Finding Common Ground in the Context of Difference: A South African Case Study.

Journal: Culture, medicine and psychiatry

Volume: 43

Issue: 2

Year of Publication: 2019

Affiliated Institutions:  Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa. Ockert.Coetzee@westerncape.gov.za. Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa. Department of Psychology, Stellenbosch University, Stellenbosch, South Africa.

Abstract summary 

In a rapidly transforming world, cultural assimilation and the hybridity of clients and therapists are increasingly acknowledged. Juxtaposed against universalist and relativist discourses in Cultural Psychiatry, the elucidation of perceived "difference" from cultural norms, constructed as being observed in the lives of either the client, or therapist, or both, requires critical reflection on how such norms are derived and by whom. This cultural case study describes a clinical encounter between a Muslim South African woman, and a South African man of Afrikaner descent. A shared experience of marginalization led to surprising similarities and common ground against obvious cultural differences, which have contributed to the strengthening of the therapeutic relationship and consolidation of trust. Beside the more parsimonious focus on "shared marginalization" as a potential bridge to move towards transcending overt cultural differences, the case study's emphasis on a shared humanity within the interwoven texture of perceived difference go beyond dichotomous discourses that sharply dissect "sameness" from "otherness". This may well have relevance to any clinical encounter in which identity is dynamically presented and re-presented in complex ways.

Authors & Co-authors:  Coetzee Ockert O Adnams Colleen C Swartz Leslie L

Study Outcome 

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Statistics
Citations :  Transcult Psychiatry. 2012 Jul;49(3-4):531-8
Authors :  3
Identifiers
Doi : 10.1007/s11013-018-9615-6
SSN : 1573-076X
Study Population
Man
Mesh Terms
Adult
Other Terms
Cultural identity;Marginalization;Psychotherapy;South Africa;“Othering”
Study Design
Case Study,Cross Sectional Study
Study Approach
Country of Study
South Africa
Publication Country
Netherlands