A study on the ethical problems afflicting the health sector this work catalogues, through numerous cases, the misconduct of health professionals with regard to civilians, prisoners and military personnel; documents the misuse of scientific research, health professional and training institutions, and statutory councils for apartheid purposes; observes the failings of a profession trying to provide health care in the absence of a culture of human rights; and identifies ways in which human rights and ethical dilemmas recur in the current context of democratic transformation.
During the apartheid era, thousands of South African political activists, militants, and refugees fled arrest by crossing into neighbouring southern African countries. Although they had escaped political oppression, many required medical attention during their period of exile. An Ambulance on Safari describes the efforts of the African National Congress (ANC) to deliver emergency healthcare to South African exiles and, in the same stroke, to establish political legitimacy and foster anti-apartheid sentiment on an international stage. Banned in South Africa from 1960 to 1990, the ANC continued its operations underground in anticipation of eventual political victory, styling itself as a "government in waiting." In 1977 it created its own Health Department, which it presented as an alternative medical service and the nucleus of a post-apartheid healthcare system. By publicizing its own democratic policies as well as the racist practices of healthcare delivery in South Africa, the Health Department won international attention for its cause and provoked widespread condemnation of the apartheid state. While the global campaign was unfolding successfully, the department's provision of healthcare on the ground was intermittent as patients confronted a fledgling medical system experiencing various growing pains. Still, the legacy of the department would be long, as many medical professionals who joined the post-apartheid Department of Health in South Africa had been trained in exile during the liberation struggle. With careful attention to both the international publicity campaign and on-the-ground medical efforts, An Ambulance on Safari reveals the intricate and significant political role of the ANC's Health Department and its influence on the anti-apartheid movement.
From the opening Sanskrit mantra to the final act of voting in South Africa's first democratic elections, this lyrical memoir provides a unique perspective on South Africa's modern history. The account shows how a young Hindu woman of Indian ancestry, living in South Africa in the 1940s, defied convention, married a Muslim man, and became an activist at time when Muslim women were seldom seen in such a role. As a teacher, she spoke up during the political strife of that highly segregated era, which included the relocation of Indians and angry student boycotts, and here shares her philosophies and insights into education. Filled with characters from both a personal and national context, the memoir captures the nuances of an important time and place.
This book traces the career of pioneering South African plastic and reconstructive surgeon, Jack Penn, from its beginnings during the Second World War. It explores the establishment of Penn’s private practice, and his work in diverse countries, including Gabon, Japan and Israel, as he sought to rectify the injury caused by conflict. It also addresses his role on the President’s Council, established by Prime Minister P.W. Botha to introduce reform to the system of apartheid. Penn’s career is contextualised by modernisation which was a significant feature of twentieth-century South Africa. It was linked with race from the inception of the state in 1910 with racial segregation and paternalism. Penn’s work during the Second World War was part of a “modernist” bent by the state under Jan Smuts to take the lead in promoting science and technological development – which continued during apartheid. Modernisation was also fluid with state priority shifting between the two poles of development and security as apartheid policies were met with hostility both within the state and beyond its borders. Within the context of decolonisation, increasing black urbanisation required a balancing act on the part of the state to uphold the ideology of racial distinction while simultaneously addressing economic challenges – and this was reflected in the reform initiatives under Botha. Plastic and reconstructive surgery as evident in the work of Jack Penn is intertwined with this narrative of apartheid, modernisation and reform. It demonstrated Western prowess, with medicine and development a perceived bulwark against Communism. It also served as a means for the modernising apartheid state to initiate, maintain or enhance alliances with other states in the facing of mounting isolation and international condemnation. The career of Jack Penn, then, is a lens through which the contradictions, complexities and anxieties of twentieth-century South Africa are exposed.
Since the mid-1980s, the psychology of liberation movement has been a catalyst for collective and individual change in communities throughout Latin America, and beyond; and recent political developments are making its powerful, transformative ideas more relevant than ever before. Psychology of Liberation: Theory and Applications updates the activist frameworks developed by Ignacio Martin-Baro and Paulo Freire with compelling stories from the frontlines of conflict in the developing and developed worlds, as social science and psychological practice are allied with struggles for peace, justice, and equality. In these chapters, liberation is presented as both an ongoing process and a core dimension of wellbeing, entailing the reconstruction of social identity and the transformation of all parties involved, both oppressed and oppressors. It also expands the social consciousness of professionals, bringing more profound meaning to practice and enhancing related areas such as peace psychology, as shown in articles such as these: Philippines: the role of liberation movements in the transition to democracy. Venezuela: liberation psychology as a therapeutic intervention with street youth. South Africa: the movement for representational knowledge. Muslim world: religion, the state, and the gendering of human rights. Ireland: linking personal and political development. Australia: addressing issues of racism, identity, and immigration. Colombia: building cultures of peace from the devastation of war. Psychology of Liberation demonstrates the commitment to overcome social injustices and oppression. The book is a critical resource for social and community psychologists as well as policy analysts. It can also be used as a text for graduate courses in psychology, sociology, social work and community studies.
Classifying people as 'victims' is a historical phenomenon with remarkable growth since the second half of the 20th century. The term victim is widely used to refer both to those who have died in wars and to people who have experienced some form of physical or psychological violence. Moreover, victimhood has become a shorthand for any injustice suffered. This can be seen in many contexts: in debates on social justice, when claims for compensation are made, human rights are defended, past crimes are publicly commemorated, or humanitarian intervention is called for. By adopting a history of knowledge approach, Victims takes a fresh look at the phenomenon of classifying people as victims. It goes beyond existing narratives to provide a new and comprehensive explanation of the complex genealogy of modern concepts of victimhood. In order to reveal the fundamental shifts in perceptions and interpretations of harm, this book reconstructs the emergence of the figure of the victim from the late 18th century to the present. Focusing on Western Europe, it shows that neither the World Wars nor the Holocaust were the only reasons for this shift. Instead, changing power relations and new knowledge, especially in medicine and law, fundamentally altered perceptions and interpretations of death and suffering, of legitimate and illegitimate violence. Today, the debate takes another turn with the widespread criticism of victim attribution and the increasing delegitimisation of the term. Svenja Goltermann tells this story with brilliant clarity - without subscribing to the new denigration of the victim.
The right to equal treatment is undoubtedly one of the most fundamental human rights. As such, it can be found in international human rights treaties, in constitutions and in national legislation. In this book the principle of equality is analysed from different angles, bearing in mind the South African and Belgian experiences in this area. Firstly, a general overview is given of the different sources of human rights law in the Belgian and South African legal system, the relation between international and national law, the direct applicability and third party-applicability of rights and freedoms in the legal order(s), and the implementation mechanisms available both in Belgium and South Africa. Secondly, the principle of equality, as found in the Belgian Constitution, in the European Convention on Human Rights and in the South African Constitution, and the South African Antidiscrimination Bill are analyzed. Finally, the principle of equality is being studied from a thematic perspective, i.e. with regard to the use of languages and from a gender perspective. The book is concluded with a contribution on the access to medical and health care in South Africa.
The new millennium is widely considered to be the age of globalisation, democratisation, and human rights. We live in a knowledge society and in a time of risk and uncertainty. World society is rapidly urbanising and ageing and exhausting its natural resources. It is the interplay of such key trends of the era that calls for a fresh approach to measuring quality of life. This collection of papers presents an innovative approach to evaluating living standards and wellbeing under the new circumstances facing individuals and societies in twenty-first century. Contributions cover a wide range of issues that impact positively and negatively on wellbeing in our age. While stability, trust, equal access to resources and the social integration of disadvantaged members of society enhance well-being, poverty, social exclusion, congestion in cities, HIV/AIDS and global warming pose threats to both modern and traditional lifestyles. Methodological refinements of conventional measurement tools are presented that take into consideration the rich diversity of lifestyles and values among different populations and regions of the world. This book will be essential reading for social scientists and ordinary citizens who are concerned about the future of human well-being on our planet.
In the wake of the decolonization movement in South Africa and around the world, this edited work presents fresh evidence and advances new arguments on the politics and economics of colonial biomedical knowledge in South Africa and other parts of the African continent. Covering a richly diverse set of fields---including human genetics, obstetrics, occupational therapy, medical photography and the vaccine sciences---the book demonstrates the troubled histories and the enduring effects of imperial knowledge decades since the end of colonial rule and apartheid. This is a valuable text on the politics of the biomedical sciences written from the perspective of the African continent, and at the same time it revisits knowledge/power relationships between the majority (“global South”) and minority (“global north”) words in a historical perspective and in their contemporary expression in the disciplines. The immediate benefit is a reference resource for medical science researchers, and a teaching text for senior undergraduate and postgraduate students. The book is further composed as an accessible, readable and interesting text on politics and medicine in Africa for the discerning lay reader.
