Monday, October 12, 2009

THE PALESTINIAN WOES: MENTAL HEALTH PERSPECTIVE

“A military commander’s obligation does not end with avoiding harm to the lives and the dignity of the local residents, a “negative obligation”, but his obligation is also “positive”- he must protect the lives and dignity of the residents, within the constraints of the time and place….” Justice Barak (HCJ 764/04)

“As long as Israel has control of the transfer of necessities and the supply of humanitarian needs to the Gaza Strip, it is bound by the obligations of international humanitarian law to allow the civilian population to have access, inter alia, to medical facilities, food and water, as well as additional humanitarian items”. Justice Beinisch (HCJ 201/09)

Salam

I chanced upon a report of a fact finding mission by the United Nation. It is a very long report in two parts and consist of a thorough assessment of the consequences of the military operation by the Israel during the period of December 2008 till January 2009. Even though the mission didn't get the cooperation of the Israel government but it still able to gauge a very important findings from there. A very good report for us to read and to try to feel the suffering of our beloved Muslim brothers there and the suffering of the humankind at the hand of the man madness. I would like to highlight a section of the long report for all of us to read.

Conditions under Israeli occupation prior to 2005, together with poverty and the difficulties caused by the blockade, had already made a deep impact on the mental health of the local population. The three weeks of intense bombardment and military ground action added new, serious psychological traumas, especially noticeable in children. According to Dr. Iyad al Sarraj of the Gaza Community Mental Health Programme, over 20 per cent of Palestinian children in Gaza suffer from post-traumatic stress disorders, the symptoms of which “will appear over the days, months, years, or decades to come”.

One particular characteristic of the conflict, namely that the population could not flee the conflict areas as can be done in many conflicts, and had no shelters or safe places in which to hide or protect themselves, reinforced feelings of being trapped, defenceless and vulnerable to more attacks with a sense of inevitability. Many of those who met the Mission stated that they felt terrorized.

According to Dr. Ahmad Abu Tawahina, psychosomatic disorders have a particularly serious impact on Palestinian society, where social stigma is often associated with mental suffering. In general, this makes it difficult for people to express psychological problems. This condition is frequently experienced in the form of recurrent psychosomatic symptoms, such as migraines, pains in joints and muscles, general fatigue and the inability to do even normal daily activities. Most of these patients are referred not to mental health practitioners, but to general physicians, who prescribe drugs to alleviate the symptoms and not the causes. This in turn has given rise to a serious problem of drug dependency.

The sense of security that comes from living in a supportive and safe environment had already been eroded over the years by constant attacks and military confrontation, but was further undermined by the direct experience and/or witnessing of violence against relatives. The widespread destruction, the displacement, the inability to find a safe place anywhere, together with the direct exposure to life-threatening events will continue to have a serious impact on the population. The general state of the inhabitants of the Gaza Strip was described as a form of alienation.

Many of the mental health problems are the result of years of conflict, living in poverty, scarcity and instability in the area and will probably continue until the root causes are eliminated. People, in particular children, live or grow up in a society under occupation, with constant episodes of violence and no sense of security or normalcy.

The situation is compounded by the relative scarcity of qualified professionals and inadequate facilities. The Gaza Community Mental Health Programme has only about 40 members of staff specialized in mental health, including physicians, social researchers, nurses, as well as psychologists. According to Dr. al-Sarraj, this number is not sufficient to cover even the needs of Gaza City district, whereas for the entire population of the Gaza Strip a team of 300 specialists would be necessary.

Over the past two decades, the Gaza Community Mental Health Programme and others have worked to build resilience in people. They told the Mission that the recent military operations had wiped out their achievements. People suffering severe loss also detach themselves from reality, in a phenomenon called “numbness”. According to Dr. Tawahina, the general feeling among most people in Gaza is that they have been completely abandoned by the international community. This feeling of abandonment in turn increases their frustration, creating additional pain, and leads eventually to more violence and extremism. The Gaza Community Mental Health Programme studied children’s attitudes towards violence and found that, as a result of this situation, and especially when children had lost their parents and with them the associated protection and sense of security, they tended to look at “martyrs” and members of armed groups as adult role models instead.

A study conducted by the United Nations Development Fund for Women (UNIFEM) revealed that men also showed more symptoms of psychological trauma after the December-January military operations. Based on specialists’ reports, the Mission is of the view that this could in part be due to the additional stress that men face as heads of families in a male dominated society when they are unable to fulfil their role as main breadwinners or to provide protection and security to their children, wives and other family members.

Based on previous experiences with emergencies, WHO expects the number of people with serious mental health disorders to increase by an average of 1 per cent above the baseline and with mild to moderate disorders by 5 to 10 per cent “provided that a protective environment is restored”

This is only a very small parts of the peoples' suffering and it is good for us to read this report in full. we can access the full report through

http://www2.ohchr.org/english/bodies/hrcouncil/docs/12session/A-HRC-12-48.pdf

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