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Created on : 12 Mar 2016
Modified on : 16 Jan 2018

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Bibliographical entry (without author) :

Abuse in South African maternity settings is a disgrace: Potential solutions to the problem - South African Medical Journal - Vol. 105, 4 - ISBN: 2078-5135, 0256-9574 - p.284

Author(s) :

Honikman, Simone; Fawcus, Sue; Meintjes, Ingrid

Year of publication :

2015

URL(s) :

http://www.samj.org.za/index.php/samj/article/view…
https://doi.org/10.7196/samj.9582

Résumé (français)  :

Abstract (English)  :

Abuse of mothers in maternity settings is widespread globally. In South Africa, this human rights violation has been documented by many sources. Particular factors relating to health workers’ professional and personal contexts contribute to the problem and need to be addressed if it is to be solved. Several local and international initiatives are discussed as possible solutions.

Sumário (português)  :

Resumen (español)  :

Full text (private) :

Comments :

Editorial dans South Africa medical journal. Mauvais traitements en maternité sont vus sont à la fois comme une violation des droits des femmes et un obstacle à l’utilisation par les femmes des services de maternité. Les auteurs sont de Cape Town et relatent entre autre une expérience de formation et soutien émotionnel des soignants (the Secrete History method, 2004)

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Editorial, South Africa. One of the considerations is about an experience of training Healthcare worker training and emotional support: The Secret History method

The Perinatal Mental Health Project at the University of Cape Town
developed the Secret History training method in 2004. The project
has used this approach in a wide variety of settings with a range
of healthcare workers, and the training has undergone qualitative
internal and external evaluation. The aim is to improve empathic
engagement skills of healthcare staff working with mothers.
The group role-play facilitates an enactment of typical dysfunctional
responses between healthcare worker and patient through a case story
unfolding between them, over the course of pregnancy and labour,
and postnatally. The secret history of each character is revealed in
stages. Participants have a chance to ‘play’ one of the two roles and are
then asked to switch roles half way through the story. At each phase
of the story, the players are asked to identify their feelings and needs,
both as the healthcare worker and as the mother.
Identifying with ‘the other’ is a critical element of the training and
allows for dissolution or reframing of unhelpful cognitions. A process
of reintegration of self and ‘other’ follows. This allows participants to
engage with a wider context of maternal care, one which encourages
empathy for the ‘other’ and validates sympathy for the ‘self’. Participants
are then able to develop their own solutions to address difficulties in the
workplace and interpersonal challenges with colleagues and patients,
and to be more supportive of the needs of patients and each other.

Argument (français) :

Les mauvais traitements en maternité sont vus sont à la fois comme une violation des droits des femmes et un obstacle à l’utilisation par les femmes des services de maternité.

Argument (English):

One of the considerations is about an experience of training Healthcare worker training and emotional support: The Secret History method.

Argumento (português):

Argumento (español):

Keywords :

➡ obstetric and gynecologic violence obstetric violence, obstetrical violence ; iatrogeny ; guidelines ; public health ; traumatism ; deontology ; informed consent

Author of this record :

Import 12/03/2016 — 12 Mar 2016
➡ latest update : Bernard Bel — 16 Jan 2018