O-Week Workshop Booklet
Transcription
O-Week Workshop Booklet
RHODES UNIVERSITY HOUSE ORIENTATION WEEK 2007 COMMITTEE TRAINING BOOKLET I DISCLAIMER: This booklet is intended to offer basic information on a wide range of subjects. It is by no means exhaustive. Due to obvious space limitations we cannot hope to answer all questions related to the issues addressed. Due to the subject matter some of the images are graphic and may upset sensitive readers. Rhodes University House Committee Orientation Week Training Handbook Layout: Larissa Klazinga Contributors: John McNeill & Allan Webb Hall, Iain L’Ange & Nelson Mandela Hall, Sarah Fischer, Trevor Amos, Vivian de Klerk, Larissa Klazinga, Louise Vincent, Carla Tsampiras, George Euvrard, Anthea Ribbink and Mike Naidoo with major contributions from POWA and RAVESAFE which are very gratefully acknowledged. Version: 1 Prepared using: Microsoft Word 2003 Document name: House Comm O-Week Workshop Booklet 2007.doc II Rhodes University ORIENTATION WEEK 2007 WORKSHOP BOOKLET CONTENTS CONTENTS 1 DEAN OF STUDENTS’ WELCOME MESSAGE 3 TRAINING PROGRAMME FOR HOUSE COMMITTEES 4 HOUSE COMMITTEE PORTFOLIOS 6 SESSION THREE: LEADERSHIP & PORTFOLIO DISCUSSION Introduction ALL House Committee Members Senior Student Secretary Entertainment Rep Sports Rep Treasurer ResNet Rep Community Engagement Rep Food Rep 6 6 6 6 7 7 8 8 8 9 9 WORKSHOP ONE: DIVERSITY 10 SESSION SEVEN: FACING RACE @ RHODES SESSION EIGHT: GENDER & SEXUALITY Definitions 10 16 16 WORKSHOP TWO: SEXUAL HEALTH & HIV/AIDS 20 SESSION SIX: SPREAD THE WORD NOT THE VIRUS Safer Sex Quiz Safer Sex Quiz Answers on page 62 Condoms Sexually Transmitted Infections (STI) FAQ Chlamydia Syphilis Crabs Hepatitis B Herpes Genital Warts Trichomoniasis 20 20 23 24 27 27 28 30 30 31 32 33 1 Gonorrhoea Bacterial Vaginosis HIV/AIDS FAQ What are HIV and AIDS? How is HIV spread? How HIV is NOT transmitted? The HIV Test 33 34 35 35 35 36 37 WORKSHOP THREE: SUBSTANCE ABUSE 38 SESSION FOUR: DRUGS & ALCOHOL Drug Quiz Drug Quiz Answers on page 62 Drug & Alcohol Fact Sheet Alcohol Ecstasy LSD Heroin Cocaine Methcathinone Cannabis Speed Acquaintance Rape Drugs Protecting Yourself from Date Rape Drugs Rohypnol Gamma Hydroxy Butyrate (GHB) Ketamine Hydrochloride 38 38 38 39 39 39 40 40 40 41 41 41 42 43 43 44 45 WORKSHOP FOUR: CAUSES OF PSYCHOLOGICAL STRAIN & METHODS OF SUPPORT 46 SESSION TWO: DEALING WITH PSYCHOLOGICAL PROBLEMS The Student Counselling Centre Depression Helping Someone in a Suicidal Crisis Anxiety Eating Disorders Rape Harassment 46 46 48 50 52 53 56 60 SAFER SEX QUIZ ANSWERS 62 DRUG QUIZ ANSWERS 62 EMERGENCY CONTACT DETAILS 64 2 DEAN OF STUDENTS’ WELCOME MESSAGE Welcome back to all Sub-Wardens, House & Hall Senior Students and House Committee Members. The purpose of this training programme is to prepare you to help new students to cope with the demands made on them during their first year at University. Since time is limited, you will not be ‘lectured’ on the way the University works, what the rules and regulations are etc. We will assume that you already know much of this, and that you can read up what you don’t know in the University Calendar and your Hall and Residence Rule Books. Instead, the programme focuses on the broader social issues which are important in student life: issues such as substance abuse, harassment, sexism and homophobia, stress, loneliness and depression and sexual health and HIV/AIDS. It is in these areas that you will often be called upon to help during crises, and so we want you to think about each of these issues carefully, to prepare you for how you will handle them. As the Dean of Students, I wish to emphasise that I greatly value the contribution that each of you will make during the year that lies ahead, in ensuring that each of our new students at Rhodes has a positive and enriching experience, taking advantage of all that the University has to offer. I thank you in advance for this and I wish you a rewarding year and every success in your own studies. Good luck, Prof Vivian de Klerk 3 TRAINING PROGRAMME FOR HOUSE COMMITTEES DATE: WEDNESDAY 31 JANUARY: VENUE: Eden Grove Red Lecture Theatre & Seminar Rooms ATTENDANCE: All Sub-Wardens, Senior Students and House Committee members are strongly encouraged to attend the House Committee Orientation training as it will form the basis of the workshops run in all the residences during O-Week. Time Venue 08h30 - 09h00 Task/Function Speaker/Trainer Registration Eden Grove Red 09h00 - 09h15 Welcome by Vice-Chancellor Dr Saleem Badat Session One: Training the Trainers: How to manage small-group Workshops 09h15 - 09h30 Eden Grove Red Plenary 09h30 - 10h15 Eden Grove Seminar Rooms Group Discussions 10h15 - 10h30 Eden Grove Red Report-back 10h30 - 11h00 Eden Grove Concourse Tea Prof George Euvrard & Mrs Anthea Ribbink Session Two: Causes of Psychological Strain & Methods of Support 11h00 – 11h15 Eden Grove Red Plenary 11h15 – 11h40 Eden Grove Seminar Rooms Group Discussions 11h40 – 12h10 Eden Grove Red Presentation 12h10 – 12h55 Eden Grove Seminar Rooms Group Discussions 12h55 – 13h00 Eden Grove Red Report-back 13h00 – 1400 Eden Grove Concourse Lunch Counselling Centre Staff Session Three: Leadership & Portfolio Discussion 14h00 - 14h30 Eden Grove Red Plenary 14h30 - 15h15 Eden Grove Seminar Rooms Group Discussions 15h15 - 15h30 Eden Grove Red Report-back 15h30 - 15h45 Eden Grove Concourse Tea Mr Trevor Amos & Ms Meesbah Jiwaji Session Four: Substance Abuse 15h45 - 16h10 Eden Grove Red Plenary 16h10 - 16h50 Eden Grove Seminar Rooms Group Discussions 16h50 - 17h10 Eden Grove Red Report-back 4 Dr Sirion Robertson & Mr Michael Naidoo DATE: THURSDAY 31 JANUARY: VENUE: Eden Grove Red Lecture Theatre & Seminar Rooms ATTENDANCE: All Sub-Wardens, Senior Students and House Committee members are strongly encouraged to attend the House Committee Orientation training as it will form the basis of the workshops run in all the residences during O-Week. Time Venue Task/Function Speaker/Trainer 09h00 - 09h20 Achieving Academic Excellence 09h20 - 09h35 What can the SRC do for you? Prof Vivian de Klerk Ms Bryony Green & the SRC Session Five: Maintaining the Balance 09h35 – 09h45 Eden Grove Red SRC Mentoring Programme 09h45 - 10h10 Sport @ Rhodes 10h10 - 10h30 Community Engagement 10h30 - 11h00 Eden Grove Concourse Ms Fatema Morbi Mr Aziez Madatt & Mr Kerr Rogers Ms Ingrid Andersen & the CSD Tea Session Six: Spread the word NOT the Virus - Sexual Health & HIV/AIDS 11h00 - 11h30 Eden Grove Red Plenary 11h30 - 12h30 Eden Grove Seminar Rooms Group Discussions 12h30 - 13h00 Eden Grove Red Report-back 13h00 - 1400 Eden Grove Concourse Lunch Ms Bianca Camminga & SHARC Session Seven: Diversity - Facing Race @ Rhodes 14h00 - 14h30 Eden Grove Red Plenary 14h30 - 15h15 Eden Grove Seminar Rooms Group Discussions 15h15 - 15h30 Eden Grove Red Report-back 15h30 - 15h45 Eden Grove Concourse Tea Prof Louise Vincent & Dr Petiwe Matutu Session Eight: Diversity - Gender & Sexuality 15h45 - 16h10 Eden Grove Red Plenary 16h10 - 16h40 Eden Grove Seminar Rooms Group Discussions 16h40 - 17h00 Eden Grove Red Report-back Ms Carla Tsampiras & OutRhodes Session Nine: Safety & Security 17h00 – 17h25 Eden Grove Red Plenary Mr Rob Benyon 17h10 - 17h20 Eden Grove Red Thanks & Closure Prof Vivian de Klerk Friday 02 February has been left purposefully free of scheduled activities to enable you to prepare for the arrival of new students on Saturday 03 February, for Administrative Registration over the weekend. 5 HOUSE COMMITTEE PORTFOLIOS SESSION THREE: LEADERSHIP & PORTFOLIO DISCUSSION Introduction Congratulations on being elected onto the House Committee. Very often you may find that after being elected you are wondering what exactly you need to do. You may have some idea of what each portfolio involves – but you are probably a little confused about what is expected of you. This document is intended to act as a guideline, listing general expectation. They may differ to some extent from residence to residence and hall to hall Each portfolio is defined by what their key Roles and Responsibilities are. For each of the identified roles and responsibilities, Key Performance Measurements are also defined. It will be against these measurements that a member can answer ‘yes’ or ‘no’ and so determine their level of success. ALL House Committee Members KEY ROLES AND RESPONSIBILITIES 1. Fulfill portfolio responsibilities (see separate specification) 2. Participation in residence activities 3. Communication 4. Provide leadership 5. Teamwork (colleague & Warden assistance) KEY PERFORMANCE MEASUREMENTS 1. Attend all Hall Social Functions 2. Support or participate in at least 75% of the inter/intra-res sporting and charity activities 3. Spend at least one hour a week in the common room interacting with students 4. Sit at different meal tables frequented by house residents at least once a week. 5. Attend all House Meetings and House Committee Meetings 6. Check your portfolio boards every three days and keep it up to date. 7. Ensure that House concerns are placed on the House Committee Agenda list, or alternatively, discuss the matter with individual House Committee members (including the Warden). 8. Identify students who are not participating and actively encourage them to participate in Residence Activities. 9. Identify problems (related to the House Committee) and use appropriate mechanisms to approach persons concerned and actively offer House Committee colleagues assistance. 10. Where problems have been identified work proactively to identify and implement solutions. Senior Student KEY ROLES AND RESPONSIBILITIES 1. To arrange purchasing of the Residence Top 2. To arrange the House Photograph. 3. To act as representative of the students in your hall, and to support their views support 4. To ensure that house comm. members fulfil their duties 5. To organise food for exam snacks 6. To run House meetings 6 KEY PERFORMANCE MEASUREMENTS 1. To arrange purchasing of the Residence Top a. Put up diagrams of available garment options by end of the first term b. Put up lists requesting garment preferences from House Members c. Receive sample of selected garment and circulate for confirmation d. Put up order forms before the end of SWOT week in the first semester e. Have monies collected and final order placed with manufacturers by first week of the third term f. Ensure that final product is of suitable quality and distributed to buyers by end of 3rd term or early in 4th term. 2. House Photo. a. Inform students of the date at which house photo is to be taken and organise a photographer. b. Ensure student arrive on time and are dressed appropriately. c. Provide names of students to the photographer. 3. Exam Snacks. a. Inform students of the exam snack dates and times b. Ensure that the snacks are budgeted for in the annual residence budget c. Ensure that there are enough snacks (within reasonable limits) for the residence. Secretary KEY ROLES AND RESPONSIBILITIES 1. Perform secretarial duties 2. Minor tasks KEY PERFORMANCE MEASUREMENTS 1. Obtain house recreational photographs for the Website a. Approach students with cameras and request photographs from them after social events b. Provide Warden with at least one photograph a month for the Website 2. Perform secretarial duties a. Ensure that the Minutes from all House Committee meetings are out within one week of the completion of the meeting and distribute them to all members of the house. 3. Minor tasks a. Compile a list of the birthdays of all students, and ensure that the student concerned receives a birthday card before 09h00 on the day of his/her birthday. Entertainment Rep KEY ROLES AND RESPONSIBILITIES 1. Plan and manage entertainment events KEY PERFORMANCE MEASUREMENTS 1. In consultation with the House Committee, prior to Orientation Week draw up a schedule of events for the year, including deadlines for functions. 2. Ensure that the event schedule includes non-alcohol based events i.e. movie nights, games evenings etc. 3. Notify the House of events at least one week before the event. 4. Using a roster system, organise set-up & clean-up teams for all events. 5. Ensure that all event venues are returned to their original condition 6. Ensure that a schedule for entertainment events for each term is kept on the board and is kept up-to-date. 7 Sports Rep KEY ROLES AND RESPONSIBILITIES 1. Participation 2. Motivation and provision 3. Organisation KEY PERFORMANCE MEASUREMENTS 1. Participation a. Visit members of the residence individually to involve them in inter-res activities. b. Attend every inter-res sporting function unless there is a good excuse not to. c. Enter at least one team for every inter-res sporting event. 2. Motivation and provision a. Try to follow up on all events or suggestions that are put forward and which are viable. b. Keep records of participants in all inter-residence sporting events c. In consultation with the Warden, present awards for participation to the most frequent participants at the Annual Residence Awards Evening (or whatever award is relevant to your Hall). 3. Organisation a. Submit all receipts for inter-res sport to the Treasurer within one week of participation in the event. b. Each term ensure that a list of all forthcoming sports events for the Hall is clearly displayed. c. Have sports notices, with team sign-up lists up at least one week before the event Treasurer KEY ROLES AND RESPONSIBILITIES 1. Finance 2. Prepare Financial Reports KEY PERFORMANCE MEASUREMENTS 1. Finance a. Ensure that the House Committee can have access to the books b. Review house funds at every House Committee Meeting, advising the committee of income and possible budget shortfalls. c. Liaise regularly with the Sports Rep and collect all receipts from him/her within one week of the event. 2. Quarterly Audit of the transactions by the hall a. This must take place once a year, through the auditors ResNet Rep KEY ROLES AND RESPONSIBILITIES 1. Promote and Administer ResNet 2. Liaise with ResNet Technician KEY PERFORMANCE MEASUREMENTS 1. Make sure that people are aware of ResNet before end of first week of the first term. 2. Respond to all questions about ResNet within a week 3. Ensure that the House website is updated by the end of the second week. 4. Liaise with the ResNet Technician at least once a week. 8 Community Engagement Rep KEY ROLES AND RESPONSIBILITIES 1. Planning community projects 2. Leading, organising and controlling community projects KEY PERFORMANCE MEASUREMENTS 1. Planning community projects a. Publish a bulletin of forthcoming community engagements in the house. b. Aim to get 60% of students in the house involved in one community project (to benefit the community or raise money for the community) each semester. 2. Leading, organising and controlling community projects a. Successfully complete projects and get the necessary publicity Food Rep KEY ROLES AND RESPONSIBILITIES 1. Facilitating feedback between students and caterers 2. Manage Kitchenettes KEY PERFORMANCE MEASUREMENTS 1. Facilitating communication between students and caterers a. Put up “meal rating sheets” b. Prepare meal complaint forms c. Make yourself available to hear complaints at regular times. 9 WORKSHOP ONE: DIVERSITY SESSION SEVEN: FACING RACE @ RHODES In this workshop, led by Professor Louise Vincent, you will be asked to think carefully about issues of race and to discuss the effect that apartheid has had on the way different people understand race and racism. She has recently done some fascinating research on this question, focussing on the views and opinions of Rhodes students, and to help you raise your awareness about these issues, we ask that you read the following quotes from her article, some of which summarise the words and experiences of various students. [All quotes are from Vincent, L (2005) “Just a little thing like the colour of their skin ruined everything’ Facing race at Rhodes 10 years after”. African Sociological Review 9(1). Fuller reference details for each quote are available in the original] Read them … and think about your personal responses to their words. The myriad minute decisions that constitute the practices of the world are at every point informed by judgements about people’s capacities and worth, judgements based on what they look like, where they come from, how they speak, even what they eat, that is, racial judgements. Race is not the only factor governing these things and people of goodwill everywhere struggle to overcome the prejudices and barriers of race, but it is never not a factor, never not in play. 1. “She went to a private white school and therefore had no contact with black people. She chose to go to Rhodes to change this reality. She wanted to meet new people from different places and backgrounds. She thought it would be so wonderful to belong to a community where everybody would interact and mingle. She was naïve. She went to the dining hall and discovered that boys sat with boys, girls with girls, whites with whites, blacks with blacks and so on. Her heart dropped. This was the reason she hated high school. She eats mostly with the other white girls in her residence. Now she is obsessed about her weight.” 2. “It was at Rhodes that he began to be fully aware of and bothered by racism. He frequented the black dominated clubs as often as he did the white dominated ones. However, he would often go to the latter alone because his friends had long sworn they would never visit clubs filled with whites. On one occasion he went up to a group of white girls. They smiled at him but their body language changed. The two guys with them gave a half manly acknowledgement but then the one closest to him leaned over and whispered into his ear so that only he heard, ‘fuck off’. He walked away feeling that he was simply where he did not belong. The next morning he woke up and felt a boiling anger. Since then, his consciousness of racism has heightened.” 3. “He … went to a Model C school and is used to multicultural diversity. During his first two weeks at Rhodes he became attracted to a white girl. They started having a relationship which had to be ‘silent’ for reasons known only to her. Then he overheard some of her friends discussing the relationship. They said she was worried about how everyone would react if she was seen with a black man. What if her parents found out? They white boys wouldn’t want to talk to her. They would call her a slut and think she might have Aids. She broke up with him. What hurt the young man was that he thought people had changed and that all South Africans see each other as one. Even students who have never experienced apartheid, who have been to school with black people since the early 1990s still think stereotypically of black people. What killed him was that most of his black friends told him he should have stuck to his own skin colour, he should have known better.” 10 4. “She is a young student, just enjoying life. She has fun, doing whatever she pleases, not generally phased by other people’s opinions. One evening, while out with friends she happens to kiss another girl, who happens to be black. This is done not as a sexually political or racial statement; she was just being herself (like so many girls her age she is exploring her sexuality). She never realised that others had seen or even cared. The following evening a boy, a farmer’s son from Zimbabwe approaches. ‘Did you kiss a black girl?’ This took her completely by surprise. He was a friend. ‘That’s disgusting. I hope you’re embarrassed. But don’t worry, just apologise and we’ll forgive you. The guys think you’re a cool girl. Just say you’re sorry’. She burst into tears and walked home.” 5. “Coming to Rhodes he had an overall feeling of trepidation at moving into a more ‘exposed’ environment than he had been in the past, growing up as a white male. He had been to boarding school but it was an elite private school. Although there were plenty of black people they had always been in a minority and had never seemed a threat as it were. Now he didn’t know what it would be like living somewhere where his race was a minority. He had been warned that at other universities where residences were ‘pitch black’ everything had to be kept totally locked up as a result of the endless stealing. Furthermore his black classmates had been from wealthy families and most of them had no problem mixing with the white majority. The prospect of res. now presented a different scenario. Whites were a minority and blacks were from all walks of life, not just a tiny rich elite. His fears and worries turned out to be totally unfounded. Life in res. turned out to be very much like life in boarding school. White boys seemed to be the only ones who really stuck together. There was no black ‘popular group’ which everyone tried to fit in with. Instead, he ended up having the same colour friends, and ran around the res. getting drunk and having fun as if he owned the place, just as he would have had he been in a predominantly white res. He also found that theft was never a problem.” 6. “White people don’t see white privilege. Many of them believe in individuality and sometimes go as far as to profess to not having a culture. For this reason they are not controlled by the stereotypes attached to race and are allowed to be whoever they want to be. In the case of Rhodes the strong colonial influences and Rhodes’s history of it being a white university campus under apartheid have more than contributed to the dominant white culture in this campus. White culture is taken as the norm on campus. It affects you from whatever background you come from. Personally we struggled with getting used to eating with a fork and knife, but we had to learn. I didn’t want to stick out. Yet this pressure to conform to the norm goes far beyond how a person eats in the dinning hall. It has affected who gets what.” 7. “In terms of race, I found that I was very sheltered. By living in a coloured area, I had never really come into contact with real racism. The way that I did things was never ‘made strange’ the way that it is now that I spend most of my time at a white-dominated university. As a result, I have become more aware and sensitive to people’s remarks and attitudes towards my behaviour. This sensitivity has allowed me to see if not racism, then at the very least, prejudice as I do not conform to people’s stereotypes.” 8. “I remember being fascinated by being in the same lecture theatre as two white students. It was my first interaction with another race, and it felt strange as well as being lectured to by a white lecturer for the first time.” 9. “I went to a Model C school where I encountered my first black child in my school in Standard One and I now recall how shocked I was. I am not ashamed about it because I believe it is a natural reaction to be shocked by something you do not see every day, never mind having never seen it before. Race is real to me. I have a different colour skin to that boy in my class in standard one. I will always be a different colour skin to him.” Black participants, including many from neighbouring states, reported seeing themselves as black for the first time, or at least coming to a new awareness of their black identity only through experiences that placed them in prolonged contact with whites, for example at school, university or work. For those who did not attend Model C schools it is at Rhodes where they first come to recognise themselves ‘as black’. The shift is one from encountering ‘the other’ in a limited range of highly 11 unequal settings to encounters as neighbours, fellow pupils or students, playmates, potential lovers, opponents and friends. 10. “Growing up in the post-apartheid era I have had to conform to make myself more acceptable, leaving my roots behind. I suffer from a dominant social discourse about coloured identity which says that coloured people are alcoholics, unemployed and teenagers who fall pregnant very easily. I was raised in a good home which was family oriented as many coloured families are, but I also grew up in a coloured area thus I have a thick coloured accent. I admit that when speaking to white people I hide this accent as this will allow them perhaps not to think of me as coloured but as an educated female. Although I am often mistaken for being Indian, my colouredness comes out when I speak. I try to adapt to be more acceptable.” It remains very common for South Africans, including young university students, to regard race and in particular, the existence of four main ‘race groups’ – white, coloured, Indian and African – as a selfevident, common-sensical, ‘utterly uncontroversial fact of life’. 11. “She felt that even though many don’t view colour as an issue on a conscious level, deep down everyone has a problem somewhere along the line with race. She experienced this openly at Rhodes. At night it is always the same thing: black students at CJs, white students at the Rat and Pop Art used to be frequented by the Indians and coloureds. Everyone, on some level, would rather be with their own colour.” 12. “He never thought he was a racist until he lived and studied with people of different racial groups at Rhodes University. He found it extremely difficult to adjust to his new environment since he had never encountered such a situation before. He hails from a place inhabited by 99% Indians because it was a group area during the apartheid years. The older generation who were victims of apartheid taught him never to trust a white person, never to become friends with a white person. This is how his view of race evolved. Growing up in the new South Africa he finds it extremely difficult to interact with members of other racial groups.” 13. “When I first arrived at university a worrying factor for me was how I would share bathrooms with fellow black students. Contrary to my expectations I found them to be the cleanest of all other race groups. While I profess my deep-seated love for black people, I am aware of how to a certain degree I respond to black people in a negative way. For example, a fellow Indian friend remarked how her res. neighbour, a black girl, asked her to tie her hair up into a ponytail. And she, my friend, was extremely hesitant to do so. Feeling compelled, she did it, but afterwards washed her hands in jik. I couldn’t help but wonder if I would have felt the same. Shame on me. Unless I am able to grow out of this constricting mould of prejudice I am a disgrace to society. But how am I to do so?” 14. “In res. he quickly learnt that the common room is for the ‘darkies’ and the bar is for the ‘white dudes’. The moment a white student walked into the common room to find a congregation of darkies watching television the white student would say he was ‘just checking what was on’ and leave immediately. At lectures it is not any different. He always noticed in his ________ lecture which was taken by a black lecturer how little attention she received from the white students. Its either complete chaos or they walk out. It still amazes him today how white students always complain about black lecturers when there’s nothing to complain about. He was present when one black female lecturer said, ‘one of the challenges in my profession is the utter disrespect I receive from students who do not listen to me. I cannot teach them anything worthwhile because I am black.” 15. “In orientation week we were invited to the SRC’S parties at the union. Like good little first years we went along but quickly grew tired of the rock music and beer guzzling. My friend and I thought it would be best if we were to have a quiet night in at res. Just before walking out of the union area a black guy approached us and told us to go to Masakhane. My friend and I later discovered that Masakhane was the dingy little ‘black spot’ under the union where black people congregated and danced to their music. Not knowing it then the space at the union versus that at Masakhane was a clear sign of white culture’s 12 dominance over black. If we had not met that black guy we would not have known that Masakhane exists. The SRC made sure that it advertised the Union, but there was no mention of the alternativeMasakhane. White dominance at Rhodes is apparent from what gets advertised (i.e. rugby world cup) to what doesn’t (All Africa games).” 16. “In my first year at Rhodes University we wrote an essay in the _________ Department. One black woman in the class received a mark of 80 per cent from the tutor but the lecturer reduced it to 60 per cent, saying there were too many grammar mistakes and spelling errors. However, she had taken a first draft of the essay to a lecturer in the English Department to check for mistakes before submitting. To our surprise, the tutor, who was a white lady, said she had marked the essay according to the departmental criteria and that it had all the essential requirements to get 80 per cent. She said that it was the lecturer’s habit to question the marks of black students. In my mind that was implying that black students are not worth a mark of 80 per cent or more.” 17. “It was the year 2003 when he started his university studies at Rhodes. It marked the worst year of his life because he encountered racism for the very first time in his life. At university he expected different lecturers in terms of race, standard of education and many other things that could make one different from another. What shocked him was that students responded differently to lecturers because of their race. For example, when a black lecturer in his ________ class was instructing students prior to the final examination, a white student stood up and asked, ‘where do you get that instruction from? Do other lecturers in the Department know what you are talking about?’ This gave him the impression that white students undermine black lecturers at this university while white lecturers do not get that kind of response from students. This black lecturer was tested all the time. He was asked questions that were targeted at testing his character and thinking skills. It was enough to make him conclude that white students were racist.” 18. “She questions whether or not she has a bright future because she is white. Is there a point to paying for an education if she may not be able to use it? Will she have unwillingly to move overseas? She hates that because she is white, she loses her privileges and opportunities. Apartheid was not her fault. She realises that whether you are liberal or not, you are white and should be scared of your past because you are now paying the consequences for it and it lives on in your consciousness. She wants to be African – a white African.” Many of the white participants in this research process started out from the position that apartheid was not of their making and had little to do with them; a position of confusion about why they as young white South Africans could somehow be regarded as complicit. Moreover, they asked why apartheid was such an issue for black students when they had not, after all, really known its full burden. In short, they felt that black students with access to all the privileges of a Rhodes education should ‘get over it’. The white participants were surprised to learn that they were not regarded by the black participants as unique and diverse individuals but rather, ‘as whites’, whatever their particular history of liberal views, interracial dating and friendships, might be. One such significant moment of realisation for all the white people present in one group, including myself, was when a young black woman whom no-one had hitherto really noticed sitting in the front of the room, stood up during a discussion on race and waved her arm across the room, saying, ‘it’s you whites, that’s the problem’, her breaking voice filled with loathing and anger. For many Rhodes students as with most young South Africans this is an unusual experience because relations between black and white remain in so many instances superficially friendly, masking underlying suspicions, even hatreds. 19. “By virtue of being black you know that you have a ‘cloud’ of stereotypes that is always with you when you are living. This has contributed to the lowering of success of most black students, even at university …. I feel uncomfortable even in tutorials because of having internalised an ideology that black people 13 are stupid and they do not think as a white person. Although there is talk of a rainbow nation there will always be a great divide between black and white.” 20. “I realised that I unconsciously feel that I am a better or higher quality human than those who have a darker skin than me. This is because I have always been advantaged by my whiteness. For example when collecting a passport or ID book I still feel as though because I am white I can skip the queue. I have learned a grading system for human identity. The more black, feminine, homosexual or poor you are, the lower your grade will be.” 21. “Personally I feel uncomfortable in tutorials because of ideologies that people have about blacks. Black people are considered stupid and they do not think like white people. A lot of black students question why I do Philosophy. They say that black people are not meant for Philosophy and that we cannot think beyond what is there.” 22. “I am black. I believe that to be black is to have certain characteristics like I listen to kwaito music and speak the Venda language. Growing up I knew that I was not white and that there were things I could not do. I have this belief that white people are superior and because of their whiteness they always dominate all human beings.” 23. “She came to Rhodes from a township school were there were only black students. When she got here she met a lot of other races. She particularly made friends with this white girl. They became very good friends but she experienced some problems. Black students from her res. did not want to be around her because they said they did not want a friend who is friends with the whites. And other white people did not want to be friends with her because of her colour. She was in the middle. She loved her new white friends and she was learning a lot from her about the white culture which she knew nothing about. But she did not want to lose her black friends because they represented a part of her that would always be there. She kept on trying to have them both. At the end a solution came when her white friend went away to study somewhere else.” 24. “Black people have different interests from white people. So they are not involved in a lot of the activities that take place at Rhodes. This is why they feel like Rhodes does not cater for their needs. Another thing is that there are so many divisions within the black people. Black South African girls do not hang around with Zimbabweans. They suffer from Xenophobia maybe because the number of Zimbabweans at Rhodes has increased making them feel like the minority in their own land. 25. There are also divisions among black South Africans. Like the Xhosas do not mix with the Zulus. It is these differences that contribute to the great division within the black family.” 26. “Her friend at University is black. She comes from England and she doesn’t seem to be black. She doesn’t know any of the culture and can’t speak any African languages. She thinks this is strange and never really considered her friend as an actual ‘black’.” 27. “She’s never had any black friends. Not really close ones in any case. Her father taught her English before her home language. Soon she couldn’t remember how to construct grammatically correct Zulu sentences. Making friends is still today much easier with white people than with black people. With her white friends she is free to talk and be herself. The black kids never know what to do with her. Most just get angry and call her a ‘coconut’ and a ‘model C’ product. There are always the jeers and snide comments whenever she goes anywhere with her white friends. She feels comfortable and a part of them – except when talk turns to boys. She feels confused – she doesn’t know if she is expected to like black boys or white boys.” 28. “People thought that she thought she was better than them because she spoke English. They assumed that this was a choice she had made and not that it was the only language she could speak in. White people thought that she was American, black people thought she took no pride in her ‘blackness’.” 29. “My biggest scare is that not enough people have been part of this process. It should be made compulsory for the whole university. It is only in this way that we can break the ice and allow people to 14 express themselves. We cannot hide our differences especially as leaders of the next generation. There is a whole lot of sensitivity and tension that people don’t want to address. People are scared to air their opinions about race because they might be viewed as racists. No-one knows how the other culture thinks and we fake this ideology of togetherness. While here we have discussed race … etc. outside we don’t. We talk about money girls/boys and social status. We want to become part of the Rhodes hegemony because its cool and no-one wants to become the outsider.” When we are unwilling to engage in a serious process of confronting race and racism this seems to be based on the idea of letting sleeping dogs lie; the fear that things will somehow be made worse if we ‘go on about it’. My research leads me to the opposite conclusion. Even if the dog of racism is indeed asleep at Rhodes – and I doubt it is – we should be prepared to give it a vigorous shake in order respectfully to continue to engage with, learn from and understand more fully our past and its continuing implications for the present. 15 SESSION EIGHT: GENDER & SEXUALITY Rhodes University’s policies reflect the rights culture entrenched in the South African Constitution, making specific reference to the Bill of Rights: “(3) The state may not unfairly discriminate directly or indirectly against anyone on one or more grounds, including race, gender, sex, pregnancy, marital status, ethnic or social origin, colour, sexual orientation, age, disability, religion, conscience, belief, culture, language and birth. (4) No person may unfairly discriminate directly or indirectly against anyone on one or more grounds in terms of subsection (3). National legislation must be enacted to prevent or prohibit unfair discrimination.” The Constitution of the Republic of South Africa, 1996 (Act 108 of 1996), Chapter 2, Bill of Rights, Section 9, Equality. The following list of definitions aims to help you navigate the difficult issues you may face in a multi-cultural environment. Definitions Bigotry: Bigotry is not "intolerance," but "unreasonable intolerance." Jews are understandably intolerant of Nazis; that doesn't necessarily make them anti-Nazi bigots. Intolerance: the absence of tolerance toward others of differing viewpoints. As a social construct, it is very much open to subjective interpretation. The murder of Matthew Shepard (a young gay man murdered in 1998) is considered by some to be the pinnacle of intolerance. Others consider the web pages and picketing by Fred Phelps to be as bad or worse. Common forms of intolerance include racism, sexism, homophobia and religious intolerance. Prejudice: the process of "pre-judging" something. In general, it implies coming to a judgement on the subject before learning where the preponderance of the evidence actually lies. Prejudice generally refers to existing biases toward the members of such groups as women, black people, and gay people etc, often based on social stereotypes. For example, if a person has grown up with the concept that members of group "X" have certain characteristics, they may apply this prejudice by assuming that all members of the group fit that stereotype, as in racism or homophobia. Hate: an emotion of intense revulsion, distaste, enmity, or antipathy for a person, thing, or phenomenon; a desire to avoid, restrict, remove, or destroy its object. Hatred can be based on fear of its object, justified or unjustified, or past negative consequences of dealing with that object. "Hate" or "hatred" are also used to describe feelings of prejudice or bigotry against a group of people, such as racism, religious prejudice, or homophobia, especially when these are particularly intense. Hate crimes are crimes committed out of hatred in this sense. Quote about hate “In time we hate that which we often fear.” - William Shakespeare Hate speech: speech intended to hurt and intimidate someone because of their race, ethnicity, national origin, religion, sexual orientation, disability, or other personal characteristics, or to incite violence or prejudicial action. 16 Racism: the assumption of superiority of one group over another, based on real or perceived racial characteristics and/ or culture. Examples of demonstrated behaviours: demeaning and excluding individuals and/ or groups; prejudices and fears based on real or assumed stereotypes and ignorance. Racial discrimination: treatment which unfairly disadvantages people on the basis of negative attitudes and assumptions about their cultural backgrounds, colour, country of origin, ancestry, nationality and physiological characteristics. Examples of demonstrated behaviours: denial of access to employment, promotion, accommodation, banking services or school subject choices; focusing on the person not the problem or issue in a dispute or teachers having low expectations of achievement for a particular student. Racial harassment: racial harassment is one aspect of racial discrimination. It consists of acts or behaviours with a racial insinuation which are insulting, offensive, demeaning, humiliating or intimidating. Examples of demonstrated behaviours: name calling, graffiti, ridicule, put down jokes, pushing, shoving, bullying. Attacks of physical violence are described as assault and therefore are criminal offences. Ethnic group: a group of people, racially or historically connected, having a common and distinctive culture. Most groups prefer to be described a communities. It is offensive to Aboriginal people to be described as ethnic. Ethno-centricism: the belief in the inherent superiority of one's own group and culture accompanied by a feeling of contempt for other groups and cultures. Anti-Semitism: hostility towards Jews. It ranges from ad hoc antagonism towards Jews on an individual level to the institutionalized prejudice and persecution once prevalent in European societies, of which the highly explicit ideology of Adolf Hitler's National Socialism was perhaps the most extreme form. Xenophobia: Fear (phobia) of strangers (xeno-) and of the unknown. Both racism and homophobia are sometimes reduced to xenophobia. More commonly refers to a dislike of foreigners. Often a dislike of representatives of a particular nation. Sexual Orientation: describes the direction of an individual's sexuality, often in relation to their own sex or gender. Common terms for describing sexual orientation include bisexual (bi), heterosexual (straight) and homosexual (lesbian, gay). Sexual preference: often used by those who believe that sexuality is fluid and incorporates an element of choice, as opposed to those who believe sexuality is fixed early in life. Lesbian: a woman who is exclusively emotionally, sexually, and romantically attracted to other woman. Gay/Homosexual: refers to homosexual men or women. Gay sometimes also refers to the culture of homosexual men and women (as in "gay history"), to things perceived by others to be typical of gay people (as in "gay music"), or to same-sex more generally (as in "gay marriage"). Bisexual: refers to the aesthetic, romantic, or sexual desire for individuals of either gender or of either sex. Transgendered: the state of one's "gender identity" (self-identification as male, female, both or neither) not matching one's "assigned gender" (identification by others as male or female based on physical/genetic sex). Transgender does not imply any specific form of sexual orientation (transgender people may be straight, gay or bisexual). 17 Straight/Heterosexual: refers to aesthetic, sexual and romantic attraction exclusively between two individuals of differing genders. Homophobia: means fear or hatred of, aversion to, or prejudice or discrimination against people who are homosexual. It is sometimes used to mean any sort of opposition to same-sex romance or sexual activity, though this opposition may more accurately be called anti-gay bias. Heterosexism: (or heterocentrism or heterosexualism) is the assumption that everyone or a particular person is heterosexual. It can be distinguished from homophobia in that it doesn't necessarily imply hostility towards other sexual orientations, merely a failure to account for their existence. For more information about lesbian & gay issues on campus please visit the OutRhodes website @ http://outrhodes.soc.ru.ac.za Sexism: negative discrimination against people based on their assumed or presumed sexual identity. Sexism as a belief can refer to three subtly different beliefs: 1. The belief that one sex is superior to the other. 2. The belief that men and women are very different and this should be strongly reflected in society, language, right to have sex and the law. Sexism can also refer to simple hatred of men (misandry) or women (misogyny). Sexist beliefs are a species of essentialism, which holds that individuals can be understood (and often judged) based on the characteristics of the group to which they belong, in this case, their sex group (male or female). This assumes that all individuals clearly fit into the category of "male" or "female", which is countered by the existence of intersex individuals defined in terms of their genetics and physiology. Misogyny: recognised as a political ideology similar to racism or anti-semitism, existing to justify and reproduce the subordination of women by men. Forms of misogyny There are many different forms of misogyny. In its most overt expression, a misogynist will openly hate all women, and will hurt people simply because they are female. Some rapists and sexual predators fall into this category. Other forms of misogyny may be more subtle. Some misogynists may simply hold all women under suspicion, or may hate women who don't fall into one or more acceptable categories. Entire cultures may be said to be misogynistic if they treat women in ways that can be seen as hateful. Misogyny in popular culture Grumpy, in Disney's Snow White and the Seven Dwarfs, says "All females is poison! They're full of wicked wiles!" Rapper Snoop Dogg often says "I don't love hos" in his songs. Feminism: a social theory and political movement primarily informed and motivated by the experience of women. While generally providing a critique of social relations, many proponents of feminism also focus on analyzing gender inequality and the promotion of women's rights, interests, and issues. Feminist theorists aim to understand the nature of inequality and focus on gender politics, power relations and sexuality. Feminist political activists advocate for social, political, and economic equality between the sexes. They campaign on issues such as reproductive rights, domestic violence, maternity leave, equal pay, sexual 18 harassment, discrimination and sexual violence. Themes explored in feminism include discrimination, stereotyping, objectification (especially sexual objectification), oppression and patriarchy. The basis of feminist ideology is that society is organised into a patriarchal system in which men are privileged over women. Feminist activism is a grass roots movement which crosses class and race boundaries. It is culturally specific and addresses the issues relevant to the women of that society, for example, genital mutilation in Sudan, or the glass ceiling in North America. Some issues, such as rape, incest, mothering, are universal. 19 WORKSHOP TWO: SEXUAL HEALTH & HIV/AIDS SESSION SIX: SPREAD THE WORD NOT THE VIRUS Safer Sex Quiz Please answer the following questions, choosing only one answer per question. Indicate your choice with a 9 1. Common scenario: You're at the pharmacy perusing the condom rack, doing your best to make the proper purchase given the wide variety available while keeping a watchful eye out for anybody that might know you (yeah, it would be horrible to have people thinking that you actually have sex). Which of the following types of condoms help provide protection against pregnancy and STDs? a. Condoms lubricated with spermicide. b. Condoms marked more "sensitive" c. Condoms marked "stronger" d. All of the above 2. Common scenario: You're with your partner, you're both in the mood, everything's working properly, but you only have a limited amount of time to disengage from that passionate kiss and get the condom on before certain body parts lose their ability stand at attention. Which of the following might cause the condom to fail? a. You tear open the condom package carelessly. b. You place the wrong side of the rolled condom on the penis, realize your error, and flip the condom over. c. You reuse a condom that's within easy reach. d. You use the condom you've been carrying in your wallet for the past few months. e. All of the above 3. a. b. c. Most condoms fail because of user error, what are the three C's of condom use you must always remember? Use them Carefully, Correctly and Consistently. Use one's that taste like Candy, are Colourful and Cost twice as much as regular condoms. Cover them in Cream prior to Carnality. 4. a. b. c. d. e. Genital warts are: What fairy tale princesses get when they kiss the wrong frog. Curable Caused by the human papillomavirus (HPV), which is similar to the type that causes skin warts. May be associated with an increased risk in cervical cancer. Only contagious when warts are visible. 5. a. b. c. d. e. If untreated, syphilis can cause: Heart disease Brain damage Blindness Death All of the above (wow, you should have worn a condom) 6. a. b. c. d. e. You are at greater risk for HIV/AIDS if: You pick-up boys @ Friars & have hot sex with them. You often have oral sex. You have anal sex. You have casual sex. You do any of the above without a condom 20 7. a. b. c. d. e. People who do not practice safe sex might also enjoy which of the following activities? Playing Russian roulette. Sky-diving without a parachute. Punching a bouncer from “The Control”. Taking long naps on railroad tracks. All of the above. 8. A few days have passed from the sexual encounter. With the hopes that it would enhance the experience, you purchased condoms. Sure enough, the condom broke during sex. Now, when you're not bragging to your friends about "getting some" you're getting a little nervous about the burning sensation in your genitals. What form of STD might you have been infected with? a. Herpes b. Genital Warts c. Gonorrhoea d. Chlamydia e. All of the above. 9. a. b. c. Having a sexually transmitted disease increases a person's risk of becoming infected with HIV/AIDS. True False Don't know 10. You're at the Rat, having a stimulating conversation with an attractive person. You make your move with the old "next rounds on you, six pack's on me" routine." He/she responds favourably, yeah, you've got it going on, just like one of those characters on the OC. One problem, you don't have any protection at your place. a. Don't sweat it, characters on the OC never worry about safe sex, they just get it on. b. Assume your partner will take care of it. c. Pick up a six pack of condoms with the six pack of beer. 11. Which of the following statements about the MAP (morning after pill) is NOT correct? a. The MAP should be used only in emergency situations and should not be relied upon on a regular basis b. The MAP provides a short, powerful burst of hormones that may prevent pregnancy by temporarily arresting egg development, fertilization, or by stopping an egg from becoming implanted in the uterus. c. It is fairly common to experience side effects of nausea or vomiting after taking MAP. d. MAP is perfectly safe for an unborn foetus if you happen to be pregnant from intercourse previous to the current 3 days. e. MAP must be taken within 72 hours of unprotected intercourse in order to be effective f. I don't know 12. The birth control pill works mainly by preventing ovulation. a. True b. False c. I don't know 13. Combination birth control pills contain which two hormones? a. Adrenaline and oestrogen b. Oestrogen and progesterone c. Testosterone and progesterone d. Prolactin and testosterone e. I don't know 21 14. Some antibiotics can alter the effectiveness of birth control pills. a. True b. False c. I don't know 15. Douching, or flushing out the inside of the vagina with liquid, can be an effective form of birth control if done within 8 hours of unprotected intercourse. a. True b. False c. I don't know 16. Which of the following forms of contraception is most effective in preventing pregnancy? a. Rhythm method b. Condom c. Withdrawal d. Diaphragm with cream or jelly e. Combined birth control pills f. I don't know 17. How quickly can condoms begin to break down when used with a lubricant such as Vaseline or baby oil? a. within 60 seconds b. within 10 minutes c. within 1 hour d. within 6 hours 18. Which of the following Sexually Transmissible Infections (STIs) can be cured? a. Chlamydia b. Herpes c. Genital Warts d. HIV e. Hepatitis B 19. Masturbation… a. Can stunt the growth b. Can lead to infertility c. Can reduce the chance of a satisfactory sex life d. Is a sign of immaturity e. Is practised by both men and women 20. Which of these lubricants are not safe to use with condoms? a. Baby oil, coconut oil, suntan lotion and Vaseline c. KY Jelly d. "Wet Stuff" 21. Once you have had an STI you can’t catch the same one again. a. True b. False 22 22. Hepatitis C is caused by… a. Using drugs b. A bacterial infection c. Drinking too much alcohol d. A virus 23. Which of the following STIs can not be passed on through oral sex? a. Herpes b. Genital Warts c. HIV/AIDS d. Chlamydia e. Pubic Lice f. Gonorrhoea 24. The most common sign of STIs are sores and discharge. a. True b. False 25. If you have sex rarely you are not at risk of contracting HIV. a. True b. False 26. A man’s flaccid penis size will determine the size of his erection. a. True b. False 27. Alcohol does which of the following? a. Improves a man’s chances of getting an erection b. Is often used as an excuse for not wearing a condom c. Increases your sex appeal 28. Which of the following is the best way to have great safe sex? a. Sexual intercourse using a condom b. A sensual massage with aromatherapy oils c. Frottage (rubbing against each other) d. Oral sex using a condom or dental dam e. Phone sex f. Mutual Masturbation g. All of the above Safer Sex Quiz Answers on page 62 23 Condoms Why do I need to use a condom? Condoms are the only form of protection which can both help to stop the transmission of sexually transmitted diseases (STDs) such as HIV and prevent pregnancy. Getting ready, choosing the right condom. A number of different types of condom are now available. What is generally called a condom is the 'male' condom, a sheath or covering which fits over a man's penis, and which is closed at one end. There is also now a female condom, or vaginal sheath, which is used by a woman and which fits inside her vagina. The rest of this article is about the male condom. What are condoms made of? Condoms are usually made out of latex or polyurethane. If possible, you should use a latex condom, as these are the most effective against viruses such as HIV, and in most countries, they are the type most readily available. Condoms, which have been properly tested and approved, carry the SABS mark. The lubrication on condoms also varies. Some condoms are not lubricated at all, some are lubricated with a silicone substance, and some condoms have a water-based lubricant. The lubrication on condoms aims to make the condom easier to put on and more comfortable to use. Some lubricated condoms are also available with a spermicide (Nonoxynol 9) added. A spermicidal lubricant also aims to provide an additional level of protection if some semen happens to leak out of the condom. This can help to reduce the likelihood of pregnancy. For some people the use of Nonoxynol 9 can cause an allergic reaction. This can then result in little sores, which can actually make the transmission of HIV more likely. Nonoxynol 9 is a suitable spermicide only for women who are HIV-negative and are at low risk of exposure to HIV or other STD's, and only used for vaginal sex. What shape should I choose? Why are some condoms flavoured? It's up to you which to choose. All of the differences in shape are designed to suit different personal preferences and enhance pleasure. It is important to communicate with your partner to be sure that you are using condoms that satisfy both of you. Some condoms are flavoured to make oral sex more enjoyable. What about the condom size? Condoms are made in different lengths and widths, and different manufacturers produce varying sizes. There is no standard length for condoms, though those made from natural rubber will in addition always stretch if necessary to fit the length of the man's erect penis. The width of a condom can also vary. Some condoms have a slightly smaller width to give a "closer" fit, whereas others will be slightly larger. Condom makers have realised that different lengths and widths are needed and are increasingly broadening their range of sizes. The brand names will be different in each country, so you will need to do your own investigation of different names. There is no particular best brand of condom. So when do you use a condom? You need to use a new condom every time you have sexual intercourse. Never use the same condom twice. Put the condom on after the penis is erect and before any contact is made between the penis and any part of the partner's body. If you go from anal intercourse to vaginal intercourse, you should change the condom. 24 How do you use a condom? Condoms can deteriorate if not stored properly. They can be affected by both heat and light. So, it is best not to use a condom that has been stored in your back pocket, your wallet, or the glove compartment of your car. • • • • • Open the condom package at one corner being careful not to tear the condom with your fingernails, your teeth, or through being too rough. Make sure the package and condom appear to be in good condition, and check that if there is an expiry date that the date has not passed. Place the rolled condom over the tip of the hard penis, and if the condom does not have a reservoir top, pinch the tip of the condom enough to leave a half inch space for semen to collect. If the man is not circumcised, then pull back the foreskin before rolling on the condom. Pinch the air out of the condom tip with one hand and unroll the condom over the penis with the other hand. Roll the condom all the way down to the base of the penis, and smooth out any air bubbles. (Air bubbles can cause a condom to break). If you want to use some extra lubrication, put it on the outside of the condom. But always use a waterbased lubricant (such as Wet Stuff or Astroglide) with latex condoms, as an oil-based lubricant will cause the latex to break. A silicon-based lubricant i.e. KY Jelly is also suitable. The man wearing the condom doesn't always have to be the one putting it on - it can be quite a nice thing for his partner to do. What do you do if the condom won't unroll? The condom should unroll smoothly and easily from the rim on the outside. If you have to struggle or if it takes more than a few seconds, it probably means that you are trying to put the condom on upside down. To take off the condom, don't try to roll it back up. Hold it near the rim and slide it off. Then start again with a new condom. When do you take off the condom? Pull out before the penis softens, and hold the condom against the base of the penis while you pull out, so that the semen doesn't spill. Condoms should be disposed of properly for example wrapping it in a tissue and throwing it away. It's not good to flush condoms down the toilet - they're bad for the environment. What do you do if a condom breaks? If a condom breaks during sexual intercourse, then pull out quickly and replace the condom. Whilst you are having sex, check the condom from time to time, to make sure it hasn't split or slipped off. If the condom has broken and you feel that semen has come out of the condom during sex, you should consider getting emergency contraception such as the morning after pill. What condoms should you use for anal intercourse? With anal intercourse more strain can be placed on the condom, so it is sensible to use stronger condoms and plenty of lubricant. But if you can't get hold of a strong condom, a normal condom is better than no condom. Is using a condom effective? If used properly, a condom is very effective at reducing the risk of being infected with HIV during sexual intercourse. Using a condom also provides protection against other sexually transmitted diseases, and protection against pregnancy. In the laboratory, latex condoms are very effective at blocking transmission of HIV because the pores in latex condoms are too small to allow the virus to pass through. However, outside of the laboratory condoms are less effective because people do not always use condoms properly. 25 How can I persuade my partner that we should use a condom? It can be difficult to talk about using condoms. But you shouldn't let embarrassment become a health risk. The person you are thinking about having sex with may not agree at first when you say that you want to use a condom when you have sex. These are some comments that might be made and some answers that you could try. EXCUSE Don't you trust me? ANSWER Trust isn't the point, people can have infections without realising it I'll feel more relaxed, If I am more relaxed, I can make it feel better for you. I'll help you put it on, that will help you keep it hard. I do. If you can't ask him, you probably don't trust him. It does not feel as good with a condom I don't stay hard when I put on a condom I don't have a condom with me. I am afraid to ask him to use a condom. He'll think I don't trust him. I can't feel a thing when I wear a condom Maybe that way you'll last even longer and that will make up for it It's your health. It should be your decision too! I'd like to use it anyway. It will help to protect us from infections we may not realise we have. Not if I help put it on I do, but I am not risking my future to prove it Women can get pregnant and STDs from preejaculate Then you'll help us to protect ourselves. Once is all it takes It's up to him...it's his decision I'm on the pill, you don't need a condom Putting it on interrupts everything I guess you don't really love me I will pull out in time But I love you Just this once There are many reasons to use condoms when having sex. You could go through these reasons with your partner and see what s/he thinks. Reasons to use condoms a. b. c. d. e. f. g. h. Condoms are the only contraceptive that also helps prevent the spread of sexually transmitted infections (STIs) including HIV when used properly and consistently. Condoms are one of the most reliable methods of birth control when used properly and consistently. Condoms have none of the medical side-effects of some other birth control methods may have. Condoms are available in many shapes, colours, flavours, textures and sizes- to increase the fun of sex with condoms. Condoms are widely available in pharmacies, supermarkets and convenience stores. You don't need a prescription or have to visit a doctor and they are free from SAN, Family Planning or your Sub-Warden. Condoms make sex less messy. Condoms are user friendly. With a little practice, they can also add confidence to the enjoyment of sex. Condoms are only needed when you are having sex unlike some other contraceptives which require you to take/ or have them all of the time. 26 Here are also some tips that can help you to feel more confident and relaxed about using condoms. Confidence tips Keep condoms handy at all times. If things start getting steamy- you'll be ready. It’s not a good idea to find yourself having to rush out at the crucial moment to buy condoms- at the height of the passion you may not? When you buy condoms, don't get embarrassed. If anything, be proud. It shows that you are responsible and confident and when the time comes it will all be worthwhile. It can be more fun to go shopping for condoms with your partner or friend. Nowadays, it is also easy to buy condoms discreetly on the internet. Talking with your partner about using a condom before having sex. It removes anxiety and embarrassment. Knowing where you both stand before the passion stands will make you lot more confident/ that you both agree and are happy about using a condom, will make you both lot more confident. If you are new to condoms, the best way to learn how to use them is to practice putting them on by yourself or your partner. It does not take long to become a master. If you feel that condoms interrupt you passion, then try introducing condoms into your lovemaking. It can be really sexy if your partner helps you put it on or you do it together. Sexually Transmitted Infections (STI) FAQ While this section deals primarily with safer-sex, which implies sexual activity, it is worth mentioning that the only 100% safe choice is abstinence. Should you choose to be sexually active, monogamy is the safest option. The fact sheet that follows is intended to offer a simple method of risk assessment, which should inform responsible sexual practise. Chlamydia What is chlamydia? It’s a bacterium (bug) and a very common sexually transmitted infection. It can go undetected for many months or years. How commonly does it infect people? It’s extremely common and infection is on the increase. About 1 in 10 young people are already infected, possibly more. Chlamydia is not choosy about who it infects and it doesn't matter how clean you are or think your partner is. How could I catch chlamydia? Chlamydia is passed from one person to another by vaginal, oral or anal sex and can be found in semen and vaginal fluids. Chlamydia is easy to contract and the sneaky thing is that you or your partner may not realise that anything is wrong, so it's easy for it to get passed on. Why worry? Chlamydia’s a bit of a silent enemy to begin with, but is serious because it can cause pain and infertility and could be the cause of an ectopic pregnancy. Could I be at risk? Yes - if you are sexually active. Condoms do reduce your risk but they must be used every time. How would I know if I was infected? 27 You usually don't and Chlamydia can stay hidden for many years. You may well have caught it from a previous partner without realising. A test can be done to check for infection even if there are no symptoms. Sometimes you may notice: • • • • Soreness when you pass urine Discharge from vagina or penis Pain low in the stomach or pain during sex (women) Bleeding between periods or after sex (women) Can I get rid of chlamydia? YES! If found early complete cure follows a course of antibiotics but you must take the whole course as prescribed by a doctor. Your partner and any partners whom they may have had will also need to go for a check. You should not have sex until your partner has also been treated. Remember - It won't disappear without treatment and will go on causing harm and could infect any partner that you have. It may even affect your chances of having children. Syphilis What is syphilis? Syphilis is caused by the bacterium Treponema pallidum. It has often been called “the great imitator” because so many of the signs and symptoms are indistinguishable from those of other diseases. How commonly does it infect people? It’s fairly common, with an estimated 1 in 11 people in the South African population infected. (Stats from the late 1990’s). How could I catch syphilis? Syphilis is passed from person to person through direct contact with a syphilis sore. Sores occur mainly on the external genitals, vagina, anus, or in the rectum. Sores also can occur on the lips and in the mouth. Transmission of the organism occurs during vaginal, anal, or oral sex. Pregnant women with the disease can pass it to the babies they are carrying. Syphilis cannot be spread through contact with toilet seats, doorknobs, swimming pools, hot tubs, bathtubs, shared clothing, or eating utensils. Why worry? Syphilis, if left untreated can cause a multitude of horrible things, including, dementia and death. Could I be at risk? Yes - if you are sexually active. Condoms do reduce your risk but they must be used every time. How would I know if I was infected? You may not have any symptoms for years, but you are still at risk for late complications if you are not treated. Although transmission appears to occur from persons with sores who are in the primary or secondary stage, many of these sores are unrecognized. In other words, you are most likely to be infected by someone who doesn’t know they are infected. There is a blood test that can determine whether you have syphilis. I’ve heard there are levels of syphilis. What does that mean? There are three stages in the progression of the disease if left untreated: 28 Primary Stage The primary stage of syphilis is usually marked by the appearance of a single sore (called a chancre), but there may be multiple sores. The time between infection with syphilis and the start of the first symptom can range from 10 to 90 days (average 21 days). The chancre is usually firm, round, small, and painless. It appears at the spot where syphilis entered the body. The chancre lasts 3 to 6 weeks, and it heals without treatment. However, if adequate treatment is not administered, the infection progresses to the secondary stage. Secondary Stage Skin rash and mucous membrane lesions characterize the secondary stage. This stage typically starts with the development of a rash on one or more areas of the body. The rash usually does not cause itching. Rashes associated with secondary syphilis can appear as the chancre is healing or several weeks after the chancre has healed. The characteristic rash of secondary syphilis may appear as rough, red, or reddish brown spots both on the palms of the hands and the bottoms of the feet. However, rashes with a different appearance may occur on other parts of the body, sometimes resembling rashes caused by other diseases. Sometimes rashes associated with secondary syphilis are so faint that they are not noticed. In addition to rashes, symptoms of secondary syphilis may include fever, swollen lymph glands, sore throat, patchy hair loss, headaches, weight loss, muscle aches, and fatigue. The signs and symptoms of secondary syphilis will resolve with or without treatment, but without treatment, the infection will progress to the latent and late stages of disease. Late Stage The latent (hidden) stage of syphilis begins when secondary symptoms disappear. Without treatment, the infected person will continue to have syphilis even though there are no signs or symptoms; infection remains in the body. In the late stages of syphilis, it may subsequently damage the internal organs, including the brain, nerves, eyes, heart, blood vessels, liver, bones, and joints. This internal damage may show up many years later. Signs and symptoms of the late stage of syphilis include difficulty coordinating muscle movements, paralysis, numbness, gradual blindness, and dementia. This damage may be serious enough to cause death. Can I get rid of syphilis? YES! Syphilis is easy to cure in its early stages. A single intramuscular injection of penicillin, an antibiotic, will cure a person who has had syphilis for less than a year. Additional doses are needed to treat someone who has had syphilis for longer than a year. If you are allergic to penicillin, other antibiotics are available to treat syphilis. There are no home remedies or over-the-counter drugs that will cure it. Treatment will kill the syphilis bacterium and prevent further damage, but it won’t repair damage already done. Because effective treatment is available, it is important that you be screened for syphilis on an on-going basis if your sexual behaviour puts you at risk for STIs. If you receive syphilis treatment you must abstain from sexual contact with new partners until the syphilis sores are completely healed. If you have syphilis you must notify your sexual partners so they also can be tested and receive treatment if necessary. Remember - It won't disappear without treatment and will go on causing irreparable damage that could make you crazy or paralysed or could kill you. 29 Crabs What are crabs? Crabs are a tiny and troublesome little organism with crab-like claws. It loves to hang out on humans, clinging on to pubic hair. It can be hard to spot - and can be hard to get rid of. How could I catch crabs? Crabs can be caught through intimate contact with someone who is infected, so just lying in bed can spread it. Sometimes crabs get adventurous and take up residence on other hairy parts of your body. They can also be 'shared' by sharing clothing, towels and bedding with friends. Could I be at risk? Yes, if you do any of the above. How would I know if I was infected? Crabs will make you very itchy. They bite into your skin to suck your blood. Sometimes you can just see them or their eggs in your pubic hair. Can I get rid of crabs ? Yes, with lotions that can be bought from a pharmacy, but you must follow the instructions carefully. Shaving off pubic hair won't get rid of crabs; they can still cling on and crawl back. Make sure that all your clothing, towels and bedding are washed on a hot wash as soon as you start treatment, to prevent them coming back. Hepatitis B What is Hepatitis B? It’s a very serious virus that can affect your liver. How is Hepatitis B passed on? Hepatitis B lives in body fluids, blood, semen and vaginal fluid. So you could get it through having unprotected sex with someone who is infected. Because it lives in the blood it can be passed from one person to another through blood-to-blood contact. This means that people who inject drugs and share any IV equipment are especially at risk. Why worry? Hepatitis B could affect your liver very seriously, causing long term liver disease and eventually this may result in death. Could I be at risk? You are most at risk if you have unprotected sex or if you are an IV drug user. Hepatitis B is found all over the world and is very common in Africa, Asia, Eastern Europe and in South America. How would I know if I was infected? You might not have any symptoms and might be unaware that you have been infected, but are still infectious to others. If you do develop symptoms these may include: • • • • • Flu-like illness Tiredness Loss of appetite Fever Nausea/Vomiting 30 • • Abdominal pain Jaundice - a yellow discolouration of the skin and eyes. Urine becomes dark in colour and bowel motions become pale. How to avoid getting hepatitis B? • Individuals who have a high-risk lifestyle (e.g. IV drug users, people with many sexual partners etc.) should consider immunisation. Discuss with your GP. • Vaccination is available and advisable for close family contacts and sexual partner(s) of people with HBV. They should go to see their GP or Family Planning Clinic for advice about their risk of infection, testing and immunisation. • If you inject drugs, do not share needles, syringes, spoons, water, filters, or anything you use to prepare your fix. This will also help to protect you from hepatitis C and HIV infection. • Avoid skin piercing procedures (e.g. tattooing) with unsterilised equipment. • • • • Do not share toothbrushes or razors Use condoms for sexual intercourse. This also provides protection fro HIV, hepatitis C and other sexually transmitted infections as well as preventing unwanted pregnancies. Always cover any cuts or wounds immediately with a waterproof dressing e.g. plasters. Clean up spilled blood immediately, wearing rubber gloves, and use a weak bleach solution for hard surfaces. On carpets and soft furnishings use lots of hot soapy water to clean the area and dry thoroughly. Can I get rid of hepatitis B? Most adults who get infected recover completely. A few people develop long term, serious liver problems and need treatment from doctors specialising in liver disease. There is a vaccine to protect against hepatitis B which can be given to people who are especially at risk. You can get more information from your own GP or from your local Family Planning Clinic. Herpes What is herpes? It’s a very common infection called herpes simplex virus (HSV). It can be dormant for long periods, but can be unpleasant when active! You may have it’s close cousin HSV 1 which responsible for cold sores around the mouth. HSV 2 is more at home in those dark warm places around the vagina or penis. How could I catch genital herpes? You could catch herpes through having sex with someone who has 'active' herpes. You could also catch it by having oral sex with someone who has cold sores. Could I be at risk? Almost everyone comes into contact with one or both types of herpes at some time in their lives, and could be infected with or without symptoms. But you are especially at risk if you do not use condoms or dental dams*. How would I know if I was infected? Early symptoms are tingling or itching around the genital area. Blisters appear and form painful ulcers or sores. 31 For girls, it might be uncomfortable to pass water. The ulcers will form scabs and heal in 1-2 weeks. Lymph glands in your groin could swell and you might feel as if you have the flu. Can I get rid of you? Mild attacks do not need much treatment because the ulcers heal themselves. You can wash affected areas with salty water or solution of bicarbonate of soda, and then keep dry. Or you could ask your pharmacist for a suitable antiseptic. Take care not to spread the infection to other parts of your body, especially your eyes. It can stay quietly inside your body for months and at that time you are not infectious. Sometimes however it might travel back to your skin and cause you to have another attack, for example if you are run-down or under stress. You could then pass it on to a sexual partner. It's best always to use a condom, because you may have an attack without any symptoms. Genital Warts What are genital warts? They are a knobbly and stubborn virus that belongs to a family called human papilloma viruses. They can live anywhere on the skin of the genitals, around the vagina or on the shaft or head of the penis. And they’re getting more common. How could I catch genital warts? You can catch them by having sex with someone who is infected. Sometimes they don't start to appear until several months after you have been infected. Could I be at risk? You are more at risk if you have a number of sexual partners and if you don't use condoms. How would I know if I was infected? You might see or feel them, or your partner might notice them first. Usually genital warts look like little lumps that stand up from the skin and vary in size and number. In men they are most commonly found under the foreskin and on the head of the penis, and sometimes around the anus. You don't have to have had anal sex for them to turn up there. In women they can be found on the skin around the genitals, at the opening of the vagina and around the anus. Sometimes genital warts can be found inside the vagina and on the cervix. Sometimes they can cause minor irritation, itching and bleeding. Can I get rid of genital warts? Yes. Genital warts can be treated in different ways, including painting on chemicals, freezing off or surgical removal. They can be stubborn and quite difficult to get rid off, and you might need several treatments. Your own GP may be able to help, or you could go to the Family Planning Clinic where they specialise in sexually-transmitted infections. 32 Trichomoniasis What is trichomoniasis? Trichomoniasis is more common in women, but does sometimes infect men. Its nickname is just 'TV'. How could I catch trichomoniasis? It can be caught by having sex with an infected person - except that you won't know that they are infected, of course. Symptoms usually develop 4 days to 4 weeks after contact. Unlike some other STI’s TV can survive outside the body if it’s kept moist. So you could catch it by using someone else's towel. Why worry? TV won't go away without treatment, and the symptoms are really unpleasant. You can infect everyone you have sex with. Could I be at risk? Definitely, if you're having sex without condoms, and especially if you have several partners. How would I know if I was infected? Women may notice the following symptoms: • • • • an increase in vaginal discharge which is thin and watery with a fishy smell your vagina may be red, irritable and sore sex may be painful, pain during urination, and you may want to go more often. Males may notice • • • discharge from the penis pain during urination rash on the head of the penis and around the foreskin. Can I get rid of you? Yes, if you see your GP or visit the Family Planning Clinic. Your sexual partner must also be treated and you should not have sex again, even with a condom, until you have both been given the all-clear. Gonorrhoea What is gonorrhoea? It’s a common and nasty little bacterium (bug) - very unpleasant and too. People used to call it 'clap' many years ago – it’s been around for a while! Gonorrhoea gets into moist places - vagina, cervix, urethra, rectum, or even your throat. • • How could I catch gonorrhoea? • It can be contracted by unprotected vaginal sex, anal sex or oral sex. It may be possible to catch it through French kissing, but that's quite rare. It can't live long outside the body, so it can't be contracted from toilet seats or swimming pools, or by sharing cups and towels. 33 Why worry? Early treatment is vital. Without treatment, symptoms might disappear but gonorrhoea can still be spreading inside your body. In women it can cause pelvic inflammatory disease (PID) which can make you feel very ill with fever, abdominal pain and backache. It could eventually cause you to become infertile. In boys it can cause the testes and prostate gland to become inflamed. They could find it painful and difficult to urinate and it could eventually make men infertile too. Could I be at risk? You're at risk if you're sexually active. Condoms reduce the risk of being infected but they must be used every time. How would I know if I am infected? You might not, and sometimes gonorrhoea can hide behind other infections. Women may notice: • a change in the natural moisture of your vagina, this could increase as a discharge, and become thin or watery or yellow or greenish • pain or discomfort when you pass urine • a sore throat Men may notice: • white or yellow discharge from the tip of the penis, sometimes enough to stain underpants • pain or discomfort when urinating • itching or discharge from the anus • a sore throat Can I get rid of gonorrhoea? Yes, you can get rid of it completely if you go early to get help. Your own GP may be able to help, or you could go to the Family Planning Clinic where they specialise in sexually-transmitted infections. You don't need a letter from your doctor and their service and treatment are free and completely confidential. Gonorrhoea can be cured by antibiotics. Your sexual partner should also be checked out, and you should not have sex, even with a condom, until you have both been given the 'all-clear'. Bacterial Vaginosis What is bacterial vaginosis? It’s the most common cause of abnormal vaginal discharge in young women. It’s a bacteria which normally lives in the vagina but can cause problems when it multiplies too much. How can I catch it? It can be present in both sexually active and non-sexually active women. How could I tell if I have bacterial vaginosis? Sometimes it can cause a watery white or grey discharge and may have a fishy smell. Can I get rid of it? 34 Yes, if you see your GP or visit a Family Planning Clinic. You may be prescribed tablets or cream, which will get rid of your symptoms. Partners do not need to be treated. *Dental dams are pieces of latex used for cunnilingus. HIV/AIDS FAQ HIV is a virus that can damage the body's immune system, so that it can be hard to fight off infections. If someone with HIV has certain serious illnesses, this condition is known as AIDS. HIV can be spread by some kinds of sex - but a condom is the best protection against it. It's important to know what the risks are, and ways to reduce them. What are HIV and AIDS? What is HIV? HIV stands for Human Immunodeficiency Virus, which can lead to AIDS. It damages the body's immune (defence) system. A virus is a type of germ and HIV affects only humans. What does HIV positive mean? When a person becomes infected with HIV the body's immune system tries to fight off the virus by making antibodies. Antibodies are one of the body's lines of defence against infections. If antibodies to HIV have shown up in a blood test, a person is described as HIV positive. Someone with HIV will be infected for the rest of his or her life. They may look and feel fine, and completely healthy; most people with HIV do. Unless they are tested for antibodies to HIV they may not know they have the virus. You can't tell by looking at someone if they are infected with HIV. They look no different from someone who doesn't have the virus. What is AIDS? AIDS stands for Acquired Immune Deficiency Syndrome. AIDS describes the later stages of HIV when a person has a collection of illnesses because their immune system has been damaged as a result of HIV. There is no cure for HIV or AIDS yet, although new drugs and new ways of using existing drugs are constantly improving medical care. Many people live with AIDS for many years and feel well most of the time. Many infections are treatable, although as the body's immune system weakens, infections become more difficult to treat. How is HIV spread? Three main ways of passing HIV 1. Sex Some kinds of sex carry high risks of getting HIV from an infected person. However, it is important to remember that there is no way you can tell if another person is infected or not. With HIV, safer sex means not allowing your partners blood, semen or fluid from the vagina to get inside your body. Vaginal and anal sex without a condom carry the highest risk - whether male or female. 35 Always use a condom, even if you have been with your partner long enough that you feel you can trust him/her. The only way to know whether a person has HIV or not is for them to have an HIV test. Condoms also protect against other sexually transmitted infections and unintended pregnancies. Other kinds of sexual activity carry either no, or very little, risk of HIV infection. This includes kissing and masturbation. Oral sex carries a small risk, which can be reduced by: • • • avoiding getting semen in the mouth, particularly if there are any cuts, sores or ulcers in the mouth using a condom for oral sex with a man (flavoured varieties are available!) using a latex square - called a dental dam - for oral sex with a woman. Placed over the genital area, it can protect against infection from vaginal fluid and menstrual blood. Dental dams are available from some clinics, chemists, shops and mail-order companies. 2. Drugs HIV can be spread if you share drug injecting equipment - or 'works' - with other people. This can include syringe, needle, spoon, bowl and water. 3. Mother to child transmission There is a risk that a mother with HIV can pass it on to her baby, either in the womb or through breastfeeding. HIV screening for pregnant women is not routine but may be requested. Some treatments (i.e. Nevirapine) have been shown to reduce the risk of passing HIV to the baby, as have some kinds of delivery. If a woman with HIV has a baby, it can take a few months to know whether or not the baby has the virus too. A doctor or midwife can explain this in more detail. How HIV is NOT transmitted? You can't get HIV by: • • • • • • • kissing, touching, hugging or shaking hands sharing crockery and cutlery coughing and sneezing contact with toilet seats insect or animal bites swimming pools eating food prepared by someone with HIV. Other Risks There are other ways of getting HIV, but these are much lower risk than unprotected vaginal or anal sex. Giving/receiving blood There is a very small risk of getting HIV by receiving a blood transfusion in South Africa. All blood, blood products, organs and tissues for donation and transplant in South Africa are screened for HIV. Also, potential blood donors are asked to complete a questionnaire meaning that the chances of being infected from donation or transplant are minimal. Donating blood through the blood transfusion service in South Africa is completely safe. The equipment used is sterile and only used once. 36 Doctor/dentist treatment All healthcare workers in South Africa take routine precautions to prevent any risk of any infection to patients. First Aid The best precaution is to avoid any direct contact with the injured person's blood. Use gloves, and follow standard health and safety precautions. If blood gets on your skin, simply wash it off. Dropped needles Avoid handling the metal needle. If someone does get pricked by a used needle, pinch the wound to make it bleed a little. Clean the area with soap and water, cover with a plaster, and then seek medical advice. Skin piercing Tattooing, piercing, acupuncture and hair removal by electrolysis also pose a risk of passing on HIV and other infections. Only use these services where sterile and/or disposable equipment is used. Ask if you are unsure. The HIV Test The 'AIDS Test' as it is commonly known, does not actually test for AIDS. However, there is a test which can show whether or not someone has HIV. The test checks for the antibodies which the body produces to fight off HIV infection. Tests are carried out by Family Planning Clinics, your GP or the Rhodes San. Family Planning Clinics & the San offer free tests and all information is strictly confidential. You don't have to use a local clinic or be referred by your GP. If you do ask your GP to organise the test, the result may be entered into your medical records. The test involves a sample of blood being taken from your arm or finger - the time taken for the results to arrive varies. For more information about HIV tests, contact your GP, San or Family Planning Clinic. If you would like to get involved in the struggle against HIV/AIDS, join SHARC. 37 WORKSHOP THREE: SUBSTANCE ABUSE SESSION FOUR: DRUGS & ALCOHOL Drug Quiz Please answer the following True or False questions. Indicate your choice with a 9 1. Alcohol is a drug. True False 2. Drinking black coffee helps the sobering up process. True False 3. People can become physically dependent on cannabis. True False 4. A person can overdose on alcohol. True False 5. More deaths are caused by tobacco than by heroin. True False 6. By the age of 17 approximately ¾ of teenagers have experimented with marijuana. True False 7. A drug user is developing a tolerance to a drug if he/she needs to increase the amount of the drug to get the same effect. True False 8. Regular marijuana use always leads to use of other drugs. True False 9. Because of the effects it produces, alcohol can be classified as a stimulant. True False 10. Approximately 50% of Matric students have experimented with Ecstasy. True False 11. Cigarettes slow down the central nervous system, help for stress & calm you down. True False 12. Magic mushrooms are safer than LSD because they are produced naturally. False True 13. Amphetamines (like Speed/crystal meth) increase the appetite. True False 14. An overdose is when a person dies as the result of using a drug. True False 15. Hash oil is a product of the plant Cannabis Sativa. True False 16. The same amount of the same drug will affect people in the same way. True False 17. People can’t overdose from smoking heroin. True False 18. The ambulance must notify the Police at the scene of an overdose. True False 19. Heroin makes the pupils in your eyes get smaller. True False 20. The active ingredient in marijuana is MDMA. True False 21. Tuk is a slang term for Marijuana. True False 22. It is legal to sell cigarettes to a 16-year-old. True False 23. If you combine a stimulant and a depressant it has an evening out effect on the body True False Drug Quiz Answers on page 62 38 Drug & Alcohol Fact Sheet Rhodes University DOES NOT condone the use of illegal narcotics. Possession of illegal narcotics is an offence under the Student Disciplinary code, which if found guilty, could result in exclusion from Rhodes University. Alcohol General: Alcohol is a natural chemical, and is produced by fermenting and distilling organic material such as hops, grapes, wheat etc. Drinks vary in the percentage of alcohol present, from beer and wine, which contains anything up to 5-15 % alcohol by volume, depending on brand, to spirits such as Stroh Rum, which contains 80% alcohol. The concentration is published on the packaging. Immediate effects: Distorted vision, hearing, and coordination, altered perceptions and emotions, impaired judgement, euphoria, dehydration, nausea and vomiting as well as bad breath and hangovers. In large amounts can cause loss of consciousness, coma and sometimes death. Long-term effects: Loss of appetite, vitamin deficiencies, stomach ailments, skin problems, sexual impotence, liver damage, heart and central nervous system damage and memory loss. Alcohol can cause major neurological damage. Warning: Alcohol should not be mixed with Ecstasy since it makes the danger of dehydration more severe. The same applies to depressant drugs (e.g. Heroin). Alcohol and GHB should NOT be mixed since both of them have a sedative effect on your body. Mixing the two compounds can lead to deep unconsciousness for a few hours, even a coma. Ecstasy AKA: X-TC, Pill, E Appearance: capsules(any colour) or pills Ingredients: In its purest form the compound called MDMA. There are about 55 types of Ecstasy available at the moment, all varying in strength and about 80% are mixed with other dry ingredients, including strychnine, pool acid, starch, sugar, chalk, diazepam, Ketamine, ephedrine and powdered heroin. Immediate effects: Euphoria and feelings of wellbeing; tight jaw; nausea; sweating and dry mouth, increased blood pressure and heart rate, overheating and dehydration or over-hydration. Long-term effects: Reduced immunity, memory loss, depression and mental health problems. 39 LSD AKA: Acid, A, Microdot, tab Appearance: A liquid, on its own or on printed paper cut into tiny squares. It is also available in a highly concentrated granule, approx the size of the head of a pin known as a micro-dot. Ingredients: Lysergic acid diethylamide (LSD), a hallucinogenic drug originally derived from wild fungus. Immediate effects: Heightened senses, intensified colours, distorted shapes and sizes, movement in stationary objects, time lengthening. Hallucinations begin after about 30 minutes and may last up to 20 hours. Long-term effects: No evidence that it leads to physical dependence or overdose (though people have died in accidents under the influence), or of the 60’s scare that LSD damages chromosomes and therefore future children of the user. Heroin AKA: H, brown sugar, mud, horse, smack Appearance: Pure heroin is a dusty brown colour, while very refined heroin is pure white. Ingredients: Made from the opium poppy. Immediate effects: A rush in seconds if injected, in 10 to 15 minutes if snorted or smoked. Euphoria followed by drowsiness, clouded mental function or stupor, decreased respiration and heat beat, plus feelings of well-being for 4 to 6 hours. There is a flushing of the skin, dry mouth, watery eyes, runny nose and heaviness in extremities plus nausea, vomiting and severe itching. Long-term effects: Severe addiction and withdrawal, collapsed, scarred veins, bacterial infections, infection of heart lining and valves, abscesses or boils, arthritis or other rheumatologic problems, liver and kidney diseases, increased risk of pneumonia and TB and other infectious diseases, increased risk of contracting HIV. Cocaine AKA: Rocks, coke, snow, blow, white, marching powder, shnarff. Appearance: White crystalline powder. Ingredients: Made from the leaves of the coca shrub. Immediate effects: Increased confidence, heightened sexuality, dry mouth, sweats, loss of appetite, increased heart rate, anxiety, death from respiratory or heart failure (very rare). Long-term effects: Nausea, insomnia, hyperactivity, weight loss and paranoia may develop. Damage to nasal membranes. 40 Methcathinone AKA: KAT, CAT, khat, Appearance: White crystalline powder. Ingredients: made from the shrub catha edulis which contains Cathinone, more commonly synthesised using Methcathinone. Immediate effects: Feelings of euphoria, stimulation, heightened awareness, increased confidence, alertness and energy. However some medical research suggests that concentration and judgement are actually impaired. Increased aggression and inhibited appetite. Long comedown period with depression and mood swings are common. Long-term effects: Regular powder use damages the sinuses, dependency, amphetamine psychosis, which is similar to schizophrenia and includes paranoia and panic attacks, delusions, auditory illusions. In the worst case, the psychological damage is permanent and the only treatment is lifetime use of antipsychotic prescription drugs. Cannabis AKA: Dagga, dope, dubie, zol, joint, grass, weed, pot, ganja Appearance: dried herb or resinous block. Ingredients: From Cannabis sativa, a plant containing tetrahydrocannabinols, chemicals that affect the brain. Immediate effects: Euphoria, relaxation and pain relief. Increases pulse and appetite, reduced blood pressure, dizziness and memory loss. Long-term effects: No proof that long-term moderate use of causes lasting damage. But frequent use over years may lead to respiratory disorders and cancer of the lungs or digestive system. Motivational Syndrome, a group of symptoms, experienced mostly as the inability to concentrate or achieve goals in life. Short-term and long-term memory loss, severe paranoia and the risk of psychosis. Speed AKA: Speed, amphetamine; ice; crystal, crystal meth; bennies, uppers and ‘tuk’ Appearance: Crystals, chunks, tablets, capsules, or powder, white to off-white or yellow in colour. Ingredients: The active ingredient in speed is methamphetamine, though it often contains other ingredients like chalk or flour as a base. Immediate effects: Increased energy, euphoria and alertness and decrease in appetite and fatigue. With speed, many people feel very confident and alert. Also produces increased blood pressure and heart rate, sweating, anxiety, irritability, insomnia, paranoia, and sometimes even psychosis. Coming down off of speed or "Crashing", usually involves total physical and mental exhaustion, including deep mental depression. Long-term effects: Extreme weight loss, depression and brain and organ damage as well as amphetamine psychosis, which results in symptoms of paranoia, anxiety and distortions of perception, fear of harassment, and hearing voices. Warning: When used in combination with Ecstasy, Speed can cause body temperature to soar, causing overheating, putting strain on the heart especially. DO NOT mix the two. For more detailed information about these and other narcotics visit http://www.ravesafe.org.za 41 Acquaintance Rape Drugs In recent years a new kind of rape threat has reared its ugly head at parties, on campuses and in nightclubs - so called "predator" or "date rape" drugs. What exactly are date rape drugs? Technically speaking, any substance that renders you incapable of saying no or asserting yourself and your needs can be used to commit rape. This can include things like alcohol, marijuana or other street drugs, designer or club drugs like ecstasy, over-thecounter sleeping pills and antihistamines, even cold medications. However, the term "date rape drug" usually applies to the drugs Rohypnol, Gamma Hydroxy Butyrate (GHB) and Ketamine Hydrochloride. Why do these drugs make effective date rape drugs? There are many factors that make these drugs desirable to sexual predators. The drugs are virtually undetectable; they are tasteless, odourless and colourless. All traces of the drugs will leave the body within 24 hours of ingestion and are not found in any routine toxicology screen or blood test - doctors and police have to be looking specifically for them and they have to look quickly! Date rape drugs are easily slipped into drinks and food and are very fast acting. They render the victim unconscious but responsive with little or no memory of what happens while the drug is active in their system. The drugs also make the victim act without inhibition, often in a sexual or physically affectionate way. Like most drugs, date rape drugs render a person incapable of thinking clearly or of making appropriate decision. This makes for a very passive victim; one who is still able to play a role in what is happening but who will have no clear memory of what happened after-the-fact. Without any memory of events the victim is often unaware that they have even been raped, and if they are aware or have suspicions they make very poor witnesses. So how do you know if you have fallen victim to a rape using a date rape drug? It is difficult, but not impossible. First, there are some very clear signs that sexual activity has taken place even if you have no memory of actually "doing it." (It is important to note here that if you have had sex but can not remember doing it or offering consent you have been raped under the law, whether a date rape drug has been used or not.) Signs that a sexual assault has taken place can include; soreness or bruising in the genital area, soreness or bruising in the anal area, bruising on the inner and/or outer thighs, bruising on the wrists and forearms, defensive bruising or scratching (the kind that would occur during a struggle), used condoms near you or in nearby garbage containers, and traces of semen or vaginal fluids on clothes, body or nearby furniture. Since people who have been slipped a date rape drug appear to others to be very intoxicated, an extremely reliable sign that you have been raped using a date rape drug is gossip from others about your behaviour or the behaviour of those around you. Aside from indications of sexual activity, other clues that a date rape drug may have been given to you include: feeling "hung-over" despite having ingested little or no alcohol, a sense of having had hallucinations or very "real" dreams, fleeting memories of feeling or acting intoxicated despite having taken no drugs or drinking no alcohol, no clear memory of events during an 8 to 24 hour period with no known reason for the memory lapse, and stories from others about how intoxicated you seemed at a time when you know you had taken no drugs, medications or alcohol. Short of being told that you have been given a date rape drug, there is no way to be sure without medical testing. If you suspect that you have been given a date rape drug you need to get to a hospital quickly and you must request that you be properly tested. The drugs can be found in your system if you act quickly. If you suspect that you have been raped using any one of these drugs go to a hospital and request a preliminary rape exam with testing for date rape drugs. This is the only way to know for sure. 42 Protecting Yourself from Date Rape Drugs Steps you can take to decrease the risk that you will become a date rape drug victim: The introduction of date rape drugs into mainstream culture has put a very powerful weapon in the hands of sexual predators. Rapes can be easily committed behind a foggy haze of intoxication often leaving the victim oblivious to the fact they have been assaulted. It is a frightening thought that begs the question: "What, if anything, can be done to stop a person from falling victim to a rape using a date rape drug?" There are some simple behaviour modifications you can make to ensure that you do not fall prey to a rapist armed with a date rape drug. To protect yourself always follow these simple rules: • • • • • • Don't accept open drinks (alcoholic or non-alcoholic) from others who you do not know or do not trust; this includes drinks that come in a glass. When in bars or clubs always get your drink directly from the bartender and do not take your eyes off the bartender or your order; don't use the waitress or let somebody go to the bar for you. At parties, only accept drinks in close containers: bottles or cans. Never leave your drink unattended or turn your back on your table. Do not drink from open beverage sources like punch bowls. Keep your eyes and ears open; if there is talk of date rape drugs or if friends seem "too intoxicated" for what they have taken, leave the party or club immediately and don't go back! Learn more about the three most common date rape drugs including how they effect you and what they look like. Rohypnol What are the street names? Rophy, Ruffles, Roofies, Ruffies, Ruff Up, Rib, Roach 2, R2, R2-Do-U, Roche, Rope, Ropies, Circles, Circes, Forget It, Forget-Me-pill, Mexican Valium. What is it? A prescription sedative/depressant belonging to the Benzodiazepine family of drugs - it is produced worldwide by Hoffman-La Roche, Inc. The generic name for Rohypnol is Flunitrazepam. This drug is not manufactured or approved for use in North America but can be found as a street drug. The drug comes in pill form in .5, 1 and 2 milligram dosages. It is tasteless, colourless and odourless and can be crushed and added to any drink, including water, without detection. In the late 1990's as an answer to Rohypnol's popular use as a date rape drug, the manufacturer voluntarily changed the formula to change colour when it comes in contact with liquid, but it is still easy to find in it's original generic formulation. Repeated use of the drug can lead to dependency. What are the effects? The most common effects include; disinhibition and amnesia, excitability or aggressive behaviour, decreased blood pressure, memory impairment, drowsiness, visual disturbances, semi-consciousness, dizziness, confusion, stomach disturbances, and urinary retention. 43 How quickly does it act on/leave the system? It is quick acting, with noticeable effects occurring within 20 minutes of ingestion. Mixed without alcohol the effects last 8 - 12 hours, with alcohol the effects last longer, up to 36 hours. After ingestion it can be found in the blood stream for 24 hours and in urine samples for 48 hours. What does it look like? The pills are small and white with a split-pill line on one side and the word "ROCHE" with the number 1 or 2 in a circle stamped on the other. They are quickly dissolved in liquid especially when crushed first. Gamma Hydroxy Butyrate (GHB) What are the street names? Easy Lay, EZ Lay, Liquid Ecstasy, Ellie, Clear X, Liquid X, X-rater, Chemical X, Liquid Dream, Scoop, Scoop Her, Get-Her-to-Bed. What is it? It is an odourless, colourless, liquid that acts on the central nervous system as a depressant/ anaesthesia. It was banned in the United States in 1990 under the Samantha Reid Date-Rape Prohibition Act of 2000. It is also illegal in Canada and many parts of Europe. It is not produced or manufactured by any pharmaceutical company; instead it is made in illegal drug labs or by amateur chemists in their homes. It can be easily made with common and readily available ingredients and novice chemistry skills and the recipe is easy to find. What are the effects? The most common effects include: euphoria, amnesia, intoxication, drowsiness, dizziness, nausea, amnesia, visual hallucinations, hypotension, brady-cardia, severe respiratory depression, and coma. In lower doses the most common side effects are: drowsiness, nausea, and hallucinations. In higher doses the most common side effects are: unconsciousness, seizures, severe respiratory depression, and coma. Since the drug is not standardized it is impossible to be certain what dosage you are taking or being given and accidental overdose is a distinct possibility. How quickly does it act on/leave the system? GHB begins to take effect 10 - 15 minutes after ingestion. The effects last for 3 - 6 hours when taken without alcohol and 36 - 72 hours when mixed with alcohol or other drugs. In very high dosages unconsciousness, or even coma, can occur within 5 minutes. What does it look like? It looks exactly like water. 44 Ketamine Hydrochloride What are the street names? Special K, Super K, K, OK, KO, Vitamin K, Kid Rock, Ket Kat, Make-Her-Mine. What is it? A legal drug sold as a veterinary sedative or hospital grade anaesthesia and goes by the brand names Ketaset® or Ketalar®). It is in the same family of drugs as PCP (phencyclidine). When used in humans the drug acts as a dissociative anaesthesia; it renders the user vaguely aware of, but comfortably detached from, all bodily sensations. What are the effects? The most common effects include; delirium, vivid hallucinations, cardiac excitement, mild respiratory depression, confusion, irrationality, violent or aggressive behaviour, vertigo, ataxia, slurred speech, delayed reaction time, euphoria, thinking, altered body image, analgesia, amnesia, and coma. How quickly does it act on/leave the system? This depends on how it is ingested. When taken orally or nasally the effects take 10 - 20 minutes to be realized. When taken intravenously the effects are instantaneous. The effects last less than 3 hours and the drug is detectable in the system up to 48 hours depending on the method of ingestion. Since it is often mixed with other mind-altering drugs, like heroin and cocaine, many people do not ever realize they have been given this substance. What does it look like? In undiluted form it looks like an off-white powder, in diluted form it looks like slightly cloudy water. 45 WORKSHOP FOUR: CAUSES OF PSYCHOLOGICAL STRAIN & METHODS OF SUPPORT SESSION TWO: DEALING WITH PSYCHOLOGICAL PROBLEMS There are a multitude of causes for psychological stress and each cause has many ways of manifesting itself. As House Committee members you are NOT expected to act as counsellors or psychologist. This workshop is designed to enable you to identify students in distress, which may have any number of causes, and then to assist those students to access the support services offered by the University, including, but not limited to the Counselling Centre. The following focus areas are common stressors, and the information provided should assist you to give immediate, appropriate support and then call for assistance. The Student Counselling Centre The Student Counselling Centre provides a service to all Rhodes Students experiencing socio-emotional difficulties. Currently we offer the following services: • • • • • • • Confidential brief individual counselling Provision of referral information (helping students know which other support services are appropriate and linking them with these services) Couples counselling Group therapy for students with similar interests and goals An after-hours line for psychological emergencies (during office hours students experiencing a crisis can just drop in at any time to make an appointment and will be accommodated as soon as possible) Anti-Harassment services (to explore options for dealing with harassment) Running workshops on issues pertinent to students such as time management, stress management and exam preparation The staff includes three full time psychologists and three intern psychologists as well as a part-time psychologist, a once weekly consultant psychiatrist and a secretary. The Student Counselling Centre is located on the top floor of the Student Union Building in Prince Alfred Street and is open Monday to Friday from 08h30 – 13h00 and 14h00 – 17h00. To contact the Student Counselling Centre for more information telephone (046) 603 7070 during Office Hours or email [email protected] The Psychological Emergency Number is operated by the staff of the Counselling Centre after normal office hours. This number is for the use of students who are experiencing psychological emergencies which cannot wait until the next working day. This number is 082 803 0177. 46 Activity Icebreaker Introduction: Counselling Centre staff and Psych Clinic facilitators Introduction: Introduce yourself to someone you don’t know and tell them a quality that your best friend likes about you Aim Contextualises different personal backgrounds/ worries/ problems etc. Counsellors introduced to group and goals of workshop clarified Presenter Target Time Ms Jean Luyt All 5 Dr Charles Young All 5 All 5 Getting to know each other and identifying personal strengths useful in psychological difficulties BREAK INTO 9 GROUPS “Worry in a hat” Each participant writes a concern that they are currently facing on a piece of paper without identifying themselves and drops it in the ‘hat’. The ‘hat’ is then passed around so each person gets someone else’s worry. Each person takes a turn to speak about that worry as if it were there own. Discussion: What kinds of problems do you think students face at Rhodes? Discussion Discussion Presentation (Power Point) Empathy, discussion of problem/issues that students typically face. This makes the experience of addressing problems more personal. 1 facilitator/ group Groups 10 Deepening understanding of the kinds of problems that students might face. 1 facilitator/ group Groups 5 1 facilitator/ group Groups 5 1 facilitator/ group Groups 5 All 30 Groups (each scenario discussed in smaller group, and then strategies discussed in group) 30 Groups 10 Groups 5 All 5 Sub-Wardens: What types of problems do you think students in your residence might approach you for assistance with? First years: What types of problems do you think you will face this year? Sub-Wardens: What types of problems would you be most concerned about having to manage? First years: What types of things concern you the most about the coming year: BACK TO LARGE GROUP Depression and Suicide Stress Anxiety Eating disorders Harassment (for each topic: what it is; how to recognise it; what you can do to help and how to look after yourself) BREAK INTO 9 GROUPS Scenarios 5 different scenarios related to above topic (e.g. Student has this difficulty – how would you deal with this?) 1 facilitator/ group Discussion Resources on campus/ in Grahamstown/ internet Discussion Confidentiality and how to deal with it 1 facilitator/ group 1 facilitator/ group Conclusion BACK TO LARGE GROUP Services offered by Counselling Centre 47 Depression What Is Depression? The symptoms of depression vary from person to person. Although everyone feels down at times, some people describe depression as a heavy black blanket of misery that falls over their lives. People might feel like they have no energy and cannot concentrate, while others feel irritable most of the time. If you have felt sad or down for more than two weeks, and these feelings are negatively interfering in your life, you may be depressed. Most people with depression do not seek help, even though the majority will respond to treatment. Getting help for depression is vital because it affects you, your family and friends, as well as your work. It is also important to seek treatment because in severe cases depression can be life threatening as suicide can be a possible outcome. DEPRESSION CAN BE EFFECTIVELY TREATED What Causes Depression? Depression often occurs as a result of a combination of factors rather than from one single cause. Depression is not simply a “state of mind”. It is also related to physical changes in the brain, resulting from an imbalance of chemicals known as neurotransmitters. Common features: • Family history. There is growing evidence that depression can have a biological basis. It is known to be more common in individuals with close relatives who have been affected. • Trauma and stress. Life events such as relationship difficulties, the death of a loved one, financial problems, lack of social and emotional support, and events requiring significant psychological adjustment (such as a career change, getting married, or coming to university) may contribute to depression. • Pessimistic attitude towards life. Individuals with low self-esteem, or who have a tendency to view themselves and the world around them in a negative manner are at a higher risk for depression. • Medical conditions. Some medical conditions, such as heart disease, HIV, hormonal disturbances, and cancer, may contribute to depressive feelings. Similarly, depression may influence an individual’s physical well-being, and play a detrimental role when there is already a pre-existing medical condition. In some cases, depression can be caused by medications used to treat medical conditions. • Other psychological conditions such as anxiety disorders, eating disorders, schizophrenia and substance abuse may place an individual at risk for depression. Signs of Depression Anyone who feels down nearly every day for weeks or months may be clinically depressed. Depressed individuals may experience: • ongoing feelings of sadness, irritability or tension • decreased pleasure or interest in usual activities • feeling of lethargy or loss of energy • change in appetite, resulting in weight loss or weight gain 48 • • • • • • change in sleeping pattern, sleeping too much or too little restlessness or feeling slowed down difficulty with making decisions or concentrating feelings of worthlessness, guilt or hopelessness thoughts of suicide or death diminished interest in sex Who gets depression? Although depression may make you feel alone, many people suffer from depression during their lives. It can affect anybody, although its effect may differ according to your age and gender. • Women – are more than twice as likely to become depressed as men. The higher risk may be partly due to hormonal changes. It has also been hypothesised that women are more likely to talk about feelings of sadness, and seek help when necessary. • Men – although their risk of depression is lower, men are less likely to seek help than women. They may show some of the typical signs of depression, but are more likely to be angry and hostile and mask their condition, sometimes with alcohol or drug abuse. Men who are depressed are particularly at risk for suicide, and they are more than four times more likely than women to kill themselves. • Elderly – Older people often have to make significant adjustments to their living circumstances. They may lose a partner, have to adjust to living alone, or become physically ill and unable to care for themselves as they used to. Some signs of depression may be ignored or misunderstood as indications of ageing, and many older people may be reluctant to talk about their feelings. What Treatments Are Available? Friends and family can offer a great deal of support for individuals who suffer from mild cases of depression. Someone who is willing to listen and ask concerned questions can make a big difference. However, even the most caring and patient companions can find themselves frustrated when depression is more severe. It is important to seek professional help. Psychologists and psychiatrists are professionally trained to recognise and provide therapeutic support for people suffering with depression. Some people prefer to first consult their medical practitioner. While each speciality has its own perspective and expertise, it should be remembered that practitioners of all kinds have experience in dealing with depression, and can refer to others when necessary. Counselling or psychotherapy can provide insight into the depression, emotional support, and address negative patterns of thinking. Group therapy can be a particularly effective form of treatment for depression. Psychologists may help individuals to make changes in difficult life situations. With the individual’s permission, they can set up meetings with friends or parents to explore ways of resolving a crisis. Depressed individuals who are at risk of killing themselves may need to be in hospital temporarily. While this is often seen as a drastic measure, it can be life-saving, and it may allow effective treatment to begin. Antidepressant medications work for many people. They can make you feel better, either improving or completely removing your symptoms. Many studies, however, have shown the benefits of combining medication with counselling or psychotherapy which will provide insight to the feelings you are experiencing, and offer emotional support for you. 49 If you are taking antidepressant medication, here are some important tips for you: • • • • • Be patient, antidepressants may take some time to work. You may start to feel better within a few weeks; however the full effect of the medication may not be experienced for several weeks. When starting antidepressant medication, or increasing or reducing your dose (following your doctor’s recommendations), it is important to know that you may experience a sense that the depression is worsening, or that you are feeling more hopeless than previously. You may experience anxiety, agitation, panic attacks, insomnia and irritability during this initial period. Although these symptoms almost always disappear within the first 2 to 3 weeks of treatment, they can be very unpleasant. It is essential that you report any of these symptoms to your doctor or psychologist. Follow your doctor’s instructions. It is important to keep taking your antidepressant for as long as your doctor recommends. This can help to lower the chances of becoming depressed in the future. Stopping the medication abruptly may cause some potentially serious side-effects. If you are thinking about stopping your medication, only do so once you have discussed this with your doctor. Antidepressants may cause side effects and interact with foods and other medications. Tell your doctor about any medical conditions you have and about other medicines you are using. Notify your doctor immediately if you experience any side-effects. References and self-help resources • Burns, D. (1980). The feeling good handbook. New York: Pume. • Emery, G. (1987). Getting undepressed. New York: Simon and Schuster. • http://www. depression.com • Martorano, J. T. (1989). Beyond negative thinking: Breaking the cycle of depressing and anxious thoughts. New York: Plenum. • Scott, J. (2001). Overcoming mood swings: A self-help guide using cognitive-behavioural techniques. London: Robinson. Helping Someone in a Suicidal Crisis It’s 3:00 in the morning and you have just fallen asleep after studying for your exam. The telephone rings and your best friend is on the other end. Words that you never thought you’d hear come piercing across the line … “I just can’t do it anymore! The pain is too much to continue living… I know that I have got to end it – I must kill myself!” You instantly feel the adrenaline surge through your body. With trembling hands and sharpened senses, the question looms through your mind: “What do I say… what should I do!” A suicidal crisis is very difficult to deal with. It is usually unanticipated and requires the helper to mobilize a variety of skills and resources. Following is a list of suggestions should you face the challenge of dealing with or preventing a suicide attempt. If the person is under the influence of drugs or alcohol, or if an attempt is imminent: 1. Call an ambulance (10177). The person requires medical and psychological intervention as soon as possible. 2. Call the police (10111) if the student is behaving in a manner which is difficult to control or which might be placing his or her life, or your life, in danger. 3. Call the Rhodes Psychological Emergency Number at 082 802 0177. 4. If the person forbids you to call, is angry about it, or upset, you must call anyway. 50 If the person has indicated that they are feeling hopeless or are thinking about suicide, or “ending it all”. 1. Take the person seriously. Many people have taken their lives when people thought their statements about suicide were “manipulative” or person was being “melodramatic” or it was “just a cry for help”. While it is true to say that there are times when a person is being manipulative, it is best to err on the side of caution. 2. Don’t panic. Keep your voice calm and matter-of-fact. 3. Encourage the person to discuss what prompted “death” thoughts. The more the person is able to talk about the specific details of the experience, the better he or she is able to understand the source of the crisis. Once a source is delineated, a course of action and intervention can be developed. 4. Elicit the person’s feelings. Expressing emotions is a way for the person to vent frustrations while securing validation and support. Common probes and statements include; “how did you feel when that happened” or “I would have felt hurt if that happened to me”. 5. Use the term “suicide”, “kill yourself”, and “suicidal plan” when talking about the threat. Oftentimes, people contemplating suicide envision the process from a distorted perspective. It may be even seen as a passion ‘romanticized’ escape….a solution without notable consequences. Using these terms can bring the person into a sharper reality focus while enabling the helper to determine if a plan is in place. If the person has a reasonable plan to carry out the threat to end his or her life, the cry for help is more serious and warrants careful attention. 6. Assist the person in defining alternatives and options. Those who are contemplating death do not see life as having positive alternative solutions. Highlighting the fact that death is a permanent solution to a temporary problem can impart hope. Alternative solutions are available. With assistance, the person in crisis can have the option to select the best solution for the situation. 7. Involve professional resources as needed. Trained professionals can assist the person in crisis to deal more effectively with the problem and work to instil hope again. The challenge may be cultivating a sense of trust to include an outside person. In many cases, the suicidal person wants the helper to maintain confidentiality. It is important to emphasize that he or she came to you because of trust and confidence that you care to do the right thing. Encourage the person in crisis to value your decision to involve a professional counsellor if needed. 8. Talk with someone after the crisis is over. Taking the time to share what it was like to be in the stressful situation is important. Venting your feelings and decision processes is crucial to re-stabilizing after your adrenaline surge. In addition, you may find yourself feeling ‘guilty’ or ‘inadequate’ for securing outside help. Remember that by bringing other helpers into the situation your intention was not to betray a confidence, but to save a life. 9. Realise the limitations of your responsibility. There are a number of ways to offer assistance in a crisis. Some include connecting the suicidal person with a crisis line counsellor, accompanying the person to a counselling centre, making an appointment with a psychologist, notifying his or her parents, or calling the police. If you have taken substantial measures to prevent someone from committing suicide and the suicidal person refuses help options, there may be nothing more that can be done. Anyone who is determined to end his or her life will find a way. Your responsibility as a friend or associate is to assist, support, and possibly refer. Once you have care enough to incorporate all resources humanly possible, your responsibility as a fellow human being ends. If you currently know of someone dealing with suicidal thoughts, you are encouraged to consult with a professional psychologist in your area. The Counselling Centre at Rhodes is available to assist you, or somebody close to you. The Counselling Centre can be contacted at (046) 603 7070 during office hours (08h30 – 17h00). If you are dealing with a psychological crisis after hours, please call the Rhodes Psychological Emergency Number at 083 803 0177. Note: This document is based on an article script developed at the University of Texas, Austin. 51 Anxiety What Is Anxiety? Anxiety is different from fear in various ways. When you are afraid, your fear is usually focused on a recognised external threat. The event that you fear usually is within the bounds of possibility, for example failing an exam, being unable to pay your bills, or being rejected by someone you want to please. Anxiety is an unpleasant emotional state and it is often difficult to identify what it is you’re anxious about. The focus of anxiety is more internal than external. It seems to be a response to a vague, distant, or even unrecognised danger. You might be anxious about “losing control” of yourself or a particular situation. Or you might feel a vague anxiety about “something bad happening.” Anxiety affects your whole being – it has physiological, behavioural, and psychological components all at once. Psychologically, anxiety is a subjective state of apprehension and uneasiness. A behavioural manifestation of anxiety may be the avoidance of anxiety-provoking situations. Physiological symptoms include: shallow breathing, mouth dryness, cold hands and feet, diarrhoea, frequent urination, fainting, heart palpitations, elevated blood pressure, increased perspiration, muscular tension (especially in the head, neck, shoulders, and chest), and indigestion. These symptoms may cause fatigue or even exhaustion. Different types of anxiety Anxiety can appear in different forms and at different levels of intensity. It can range in severity from a mere twinge of uneasiness to a full blown panic attack marked by heart palpitations, disorientation, and terror. Anxiety that is not connected with any particular situation, that comes “out of the blue,” is called free floating anxiety or, in more severe instances, a spontaneous panic attack. If your anxiety arises only in response to a specific situation, it is called situational anxiety or phobic anxiety. Situational anxiety is different from everyday fear in that it tends to be out of proportion or unrealistic. Phobic anxiety is when you actually start to avoid the situation. Often anxiety can be brought on merely by thinking about a particular situation, what is called anticipation anxiety. You may “worry yourself into a frenzy” about something for an hour or more and then let go of the worry as you find something else to occupy your mind. Anxiety versus Anxiety Disorders Anxiety is an inevitable part of life in contemporary society. It’s important to realise that there are many situations that come up in everyday life in which it is appropriate and reasonable to react with some anxiety. If you didn’t feel any anxiety in response to everyday challenges involving potential loss or failure, something would be wrong. Anxiety disorders are distinguished from everyday, normal anxiety in that they involve anxiety that 1) is more intense (for example, panic attacks), 2) lasts longer (anxiety that may persist for months instead of going away after a stressful situation has passed), or 3) leads to phobias that interfere with your life. 52 A variety of anxiety disorders have been identified: • Panic Disorder • Agoraphobia • Social Phobia • Specific Phobia • Generalized Anxiety Disorder • Obsessive-Compulsive Disorder • Post-Traumatic Stress Disorder • Acute Stress Disorder • Agoraphobia Without History of Panic Disorder • Anxiety Disorder Due to a General Medical Condition • Substance-Induced Anxiety Disorder If you suffer from persistent and excessive anxiety symptoms which result in avoidant behaviour, it is important to seek professional help. By determining the type of anxiety disorder from which you suffer, a psychologist will be able to offer more effective treatment and a better prognosis. Most forms of psychological treatment focus on the following processes: 1. Reduce psychological reactivity. 2. Eliminate avoidance behaviour 3. Change subjective interpretations (or “self-talk”) which perpetuate a state of apprehension and worry. References and self-help resources • Bemis, J. & Barrada, A. (1994). Embracing the fear: Learning to manage anxiety and panic attacks. Centre City, MN: Hazelden. • Bourne, E. J. (2000). The Anxiety and Phobia Workbook (3rd ed.) Treatment book. California: New Harbinger Publications. • Burns, D. (1980). The feeling good handbook. New York: Plume. • Simmons, M. & Daw, P. (1994). Stress, anxiety & depression: a practical workbook. Bicester: Winslow Press. • Sue, D., Sue, D. & Sue, D. (1994). Understanding abnormal behaviour (4th ed.). Houghton Mifflin Company, Boston. Eating Disorders The term “eating disorders” refers to a group of problems within two main categories – overeating (binging) and undereating (anorexia). These disorders, such as anorexia, bulimia and binge-eating disorder, involve extreme attitudes and behaviours surrounding weight and food issues. While each eating disorder involves a preoccupation with weight and food, the problems involve much more than simply food. These illnesses have a biological basis, but are also influenced by psychological, interpersonal, and cultural factors. Eating disorders must be distinguished from eating problems and dieting. Eating disorders can cause very serious medical problems, and may be life-threatening. Individuals who suffer from an eating disorder experience marked psychological distress associated with concerns about weight and body shape, and the eating disorder interferes with day-to-day responsibilities and pleasures. These disorders involve extreme dissatisfaction and preoccupation with body size and shape, and individuals may regard themselves as overweight when their weight is actually lower than normal, or they may measure their self-worth by their weight. Individuals with eating disorders may experience overwhelming feelings of self-loathing about large amounts eaten and panic about possible weight gain. In addition to over-eating or under-eating, individuals engage in compensatory behaviours such as purging (self-induced vomiting or 53 inappropriate use of laxatives, enemas, or diuretics), fasting, excessive exercise, and restricting calories or food types. People with eating disorders may experience a sense of shame about their thoughts and behaviour, and may work hard at keeping the problems secret for many years. It is essential that these disorders are recognised and properly diagnosed in order to guide an effective treatment process. Although women are more prone to developing an eating disorder, men are also at risk. Anorexia nervosa This condition involves restricted eating or self-starvation in a relentless pursuit of thinness. This eating disorder is defined by a refusal to maintain normal body weight for age and height, and intense fear of gaining weight, a disturbance in self-image and body-image. While the person with anorexia has an appetite, and food tastes good, food is regarded as “the enemy”. Other characteristics of anorexia include: • • • • • • In women – absence of menstrual periods for at least three months In men – decrease in the level of male sex hormones The person denies the dangers of low weight Person reports feeling fat even when very thin Emotional features such as depression, irritability, or withdrawal, Peculiar behaviours such as compulsive rituals, strange eating habits, division of food into “good/safe” and “bad/dangerous” categories 54 Bulimia nervosa This eating disorder is characterised by recurrent episodes of binge-eating (eating an extreme amount of food) together with a sense of a lack of control over amounts eaten, and a feeling of being unable to stop. The disorder is further classified as either purging or non-purging bulimia depending on whether the individual uses fasting or exercising instead of purging to “compensate” for binging. Other characteristics of bulimia may include: • The person may vomit, misuse laxative, exercise excessively, or fast to compensate for the excessive intake of calories • When not binging, the person often diets, then becomes hungry and binges again • The person strongly believes that a sense of self-worth requires being thin • Weight may be normal or near normal • Although the person may seem cheerful, they may feel depressed, lonely, ashamed, worthless, and empty inside Binge-eating disorder This disorder is sometimes referred to as “stress eating” or “emotional overeating”. It is characterised by compulsive overeating, usually in secret and without purging, followed by guilt or remorse for the episode. It is estimated that up to 40% of people with obesity may be binge eaters. The term “binge eating disorder” was officially introduced in 1992. Unlike non-purging bulimia, there is no attempt to “compensate” for the binge by fasting or over-exercising. 55 What can I do if I know someone who may have an eating disorder? • You cannot force someone to seek help, change habits, or adjust attitudes • But you can make progress through honestly sharing concerns, providing support, and knowing where to go for information • Learn as much as possible about eating disorders • Know differences between facts and myths about weight, nutrition and exercise • Be honest about your concerns • Be caring but firm • Compliment your friend’s personality, successes and accomplishments • Be a good role model • Speak to a professional Treatment of eating disorders Eating disorders can be physically and emotionally destructive. It is essential that people with eating disorders seek professional help as early intervention can significantly enhance recovery. Recognition of the eating disorder is often difficult, as people with the illness are often in denial or embarrassed. People with anorexia often do not know there is a problem with their behaviour while people with bulimia may be aware of the problem, but hide their behaviour. Family, friends, or health care professionals are often the people who recognise the problem. The most effective treatment for an eating disorder is counselling or psychotherapy accompanied by medical and nutritional supervision. Treatment may be a long process. Unlike other forms of addiction or habit involve total avoidance of the banned substance, eating is necessary for survival and thus the management of eating disorders can be complicated. It is important to note that treatment is available and recovery is possible. References and self-help resources • Cooper, M., Todd, G. & Wells, A. Bulimia nervosa: A cognitive therapy programme for clients. London: Jessica Kingsley. http://www.edap.org • http://www.healthline.com/galecontent/eating-disorders • http://overeatersanonymous.org • • Garner, D.M. & Garfinkel, P.E. (Eds.) (1997). Handbook of treatment for eating disorders (2nd ed.) New York: Guilford. Rape Over the past 2 years Rhodes University has made improvements to campus security, adding panic buttons around campus. Rhodes takes harassment and sexual violence seriously and has a well set out harassment policy to protect students. (See http://www.ru.ac.za/safety for more information) This Rape Fact Sheet was produced by POWA, a Women’s Organisation based in Gauteng. No matter how vigilant the institution is, crime and violence are a part of the South African reality. The following information could prove helpful should the worst happen… 56 What is Rape? In South African law, rape is defined as "intentional unlawful sexual intercourse with a woman without her consent." There are several problems with this definition: • • Forced anal or oral sex is not considered rape. Neither is penetration with an object or a body part other than the penis. These are considered "indecent assault", which carries a lower penalty than rape. Violent sexual crimes between people of the same sex are not recognised as rape. POWA defines rape as ANY forced or coerced genital contact or sexual penetration. Sexual assault is defined as any other form of undesired sexual contact and is often just as traumatic. Many people think that rape only occurs between strangers. This is not true. Acquaintance rape and date rape are the most common kinds of rape. Many people also believe that a man cannot rape his wife, or that a boyfriend cannot rape his girlfriend. This is also untrue. Rape is sex without consent: it does not matter if the woman knows the man, if they have gone on a date, if she has had sex with him before, or if she is married to him. Why does Rape happen? Many people believe that rape is a crime of passion: that men rape because they get so sexually aroused that they cannot help themselves. This assumes that men are incapable of delaying gratification or controlling sexual urges, which is clearly untrue. It also suggests that rape is impulsive. Interviews with rapists reveal that most rapes are premeditated and planned. Rapists rape to feel powerful and in control, not for sexual pleasure. Many rapists fail to get an erection or ejaculate. Many rapists are involved in sexually satisfying relationships at the time of the rape. A study comparing rape rates in different countries found lower incidences of rape occurred in societies where: • • • • there were lower levels of overall violence there was mutual task sharing between man and women women generally enjoyed higher status there was strict condemnation and prosecution of all forms of rape South Africa is a rape-prone society: • • • • South Africa has very high levels of overall violence and many people believe that it is OK to use violence to feel powerful or get what they want. South Africa's legal definition of rape in no way condemns all forms of rape and we have some of the lowest conviction rates for rapists in the world (see above). In South Africa, many tasks (such as dishwashing) or careers (such as nursing) are commonly believed to be "women's work". Women are expected to be sexually available and submissive. 53% of women in SA have no income. While 33% of Parliamentarians are women, these changes have not yet filtered to everyone. Women lack economic, political, social and religious power compared to men, and this leaves them vulnerable to male violence. 57 What to do straight after rape After being raped, a woman needs care and support. She also needs to get back her sense of power, control and safety in the world. Family and friends should support her as she decides what to do, but must not put any pressure on her. She will need to consider the following things: Medical Attention: It is best to seek medical attention even if she does not appear to be injured. She needs to find out if she has any internal injuries, and determine her risk or pregnancy, HIV and other sexually transmitted diseases. Preventing HIV after Rape: There are anti-retroviral medicines that you can take that may reduce the risk of becoming infected with HIV. You can take these medicines (anti-retrovirals) if: • • • • • You have been raped or forced to have anal sex. You have been told about how these medicines could stop you from being infected with HIV. You have been told about the possible side-effects of these medicines. You have had an HIV test and have tested negative. You have made your own choice to take these medicines. How can I get these medicines? 1. Go to a doctor as soon as you can and ask about anti-retroviral medicines that could reduce the risk of getting HIV. These medicines are called "post-exposure prophylaxis" or PEP. You must start taking the medicine as soon as possible. If more than 72 hours (3 days) have passed since you were raped, it is too late for these medicines to work. You should not take them. 2. You should ask the doctor to give you an HIV test. Before taking an HIV test you must be counselled and receive information about what the test means. You should also get counselling after you receive the results of an HIV test. 3. While you are waiting for the results of the HIV test, the doctor may give you the medicine so that you can start taking it immediately. This is called a starter pack. 4. If you test HIV positive, the medicines will be stopped. Ask the doctor about things you can do to look after yourself when you have HIV. Find out about organisations and people that can help you live positively. 5. If you only get a starter pack, come back to the doctor to get the results of your HIV test. Also get the rest of the medicines if you are HIV negative. If you think it will be impossible for you to come back to the doctor to get the rest of the medicines, remember to ask the doctor for all the medicines in the beginning. 6. If you test HIV negative, take the medicine for 28 days. Remember that the starter pack of 3 days medicine will not protect you from HIV. You must take the full course for all 28 days or it will not work. 7. These medicines are strong and may have side-effects like headaches, tiredness, skin rash, a running stomach, nausea and others. These side-effects are usually not serious and will not last long. If the sideeffects are very unpleasant, go back to the doctor. 8. Have another HIV test after six weeks, three months and again after six months after the rape. It is very important for you to find out the results of your HIV test so that you can know your HIV status. If you test HIV negative each time, it means that you did not contract HIV from the rape. 58 Where can I get these medicines? You can get these medicines at state hospitals and some clinics for free. If the hospital cannot give them to you, call the AIDS Helpline (Tel: 0800-012-322) and ask them where you can get these medicines. This is a free call. You can also get these medicines at a chemist, but you will need a prescription and they may be very expensive to buy. If you are on medical aid, check whether your medical aid pays for them. Can children take these medicines? YES. If you are over 14 you do not need your parent or guardian's permission to have an HIV test. You also do not need their permission to take these medicines. If you are younger than 14 years, one of your parents, or your guardian or the hospital superintendent will have to give consent. But there may be emergency situations where children under 14 have been raped and need urgent assistance. In these situations, doctors should be guided by the best interests of their patients and their duty to give emergency medical treatment. The above information on Preventing HIV after Rape is courtesy of the Aids Law Project - (011) 717-8600 Police Intervention: You are the only person who can make the decision about whether or not to report; nobody should pressure you one way or the other. Counselling: Rhodes offers free counselling at the Counselling Centre. All consultations are strictly confidential. Notes for Survivors on the Police: • • • • The first person you tell about the rape is called the first witness. This person will have to make a statement to the police about your emotional state, your physical condition and the state of your clothing. If possible, the first witness should come with you to the police station. You can report the rape at any time; however, it is best to report within 72 hours so that evidence such as blood or semen can still be collected. Also, many officials still believe that if a person does not report a crime immediately then it did not happen. Try not to wash or change clothes before reporting the rape: this will destroy important evidence. Take a fresh set of clothes to the police station if possible in case the clothes you are wearing are needed for evidence. It is better not to take any tranquillisers or alcohol before going to the police. You need to be clear-headed when you are giving your statement. Steps to Take: 1. 2. 3. Go to a police station and make a statement. You have the right to make your statement in a private room and/or to a female police officer (if one is available). You also have the right to have someone with you to support you. Your statement must be as detailed and accurate as you can make it. If you are too upset when you first report, you can ask to make the statement the next day. Read your statement over and make all needed corrections before you sign it. You can ask for a copy of your statement and have it verified. You will need to have a medico-legal examination to collect evidence. The police will take you to the District Surgeon (DS) for this exam. You may see a private doctor instead, but this doctor must be willing to testify in court. The DS exam is free; however, the DS cannot treat you for injuries or illnesses. You will need to see your own doctor later for a check-up and treatment. 59 4. Before you leave the police, make sure you know: the name of the Investigating Officer, your case number, the name of the police station, and a phone number you can call to check on how the investigation is going. During the Investigation: • • The Investigating Officer should keep you up-to-date about the progress of your case. If you do not hear anything, phone the station to be sure they are following up with the investigation. If the police hold an identification parade, you DO NOT have to touch the rapist; merely indicate which person he is. If there is a situation with a one-way mirror facility nearby, you can ask that the identity parade be held there. Going to Trial: • • • When the police have finished their investigation, they will give the docket to the public prosecutor. The prosecutor will then decide if there is enough evidence to go to trial. The police may not make this decision; they must simply collect evidence. In court, the rapist must be proven guilty beyond a reasonable doubt. If the magistrate or judge has any doubt about the guilt of the accused, he must be set free. A "not guilty" verdict means that there was not enough evidence to convict the rapist; it does not mean that you were not raped, or that the people at the court don't believe you. The court case can take many months, and can be postponed many times before it is finalised. This can be very traumatic. If your case is going to trial, you may want to contact POWA or another women's organisation. We can give you more information, help you prepare to testify, and send a support worker with you on the day of the trial. Harassment Definition of Harassment The Rhodes University Harassment policy defines harassment as follows: Harassment is either verbal or physical conduct that denigrates or shows hostility towards an individual because of the individual’s race, gender, sex, pregnancy, marital status, ethnic or social origin, colour, sexual orientation, age, disability, conscience, belief, culture, language, birth and health status. Harassment can occur in many forms and covers a wide range of actions and behaviour, but will be considered to be any conduct of an offensive nature including the following: Behaviour which is unwelcome, or ought to be known as unwelcome, distinguishable from behaviour that is welcome and mutual. For example - racist remarks, lascivious leering or unwelcome physical contact, rape, attempted rape, indecent assault, or statutory rape (whilst rape is a form of harassment, it is a heinous criminal offence). A. Any action which affects the dignity or violates the rights of any person For example - offensive, abusive or suggestive communications. B. Actions which have the element of coercion or abusive power implicit in such conduct For example - actions which have the implied or expressed promise of reward for complying with or submitting to a sexually oriented request, or the implied threat of reprisal for not complying with or submitting to a sexually oriented request or advance. 60 Derogatory reference to age, gender or sexual orientation, as well as insensitive or derogatory remarks about ethnic, social, cultural or religious background. C. Conduct which creates an intimidating, hostile, or offensive environment for working, learning or living in the Rhodes community. D. Display of inappropriate or offensive material in a public location. The standard for determining whether conduct constitutes harassment is whether a reasonable person in the same or similar circumstances would find such conduct intimidating, hostile or abusive. A reasonable person’s standard includes consideration of the perspective of persons of the alleged victim/s race, colour, religion, gender, national origin, age or disability. The Dean of Students’ Office is responsible for ensuring that issues of harassment amongst students are dealt with through inter alia: educating students, dealing with complaints of harassment and the recording of incidents. Additional resources available, particularly for counselling are: The Counselling Centre. The Dean or Assistant to the Dean of Students The Sanatorium. This does not preclude anyone contacting other people for assistance, e.g. their Wardens. Options Available to Complainants Persons who believe they have been harassed can utilise any number of the following options: 1. The complainant may request that the dispute be mediated, and or resolved through informal resolution i.e. resolved in a non-adversarial manner; 2. The complainant may utilise the grievance and disciplinary procedures of the University; 3. The complainant may seek remedy by laying charges with the police; 4. The complainant may use the Counselling Centre and/or any other remedial services of the University. Confidentiality & Anonymity The University will make every effort to conduct all proceedings in a manner that will protect the confidentiality of all parties. Parties to the complaint should treat the matter under investigation with discretion and respect for the reputation of all parties involved. However, complaints against an alleged perpetrator cannot be pursued unless the complainant is prepared to be identified. 61 SAFER SEX QUIZ ANSWERS 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. d e a c&d e e e e a c d a b a 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. b e a a e a b d e a b b b g DRUG QUIZ ANSWERS 1. Alcohol is a drug. T: Alcohol is a depressant as it slows down the central nervous system (CNS). 2. Drinking black coffee helps the sobering up process. F: Only time enables the sobering to occur! The liver metabolises 1 standard drink (10 grams of alcohol) per hour. About 10% of the alcohol in the blood is discharged via breath, sweat and urine, and 90% by the liver. 3. People can become physically dependent on cannabis. T: Physical dependency on marijuana can develop. This means that you may experience withdrawal symptoms if you stop or suddenly cut down. e.g. include; headaches, nausea, depression, anxiety, difficulties in sleeping. 4. A person can overdose on alcohol. T: Excessive amounts of alcohol can cause breathing to cease. 5. More deaths are caused by tobacco than by heroin. T: Tobacco is the leading cause drug-related deaths in Australia. 6. By the age of 17 approximately ¾ of teenagers have experimented with marijuana. F: Approximately 40% have experimented with Marijuana by the age of 17 (2000). 7. A drug user is developing a tolerance to a drug if he/she needs to increase the amount of the drug to get the same effect. T: Because the body adapts to the presence of a drug, greater doses are needed to achieve the drug’s original effect. 8. Regular marijuana use always leads to use of other drugs. 62 F: There is no automatic progression. Some people stay with one drug, some ‘progress’ and some give up altogether. It is true that most (but not all) heroin dependent users have previously used cannabis, alcohol and other drugs. Most users of alcohol and cannabis do not go on to use heroin. 9. Because of the effects it produces, alcohol can be classified as a stimulant. F: Alcohol is a depressant as it slows down the CNS. 10. Approximately 50% of Matric students have experimented with Ecstasy. F: Approximately 6% (2000). 11. Cigarettes slow down the central nervous system, help for stress & calm you down. F: Cigarettes are classed as stimulants as they speed up the CNS. 12. Magic mushrooms are safer than LSD because they are produced naturally. F: Both produce the same effects and therefore pose the same risks. 13. Amphetamines (like Speed/crystal meth) increase the appetite. F: A side effect of amphetamine use is decreased appetite. 14. An overdose is when a person dies as the result of using a drug. F: An overdose may result in death but not necessarily. 15. Hash oil is a product of the plant Cannabis Sativa. T: Hash oil is the resin of the plant Cannabis Sativa. It is the strongest part of the plant. 16. The same amount of the same drug will affect people in the same way. F: There are many factors that affect the drug experience. They can include; body size, gender, mood, whether or not the person has eaten, previous experience with the drug, other drugs taken, the environment in which the drug is taken etc. 17. People can’t overdose from smoking heroin. F: People can overdose from smoking heroin as the body slows to a point in which breathing and the heart stop completely. 18. The ambulance must notify the Police at the scene of an overdose. F: The priority of the ambulance is to attend to the sick person. There is no obligation to involve the police (unless they encounter violence). 19. Heroin makes the pupils in your eyes get smaller. T: Heroin causes the pupils to constrict. 20. The active ingredient in marijuana is MDMA. F: MDMA (MethyleneDioxyMethAmphetamine) is the active ingredient in Ecstasy. The active ingredient in marijuana is THC (Delta-9 tetrahydrocannabinol). 21. Tuk is a slang term for Marijuana. F: Tuk is a slang term for methamphetamine. 22. It is legal to sell cigarettes to a 16-year-old. F: It is legal to buy cigarettes at 18; however it is legal to smoke them at 16. 23. If you combine a stimulant and a depressant it has an evening out effect on the body 63 EMERGENCY CONTACT DETAILS DEAN OF STUDENTS Prof Vivian de Klerk Office: 046 603 8181 Office fax: 046 622 9514 Home: 046 622 6075 Cell: 082 886 4755 E-mail: [email protected] HALL WARDENS Allan Webb Mr John McNeill Office: 046 603 8247 Home: 046 603 8011 Drostdy Mrs Laureen Rautenbach Office: 046 603 8889 Home: 046 603 8014 Oppidans Mr Gordon Barker Office: 046 603 8430 Home: 046 636 1303 Oriel Mrs Albertina Jere Office: 046 603 8687 Home: 046 603 8886 Doctors Dr Marx & Partners 120 High Street Tel: 046 636 2063 After hours: 082 573 3678 EMERGENCY CONTACT NUMBERS Dr Lloyd & Partners The Colcade, 41 Hill Street Tel: 046 636 1732 After hours: 082 554 7800 Counselling Centre Dr Charles Young Tel: 046 603 7070 Email: [email protected] Rhodes Psychological Emergency Number Tel: 082 803 0177 Hobson Mrs Philippa Callaghan Office: 046 603 8137 Home: 046 603 8578 Harassment Officer Ms Sarah Green Tel: 046 603 7070 Email: [email protected] Jan Smuts Dr Godfrey Meintjes Office: 046 603 8226 Home: 046 603 8581 Rhodes Sanatorium Sr Jeanne Shaw Tel: 046 603 8532 Nelson Mandela Dr Brendan Wilhelmi Office: 046 603 8082 Home: 046 603 8693 Fort England Hospital York Street Tel: 046 622 7003 St Mary’s Mrs Ros Parker Office: 046 603 8617 Home: 046 603 8576 Founders’ Mr Mervyn Wetmore Office: 046 603 8180 Home: 046 603 8021 Kimberley Prof Jimi Adesina Office: 046 603 8172 Home: 046 603 8582 Acting Hall Warden from 07/2007 Mrs Nolene Ferreira Home: 046 603 8036 Cell: 083 288 2537 Settlers Hospital Milner Street, past the bridge Tel: 046 622 2215 Campus Protection Unit Tel: 046 603 8146/7 Police Tel: 046 9111/10111 Ambulance Tel: 10177 Private Ambulance Tel: 046 622 7976 Cell: 083 708 2928 Fire Brigade Tel: 046 622 4444 64 Dr Oosthuizen 25 Pepper Grove Mall Tel: 046 622 8498 After hours: 082 320 1229 Dr Dwyer Hemmingway Street Tel: 046 622 4846 Dr Murali 69 Bathurst Street Tel: 046 636 1114 Dr Pellissier 12 New Street Tel: 046 622 2970 Dr Santhia 10 High Street Tel: 046 622 6648 After hours: 082 555 0799