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Rethinking HIV/AIDS pre-test counselling in South Africa

Dissertation (MA (Counselling Psychology))--University of Pretoria, 2007.

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Other Authors: Louw, Willem Petrus
Format: Thesis
Published: University of Pretoria 2013
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access_status_str Open Access
author2 Louw, Willem Petrus
author_browse Louw, Willem Petrus
author_facet Louw, Willem Petrus
collection Thesis
dc_rights_str_mv © 2005, University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria.
description Dissertation (MA (Counselling Psychology))--University of Pretoria, 2007.
format Thesis
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institution University of Pretoria (South Africa)
last_indexed 2026-06-10T12:36:42.914Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository
publishDate 2013
publishDateRange 2013
publishDateSort 2013
publisher University of Pretoria
publisherStr University of Pretoria
record_format dspace
source_str UPSpace — University of Pretoria Institutional Repository
spelling oai:repository.up.ac.za:2263/25963 Rethinking HIV/AIDS pre-test counselling in South Africa Louw, Willem Petrus phiase@mweb.co.za Kotze, Sophia Catharina Counsellor Personalised risk-reduction plan Social constructionism Empowerment Health education Hiv/aids counselling Innate knowledge Pre-test counselling conversation Document analysis Counselling assumptions Clinical service delivery Client-centred approach UCTD Dissertation (MA (Counselling Psychology))--University of Pretoria, 2007. This study is concerned with the pre-test counselling conversation (as regulated by policy-governing and training documents) that occurs between HIV counsellors and their clients. It attempts to explore and describe some of the assumptions underlying HIV/AIDS pre-test counselling in South Africa, and reflects on how these assumptions determine the content and process of HIV pre-test counselling. This exploration has been done by means of an analysis of a selection of official and non-official documentation on pre-test counselling. The aim of HIV/AIDS counselling in general is to support and educate infected/affected clients about the HI-virus. Pre-test counselling (the conversation that takes place before an HIV-test is administered) forms the entry level to HIV counselling service delivery in South Africa, and it is often the only opportunity a counsellor has to support and educate a client about HIV/AIDS. Policy-governing pre-test counselling and training documents on such counselling confirm the role played by counsellors. The pre-test counselling conversation is based on the assumption that education about the HI-virus will enable clients to make informed decisions about their health which will help them to live long and healthy lives once they are aware of their HIV-status. However, this educational approach does not seem to be successful, as a change in risk behaviour is often not achieved. My recognition of this situation motivated this study and its focus on the conversation that takes place between counsellors and their clients in pre-test counselling. I was curious about what is discussed during pre-test counselling and why, if we acknowledge that counselling plays a major role in infection rate prevention, risk-reducing behaviour is not being achieved. This qualitative study was based on a social constructionist paradigm and document analysis was used as a research method. This study offers an alternative approach to health education – a drive towards client-centred pre-test counselling where the client’s needs become the focus of the pre-test counselling conversation. Psychology unrestricted 2013-09-07T01:39:25Z 2006-01-30 2013-09-07T01:39:25Z 2005-04-21 2007-01-30 2006-01-30 Dissertation Kotze, S 2005, Rethinking HIV/AIDS pre-test counselling in South Africa, MA dissertation, University of Pretoria, Pretoria, viewed yymmdd < http://hdl.handle.net/2263/25963 > http://hdl.handle.net/2263/25963 http://upetd.up.ac.za/thesis/available/etd-01302006-154411/ © 2005, University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria
spellingShingle Counsellor
Personalised risk-reduction plan
Social constructionism
Empowerment
Health education
Hiv/aids counselling
Innate knowledge
Pre-test counselling conversation
Document analysis
Counselling assumptions
Clinical service delivery
Client-centred approach
UCTD
Rethinking HIV/AIDS pre-test counselling in South Africa
title Rethinking HIV/AIDS pre-test counselling in South Africa
title_full Rethinking HIV/AIDS pre-test counselling in South Africa
title_fullStr Rethinking HIV/AIDS pre-test counselling in South Africa
title_full_unstemmed Rethinking HIV/AIDS pre-test counselling in South Africa
title_short Rethinking HIV/AIDS pre-test counselling in South Africa
title_sort rethinking hiv aids pre test counselling in south africa
topic Counsellor
Personalised risk-reduction plan
Social constructionism
Empowerment
Health education
Hiv/aids counselling
Innate knowledge
Pre-test counselling conversation
Document analysis
Counselling assumptions
Clinical service delivery
Client-centred approach
UCTD
url http://hdl.handle.net/2263/25963
http://upetd.up.ac.za/thesis/available/etd-01302006-154411/