Finding Common Ground in the Context of Difference: A South African Case Study
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.
KeywordsCultural identity “Othering” Marginalization Psychotherapy South Africa
This study was funded by the Vera Grover Trust Fund.
Compliance with Ethical Standards
Conflict of interest
The authors declare no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the Human Research Ethics Committee of the University of Cape Town’s Health Sciences Faculty and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
- Berg, Astrid 2012 Connecting with South Africa: Cultural Communication and Understanding. College Station: Texas A&M University Press.Google Scholar
- Coetzee, Ockert 2016 Caregiving Experiences of South African Mothers of Adults with Intellectual Disability Who Display Aggression: Clinical Case Studies (PhD thesis). University of Cape Town, Cape Town, South Africa.Google Scholar
- Kleinman, Arthur 1991 Rethinking Psychiatry: From Cultural Category to Personal Experience. New York: Free Press.Google Scholar
- Oliver, Erna 2006 Afrikaner Spirituality: A Complex Mixture. HTS Theological Studies 62(4):1469–1487.Google Scholar
- Posel, Deborah 2001 What’s in a Name: Racial Categorisations Under Apartheid and Their Afterlife. Transformation: Critical Perspectives Under Apartheid and Their Afterlife 47(1):50–74.Google Scholar
- UNESCO 2017 Reshaping Cultural Policies: Advancing Creativity for Development. Paris: UNESCO.Google Scholar
- Van Wyk, H.J. 2016 The Heidelberg Catechism for Young and Old: A Parallel Version for Church and Home Devotion. Potchefstroom: Calvyn Jubileum Boekefonds.Google Scholar