S., & Woodcock, J. (2022). Association Between Physical Activity and Risk of Depression. JAMA Psychiatry, 79(6), 550. https://doi.org/10.1001/jamapsychiatry.2022.0609

Teychenne, M., White, R. L., Richards, J., Schuch, F. B., Rosenbaum, S., & Bennie, J. A. (2020). Do we need physical activity guidelines for mental health: What does the evidence tell us? Mental Health and Physical Activity, 18, 100315. https://doi.org/10.1016/j.mhpa.2019.100315

The 4th Steve Biko/Frantz Fanon Award for Psychological Liberation

The 4th Steve Biko/Frantz Fanon Award for Psychological Liberation

The 4th Steve Biko/Frantz Fanon Award for
Psychological Liberation

The 4th Steve Biko/Frantz Fanon Award for Psychological Liberation was conferred upon the South African Legal Team at the International Court of Justice to uphold the Convention on the Prevention and Punishment of the Crime of Genocide in Gaza. The award was presented at the 30th PsySSA and 10th PAPU Anniversary Opening Ceremony and Gala Dinner on Tuesday, 8 October 2024 by Mr Nkosinathi Biko (Steve Biko Foundation), Dr Mireille Fanon-Mendes France (Frantz Fanon Foundation), Prof Saths Cooper (PAPU) and Prof Mercy Tshilidzi Mulaudzi (PsySSA).

The award was awarded to:

John Dugard, SC
Adila Hassim, SC
Tembeka Ngcukaitobi, SC
Blinne Ni Ghrálaigh, KC
Max du Plessis, SC
Vaughan Lowe, KC
Tshidiso Ramogale
Sarah Pudifin-Jones
Lerato Zikalala
Helena Van Roosbroeck
Rebecca Brown
Susan Power

A Call to Action: October is Mental Health Month!

Queer Mental Health in South Africa in Mental Health Awareness Month

Queer* mental health in South Africa in Mental Health Awareness Month

Written by Pierre Brouard, Research Associate at the Centre for Sexualities, AIDS and Gender (UP), SGD secretary and PATHSA board member

Some would argue that in the face of cis-heteronormativity and ongoing acts of harm towards queer people, the idea of queer mental health is an oxymoron, unachievable in the face of systems and structures of exclusion. On the other hand, queer survival and queer thriving are acts of resilience and rebellion, to be welcomed and nurtured, especially by those who practice in the mental health space.

October is Mental Health Awareness Month in South Africa and World Mental Health Awareness Day is commemorated on 10 October. The South African Federation for Mental Health’s theme for 2024 is “Access and Inclusion: why community mental health is important”.

Through this lens we can ask pertinent, even troubling, questions about the nature of queer life in South Africa and whether queer people feel included in social and community life, are seen by politicians and policy makers, and have access to the personal, social and economic resources to live lives of dignity and wellness.

While queer people are not a monolith, inhabiting multiple identities across race, class, ethnicity, ability etc., they face significant marginalisation in [mental] health care planning and delivery (see Luvuno et al). Very few health facilities offer queer-targeted resources, and this is compounded by the lack of healthcare workers who are skilled in dealing with queer health issues. Further, there is erasure of queer people in the healthcare system through a lack of data on how queer people utilise public facilities, minimal practice guidelines and insufficient policies.

The lack of data extends itself to, for example, HIV prevalence (and its psychosocial sequelae) in queer people, because sexual orientation (and gender identity) data is not collected on large-scale, population-based HIV prevalence surveys and censuses. And the few studies conducted have small sample sizes and were often conducted in urban areas, disadvantaging queer people in rural spaces.  This lack of data on health, and arguably mental health, of queer people means that designing programmes and developing related policy guidelines is a challenge. South Africa’s recent census was critiqued for this very failing.

If queer people’s mental health is to be taken seriously a number of key steps should be prioritised.

Firstly, we need to acknowledge that while all people can experience challenges in mental health (for endogenous and exogenous reasons), the marginalisation of queer people through forms of stigma and prejudice, and acts of physical harm, add an extra burden. The Minority Stress literature provides an evidence base for this burden.

Secondly, we need to improve the training of providers of a range of mental and physical health services (in public and private settings) so that the care they offer moves beyond tolerance towards a focus on thriving and development. The Sexuality and Gender Division of PsySSA offers such training, with feedback showing significant shifts in attitude and practice. This should be bolstered by specific policies and programmes and not be seen as a “hoped for” outcome of general training in vague notions of ubuntu or [sometimes reluctant] “acceptance” of diversity.

And thirdly, we need to collect better data about queer mental health – its antecedents, its manifestations and the resources, skills and human assets needed to make it a reality.

Queer mental health is more than a “nice to have”, it’s a marker of a society that attends to the needs of everyone. How we treat minorities speaks volumes about the perils of majoritarianism, noting that the mental health of a society is a collective venture.

*I use ‘queer’ as both an umbrella term for people on the spectrums of sex, sexuality and gender, and as a way to describe those who challenge the dominant social norms, values and conventions of mainstream society.

19th Annual Peace, Safety and Human Rights Memorial Lecture

19th Annual Peace, Safety and Human Rights Memorial Lecture

The Institute For Social and Health Sciences
in the College of Human Sciences, Unisa, in collaboration with the Psychological Society of South
Africa and the Pan-African Psychology Union cordially invites you to the

 

19th Annual Peace, Safety and Human Rights Memorial Lecture

“The Imagination Battle: Struggles for Liberation as Struggles of Imagination”

This Lecture Series seeks to highlight the new frontiers and challenges facing the culture of democracy, peace, safety and human rights in South Africa and globally.

KEYNOTE ADDRESS
Dr Thandi Gamedze
Desmond Tutu Centre for Religion and social Justice, University of the Western Cape Dr Gamezde is an academic, a facilitator, a cultural worker, a writer, a poet, an educator, and a theologian. She has broad experience working across multiple sites,  including churches, universities, and community organisations. Her focus is developing critical consciousness for enacting change in communities.

RESPONDENT
Zandi Radebe
University of South Africa Zandi Radebe is a lecturer at the University of South Africa. Her interest include Liberation historiographies, Memory and Resistance, Anti-Black Racism, and Africana womanism. Her specialisations include Political Theory/Political Philosophy, Pan African Black Consciousness Philosophy and Decoloniality.

Date: Tuesday, 22 October 2024
Time: 19:00 – 21:00 (SAST)
 
Join us in this lecture and earn 1 Ethics and 1 General CEU!
 
See the link below for the livestream.
World Trauma Day – 17 October 2024

World Trauma Day – 17 October 2024

World Trauma Day

Trauma is a significant contributor to disability and mental disorders, as highlighted by the World Health Organization (WHO, 2023), which reports approximately 5 million deaths annually due to violence and trauma. Low- and middle-income countries bear a disproportionate burden of trauma-related fatalities and injuries. In South Africa, the lifetime prevalence of Post-Traumatic Stress Disorder (PTSD) stands at 2.3% among the general population (Swain, Pillay, & Kleiwer, 2017). Trauma manifests as an emotional response to events perceived as life-threatening, causing extreme distress and compromising an individual’s bodily and psychological well-being (Hatcher et al., 2019). Such experiences can adversely affect personal functioning, relationships, and occupational performance, leading to various mental health challenges. The impact of trauma intensifies when access to care and treatment is limited, a situation faced by many South Africans living amidst high levels of violence and insufficient mental health resources (Kola et al., 2021). South Africa’s reality is marked by pervasive violence and trauma, compounded by a lack of accessible mental health services, particularly for those affected by socio-economic disparities (Felitti et al., 2019). This vulnerability, rooted in the nation’s traumatic history of racial division, exacerbates mental health disorders. Unaddressed trauma risks further perpetuating cycles of suffering, emphasizing the need for targeted interventions. Addressing this issue requires a comprehensive approach to reduce violence and promote mental health support across various societal sectors, ultimately fostering hope for a more equitable future.

Reference list

Hatcher AM, Gibbs A, Jewkes R, McBride R-S, Peacock D, Christofides N. Effect of childhood poverty and trauma on adult depressive symptoms among young men in peri-urban south african settlements. J Adolesc Health. 2019;64(1):79–85.

Kola L, Kohrt BA, Hanlon C, Naslund JA, Sikander S, Balaji M, et al. COVID-19 mental health impact and responses in low-income and middle-income countries: reimagining global mental health. The Lancet Psychiatry. 2021;8(6):535–50.

Felitti VJ, Anda RF, Nordenberg D, Williamson DF, Spitz AM, Edwards V, et al. Reprint of: relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the adverse childhood experiences (ACE) study. Am J Prev Med. 2019;56(6):774–86.

Swain, K. D., Pillay, B. J., & Kliewer, W. (2017). Traumatic stress and psychological functioning in a South African adolescent community sample. South African Journal of Psychiatry, 23.

World Health Organisation (WHO). (2024). Injuries and violence. https://www.who.int/news-room/fact-sheets/detail/injuries-and-violence