Male survivors' perceptions of post-traumatic stress disorder (PTSD) management strategies in the South African mining sector

Abstract

Deep-shaft mining is regarded as a high-risk occupation with an increasing number of traumatic accidents. Though there are strategies for the management of post-traumatic stress disorder (PTSD), little has been done to document the male survivors' perceptions of PTSD management strategies in the South African mining sector. An exploratory, descriptive and contextual study was conducted within the South African mining sector to explore and describe the survivors' perceptions of PTSD management strategies. The population comprised all men who were suffering from PTSD as a result of accidents in the mines. A purposive sample of 29 men was selected to participate in the study and data saturation was achieved. Unstructured individual interviews and field notes were used as methods of data collection. One question was asked during the interviews: "What do think helped you recover from PTSD?"Communication skills were employed to facilitate the participation of the men during the interviews. Data were collected using a voice recorder and were then transcribed verbatim and analysed using Tesch's descriptive method of data analysis. Measures for ensuring trustworthiness were applied to verify the findings. Three themes emerged during data analysis: (1) perceived emphasis on physical versus psychological treatments, (2) perceived coping strategies used to deal with the trauma, and lastly, (3) the perceived effect of social support networks during trauma. Based on the perceptions of the participants, it became evident that PTSD management did not meet expectations. An integrated approach is recommended for the future treatment of psychological and physical trauma among survivors of traumatic events in the mining sector.