Browsing by Author "Haupt, Paul"

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    The psychiatric paper-trail : a study of the continuity of psychiatric management from a community clinic perspective
    (2000) Haupt, Paul; Foster, Don
    Mental health services in South Africa have historically been hospital-based and treatment focused. In 1997 the Department of Health committed itself to the transformation of mental health services in South Africa and adopted a District Health System model through which to shift the focus of mental health care from a hospital-based to a community-based service. This transition has been challenging on many levels, as attempts are made to develop the capacity of community mental health structures so as to render a comprehensive mental health service at the community clinic level. Given the infancy of this change, very little literature exists about the current struggles facing public community mental services, making the process of establishing an integrated mental health service at these sites all the more difficult. This study will explore the current mental health services offered at a community clinic, highlighting the limited capacity of this service site to offer a comprehensive psychiatric management service. After providing a historical overview outlining the context from which mental health services in South Africa have emerged, a situational analysis of a hospital-based and a community-based psychiatric service site is presented, highlighting some basic requirements of a psychiatric service and identifying shortfalls at a community clinic level in terms of these requirements. An audit of clinical work conducted at the community clinic is presented; illustrating that there is insufficient biopsychosocial information at the community clinic level in order to render an effective psychiatric service. A single-case study is then presented and ued to substantiate the claim that psychiatric management constitutes a specialist mental health service and as such, requires a mulit-disciplinary team approach. A possible model for community psychiatric management is presented based on the intervention strategy used in the single-case ana an argument is developed for a potential role for clinical psychology in the development and management of an effective community-base psychiatric service.
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    The theatre of violence: narratives of protagonists in the South African conflict
    (HSRC Press, 2005) Foster, Don; Haupt, Paul; De Beer, Marésa
    This profound and deeply compassionate study aims to reach into the complexities of political violence in South Africa between 1960 and 1994, and to expand our understanding of the patterns of conflict that almost drew South Africans into a vortex of total disintegration during the apartheid era. This book is used in the teaching of critical and social psychology at both undergraduate and postgraduate levels. While many accounts have focused on the victims of state repression, this unique volume documents the often contradictory and confusing stories of those who acknowledge having committed some dreadful deeds. Individuals on various sides of the apartheid divide, from state security structures to the ANC, PAC and grassroots, activists, tell their own stories. The central focus is to give an account of the actions of the perpetrators, here depicted as competing protagonists in an arena of violence. It examines the violence forensically, through its public and popular representations, academically and, finally, through the narrative approach, drawing on a rich analysis of stories from different sides. The authors also offer the first critical examination of the TRC's amnesty process, show how media representations of perpetrators inform public perceptions, and scrutinise international scholarly writings on the issue of political violence. Suggestive and intriguing, The Theatre of Violence opens a fresh examination of the erstwhile taken-for-granted understandings and attempts to address a range of questions that are often not considered, and perhaps cannot be considered, in a dispassionate way. It is in many ways an optimistic study, holding out the possibility of a society that can understand and take steps to minimise the perpetration of gross violations of human rights.