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Healthcare professionals can powerfully influence how women experience pregnancy loss. However, such professionals often work with professional and cultural assumptions of how women should respond to pregnancy loss and fail to provide their patients with sensitive and appropriate emotional care. In this study, the authors used Charmaz' constructionist grounded theory, a qualitative approach, to generate and analyze interviews of eight participants with different familial and socioeconomic backgrounds. It was found that the meaning that the pregnancy had for women varied according to the different familial and socioeconomic systems within which they operate. The meaning of the pregnancy not only determined the meaning of the pregnancy loss, but also impacted on the participants' emotional needs at the time of loss. Feelings about pregnancy loss ranged from feelings of devastation to relief.

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South Africa has seen a rapid increase in scholarship and programmatic interventions focusing on gender and sexuality, and more recently on boys, men and masculinities. In this paper, we argue that a deterministic discourse on men's sexuality and masculinity in general is inherent in many current understandings of adolescent male sexuality, which tend to assume that young women are vulnerable and powerless and young men are sexually powerful and inevitably also the perpetrators of sexual violence. Framed within a feminist, social constructionist the oretical perspective, the current research looked at how the masculinity and sexuality of South African young men is constructed, challenged or maintained. Focus groups were conducted with young men between the ages of 15 and 20 years from five different schools in two regions of South Africa, the Western and Eastern Cape. Data were analysed using Gilligan's listening guide method. Findings suggest that participants in this study have internalised the notion of themselves as dangerous, but were also exploring other possible ways of being male and being sexual, demonstrating more complex experiences of manhood. We argue for the importance of documenting and highlighting the precariousness, vulnerability and uncertainty of young men in scholarly and programmatic work on masculinities.

South African child sexual abuse workers active in low-income communities bear witness to stories of sexual and physical abuse, neglect, pervasive deprivation, and violence. North American, British, and European workers' emotional experiences have been captured in the literature, and a gap remains to be filled by those of their South African colleagues. This research aims to focus on the emotional experiences of social workers who engage therapeutically with sexually abused children in the Helderberg basin of the Western Cape, and resonate in some way with readers working in situations of poverty and trauma in other parts of the world. This study employed an explorative inductive research method, and followed a critical realist and contextual constructionist approach. Multiple-case study data collection took place by means of semi-structured interviews with social workers who engage therapeutically with sexually abused children. Data were examined by means of thematic analysis, and psychoanalytic theory was employed to analyse defences that surfaced during interviews. There were similarities in emotional experiences between South African participants and their abovementioned counterparts. The research also identified salient features of working with child sexual abuse in South Africa. The emotional experiences of doing such work, coupled with participants' ways of managing sexually abused children's material, gave rise to possible vicarious traumatisation symptoms and allowed for a psychoanalytic understanding to be put forward. The research also reports on useful measures that might enable individuals to continue interventions. To enable ongoing effective therapeutic engagement, social workers should have access to opportunities for acknowledging countertransferences and processing dynamic material defended against. The research contributes to knowledge of working in South Africa by exploring the emotional experiences of those who help sexually abused children daily, and by investigating the psychological impact prolonged therapeutic engagement has on workers active in Western Cape low-income communities.

Reproductive health issues are pertinent in the mental health development of young women in South Africa, especially young women in low-income communities. The prevalence of problems such as HIV/AIDS and unplanned or unwanted pregnancies among South African female adolescents specifically warrants urgent attention. It is argued that inadequate theoretical frameworks and inadequate data on sexuality in different South African communities hamper effective preventative interventions in the female reproductive health arena. This article reports and discusses some of the findings of a larger study exploring female adolescent sexuality in one specific low-income South African community. Twenty-five adolescent women from low-income, ‘coloured’1 households in the Western Cape were interviewed about their first experiences of sexual intercourse. It was found that the participants demonstrated limited sexual agency in their first experiences of sexual intercourse. The authors conclude that a new discourse of female sexual agency may be needed.