Worldwide, most trauma work is done by lay persons and not by trained psychosocial professionals. Community workers, teachers, human rights defenders or health personnel: they all are confronted with the suffering of their clients and often are not sure how best to react.  

All these groups ask for simple steps that they can follow. Simple answers are difficult to come up with for problems as complex as trauma. But still, the wish to have some basic rules and tools is highly understandable.

“Restoring Dignity -  Sinani Handbook for Trauma Support Workers “ provides such guidance. It gives clear answers to questions that are frequently asked by persons who work with survivors of violence: how to speak to a raped woman, how to understand domestic violence, how to talk to a person whose relative was killed, what to do when a person breaks down?

http://www.survivors.org.za/images/stories/trauma_support_handbook_sec_1.pdf

http://www.survivors.org.za/images/stories/trauma_support_handbook_sec_2.pdf

The handbook was published by the South African NGO that works in KwaZulu Natal with people and communities affected by violence and by HIV/Aids. http://www.survivors.org.za/

Dan Bar-On was born in 1938 in Haifa to parents of German descent. He was a member of Kibbutz Revivim for 25 years where he served as a farmer, educator and Secretary of the Kibbutz. After completing his M.A. in psychology in 1975, he worked in the Kibbutz Clinic, specializing in therapy and research with families of Holocaust survivors. In 1981 he received his Ph.D. at the Hebrew University of Jerusalem. In 1985 he launched a pioneering field research in Germany, studying the psychological and moral after-effects of the Holocaust on the children of the perpetrators. His book Legacy of Silence: Encounters with Children of the Third Reich was published in 1989 by Harvard University Press and has since been translated and published in French, German, Japanese and Hebrew. Since then, Bar-On has brought together descendants of survivors and perpetrators for five intensive encounters (the TRT group, shown by the BBC on TimeWatch, October, 1993), as well as students from the third generation of both sides. His book Fear and Hope: Three Generations of Holocaust Survivors’ Families was published in Hebrew, English, German and Chinese .His last book The Indescribable and the Undiscussable was published in 1999 by Central European University Press. In 1998 and in 2002-3, Bar-On was the Ida E. King Chair for Holocaust and Genocide Studies at Stockton College of New Jersey. He is currently a Professor of Psychology at the Department of Behavioral Sciences at Ben-Gurion University, where he served as Chair of the Department in 1993-1995 and again in 2003-5. He is the co-director of PRIME (Peace Research Institute in the Middle East) near Beit Jala, PNA, together with Professor Sami Adwan of Bethlehem University. He is married, and has four children and four grandchildren.

David Becker and I arrived a day before the invasion started. We came to work with the team of the Women’s Empowerment Project of the Gaza Community Mental Health Project (GCMHP). This was our 7th visit; we had been training WEP staff twice a year in the psychosocial approach since 2004, when we began by working with the team on an accompanied self-evaluation of their program for the support of women affected by domestic violence (see publications:“Overcoming fragmentation – linking counselling and income generation”). This time, we spent many hours talking to the team members about their experiences of the preceding few months. Four hundred people have been killed since late June 2006, when the IDF intensified its operations in the Gaza Strip. These attacks were hardly noticed because of the media focus on Lebanon.

One of the team members mourned her fourth brother; he had been killed by gunfire from a helicopter a month before. The women talked about other close friends and neighbours they had lost. They said it was even more difficult to lose someone in the internal clashes between Fatah and Hamas than at the hands of the Israeli army. “If he is killed by the Israeli, he is a martyr, if he is killed by a Palestinian, the life is lost for nothing.” To make it worse, every death calls for another death in revenge. Families are divided, brothers are on different sides, and everybody is armed. But the women’s worst fears are of the Israeli operations. Six women had recently received a call that their house would be exploded.

Such calls, they said, are made by IDF 15 minutes before the house is destroyed. However, none of the staff’s houses was blown up. Nowadays, they said, it is very hard to know whether a call is real or if it is made by other Palestinians to terrorize people. One woman described how struck by panic she was when she received such a warning, unable to move or speak. “My hair stood up straight from my head, fear is the worst feeling - no words can describe it.” Others reported not being able to sleep for nights after such a call.

One woman said she and her children sleep in the same room: if the Israelis attack from the sea, she moves to the back of the house, if the neighbour receives a call that his house might be destroyed, she moves to the front of the house. The children cling to her.

When one of them wants to go to the toilet, she has to accompany him or her; but then the other children are scared to stay in the room alone and come along too.

All the women described how the children cling to them and wet their bed. Each staff member has had experience with bed-wetting children. Even though or because everybody recognizes bed-wetting as a symptom of fear and sadness, it is considered shameful.

When talking about their children, the fragmentation and disintegration of structure becomes evident. Adults can’t really protect and calm their children as they are themselves too scared and too vulnerable. One woman said she didn’t have the words to speak to her children about the killing of five people they recently witnessed. Another staff member described how she panicked when she saw her daughter coming back from the market, covered in blood. The girl stood next to a man who was shot in his head by another Palestinian. One woman described how she and her family were locked into their house for many hours, during another attack on their neighbourhood. A tank was positioned just outside their house. They heard the sounds of gunfire and soldiers conducting searches. Her husband, a political ex-prisoner, was terrified. As soon as the tank left, he shouted at his children; he was agitated and aggressive. “I told him to stop it, it is not the children, it is your fear,” she said.

The staff members hardly mention such experiences when they talk about their clients, women who seek advice and support because they suffer from domestic violence. And yet, there is a clear connection between the deteriorating political and economic situation, the lack of perspectives, the decades of occupation and the daily experience of humiliation and powerlessness for men who try to defend their honor where they still can – in the family. The growing conservatism and the control of and restrictions against women in Gaza.

WEP works to supports victims of violence and supports campaigns towards changing discriminatory laws that condone and perpetuate such violence.

For additional background on violence against women in Gaza see the Human Rights Watch Report: A Question of Security. Violence against Palestinian Women and Girls http://hrw.org/reports/2006/opt1106/

Barbara Weyermann
20.11.2006

The First International Conference on Psychosocial Work in the Exhumation Process, Forced Disappearance, Justice and Truth will take place in Antigua, Guatemala, February 21 to 23 2007 and is organized by the Guatemalan Community Studies and Psychosocial Action Team - ECAP (www.ecapguatemala.org), and the Spanish Community Action Group - GAC (www.psicosocial.net ). You will find more information here.