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Transcultural Psychiatry
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Beyond Words: Notes on the ‘Irrelevance’ of Language to Mental Health Services in South Africa

Leslie Swartz

Gerard Drennan

Child Guidance Clinic, University of Cape Town, South Africa

South Africa’s political history has led to a marginalizing of all languages except for English and Afrikaans. Many clinicians cannot speak the languages spoken by patients. We attempt to understand the slow progress towards achieving greater access to mental health services on the basis of language. The administrative constraints of an overburdened and bureaucratized health system lead to language and communication playing a relatively small part in clinical practice. Resistance to learning other languages may relate to the emotional risks involved in this learning. A psychological understanding of the barriers to linguistic change may help us develop further changes.

Key Words: institutional change • language • psychiatry • South Africa • Xhosa

Transcultural Psychiatry, Vol. 37, No. 2, 185-201 (2000)
DOI: 10.1177/136346150003700202
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