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GENDER, CONFLICT
TRANSFORMATION &
THE PSYCHOSOCIAL
APPROACH
Toolkit
Introduction

Dear Reader,

Over the past few years, international co-operation has become increasingly aware
of the impact that situations of violence exert on individuals and on society. A
psychosocial approach takes into consideration, for instance, the effects of structural
and armed violence on the emotional state and the everyday social relations of
individuals, as well as on social and political structures.

The present working tool is meant to facilitate the integration of psychosocial methods
into the existing programme of international co-operation. The toolkit explains the
relevance of psychosocial thinking in activities unfolding in a context with structural
and armed violence, while demonstrating what this implies in everyday work.
Although the focus of this toolkit is on regions of conflict, most of the individual
«sheets» contained within are useful for work in other contexts as well. Indeed, it
can be pointed out, for example, that psychosocial interventions have become a key
component of emergency aid in the wake of natural disasters or epidemics, over and
above medical assistance, delivering food and providing shelter.

The toolkit delves into the basic concepts of the psychosocial approach, discusses the
psychosocial condition of various target groups, and outlines the psychosocial
aspects of different sectors.

This toolkit was born of a common initiative on the part of the Gender Unit (GOV)
and COPRET with the intention of linking gender, conflict transformation and the
psychosocial approach, while illustrating their mutual influences. To facilitate the
introduction of this new theme we offer support and guidance that will make the
first steps of implementation easier.

We would like to express our deep gratitude to the OPSI (Office for Psychosocial
Issues) for their splendid work, the exciting process, and the excellent co-operation.

We look forward to hearing from you and thank you in advance for your suggestions
and feed-back.

Yours sincerely,

Maya Tissafi                              Elisabeth von Capeller
Gender Unit (GOV)                         COPRET
List of abbreviations




                        Organisations

                        CGAP      Consultative Group to Assist the Poor
                        CINAT     Coalition of International NGOs Against Torture
                        CPT       European Committee for the Prevention of Torture and Inhuman
                                  or Degrading Treatment
                        CRS       Catholic Relief Service
                        SDC       Swiss Agency for Development and Cooperation
                        DFID      Department for International Development
                        EDA       (Federal Department of Foreign Affairs)
                        FIZ       Fraueninformationszentrum Zürich
                        GTZ       Deutsche Gesellschaft für Technische Zusammenarbeit
                        IDEA      International Institute for Democracy and Electoral Assistance
                        ICRC      International Committee of the Red Cross
                        INEE      Interagency Network for Education in Emergencies
                        IOM       International Organisation of Migration
                        ISHHR     International Society for Health and Human Rights
                        OCHA      Office for the Co-ordination of Humanitarian Affairs
                        ODI       Overseas Development Institute
                        OPSI      Office for Psychosocial Issues
                        OXFAM     Oxford Committee for Famine Relief
                        RHRC      Reproductive Health Response in Conflict Consortium
                        Tdh       Terre des Hommes
                        UN        United Nations
                        UNESCO    United Nations Educational, Scientific, and Cultural Organizations
                        UNICEF    United Nations Children's Fund
                        UNIFEM    United Nations Development Fund for Women
                        UNHCR     United Nations High Commission for Refugees
                        USAID     US Agency for International Development
                        WFP       World Food Programme
                        WHO       World Health Organisation



                        Other abbreviated terms

                        AIDS      Acquired Immune Deficiency Syndrome
                        DDR       Disarmament, Demobilisation, Reintegration
                        HH        Humanitarian Help
                        HIV       HI Virus
                        IDP       Internally Displaced Persons
                        IC        International Cooperation
                        NGO       Non-Governmental Organisations
                        PCM       Project Cycle Management
                        PTSD      Post-Traumatic Stress Disorder
The toolkit at a glance




The toolkit at a glance                               prevail during and after conflicts. The toolkit
Psychosocial work and the relevant tools with         is divided into three parts, each of which deals
which to approach it have, over the past 10           with different aspects of the psychosocial
years, found a growing acceptance in the              approach:
field of international co-operation (IC). There
is no crisis or conflict area where trauma and        Part 1: The basic concepts of the psychosocial
the emotional state of the victims is not dis-        approach
cussed. Psychosocial concepts and methods             Sheets 1 – 7 provide the conceptual frame-
have become increasingly important, espe-             work. Basic terms and concepts are explained
cially in recognising the necessity to support        in this part, tools are recommended to facili-
gender-conscious conflict transformation              tate analysis and central questions regarding
processes. Even so, many people working in            the management of projects and staff from the
development or relief organisations still only        psychosocial perspective are discusssed. The
have a vague idea of what is actually meant           terms introduced in this part are frequently
by psychosocial. While literature on the issue        used in the other sheets of the toolkit. For this
of trauma is extensive, but confusing and con-        reason, it is advisable to have a look at some
tradictory, a brief introduction into the subject     of the chapters of the first part.
matter of psychosocial work in the context of
international cooperation does not yet exist.         Part 2: The psychosocial problems of various
                                                      target groups
This toolkit aims to bridge that gap. It explains     Sheets 8 – 14 deal with the problems of differ-
to both the staff of the Swiss Agency for             ent groups of conflict-affected people. The
Development and Cooperation (SDC) at the              Sheets begin by describing the central aspects
central office and the co-ordination offices          of disempowerment experienced within each
and to the partner organisations how relevant         group, and then identify the main psychologi-
the psychosocial way of thinking is for work          cal and social issues that need to be dealt
in conflict and post-conflict areas. It also shows    with in order to help people to cope with the
how regular development and relief activities         consequences of war and violence.
can be adjusted in order to support the emo-
tional and social recovery of the population.         Part 3: Psychosocial aspects in various sectors
The toolkit does not, however, intend to replace      and areas of intervention
psychological textbooks or manuals on gender          Sheets 15 – 21 cover selected areas of inter-
and conflict transformation, or different areas       vention that are of primary importance in
and sectors of intervention, from HIV/AIDS to         regions affected by war and crisis. In this sec-
water and sanitation, but aims to convey a            tion, activities and methods are identified that
way of thinking and make suggestions as to            are either already widely practised or could
how it can be put into practice.                      be further intensified in order to give people
                                                      additional psychological and social support
It is not necessary to read through the entire        within the framework of the respective sectors.
toolkit. Each of the 21 sheets or chapters can        These Sheets are to be understood as an illus-
also be understood individually. Each sheet           tration of the psychosocial approach and as a
contains definitions, theoretical explanations,       suggestion, not as a guideline or instructions
practical suggestions or checklists, examples         on how to act.
for illustration and references to further articles
                                                                                                          Deza/Caminada (Photo Filter)




and manuals. These elements make it easier
for readers to get involved with the subject
matter and enable them to give additional
attention to those elements in their projects that
promote the empowerment of project partici-
pants under the difficult circumstances that
The toolkit at a glance




                                                              Part 1

                                  Title                                        Contents

                     Sheet 1                         What is the psychosocial approach?
                     Gender, conflict transformation How does the psychosocial approach relate to gender and
                     and the psychosocial approach: conflict transformation?
                     an introduction

                     Sheet 2                           What brings about disempowerment in conflict and post-
                     The psychosocial approach:        conflict areas and what does this mean for working with an
                     conceptual framework and key      empowerment approach?
                     terms                             Explanation of the key terms: threat/fear, destruction/
                                                       trauma, loss/mourning and empowerment.

                     Sheet 3                           How can projects react to the fragmentation of communities?
                     Psychsosocial aspects of devel-   Explanations of community dynamics and suggestions as
                     opment work in virulent conflicts to how to deal with chronic fear among staff and the mar-
                                                       ginalisation of victims of the conflict.

                     Sheet 4                           What are the preconditions for genuine reconciliation and
                     Dealing with the past             a lasting peace?
                                                       Description of different ways of dealing with war crimes
                                                       and supporting its survivors.

                     Sheet 5                           5a. Empowerment tool
                     Tools of analysis                 Analysis of disempowerment and the perspectives for
                                                       empowerment of individuals, families, groups and
                                                       communities.
                                                       5b. Sequential traumatisation tool
                                                       Defining the traumatic sequences in a given context.

                     Sheet 6                           How does one incorporate the principles of the psychoso-
                     Project Cycle Management in       cial approach in planning, implementation and evaluation?
                     the psychosocial field            A checklist.

                     Sheet 7                           How do fear and distress in project participants affect the
                     Staff of the Swiss Agency for     well-being of staff members?
                     Development and Cooperation       Prevention of burnout, secondary traumatisation and
                     (SDC) and its partner organisa-   conflicts within the team.
                     tions
The toolkit at a glance




                                         Part 2

              Title                                       Contents

Sheet 8                           What is gender-based violence and what are the needs of
Gender-based violence             women and men affected by it?
                                  Key psychosocial issues to support the prevention of gender-
                                  based violence and work with the victims; mainstreaming of
                                  measures against gender-based violence.

Sheet 9                           What are the most important psychosocial issues for
Refugees and internally           refugees and internally displaced persons?
displaced persons                 Traumatic sequences for refugees and internally displaced
                                  people and possible ways of supporting them.

Sheet 10                          What are the most important psychosocial problems with
Ex-combatants                     which ex-combatants and their families have to come to
                                  terms?
                                  Traumatic sequences for ex-combatants and possible ways
                                  of supporting them.

Sheet 11                          What is the course of the mourning process for the relatives
Disappeared and murdered          of murdered people and for the family members of the
persons                           disappeared?
                                  Traumatic sequences for affected families and possible
                                  ways of supporting them.

Sheet 12                          What is the nature of the mental destruction caused by
Torture and political prisoners   torture?
                                  Traumatic sequences for political prisoners and torture
                                  victims, and possible ways of supporting them and their
                                  families.

Sheet 13                          What are the typical psychosocial issues that have to be
Trafficking                       dealt with by the survivors of trafficking?
                                  Traumatic sequences for trafficking victims and possible
                                  ways of supporting them.

Sheet 14                          How can HIV-positive people live better with the disease?
HIV/AIDS                          Psychosocial issues that need to be addressed in each
                                  sequence of the disease.
The toolkit at a glance




                                                     Part 3

                                  Title                               Contents

                     Sheet 15                 How can health workers address the impact of the conflict?
                     Health                   Dealing with trauma and psychosomatic reactions within
                                              the framework of normal health care; dealing with the vic-
                                              tims of landmines.

                     Sheet 16                 How can schools provide psychosocial stability for children
                     Education                and teach them how to live in peace?
                                              Integrating the experiences of children in the classroom;
                                              combining teaching contents and methods; strengthening
                                              the connecting role of school; supporting the teachers.

                     Sheet 17                 Why do so many income generation schemes for conflict-
                     Employment and income    affected people fail?
                                              Key psychosocial issues relating to income generation in
                                              conflict and post-conflict areas.

                     Sheet 18                 What is the effect of powerlessness and dependence on
                     Food aid and nutrition   nutritional status?
                                              Key psychosocial issues relating to food aid and sugges-
                                              tions for the empowerment of food aid recipients.

                     Sheet 19                 What does hygiene have to do with trauma?
                     Water and sanitation     Key psychosocial issues associated with water, sanitation
                                              and hygiene promotion.

                     Sheet 20                 What is the correlation between improved social structures
                     Shelter and housing      and the sustainability of shelter projects?
                                              Key psychosocial issues associated with transitional and
                                              durable housing solutions.

                     Sheet 21                 What is the difference between trauma caused by a natural
                     Natural disasters        disaster and trauma caused by war and persecution?
                                              Basic principles of psychosocial support in the event of
                                              natural disasters.
Sheet 1
Gender, conflict transformation and the psychosocial approach: an introduction




                                                                                        Deza/Fritz Staehelin (Photo Filter)



                             International co-operation and
                             the psychosocial approach
                             Since the beginning of the 1990s, and in particular
                             after the genocide in Rwanda in 1994, crisis pre-
                             vention and constructive conflict management have
                             become central to international co-operation. Besides
                             reconstruction and development of the economy and
                             infrastructure it has become important to deal with
                             the consequences of violence for women and men,
                             support reconciliation processes, protect human rights
                             and re-establish a basic sense of social belonging.
                             These issues, many of which are fairly new to inter-
                             national co-operation, imply a special focus on the
                             psychological and social realities of people’s lives. If
                             this does not occur, the risk of failure is high. Why
                             did ex-combatants in El Salvador, despite adequate
                             agricultural training, tend the land they received at
                             the end of the war so poorly that they lost it again?
                             Why do women who have been bold resistance
                             fighters give up all their public activities at the end
                             of the war, return to domestic work and allow them-
                             selves to be abused by their husbands? Why is it
                             that in Gaza domestic violence against women has
                             increased and at the same time the ability of these
                             women to defend themselves has decreased? Why
                             can a history of conflict not simply be put aside or
                             be forgotten? The psychosocial approach helps to
                             answer these and other questions, and provides a
                             conceptual framework as well as analytical tools
                             and procedures to make international co-operation,
                             especially in conflict regions, more effective and
                             more sustainable. It complements and completes the
                             instruments on peace-building (Peace Building, 2003),
                             Conflict-Sensitive Programme Management (2005),
                             and the principles of gender mainstreaming (Gender
                             Equality in Practice, 2003) that were developed by
                             Swiss Agency for Development and Cooperation
                             (SDC).
Gender, conflict transformation and the psychosocial approach: an introduction




                   Violence and the perspective                         The aim of conflict prevention and management
                   of conflict transformation                           must be to combat violence in all its forms and
                   In areas of war and crisis, conflict is deter-       comprehensively improve the security of the
                   mined by direct, structural and symbolic vio-        population (see box below). Similarly to the
                   lence. Direct violence is carried out by specific    different forms of violence, conflicts always
                   actors. Structural violence refers to conditions     affect us on a personal, structural and cultural
                   of power and ownership structures that lead          level. Conflict transformation does not strive to
                   to unequal opportunities for specific groups in      eliminate conflict but to change it for a better,
                   the population, e.g. women, the poor and             more just and peaceful society: «Conflict
                   minorities. Symbolic violence (Bourdieu) refers      transformation is to envision and respond to the
                   to the symbolic order (ideology, culture, social     ebb and flow of social conflict as life-giving
                   forms of organisation, institutions, legal princi-   opportunities for creating constructive change
                   ples, etc.) that perpetuates and reproduces          processes that reduce violence, increase justice
                   existing power structures by obscuring them,         in direct interaction and social structures, and
                   idealising them or declaring them an expres-         respond to real-life problems in human relation-
                   sion of natural laws.                                ships» (Lederach, 2003). Conflict transforma-
                                                                        tion therefore means reducing violence by
                                                                        changing and developing the conflict in all its
                                                                        aspects and dimensions, from society to the
                     Human Security                                     inner life of the individual.
                     Human security in its broadest sense
                     embraces far more than the absence of              Gender and conflict
                     violent conflict. It encompasses human             In the relationships between men and women
                     rights, good governance, access to edu-            the power structures determined by direct,
                     cation and health care and ensuring that           structural and symbolic violence gain particular
                     each individual has opportunities and              relevance. In armed conflict, the relations
                     choices to fulfil his or her own potential.        between men and women change and these
                     Every step in this direction is also a step        shifts will reflect back on the conflict. There
                     towards reducing poverty, achieving eco-           are local differences in the changes in gender
                     nomic growth and preventing conflict.              roles and identities and these must be analysed
                     Freedom from want, freedom from fear               carefully in their specific contexts.
                     and the freedom of future generations to           Nevertheless, several central points tend to be
                     inherit a healthy natural environment – these      similar:
                     are the interrelated building blocks of
                     human – and therefore national security.           I   Sexual violence
                     Millenium Report, United Nations,                      There is an increase in violence against
                     Kofi A. Annan, 2000                                    women in both the domestic and the public
                                                                            spheres.

                                                                        I   Shift in responsibilities
                                                                            Economic crises and security problems
                                                                            make it harder for men to carry out their
                                                                            traditional role as breadwinners and pro-
                                                                            tectors of the family. Women devise sur-
                                                                            vival strategies for themselves and their
                                                                            children, but often at a high emotional
                                                                            cost and to the detriment of their health.
                                                                            They take on new roles managing commu-
Gender, conflict transformation and the psychosocial approach: an introduction




    nal tasks and transforming conflict; some
    join the armies of the conflicting parties.    UN Resolution 1325 on women
                                                   and peace and security
I   Women gain autonomy but not much               In the year 2000 for the first time in its
    political power                                history the UN Security Council addressed
    By taking on new tasks women gain more         the role of women in solving conflicts. A
    power in the domestic sphere, sometimes        resolution was passed which recognizes
    also in the community. However, these          that gender perspectives and the special
    changes usually do not automatically lead      needs of women must be incorporated in
    to more political power. Women are often       conflict management and peace-building
    not represented in the official peace          at all levels. It affirms that gender equality
    process and when the men return home           should be central to every UN mission and
    they are moved from many positions.            acknowledges that women require protec-
                                                   tion during armed conflict. It also holds
I   Gender identities are tenacious                governments and non-state parties fully
    While the gender roles change in war, the      accountable for any abuse they commit.
    old desires and fantasies of what is mas-
    culine and what is feminine remain.
    People say that things will never be the
    same again, but pre-war ideas are deeply
    entrenched and both men and women
    defend them. Inner images change much
    more slowly than outer reality. This is par-
    ticularly true when these changes have not
    been voluntary but are a reaction to trau-
    matic experiences or a survival strategy
    developed in adverse circumstances.

An essential prerequisite for gender-conscious
conflict transformation is the genuine partici-
pation of women in the peace process (see
box). However, a change in gender relations
toward more equality is a slow process. It
requires changes not only in society but also
in every household and every individual. The
following typical psychosocial issues support
this process:
I dealing with the mental well-being, the
    experiences and histories of men and
    women and with their ideas of the past
    and the future;
I supporting developments that allow women
    to gain more autonomy and to increase
    their real participation in local power
    structures;
I public discussion of gender-based violence
    and psychosocial support for victims.
Gender, conflict transformation and the psychosocial approach: an introduction




                     Three «lenses» for                              strategies. These different interrelationships are
                     understanding reality                           increasingly being recognised and defined.
                     The psychosocial approach, conflict transfor-   One could regard the three areas as different
                     mation and the gender focus intersect and       lenses through which realities can be exam-
                     complement each other. However, although        ined. This toolkit explains the psychosocial
                     they deal with related subjects, they involve   approach, always including its overlap with
                     historically separate areas of research that    the «lenses» of conflict transformation and
                     have each developed specific concepts and       gender.




                                Psychosocial




               Conflict                        Gender
               transformation
                                                                              The intersection of these
                                                                      three lenses is the analytical framework
                                                                                    of this toolkit




                     Resources                                       SDC (2005)
                     Lederach, J.P. (2003)                           Conflict-Sensitive Program Management
                     The Little Book of Conflict Transformation.     (CSPM). Mainstreaming the Prevention of
                     Intercourse: Good Books.                        Violence in the International Cooperation.
                                                                     www.deza.ch/ressources/resource_en_
                     SDC (2003)                                      24650.pdf
                     Peacebuilding – SDC Guidelines.
                     www.deza.ch/ressources/resource_en_2411
                     1.pdf

                     SDC (2003)
                     Gender in Practice – A tool-kit for SDC and
                     its partners. To order: info@deza.admin.ch
Sheet 2
    The psychosocial approach: conceptual framework




I   The psychosocial approach
    addresses the well-being of indi-
    viduals in relation to their envi-
    ronments.
I   Psychosocial key words are:
    threat/fear, destruction/trauma,
    loss/grief.
I   Chronic fear leads to a culture of
    silence and makes people unable
    to handle conflict.
I   In conflict regions trauma is a
    reaction to destructive social or
    political events that overwhelm
    people’s ability to cope. Trauma
    develops in sequences.
I   Disturbed mourning processes are
    a key problem of violent conflict.
I   If we strive for empowerment we
    must first examine the nature and
    extent of disempowerment.
    Empowerment is not only a ques-
    tion of gaining insight into one's
    situation, but also of actively
    addressing one's suffering and
    trying to change social power
    structures.                                                                                                        Deza/Samer Mohdad (Photo Filter)




                                         What is psychosocial?
                                         «Psycho» refers to the psyche or the «soul» of a person. It has to do
                                         with the inner world – with feelings, thoughts, desires, beliefs and val-
                                         ues and how we perceive ourselves and others. «Social» refers to the
                                         relationships and environment of an individual. It includes not only the
                                         material world but also the social and cultural context in which people
                                         live, ranging from the intricate network of their relationships to manifold
                                         cultural expressions to the community and the state. The inner world
                                         (psycho) and the outer world (social) influence each other. In short,
                                         «psychosocial» deals with the well-being of individuals in relation to
                                         their environment.
The psychosocial approach: conceptual framework




                                                                                         restricted to so-called psychosocial proj-
The psychosocial space                                                                   ects, but can be applied in any project.




                         L
                                                                                     I   Psychosocial organisational principles
                           livelihood/infrastructure                                     In addition to typical issues of organisa-
                                                                                         tional development (effectiveness, efficiency,
                                                                                         communication processes, etc.) there is a
                                                                                         particular focus on the relationship
                                                                                         between the organisational structure, the
                                                                                         individual staff member and the area of
                                                                                         work. The quality of work will be improved
                                                                                         and burn-out prevented if self-reflection
                                                                                         and self-protection are strengthened and
          individual processes                  social processes                         team members are empowered within the
                                                                                         organisation to shape projects and deal
All projects of international cooperation are in some way concerned with                 with conflicts.
improving people's livelihoods or the infrastructure, with the individual well-
being of people and with changes in society. A particular project may focus          I   Psychosocial projects
more on one or another of these areas. Nevertheless, whatever the specific               Psychosocial projects are created specifi-
focus may be, all three aspects will have a bearing on the project and the               cally to deal with the psychological and
project itself will in turn influence these aspects. The psychosocial approach           social dimensions of destruction. These
focuses on the inter-relationship between these different dimensions.                    projects are usually located in the sectors
                                                                                         of education, health and social work.
                                                                                         They almost always focus on interventions
                                 In international cooperation «psychosocial»             with individuals and groups defined as
                                 appears in three different ways.                        having special needs and problems, as,
                                                                                         for example, victims or perpetrators or
                                 I   Psychosocial as a scientific method                 people living in extreme poverty.
                                     Psychosocial methodology focuses on the
                                     understanding of the relationship between
                                     individuals and their environment. Both
                                     aspects are equally important. This
                                     approach links individual and collective
                                     dimensions of reality. It develops a holistic
                                     understanding of psychological and social
                                     processes. Psychosocial methods are not




Key words in the
psychosocial approach                              Social Process                                         Mental Process
During war and crises, key social
processes correspond to certain mental                   Threat                                                   Fear
processes. These are:
                                                       Destruction                                              Trauma

                                                          Loss                                                   Grief
The psychosocial approach: conceptual framework




Threat/fear                                         ply denied and individuals endanger them-
Fear is a psychological and physiological           selves and others because they no longer per-
process that helps to sense danger and avoid        ceive the dangers.
it. Simple everyday precautions such as look-
ing left and right before crossing the road are     Fear needs to be integrated, not overcome
based on learning processes connected to the        What needs to be overcome, therefore, is not
experience of fear. In acutely threatening situ-    fear itself but the denial of fear, and the
ations, there are three different fear-driven       increasing inability to handle conflict. If chronic
reactions: 1. flight, 2. attack, 3. breakdown       fear is perceived and acknowledged, it loses
and/or complete surrender.                          much of its destructive force and can, with
                                                    time, be adequately integrated into the individ-
Fear and the culture of silence                     ual's mental structure and social relationships.
Fear is usually a temporary phenomenon.             People are then better able to protect them-
However, if the threat becomes chronic, then        selves.
fear becomes chronic too. It becomes part of
the individual’s mental structure and gains an      Destruction/trauma
existence that is independent of the original       Violent conflicts lead to destruction, not only
threat. This may result in people staying psy-      of material things, but also of emotions and
chologically on guard even if the actual dan-       social relationships. When a house is
ger has long gone. Chronic fear is the social       destroyed by bombs people not only lose
by-product of living in areas of war and con-       their dwelling, they also lose a place of
flict. The behavioural patterns it induces are      refuge and belonging. Those who have died
constant watchfulness and reserve, which lead       leave traces (images, memories, histories,
to social withdrawal. Feelings and opinions,        experiences, developments) in the survivors.
especially if they draw attention to one’s own      The psychological equivalent of destruction is
weakness, are only expressed with great reti-       what we call trauma. Trauma changes the
cence. People do not wish to appear vulnera-        individual’s view of the world permanently,
ble nor do they want to burden others with          even if some of what was destroyed can be
their insecurity or anxieties. This culture of      repaired later.
silence isolates the individual and weakens
families and groups because people no longer        Trauma is a process
share their concerns. The suppressed feelings       The word ‘trauma’ comes from Greek and
will ultimately be expressed, although usually      means wound. A psychosocial trauma is a
in a context that makes it impossible to            deep emotional wound, a response to social
acknowledge and deal with them in a suit-           and political destruction that overwhelms the
able manner. This increases the fear and            individual's capacity to cope. A traumatic
deepens the silence.                                breakdown can result after a single event or
                                                    after a series of events that become traumatic
Chronic fear reduces people's ability to            because of their cumulative effect. The social
protect themselves                                  and political process that causes the trauma
Constant tension is expressed by increased          will also determine its further course. Trauma
irritability and aggressiveness. At the same        is therefore a process shaped by the interac-
time it becomes more difficult to handle con-       tion between the social environment and the
flict in a meaningful way. It becomes harder        mental state of the individual. Psychosocial
to speak openly even about everyday mat-            trauma should not be misunderstood as the
ters; trivial differences of opinion or conflicts   psychological result of a clearly circumscribed
of interest are perceived as dangerous.             or specific event. For example, the trauma of
People can no longer distinguish between            an American veteran of the Vietnam war
those situations which are safe and those           involves not only his war experiences but also
which are dangerous. Sometimes fear is sim-         the degree of his social and political isolation
The psychosocial approach: conceptual framework




                  or integration after the war. The traumatisa-      The most important traumatic sequence begins
                  tion of the family members of those who dis-       after the persecution. If a house is on fire,
                  appeared in Argentina developed not only           one tries to put out the flames. It is not until
                  from what happened during the dictatorship         afterwards that the true extent of the damage
                  but also from the way in which these crimes        can be perceived. The burning house is part
                  were dealt with afterwards. The process of         of the trauma, but so is the time afterwards. It
                  trauma thus continues in a healing or destruc-     is often at this point that people become ill.
                  tive way after wars, direct violence and per-      Help is possible and useful in all traumatic
                  secution have come to an end. It is not usually    sequences; however this support must be
                  difficult to determine when a traumatic process    guided by the specific possibilities and limits
                  began, but very often difficult to know when       of each sequence ( Sheet 5b: Sequential
                  it has stopped.                                    traumatisation).

                  Trauma is a psychological process but its          Trauma and the family
                  development is shaped by socio-political           Traumatic processes change not only the indi-
                  events. This interrelation is best reflected by    viduals directly affected, but also their entire
                  the concept of sequential traumatisation which     environments since traumatisation changes
                  describes the course of the traumatic process      the ability to communicate and to form bonds.
                  according to specific historic periods. Hans       If a father is tortured, not only is he trauma-
                  Keilson, who invented the term, defined the        tised, but his wife and children as well. They
                  following sequences for his work with Jewish       have waited for him, fearing for his life, and
                  war orphans in the Netherlands:                    when he returns he may be a broken man
                  I the enemy occupation of the Netherlands          who does not speak to them and whose per-
                      and the beginning of terror against the        sonality has completely changed.
                      Jewish minority;
                  I the period of direct persecution, which          Family members who are born years after the
                      included the deportation of parents and        initial traumatising event can still become part
                      children and/or the separation of children     of the traumatic process. Although the victims
                      from parents;                                  try to forget the traumatic terror and do their
                  I the post-war period, during which the main       very best to keep it to themselves it will
                      issue was the appointment of guardians         inevitably affect their children. If they do not
                      (Keilson, 1992). The key decision that had     talk about it, they remain strangers to their
                      to be taken here was whether to leave the      children; if they try to communicate their
                      children in the Dutch foster families who      experiences (the better option), they must speak
                      had taken care of them during the war, or      about the terror. A survivor of the Holocaust,
                      whether to return them to their Jewish         for example, did not tell her daughter any-
                      milieus of origin, which were also trauma-     thing about her life in the concentration
                      tised. Both possible decisions had positive    camp, but she always called her child «my
                      and negative implications.                     small blonde angel of death». The daughter
                                                                     was confronted with traumatic fear long
                  In our adaptation of Keilson’s concept we          before she understood to what it referred. In
                  have identified the following six sequences to     this way one generation can «inherit» trauma
                  describe the situation in conflict and post-con-   from the previous generations.
                  flict areas.
                  – Before the traumatic process                     Trauma, symptoms and the course of illness
                  – Beginning of the persecution                     Trauma implies a lifelong vulnerability that
                  – Acute persecution: direct terror                 under certain circumstances may lead to
                  – Acute persecution: chronification                pathological symptoms. Since the traumatic
                  – Time of transition                               process takes place in a particular social, cul-
                  – After the persecution                            tural and political context, symptoms can only
The psychosocial approach: conceptual framework




be understood in reference to this context.
Behaviour that is regarded as a symptom in a
certain setting could be perfectly normal in a
different situation.

Any approach that reduces trauma to a men-
tal or physical pathology must be strictly
avoided. Trauma is not simply an illness but
always a social and political process as well.
Project partners should therefore be encour-
aged to develop their own context–specific
definitions and treatments of trauma. The Post
Traumatic Stress Disorder (PTSD) approach,
for example, is insufficient because it can
only diagnose individuals, disregarding the
cultural and social specifics. Its main draw-
back is that it reduces trauma to a disease of
the individual, like any other. PTSD thus ignores
and dislocates the relationship between indi-
vidual suffering and the political context,                                                            Min Bajracharya
thereby adding to the marginalization and           and work. Family structures may collapse;
victimisation.                                      people may display anti-social behaviour and
                                                    develop severe psychosomatic illnesses; trau-
Nevertheless, this kind of conceptual limitation    matisation makes it more difficult to come to
should not lead to an attitude towards trauma       terms with loss. Since traumatisation generally
that forgets or denies the profound psycholo-       entails the experience of extreme violence
gical damage. Symptoms should be defined            and aggression, it may often impair the indi-
and described within their specific contextual      vidual’s capacity for healthy aggression, e.g.
meanings. Certain symptoms that are                 self-defence.
described in the diagnostic criteria of PTSD
(American Psychiatric Association, Diagnostic       Healing?
and Statistic Manual of Mental Disorders, 4th       Traumatic experiences never disappear com-
edition, 1994), for example, seem to be pres-       pletely from the mind; the goal can therefore
ent in most social contexts. The victims of trau-   not be healing in its usual sense. Those affect-
ma experience the traumatic events again            ed by trauma may, however, learn to inte-
and again, either in the form of involuntary        grate the traumatic experiences into their lives
images, thoughts or perceptions, or also as         and find a way out of the role of the victim.
illusions or hallucinations (flash-backs/intru-     They may at some point be able to lead a
sive thoughts). They avoid stimuli that are con-    fairly normal life. However, their suffering,
nected with the traumatic event (numbing)           which is linked to the social process both in
and suffer from constant, exaggerated vigi-         origin and throughout its development, will
lance (hyper-arousal). In the long term, severe     not stop. Support therefore should not be lim-
trauma can often lead to depressive symp-           ited to the individual working through of trau-
toms. Even if these symptoms that arise in dif-     ma. Equally or maybe even more important is
ferent contexts resemble each other, their sig-     society’s acknowledgment of what has hap-
nificance may vary considerably and many            pened: in this way the extreme suffering of
other symptoms that are not mentioned in this       individuals can be shared and collectively
list may also be observed. We frequently            contained. Trauma work is not just a social
encounter disturbances of social behaviour, in      and medical issue but a cornerstone of the
particular an impaired ability to communicate       peace-building process ( Sheet 4: Dealing
The psychosocial approach: conceptual framework




                                    with the past). Support for trauma victims is       Complicated mourning process
                                    possible and necessary in all traumatic             If the loss is violent, the mourning process is
                                    sequences ( Sheet 5b: Sequential traumati-          never uncomplicated. The circumstances of
                                    sation).                                            the death cannot be fully grasped and are in
                                                                                        principle unacceptable. Often family members
                                    Loss/grief                                          are not able to bury their dead with dignity
                                    Threat and destruction always imply loss.           because the bodies of their loved ones are
                                    People lose their homes, cities are destroyed,      missing or their deaths are mired in political
                                    family members, friends and acquaintances           controversy. They cannot really share their
                                    die. People lose their life projects, their hopes   pain with anyone. Unstable conditions, the
                                    and aspirations. In the end, after everything       traumatisation of the survivors and the strug-
                                    has been taken away, loss is all that remains.      gle for survival make it even harder for peo-
                                    Loss is directly linked to threat and destruc-      ple to go through an ordinary grieving
                                    tion, but must nevertheless be perceived as a       process. If the mourning process comes to a
                                    separate social category. Loss and dealing          standstill and cannot be completed, people
                                    with loss are part of everyday social experi-       are at risk. Emotionally they cannot let go,
                                    ence and determine what happens in society          they remain embroiled with death and there-
                                    at large, especially after the acute conflict has   fore do not engage with life again.
                                    come to an end. The psychic counterpart to          Depression, increased susceptibility to disease
                                    loss is grief – which is the way in which we        and excessive medication and substance
                                    deal with loss. The course of the mourning          abuse are typical symptoms. After violent con-
                                    process determines whether the loss is inte-        flict it is essential to deal with the losses and
                                    grated and psychologically accepted and can         the dead and to allow for grieving to take
                                    thus become history, or whether it continues        place; this is at the core of individual coping
                                    to affect life negatively.                          and the reconstruction of society and peace-
                                                                                        building. ( Sheet 4: Dealing with the past;
                                    The two phases of mourning                          Sheet 11: Disappeared and murdered per-
                                    The mourning process can roughly be divided         sons).
                                    into two phases. In the first phase it is a ques-
                                    tion of acknowledging and accepting the             The core of the psychosocial
Deza/John Paul Kay (Photo Filter)   loss. Initially the loss is often denied; those     approach: empowerment
                                    who have lost loved ones may try to strike a        Empowerment and disempowerment are core
                                    deal with fate, for example, offering some-         concepts of psychosocial efforts worldwide.
                                    thing very valuable in exchange, if only their      These terms are used in very different political
                                    loss is undone. They feel lonely and aban-          circles. Some put more emphasis on self-
                                    doned. This phase is dominated by anger             reliance, the elimination of social welfare
                                    and it ends with an acknowledgement of the          structures and the development of market
                                    loss. The next phase of the mourning process        forces. Others focus on overcoming and elimi-
                                    entails returning to a reality which no longer      nating social injustice and on expanding the
                                    contains that which was lost. People then           opportunities for individuals to shape their
                                    reflect on the lost relationship; they remember     own lives. Both interpretations underline the
                                    the strengths and weaknesses of the loved           capabilities and the responsibility of the indi-
                                    one. Those who grieve process the signifi-          vidual. Both lines of thought were developed
                                    cance that the loss had for their own lives,        in the USA in the 1970s. Barbara Solomon’s
                                    and transform it into a memory without a            book «Black Empowerment: Social work in
                                    future (Volkan, 2000). The feelings in this         Oppressed Communities» appeared in 1976.
                                    phase tend to be closer to what we generally        A year later «To Empower People» was pub-
                                    regard as grieving. The length of an uncom-         lished by the neo-conservative thinkers Peter
                                    plicated mourning process varies, but it is         Berger and Richard Neuhaus. Internationally
                                    rarely shorter than 1 – 2 years.                    this concept has been further developed, par-
The psychosocial approach: conceptual framework




ticularly by organisations linked with the
women’s movement. «Empowerment» is wide-              Different aspects of women’s empowerment
ly used in international cooperation, though          I Personal empowerment: self-confidence, self-assurance, self-respect,

often without a clear definition.                        opportunities and greater freedom
                                                      I Legal empowerment: formal legal security, making use of existing laws,

«Empowerment» contains the word «power»,                 influence on legislation, reproductive rights
which has many different meanings, including          I Social empowerment: visibility and social presence, participation in

agency, strength, capability, competence,                public life, respect by other members of the community, networking
authority, vigour etc. The following dimen-           I Political empowerment: participation in political groups and political

sions of power are key to the empowerment                organisations, influence on political institutions, participation in interna-
concept.                                                 tional political processes, participation in UN conferences
I At the individual level, power can be               I Cultural empowerment: power to shape cultural definitions, influence the

    understood as «power within». People are             symbolic order; maintaining or expanding women's culture and position
    able to recognise their own situation as             in religious systems
    shaped by adaptation, dependence and/             I Economic empowerment: economic literacy, property and means of

    or oppression, and they develop a wish to            production, income and decision-making power in reference to money,
    change. They understand that they have               reduction of dependence, risks and stress, economic organising, social
    the possibility to influence and shape their         security, influence on economic policies
    own lives – that they have the power to            Adapted from: Rodenberg and Wichterich, 1999
    act, to make decisions and to solve prob-
    lems.
I Empowerment includes «power with», i.e.
    the realisation that individuals are not        To achieve empowerment, the nature and
    alone but are part of a group and that          extent of disempowerment first has to be
    change can take place when people work          closely analysed. Disempowerment is the
    together. This power involves thinking, act-    product of the process of destruction, at both
    ing and networking with others in a social      the individual and the social level. It may
    context.                                        have a sudden and traumatic beginning, or it
I The third level is concerned with the             may be entrenched in culturally determined
    changing of social power relations. It is a     power and relationship structures.
    question of oppression and marginalisa-
    tion and of reducing the power of domi-         Empowerment is only possible if this destruc-
    nant groups (power over). The goal should       tion is recognised. People who have under-
    be participation in power in societal           gone great suffering have certain resources to
    processes.                                      help them survive and can be resilient.
                                                    However, in order to mobilise people’s
Empowerment is not limited to developing            strengths it is important to not deny their
more positive feelings about oneself and gain-      weaknesses. By coming to terms with the losses
ing insight into one’s situation. It also means     and the adverse life changes and by facing
doing something about it. It means actual par-      the feelings of helplessness and despair, they
ticipation in the social process with a realistic   can develop and use their own resources in a
prospect of changing existing power struc-          better way. Disempowerment and empower-
tures.                                              ment are therefore always related to each
                                                    other.
The psychosocial approach: conceptual framework




                                     Resources
                                     Psychosocial Working Group
                                     www.forcedmigration.org/psychosocial
                                     This group which consists of leading US-
                                     American NGOs and specialised universities
                                     suggests a conceptual framework and ele-
                                     ments for best practice standards in psychoso-
                                     cial interventions. The website provides fur-
                                     ther literature. The Psychosocial Working
                                     Group is on the website of Forced Migration
                                     Online that provides access to relevant docu-
                                     ments, manuals und guidelines in working
                                     with refugees and displaced persons.

                                     Becker, D. (2000)
                                     Dealing With the Consequences of
                                     Organised Violence in Trauma Work.
                                     www.berghof-handbook.net/articles/becker
                                     _handbook.pdf
                                     Bracken, P. J., Petty, C. (eds.) (1998).
                                     Rethinking the Trauma of War.
                                     New York: Save the Children.

                                     Keilson, H. (1992)
                                     Sequential traumatisation in children,
                                     Jerusalem: Magnes Press, Hebrew University.

                                     Rodenberg, B. and Wichterich , C. (1999)
                                     Macht gewinnen – Eine Studie über
                                     Frauenprojekte der Heinrich Böll Stiftung im
                                     Ausland (Gaining Power – A Study of
                                     Women’s Projects of the Heinrich Böll
                                     Stiftung).
                                     Berlin: Heinrich Böll Stiftung.

                                     SDC (2003)
                                     Are We Contributing to Empowerment in Latin
                                     America? Discussion paper.
                                     www.deza.ch/ressources/resource_en_
                                     24242.pdf

                                     Volkan, V. and Zintl E (1993)
                                     Life after Loss – The Lessons of Grief.
                                     New York: Scribner.




  Deza/Samer Mohdad (Photo Filter)
Sheet 3
    Psychosocial aspects of development work in virulent conflicts




I   Every project is inevitably part of
    the conflict and must continually
    monitor and analyse whether its
    activities are still appropriate to
    its rapidly changing surroundings
    or whether they contribute to an
    aggravation of the conflict.
I   The acute conflict intensifies the
    mechanisms of stigmatisation
    and marginalisation of the direct
    victims. Great care must there-
    fore be taken in project work not
    to aggravate this exclusion
    process any further.
I   To ensure that staff members can
    work effectively in the acute con-
    flict situation, they must be pro-
    vided with basic knowledge on
    the effect that fear, trauma and
    loss have on people and how to
    address these issues.
I   In addition, staff members need
    to confront the issue of dealing
    with their own fear at regular
    intervals within the teams.
    Concealing fear not only endan-
    gers staff members' safety of
    staff members, but also under-
    mines their motivation and effec-
    tiveness.
I   Fear, the effect it has on people                                                                                     Deza/Ana Feric

    and ways of dealing with it are
    a central issue of work with tar-
    get groups in conflict areas.

                                          Working in and on conflict
                                          The context of international co-operation is becoming increasingly deter-
                                          mined by fragile social and political conditions and by violent conflict.
                                          Programmes and projects can try «to work around the conflict», that is,
                                          try to circumvent it, or they can consciously take account of the conflict
                                          and minimise its risks «working in the conflict» and/or make a direct
                                          contribution to transforming it «working on the conflict». Working
                                          around the conflict is a common approach, but it is eventually doomed
                                          to failure because projects are inevitably part of the conflict. If this fact
                                          is overlooked, the real situation of the population is not recognised and
                                          only those least affected by the conflict will benefit.
Psychosocial aspects of development work in virulent conflicts




                    The Swiss Agency for Development and                 Fragmentation and exclusion:
                    Cooperation (SDC) strives to work both in and        the problem
                    on the conflict. In the framework of Conflict-       The consequences of threat and fear
                    Sensitive Programme Management (CSPM) its            People live in a constant state of insecurity.
                    focus is on the prevention of violence and the       Bewildering and unexpected things are hap-
                    transformation of the conflict. Two central          pening all the time, but it is difficult to under-
                    questions arise here.                                stand why and what they could mean. At the
                    I What is the nature of the conflict (main           same time, one always has to be prepared for
                        features, virulence, prospects of develop-       the worst. This all-pervasive fear erodes social
                        ment work/change)?                               networks and interferes with communication
                    I How do the programme and the conflict              and understanding the meaning of things.
                        affect each other?                               People no longer speak about their own suffer-
                                                                         ing and are impaired in their awareness of the
                    The first question is concerned with assessing       suffering of others. They often do not take part
                    which of the intervention measures can reduce        in communal activities and stay away from
                    violence and exploring how much scope there          groups. Even among the like-minded, dialogue
                    is for the programme. The second question            becomes more difficult.
                    investigates whether project activities may
                    inadvertently aggravate the conflict (Do no          The change in social structures and social roles
                    Harm) or how the programme can contribute            Virulent conflicts change social structures.
                    to a positive change in its course.                  People take on new roles and lose old ones.
                                                                         Women often have to do men’s work, men
                    In the interest of transforming direct, structural   can lose their influence as head of the family
                    and symbolic violence, SDC supports the              and children sometimes become soldiers; many
                    empowerment of marginalized groups. In               become impoverished, others suddenly become
                    virulent conflicts, however, empowerment is a        rich. These social processes sometimes release
                    delicate and complicated matter, because             feelings of excitement, but often they lead to
                    chronic fear and traumatic experiences reduce        feelings of confusion, uselessness and a lack
                    people’s ability to act, communicate, and            of self-esteem. Some people can no longer
                    change community dynamics.                           live up to their former role expectations, while
                                                                         others fulfil their new roles so well that they
                                                                         are in conflict with the image they previously
                                                                         had of themselves.
                    Deza/Toni Linder (Photo Filter)

                                                                         The marginalisation of the victims
                                                                         Mistrust, an increasing shortage of resources
                                                                         and the growing polarisation of power all
                                                                         contribute to increasing the dynamics of
                                                                         exclusion. The threat of marginalisation and
                                                                         exclusion for direct victims is higher than for
                                                                         anyone else. They are isolated and stigma-
                                                                         tised, because the neighbours fear that, if
                                                                         they help, they will be «contaminated» and
                                                                         become the next victims. Friends and neigh-
                                                                         bours often feel helpless and do not see any-
                                                                         thing they could do to offer support in view of
                                                                         the victims’ overwhelming suffering.

                                                                         Exclusion and stigmatisation of the victims is
                                                                         an expression of the fragmentation and
Psychosocial aspects of development work in virulent conflicts




destruction of the collective social structure.       between the population and the outside world
People become used to the injustice, the sight        or strengthen the connections. The withdrawal
of dead bodies and the increasing loss of val-        of governmental bodies, project workers,
ues. Mistrust and fear take over and «might is        political representatives etc. from areas of
right». Basic ethical principles and human            conflict not only leads to a shortage of
values become more and more eroded; many              resources, but also increases fear and hope-
experience this as an elementary loss.                lessness and the feeling of being left alone
                                                      and forsaken. This is the reason why the pur-
Linking and empowerment:                              suit of development objectives should not be
what is to be done?                                   the only basis for deciding whether or not a
Working in conflict areas calls for flexibility.      project should be continued. It is important
The main questions concerning the nature of           for the social and emotional survival of the
the conflict and the interaction between the          population to maintain social bonds, relation-
conflict and the programme must be re-ad-             ships and links to the outside world. The
dressed regularly, in order to adjust the project     maintenance of networks must also be recog-
activities accordingly. To make this possible, it     nised as a useful contribution for future work
is important to advance the understanding of          in the aftermath of the conflict and should
the causes of the social and mental fragmen-          therefore be included as an objective in the
tation and acknowledge them. It must always           project's logical framework.
be an additional aim of project interventions
in areas of conflict to counteract fragmenta-         Managing fear
tion. This is the only way to actually facilitate     Mistrust of everyone and everything, com-
empowerment. In awareness of this fact, the           bined with silence about one’s own vulnera-
following aspects should receive priority             bility, is an appropriate survival strategy for
attention.                                            people living in an unpredictable and violent
                                                      environment. The price of this is social and
Encouragement of communication and                    emotional isolation that in turn reinforces fear
keeping in touch with the outside world               and mistrust. In order to interrupt this vicious
When interaction between the members of a             circle, project work must endeavour to create
community or region becomes more sporadic,            spaces where people may show weakness
or even breaks down completely because of             and express their feelings. People should be
the fear, mistrust and restricted mobility to which   invited to talk about their fears without infring-
people are subjected, the encouragement of            ing on their intimacy, but also without remain-
communication and the transfer of reliable            ing on a superficial and non-committal level.
information becomes a relevant part of proj-          The purpose of such conversations is to be
ect intervention. Staff members should keep in        able to talk about fear, planning as good a
touch with as many people as possible, and            protection as possible from whatever is threat-
encourage communication amongst the mem-              ening them on the one hand, and overcoming
bers of the community by creating new                 self-isolation and loneliness on the other
opportunities of getting together and also            ( boxes entitled «The effect of conflict on
making use of the existing less formal spaces         feelings» and «Possible ways of managing
of social interaction for their work. This helps      fear»). It should not be expected that such
to stabilise the fraying social structures and        talks will eliminate fear. They can only make
promotes exchange and dialogue, especially            fear more bearable and more manageable.
among members of the same networks or
among the members of the same district, town          Helping people understand what is
or village. Before opposing sides can talk to         happening to them
each other, dialogue among the members of             When staff members respond to the current
the same community needs to be nurtured.              situations of participants during their project
It is always important to establish contact           work, they must proceed with care and
Psychosocial aspects of development work in virulent conflicts




                                sensitivity to ensure that they neither endan-     and to talk about their experiences in a suit-
                                ger themselves, nor the people to whom they        able manner ( Mental health in emergencies,
                                are talking. It is sometimes not possible to       Sheet 15).
                                speak openly about traumatic experiences,
                                even if people would like to. The conflicting      Coping with changes in social roles
                                parties could interpret the discussion of such     Changes in social roles will always be unset-
                                issues as an attack on their politics and pun-     tling for the people involved. They have to
                                ish the activity correspondingly. In such cases    learn new skills and endure greater or unac-
                                staff members should approach matters less         customed forms of stress. These changes
                                directly and not talk openly about the kidnap-     always affect their self-image and identity.
                                ping of community members in a group dis-
                                cussion during a health project, for example,      Team members in conflict areas are always
                                but perhaps broach the issue by discussing         faced with changing roles, particularly gen-
                                the effects of stress on pregnancy or the gen-     der roles. When practical solutions are being
                                eral effects of fear on the behaviour and          discussed, e.g. if women have to cope with
                                development of children. If someone has            the burden of extra work or generate more
                                recently been arrested or disappeared and          income, the psychological effects of these
                                people in the community are afraid to talk         changes must be dealt with as well. Women
                                openly about it, instead of talking about the      frequently find the additional responsibility
                                prevailing situation, staff members can dis-       rewarding and empowering. However, they
                                cuss what happened in a similar case in            almost always feel insecure as well, some-
                                another area, and the feelings of the people       times even guilty, because they have had to
                                there. It has a relieving and stabilising effect   give up their former existence which corre-
                                on people living in difficult and fearful situa-   sponded more closely to society’s expecta-
                                tions to be supplied with simple information       tions of their role as a woman. Role changes
                                on the effects of traumatic experiences on         that are solely perceived as a loss are even
                                children, adults, families and communities         more difficult to adjust to, e.g. the father who
                                                                                   can no longer fulfil his role as breadwinner.

                                                                                   Empowerment processes will only work if
                                                                                   acknowledgement of the loss is coupled with
The effect of conflict on feelings                                                 the questioning of traditional roles, i.e. if it is
I Dissociation and suppression of feelings may sometimes be useful in order
                                                                                   possible to make these role changes an issue
  to avoid shame or to endure a dangerous situation. Later, however,               which can be worked through.
  these feelings must be acknowledged if people are not to lose their
  ability to feel altogether.                                                      Working with victims
I Strength is important, but it is sometimes necessary to risk showing
                                                                                   The support of widows and widowers, orphans,
  weakness. One can best protect oneself if one acknowledges one's                 families of the disappeared, victims of rape
  weakness even in a dangerous situation.                                          etc. is usually referred to specialised psychoso-
I Even in the direst circumstances, light-heartedness, laughter and falling
                                                                                   cial projects. However, these projects are
  in love are permissible. This is not a betrayal of those who suffer, but is      almost always only located in areas with large
  natural and healthy.                                                             numbers of affected people, in urban centres or
I Feelings of guilt are frequently not so much the expression of actual
                                                                                   refugee camps. The question then arises as to
  guilt, but more a desperate attempt to reduce one's powerlessness by             what to do with the families directly affected
  increasing one's responsibility: «The more responsible I am for my               but living outside the reach of organisations
  misfortune or, the more I can find the reasons for my misfortune in my           that offer specialised support.
  own behaviour, the less I am a helpless victim». However, this kind of
  «self-empowerment» converts external destruction into self-destruction,          Many development projects are not designed
  which makes it all the harder to combat.                                         to support the individual. However, it is advis-
                                                                                   able, not just for humanitarian reasons, to
Psychosocial aspects of development work in virulent conflicts




expand project strategies to include work
with those directly affected. Victims are overt      Possible ways of supporting people directly affected
symbols of the conflict and are therefore stig-      by the conflict
matised and isolated. By dealing with them,          I Breaking through the isolation. Establish contact, ensure that project team

we make it clear that we are not prepared to           members or others pay regular visits, integrate victims into community
ignore the consequences of the conflict, the new       activities.
dimensions of exclusion and marginalisation.         I Acknowledging the suffering. Introducing activities and looking for solu-

Such work gives the project and its team               tions to the problem should always be only the second step. Initially, staff
added motivation and authority to talk pub-            members should get involved with the victims and their feelings. This
licly about the costs of war.                          requires active listening, i.e. listening with empathy, respect and the
                                                       desire to understand the victim’s situation by not denying, but rather
Direct victims can be supported in many dif-           acknowledging the destruction and injury she or he has suffered.
ferent ways. Whatever form the support may           I Establishing social networks. Build up networks with institutions that can

take, the helpers must always at least be will-        provide the necessary resources (emergency aid, legal aid, grants and
ing and able to listen to the victims and to           loans, skills training, agricultural advice, referral to specialised medical
acknowledge their suffering ( Mental health            services etc.).
in emergencies, Sheet 15). It is not possible to     I Ensuring that further support is provided to the victims by the community.

complete a mourning process during virulent            Community members should be helped to understand the experience and
conflict. The families of those murdered should        feelings of people who have suffered violence or loss. Community work
nevertheless be helped to carry out their death        should focus on reducing their exclusion and extending their support.
rites and mourning rituals as well as they can       I Monitoring human rights violations. Detailed records of human rights vio-

and to give voice to their feelings of loss.           lations must be compiled to support the defence of human rights during
( Sheet 11: Disappeared and murdered                   the conflict as well as the rehabilitation and reintegration of the victims in
persons)                                               the aftermath of violent conflict. Comprehensive information on the nature
                                                       and extent of the violations is required if a society is to be able to deal
Supporting staff in working                            with the conflict after the end of the war ( Sheet 4: Dealing with the
with fragmented communities                            past).
Coping with risk and fear
Staff members in areas of conflict are fre-
quently exposed to high risks. They are in
danger of being arrested or abducted, get
caught in the crossfire or are pressed by the
conflict parties to supply them with informa-
tion. In an environment of this kind, their
work is accompanied by constant fear which,
in the long run, has a considerable influence
on their well-being and their work motivation
( chronic fear, Sheet 2).                            The Archives of Chile's Vicaría de la Solidaridad
                                                     The Vicarìa de la Solidaridad of the Catholic Church in Chile provided
SDC works extensively on the protection of its       legal advice for victims during the Pinochet dictatorship. In 1976, the year
staff. It concentrates on analyses of risks,         it was founded, the Vicaría was already dealing with 11’000 cases. Month
draws up guidelines on how to deal with con-         after month they documented hundreds of arrests and compiled evidence
flict parties and dangerous situations and pro-      which was published abroad. This work was continued under extremely
vides relevant training. This support is essential   difficult conditions until 1992. After the dictatorship, the extensive documen-
to protect staff members from threat. It is          tation of the Vicaría was an important basis for truth commissions, court
equally important, however, to train staff to        trials and the reparation efforts of the government. Without the work of the
cope with chronic fear.                              Vicaría, the peace and reconciliation work in Chile would have been much
                                                     more difficult.
Psychosocial aspects of development work in virulent conflicts




                                                                                    In the offices of many development and relief
Possible ways of managing fear                                                      organisations, it is unusual to talk about emo-
If staff members are not accustomed to talking about their feelings, execu-         tions at an official level. However, when the
tive staff members will have to set a good example. Senior staff should             safety of staff members is jeopardised, feel-
broach the issue of fear in official meetings, so that they can signal to           ings are definitely no longer a luxury, but
other staff members that it is legitimate to express feelings. The introduction     become an integral part of self-protection. If
of a new culture of verbalising emotions requires a continued effort and on         fear is not sufficiently understood and inte-
behalf of executive staff a certain level of preparation and knowledge              grated, it becomes a risk factor in itself.
about how to organize such conversations ( Sheet 7: Staff).                         People who suffer from chronic fear and deny
I Take up the issue of fear in your team sessions, just as naturally as if          the fact are frequently no longer capable of
     you were talking about security. Begin by explaining why you find it           assessing situations reliably. They either over-
     important to talk about fear, and elaborate on how chronic fear can            estimate the risk, or take bigger risks each
     impair staff motivation and have an effect on their safety, and on how         time without being aware of the fact. This is
     it affects family life and teamwork. Afterwards, and in all the meetings       why it is necessary to create space for dia-
     that follow, ask the participants what they themselves find disturbing,        logue in each project and in every office, so
     what they are most afraid of. Draw up a list and let the group members         that staff members can not only discuss risks
     select one experience of fear that they would like to talk about in greater    at regular intervals, but also reflect on their
     depth. It is important that everything said should be taken seriously. If      fears.
     staff members feel they are being criticised, it will impede open discus-
     sion.                                                                          Acquiring knowledge and skills
I Always discuss a specific situation that causes fear in order to gain a           In conflict situations, staff members may try
     deeper understanding of exactly what gives rise to fear among staff            not to become involved with the fears and
     members. People must subsequently be helped to stand by their feel-            experiences of the target population. By
     ings, even if they cannot immediately do anything to change them. This         avoiding involvement, they wish to protect
     emotional exchange is not merely a means of developing more effec-             themselves in two ways: on the one hand,
     tive forms of action, but already has value in itself and is an aim of         from the danger to which they may be sub-
     such talks in its own right. But the main point of such an exchange is,        jecting themselves by associating with those
     of course, above all, to develop ideas on how to cope better with the          who have been targeted by the conflict par-
     situation and assess the amount of risk that is really involved. Staff can     ties, and on the other hand, from confronta-
     discuss more effective measures for protecting themselves, whilst retain-      tion with immense suffering and strong emo-
     ing at least a minimum of control over the situation.                          tions. It is particularly difficult for staff mem-
I The more individual staff members know about their own fears, the eas-            bers who have themselves been through expe-
     ier it will be for them to work with their partner organisations or target     riences similar to those of the target popula-
     group. They will then find it easier to recognise how others feel, how         tion (e.g. intimidation, abduction etc.). If staff
     they might react to fear, and that it relieves and protects them to talk       members are expected to react to the experi-
     about it rather than to keep it to themselves.                                 ence of the population in terms of linkage
I Frequently, external pressures aggravate conflicts and tensions among             and empowerment, they themselves must first
     the members of a team. Staff members often fail to recognise the con-          of all feel capable of coping with these issues
     text in which such emotions are developing, so that the conflicts              and at least have learnt to acknowledge and
     become more intricate and it becomes increasingly difficult to find a          endure their own insecurity and fear. They
     solution for them. It is particularly important in situations in which staff   must be given the opportunity to take a closer
     members are exposed to risk that they should be able to give each              look at their own difficult experiences and
     other mutual support and protection. For this reason, it is important to       gain sufficient understanding of the effect of
     deal with team conflicts, if necessary with the assistance of external         political violence on individuals and commu-
     supervisors.                                                                   nities. Only when staff members have given
                                                                                    enough thought to the consequences of rape
                                                                                    or the effects of threats on families and on the
                                                                                    behaviour and feelings of schoolchildren, for
                                                                                    example, will they be ready and able to have
                                                                                    discussions of this nature in the community. A
Psychosocial aspects of development work in virulent conflicts




                                                                     Meinrad Schade



short workshop is, in general, not enough in
the way of preparation. Instead, staff mem-
bers should be provided with the opportunity
to reflect and acquire further knowledge at
regular intervals with the support of resource
persons. This will help them to develop strate-
gies and techniques of taking up relevant
issues with individuals and communities.
( Sheet 7: Staff). In this context also the
trainings in mediation offered by SDC can be
of help (www.sdc.admin.ch        Services
Courses).
Psychosocial aspects of development work in virulent conflicts




                                                      Resources
                                                      Anderson, M.B. (1999)
                                                      Do No Harm: How Aid can Support Peace –
                                                      or War.
                                                      Boulder: Lynne Rienner Publishers.

                                                      DFID/GTZ (2005)
                                                      A Guidebook to Safe and Effective
                                                      Development in Conflict, Nepal.
                                                      www.gtz.de/de/dokumente/en-Guidebook-
                                                      SEDC.pdf
                                                      An excellent guide to analysing projects,
                                                      bringing together principles of good develop-
                                                      ment practice and «Do No Harm».

                                                      SDC (2005)
                                                      Conflict-Sensitive Program Management
                                                      (CSPM). Mainstreaming the Prevention of
                                                      Violencein the International Cooperation.
                                                      www.deza.ch/ressources/resource_en_
                                                      24650.pdf

                                                      Volkan, V. (2003)
                                                      Das Versagen der Diplomatie. Zur
                                                      Psychoanalyse nationaler, ethnischer und
                                                      religiöser Konflikte (The Failure of Diplomacy.
                                                      On the Psychoanalysis of National, Ethnic
                                                      and Religious Conflicts).
                                                      Giessen: Psychosozial Verlag.




    Deza/Toni Linder (Photo Filter)
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Resource en 91135

  • 1. GENDER, CONFLICT TRANSFORMATION & THE PSYCHOSOCIAL APPROACH Toolkit
  • 2. Introduction Dear Reader, Over the past few years, international co-operation has become increasingly aware of the impact that situations of violence exert on individuals and on society. A psychosocial approach takes into consideration, for instance, the effects of structural and armed violence on the emotional state and the everyday social relations of individuals, as well as on social and political structures. The present working tool is meant to facilitate the integration of psychosocial methods into the existing programme of international co-operation. The toolkit explains the relevance of psychosocial thinking in activities unfolding in a context with structural and armed violence, while demonstrating what this implies in everyday work. Although the focus of this toolkit is on regions of conflict, most of the individual «sheets» contained within are useful for work in other contexts as well. Indeed, it can be pointed out, for example, that psychosocial interventions have become a key component of emergency aid in the wake of natural disasters or epidemics, over and above medical assistance, delivering food and providing shelter. The toolkit delves into the basic concepts of the psychosocial approach, discusses the psychosocial condition of various target groups, and outlines the psychosocial aspects of different sectors. This toolkit was born of a common initiative on the part of the Gender Unit (GOV) and COPRET with the intention of linking gender, conflict transformation and the psychosocial approach, while illustrating their mutual influences. To facilitate the introduction of this new theme we offer support and guidance that will make the first steps of implementation easier. We would like to express our deep gratitude to the OPSI (Office for Psychosocial Issues) for their splendid work, the exciting process, and the excellent co-operation. We look forward to hearing from you and thank you in advance for your suggestions and feed-back. Yours sincerely, Maya Tissafi Elisabeth von Capeller Gender Unit (GOV) COPRET
  • 3. List of abbreviations Organisations CGAP Consultative Group to Assist the Poor CINAT Coalition of International NGOs Against Torture CPT European Committee for the Prevention of Torture and Inhuman or Degrading Treatment CRS Catholic Relief Service SDC Swiss Agency for Development and Cooperation DFID Department for International Development EDA (Federal Department of Foreign Affairs) FIZ Fraueninformationszentrum Zürich GTZ Deutsche Gesellschaft für Technische Zusammenarbeit IDEA International Institute for Democracy and Electoral Assistance ICRC International Committee of the Red Cross INEE Interagency Network for Education in Emergencies IOM International Organisation of Migration ISHHR International Society for Health and Human Rights OCHA Office for the Co-ordination of Humanitarian Affairs ODI Overseas Development Institute OPSI Office for Psychosocial Issues OXFAM Oxford Committee for Famine Relief RHRC Reproductive Health Response in Conflict Consortium Tdh Terre des Hommes UN United Nations UNESCO United Nations Educational, Scientific, and Cultural Organizations UNICEF United Nations Children's Fund UNIFEM United Nations Development Fund for Women UNHCR United Nations High Commission for Refugees USAID US Agency for International Development WFP World Food Programme WHO World Health Organisation Other abbreviated terms AIDS Acquired Immune Deficiency Syndrome DDR Disarmament, Demobilisation, Reintegration HH Humanitarian Help HIV HI Virus IDP Internally Displaced Persons IC International Cooperation NGO Non-Governmental Organisations PCM Project Cycle Management PTSD Post-Traumatic Stress Disorder
  • 4. The toolkit at a glance The toolkit at a glance prevail during and after conflicts. The toolkit Psychosocial work and the relevant tools with is divided into three parts, each of which deals which to approach it have, over the past 10 with different aspects of the psychosocial years, found a growing acceptance in the approach: field of international co-operation (IC). There is no crisis or conflict area where trauma and Part 1: The basic concepts of the psychosocial the emotional state of the victims is not dis- approach cussed. Psychosocial concepts and methods Sheets 1 – 7 provide the conceptual frame- have become increasingly important, espe- work. Basic terms and concepts are explained cially in recognising the necessity to support in this part, tools are recommended to facili- gender-conscious conflict transformation tate analysis and central questions regarding processes. Even so, many people working in the management of projects and staff from the development or relief organisations still only psychosocial perspective are discusssed. The have a vague idea of what is actually meant terms introduced in this part are frequently by psychosocial. While literature on the issue used in the other sheets of the toolkit. For this of trauma is extensive, but confusing and con- reason, it is advisable to have a look at some tradictory, a brief introduction into the subject of the chapters of the first part. matter of psychosocial work in the context of international cooperation does not yet exist. Part 2: The psychosocial problems of various target groups This toolkit aims to bridge that gap. It explains Sheets 8 – 14 deal with the problems of differ- to both the staff of the Swiss Agency for ent groups of conflict-affected people. The Development and Cooperation (SDC) at the Sheets begin by describing the central aspects central office and the co-ordination offices of disempowerment experienced within each and to the partner organisations how relevant group, and then identify the main psychologi- the psychosocial way of thinking is for work cal and social issues that need to be dealt in conflict and post-conflict areas. It also shows with in order to help people to cope with the how regular development and relief activities consequences of war and violence. can be adjusted in order to support the emo- tional and social recovery of the population. Part 3: Psychosocial aspects in various sectors The toolkit does not, however, intend to replace and areas of intervention psychological textbooks or manuals on gender Sheets 15 – 21 cover selected areas of inter- and conflict transformation, or different areas vention that are of primary importance in and sectors of intervention, from HIV/AIDS to regions affected by war and crisis. In this sec- water and sanitation, but aims to convey a tion, activities and methods are identified that way of thinking and make suggestions as to are either already widely practised or could how it can be put into practice. be further intensified in order to give people additional psychological and social support It is not necessary to read through the entire within the framework of the respective sectors. toolkit. Each of the 21 sheets or chapters can These Sheets are to be understood as an illus- also be understood individually. Each sheet tration of the psychosocial approach and as a contains definitions, theoretical explanations, suggestion, not as a guideline or instructions practical suggestions or checklists, examples on how to act. for illustration and references to further articles Deza/Caminada (Photo Filter) and manuals. These elements make it easier for readers to get involved with the subject matter and enable them to give additional attention to those elements in their projects that promote the empowerment of project partici- pants under the difficult circumstances that
  • 5. The toolkit at a glance Part 1 Title Contents Sheet 1 What is the psychosocial approach? Gender, conflict transformation How does the psychosocial approach relate to gender and and the psychosocial approach: conflict transformation? an introduction Sheet 2 What brings about disempowerment in conflict and post- The psychosocial approach: conflict areas and what does this mean for working with an conceptual framework and key empowerment approach? terms Explanation of the key terms: threat/fear, destruction/ trauma, loss/mourning and empowerment. Sheet 3 How can projects react to the fragmentation of communities? Psychsosocial aspects of devel- Explanations of community dynamics and suggestions as opment work in virulent conflicts to how to deal with chronic fear among staff and the mar- ginalisation of victims of the conflict. Sheet 4 What are the preconditions for genuine reconciliation and Dealing with the past a lasting peace? Description of different ways of dealing with war crimes and supporting its survivors. Sheet 5 5a. Empowerment tool Tools of analysis Analysis of disempowerment and the perspectives for empowerment of individuals, families, groups and communities. 5b. Sequential traumatisation tool Defining the traumatic sequences in a given context. Sheet 6 How does one incorporate the principles of the psychoso- Project Cycle Management in cial approach in planning, implementation and evaluation? the psychosocial field A checklist. Sheet 7 How do fear and distress in project participants affect the Staff of the Swiss Agency for well-being of staff members? Development and Cooperation Prevention of burnout, secondary traumatisation and (SDC) and its partner organisa- conflicts within the team. tions
  • 6. The toolkit at a glance Part 2 Title Contents Sheet 8 What is gender-based violence and what are the needs of Gender-based violence women and men affected by it? Key psychosocial issues to support the prevention of gender- based violence and work with the victims; mainstreaming of measures against gender-based violence. Sheet 9 What are the most important psychosocial issues for Refugees and internally refugees and internally displaced persons? displaced persons Traumatic sequences for refugees and internally displaced people and possible ways of supporting them. Sheet 10 What are the most important psychosocial problems with Ex-combatants which ex-combatants and their families have to come to terms? Traumatic sequences for ex-combatants and possible ways of supporting them. Sheet 11 What is the course of the mourning process for the relatives Disappeared and murdered of murdered people and for the family members of the persons disappeared? Traumatic sequences for affected families and possible ways of supporting them. Sheet 12 What is the nature of the mental destruction caused by Torture and political prisoners torture? Traumatic sequences for political prisoners and torture victims, and possible ways of supporting them and their families. Sheet 13 What are the typical psychosocial issues that have to be Trafficking dealt with by the survivors of trafficking? Traumatic sequences for trafficking victims and possible ways of supporting them. Sheet 14 How can HIV-positive people live better with the disease? HIV/AIDS Psychosocial issues that need to be addressed in each sequence of the disease.
  • 7. The toolkit at a glance Part 3 Title Contents Sheet 15 How can health workers address the impact of the conflict? Health Dealing with trauma and psychosomatic reactions within the framework of normal health care; dealing with the vic- tims of landmines. Sheet 16 How can schools provide psychosocial stability for children Education and teach them how to live in peace? Integrating the experiences of children in the classroom; combining teaching contents and methods; strengthening the connecting role of school; supporting the teachers. Sheet 17 Why do so many income generation schemes for conflict- Employment and income affected people fail? Key psychosocial issues relating to income generation in conflict and post-conflict areas. Sheet 18 What is the effect of powerlessness and dependence on Food aid and nutrition nutritional status? Key psychosocial issues relating to food aid and sugges- tions for the empowerment of food aid recipients. Sheet 19 What does hygiene have to do with trauma? Water and sanitation Key psychosocial issues associated with water, sanitation and hygiene promotion. Sheet 20 What is the correlation between improved social structures Shelter and housing and the sustainability of shelter projects? Key psychosocial issues associated with transitional and durable housing solutions. Sheet 21 What is the difference between trauma caused by a natural Natural disasters disaster and trauma caused by war and persecution? Basic principles of psychosocial support in the event of natural disasters.
  • 8. Sheet 1 Gender, conflict transformation and the psychosocial approach: an introduction Deza/Fritz Staehelin (Photo Filter) International co-operation and the psychosocial approach Since the beginning of the 1990s, and in particular after the genocide in Rwanda in 1994, crisis pre- vention and constructive conflict management have become central to international co-operation. Besides reconstruction and development of the economy and infrastructure it has become important to deal with the consequences of violence for women and men, support reconciliation processes, protect human rights and re-establish a basic sense of social belonging. These issues, many of which are fairly new to inter- national co-operation, imply a special focus on the psychological and social realities of people’s lives. If this does not occur, the risk of failure is high. Why did ex-combatants in El Salvador, despite adequate agricultural training, tend the land they received at the end of the war so poorly that they lost it again? Why do women who have been bold resistance fighters give up all their public activities at the end of the war, return to domestic work and allow them- selves to be abused by their husbands? Why is it that in Gaza domestic violence against women has increased and at the same time the ability of these women to defend themselves has decreased? Why can a history of conflict not simply be put aside or be forgotten? The psychosocial approach helps to answer these and other questions, and provides a conceptual framework as well as analytical tools and procedures to make international co-operation, especially in conflict regions, more effective and more sustainable. It complements and completes the instruments on peace-building (Peace Building, 2003), Conflict-Sensitive Programme Management (2005), and the principles of gender mainstreaming (Gender Equality in Practice, 2003) that were developed by Swiss Agency for Development and Cooperation (SDC).
  • 9. Gender, conflict transformation and the psychosocial approach: an introduction Violence and the perspective The aim of conflict prevention and management of conflict transformation must be to combat violence in all its forms and In areas of war and crisis, conflict is deter- comprehensively improve the security of the mined by direct, structural and symbolic vio- population (see box below). Similarly to the lence. Direct violence is carried out by specific different forms of violence, conflicts always actors. Structural violence refers to conditions affect us on a personal, structural and cultural of power and ownership structures that lead level. Conflict transformation does not strive to to unequal opportunities for specific groups in eliminate conflict but to change it for a better, the population, e.g. women, the poor and more just and peaceful society: «Conflict minorities. Symbolic violence (Bourdieu) refers transformation is to envision and respond to the to the symbolic order (ideology, culture, social ebb and flow of social conflict as life-giving forms of organisation, institutions, legal princi- opportunities for creating constructive change ples, etc.) that perpetuates and reproduces processes that reduce violence, increase justice existing power structures by obscuring them, in direct interaction and social structures, and idealising them or declaring them an expres- respond to real-life problems in human relation- sion of natural laws. ships» (Lederach, 2003). Conflict transforma- tion therefore means reducing violence by changing and developing the conflict in all its aspects and dimensions, from society to the Human Security inner life of the individual. Human security in its broadest sense embraces far more than the absence of Gender and conflict violent conflict. It encompasses human In the relationships between men and women rights, good governance, access to edu- the power structures determined by direct, cation and health care and ensuring that structural and symbolic violence gain particular each individual has opportunities and relevance. In armed conflict, the relations choices to fulfil his or her own potential. between men and women change and these Every step in this direction is also a step shifts will reflect back on the conflict. There towards reducing poverty, achieving eco- are local differences in the changes in gender nomic growth and preventing conflict. roles and identities and these must be analysed Freedom from want, freedom from fear carefully in their specific contexts. and the freedom of future generations to Nevertheless, several central points tend to be inherit a healthy natural environment – these similar: are the interrelated building blocks of human – and therefore national security. I Sexual violence Millenium Report, United Nations, There is an increase in violence against Kofi A. Annan, 2000 women in both the domestic and the public spheres. I Shift in responsibilities Economic crises and security problems make it harder for men to carry out their traditional role as breadwinners and pro- tectors of the family. Women devise sur- vival strategies for themselves and their children, but often at a high emotional cost and to the detriment of their health. They take on new roles managing commu-
  • 10. Gender, conflict transformation and the psychosocial approach: an introduction nal tasks and transforming conflict; some join the armies of the conflicting parties. UN Resolution 1325 on women and peace and security I Women gain autonomy but not much In the year 2000 for the first time in its political power history the UN Security Council addressed By taking on new tasks women gain more the role of women in solving conflicts. A power in the domestic sphere, sometimes resolution was passed which recognizes also in the community. However, these that gender perspectives and the special changes usually do not automatically lead needs of women must be incorporated in to more political power. Women are often conflict management and peace-building not represented in the official peace at all levels. It affirms that gender equality process and when the men return home should be central to every UN mission and they are moved from many positions. acknowledges that women require protec- tion during armed conflict. It also holds I Gender identities are tenacious governments and non-state parties fully While the gender roles change in war, the accountable for any abuse they commit. old desires and fantasies of what is mas- culine and what is feminine remain. People say that things will never be the same again, but pre-war ideas are deeply entrenched and both men and women defend them. Inner images change much more slowly than outer reality. This is par- ticularly true when these changes have not been voluntary but are a reaction to trau- matic experiences or a survival strategy developed in adverse circumstances. An essential prerequisite for gender-conscious conflict transformation is the genuine partici- pation of women in the peace process (see box). However, a change in gender relations toward more equality is a slow process. It requires changes not only in society but also in every household and every individual. The following typical psychosocial issues support this process: I dealing with the mental well-being, the experiences and histories of men and women and with their ideas of the past and the future; I supporting developments that allow women to gain more autonomy and to increase their real participation in local power structures; I public discussion of gender-based violence and psychosocial support for victims.
  • 11. Gender, conflict transformation and the psychosocial approach: an introduction Three «lenses» for strategies. These different interrelationships are understanding reality increasingly being recognised and defined. The psychosocial approach, conflict transfor- One could regard the three areas as different mation and the gender focus intersect and lenses through which realities can be exam- complement each other. However, although ined. This toolkit explains the psychosocial they deal with related subjects, they involve approach, always including its overlap with historically separate areas of research that the «lenses» of conflict transformation and have each developed specific concepts and gender. Psychosocial Conflict Gender transformation The intersection of these three lenses is the analytical framework of this toolkit Resources SDC (2005) Lederach, J.P. (2003) Conflict-Sensitive Program Management The Little Book of Conflict Transformation. (CSPM). Mainstreaming the Prevention of Intercourse: Good Books. Violence in the International Cooperation. www.deza.ch/ressources/resource_en_ SDC (2003) 24650.pdf Peacebuilding – SDC Guidelines. www.deza.ch/ressources/resource_en_2411 1.pdf SDC (2003) Gender in Practice – A tool-kit for SDC and its partners. To order: info@deza.admin.ch
  • 12. Sheet 2 The psychosocial approach: conceptual framework I The psychosocial approach addresses the well-being of indi- viduals in relation to their envi- ronments. I Psychosocial key words are: threat/fear, destruction/trauma, loss/grief. I Chronic fear leads to a culture of silence and makes people unable to handle conflict. I In conflict regions trauma is a reaction to destructive social or political events that overwhelm people’s ability to cope. Trauma develops in sequences. I Disturbed mourning processes are a key problem of violent conflict. I If we strive for empowerment we must first examine the nature and extent of disempowerment. Empowerment is not only a ques- tion of gaining insight into one's situation, but also of actively addressing one's suffering and trying to change social power structures. Deza/Samer Mohdad (Photo Filter) What is psychosocial? «Psycho» refers to the psyche or the «soul» of a person. It has to do with the inner world – with feelings, thoughts, desires, beliefs and val- ues and how we perceive ourselves and others. «Social» refers to the relationships and environment of an individual. It includes not only the material world but also the social and cultural context in which people live, ranging from the intricate network of their relationships to manifold cultural expressions to the community and the state. The inner world (psycho) and the outer world (social) influence each other. In short, «psychosocial» deals with the well-being of individuals in relation to their environment.
  • 13. The psychosocial approach: conceptual framework restricted to so-called psychosocial proj- The psychosocial space ects, but can be applied in any project. L I Psychosocial organisational principles livelihood/infrastructure In addition to typical issues of organisa- tional development (effectiveness, efficiency, communication processes, etc.) there is a particular focus on the relationship between the organisational structure, the individual staff member and the area of work. The quality of work will be improved and burn-out prevented if self-reflection and self-protection are strengthened and individual processes social processes team members are empowered within the organisation to shape projects and deal All projects of international cooperation are in some way concerned with with conflicts. improving people's livelihoods or the infrastructure, with the individual well- being of people and with changes in society. A particular project may focus I Psychosocial projects more on one or another of these areas. Nevertheless, whatever the specific Psychosocial projects are created specifi- focus may be, all three aspects will have a bearing on the project and the cally to deal with the psychological and project itself will in turn influence these aspects. The psychosocial approach social dimensions of destruction. These focuses on the inter-relationship between these different dimensions. projects are usually located in the sectors of education, health and social work. They almost always focus on interventions In international cooperation «psychosocial» with individuals and groups defined as appears in three different ways. having special needs and problems, as, for example, victims or perpetrators or I Psychosocial as a scientific method people living in extreme poverty. Psychosocial methodology focuses on the understanding of the relationship between individuals and their environment. Both aspects are equally important. This approach links individual and collective dimensions of reality. It develops a holistic understanding of psychological and social processes. Psychosocial methods are not Key words in the psychosocial approach Social Process Mental Process During war and crises, key social processes correspond to certain mental Threat Fear processes. These are: Destruction Trauma Loss Grief
  • 14. The psychosocial approach: conceptual framework Threat/fear ply denied and individuals endanger them- Fear is a psychological and physiological selves and others because they no longer per- process that helps to sense danger and avoid ceive the dangers. it. Simple everyday precautions such as look- ing left and right before crossing the road are Fear needs to be integrated, not overcome based on learning processes connected to the What needs to be overcome, therefore, is not experience of fear. In acutely threatening situ- fear itself but the denial of fear, and the ations, there are three different fear-driven increasing inability to handle conflict. If chronic reactions: 1. flight, 2. attack, 3. breakdown fear is perceived and acknowledged, it loses and/or complete surrender. much of its destructive force and can, with time, be adequately integrated into the individ- Fear and the culture of silence ual's mental structure and social relationships. Fear is usually a temporary phenomenon. People are then better able to protect them- However, if the threat becomes chronic, then selves. fear becomes chronic too. It becomes part of the individual’s mental structure and gains an Destruction/trauma existence that is independent of the original Violent conflicts lead to destruction, not only threat. This may result in people staying psy- of material things, but also of emotions and chologically on guard even if the actual dan- social relationships. When a house is ger has long gone. Chronic fear is the social destroyed by bombs people not only lose by-product of living in areas of war and con- their dwelling, they also lose a place of flict. The behavioural patterns it induces are refuge and belonging. Those who have died constant watchfulness and reserve, which lead leave traces (images, memories, histories, to social withdrawal. Feelings and opinions, experiences, developments) in the survivors. especially if they draw attention to one’s own The psychological equivalent of destruction is weakness, are only expressed with great reti- what we call trauma. Trauma changes the cence. People do not wish to appear vulnera- individual’s view of the world permanently, ble nor do they want to burden others with even if some of what was destroyed can be their insecurity or anxieties. This culture of repaired later. silence isolates the individual and weakens families and groups because people no longer Trauma is a process share their concerns. The suppressed feelings The word ‘trauma’ comes from Greek and will ultimately be expressed, although usually means wound. A psychosocial trauma is a in a context that makes it impossible to deep emotional wound, a response to social acknowledge and deal with them in a suit- and political destruction that overwhelms the able manner. This increases the fear and individual's capacity to cope. A traumatic deepens the silence. breakdown can result after a single event or after a series of events that become traumatic Chronic fear reduces people's ability to because of their cumulative effect. The social protect themselves and political process that causes the trauma Constant tension is expressed by increased will also determine its further course. Trauma irritability and aggressiveness. At the same is therefore a process shaped by the interac- time it becomes more difficult to handle con- tion between the social environment and the flict in a meaningful way. It becomes harder mental state of the individual. Psychosocial to speak openly even about everyday mat- trauma should not be misunderstood as the ters; trivial differences of opinion or conflicts psychological result of a clearly circumscribed of interest are perceived as dangerous. or specific event. For example, the trauma of People can no longer distinguish between an American veteran of the Vietnam war those situations which are safe and those involves not only his war experiences but also which are dangerous. Sometimes fear is sim- the degree of his social and political isolation
  • 15. The psychosocial approach: conceptual framework or integration after the war. The traumatisa- The most important traumatic sequence begins tion of the family members of those who dis- after the persecution. If a house is on fire, appeared in Argentina developed not only one tries to put out the flames. It is not until from what happened during the dictatorship afterwards that the true extent of the damage but also from the way in which these crimes can be perceived. The burning house is part were dealt with afterwards. The process of of the trauma, but so is the time afterwards. It trauma thus continues in a healing or destruc- is often at this point that people become ill. tive way after wars, direct violence and per- Help is possible and useful in all traumatic secution have come to an end. It is not usually sequences; however this support must be difficult to determine when a traumatic process guided by the specific possibilities and limits began, but very often difficult to know when of each sequence ( Sheet 5b: Sequential it has stopped. traumatisation). Trauma is a psychological process but its Trauma and the family development is shaped by socio-political Traumatic processes change not only the indi- events. This interrelation is best reflected by viduals directly affected, but also their entire the concept of sequential traumatisation which environments since traumatisation changes describes the course of the traumatic process the ability to communicate and to form bonds. according to specific historic periods. Hans If a father is tortured, not only is he trauma- Keilson, who invented the term, defined the tised, but his wife and children as well. They following sequences for his work with Jewish have waited for him, fearing for his life, and war orphans in the Netherlands: when he returns he may be a broken man I the enemy occupation of the Netherlands who does not speak to them and whose per- and the beginning of terror against the sonality has completely changed. Jewish minority; I the period of direct persecution, which Family members who are born years after the included the deportation of parents and initial traumatising event can still become part children and/or the separation of children of the traumatic process. Although the victims from parents; try to forget the traumatic terror and do their I the post-war period, during which the main very best to keep it to themselves it will issue was the appointment of guardians inevitably affect their children. If they do not (Keilson, 1992). The key decision that had talk about it, they remain strangers to their to be taken here was whether to leave the children; if they try to communicate their children in the Dutch foster families who experiences (the better option), they must speak had taken care of them during the war, or about the terror. A survivor of the Holocaust, whether to return them to their Jewish for example, did not tell her daughter any- milieus of origin, which were also trauma- thing about her life in the concentration tised. Both possible decisions had positive camp, but she always called her child «my and negative implications. small blonde angel of death». The daughter was confronted with traumatic fear long In our adaptation of Keilson’s concept we before she understood to what it referred. In have identified the following six sequences to this way one generation can «inherit» trauma describe the situation in conflict and post-con- from the previous generations. flict areas. – Before the traumatic process Trauma, symptoms and the course of illness – Beginning of the persecution Trauma implies a lifelong vulnerability that – Acute persecution: direct terror under certain circumstances may lead to – Acute persecution: chronification pathological symptoms. Since the traumatic – Time of transition process takes place in a particular social, cul- – After the persecution tural and political context, symptoms can only
  • 16. The psychosocial approach: conceptual framework be understood in reference to this context. Behaviour that is regarded as a symptom in a certain setting could be perfectly normal in a different situation. Any approach that reduces trauma to a men- tal or physical pathology must be strictly avoided. Trauma is not simply an illness but always a social and political process as well. Project partners should therefore be encour- aged to develop their own context–specific definitions and treatments of trauma. The Post Traumatic Stress Disorder (PTSD) approach, for example, is insufficient because it can only diagnose individuals, disregarding the cultural and social specifics. Its main draw- back is that it reduces trauma to a disease of the individual, like any other. PTSD thus ignores and dislocates the relationship between indi- vidual suffering and the political context, Min Bajracharya thereby adding to the marginalization and and work. Family structures may collapse; victimisation. people may display anti-social behaviour and develop severe psychosomatic illnesses; trau- Nevertheless, this kind of conceptual limitation matisation makes it more difficult to come to should not lead to an attitude towards trauma terms with loss. Since traumatisation generally that forgets or denies the profound psycholo- entails the experience of extreme violence gical damage. Symptoms should be defined and aggression, it may often impair the indi- and described within their specific contextual vidual’s capacity for healthy aggression, e.g. meanings. Certain symptoms that are self-defence. described in the diagnostic criteria of PTSD (American Psychiatric Association, Diagnostic Healing? and Statistic Manual of Mental Disorders, 4th Traumatic experiences never disappear com- edition, 1994), for example, seem to be pres- pletely from the mind; the goal can therefore ent in most social contexts. The victims of trau- not be healing in its usual sense. Those affect- ma experience the traumatic events again ed by trauma may, however, learn to inte- and again, either in the form of involuntary grate the traumatic experiences into their lives images, thoughts or perceptions, or also as and find a way out of the role of the victim. illusions or hallucinations (flash-backs/intru- They may at some point be able to lead a sive thoughts). They avoid stimuli that are con- fairly normal life. However, their suffering, nected with the traumatic event (numbing) which is linked to the social process both in and suffer from constant, exaggerated vigi- origin and throughout its development, will lance (hyper-arousal). In the long term, severe not stop. Support therefore should not be lim- trauma can often lead to depressive symp- ited to the individual working through of trau- toms. Even if these symptoms that arise in dif- ma. Equally or maybe even more important is ferent contexts resemble each other, their sig- society’s acknowledgment of what has hap- nificance may vary considerably and many pened: in this way the extreme suffering of other symptoms that are not mentioned in this individuals can be shared and collectively list may also be observed. We frequently contained. Trauma work is not just a social encounter disturbances of social behaviour, in and medical issue but a cornerstone of the particular an impaired ability to communicate peace-building process ( Sheet 4: Dealing
  • 17. The psychosocial approach: conceptual framework with the past). Support for trauma victims is Complicated mourning process possible and necessary in all traumatic If the loss is violent, the mourning process is sequences ( Sheet 5b: Sequential traumati- never uncomplicated. The circumstances of sation). the death cannot be fully grasped and are in principle unacceptable. Often family members Loss/grief are not able to bury their dead with dignity Threat and destruction always imply loss. because the bodies of their loved ones are People lose their homes, cities are destroyed, missing or their deaths are mired in political family members, friends and acquaintances controversy. They cannot really share their die. People lose their life projects, their hopes pain with anyone. Unstable conditions, the and aspirations. In the end, after everything traumatisation of the survivors and the strug- has been taken away, loss is all that remains. gle for survival make it even harder for peo- Loss is directly linked to threat and destruc- ple to go through an ordinary grieving tion, but must nevertheless be perceived as a process. If the mourning process comes to a separate social category. Loss and dealing standstill and cannot be completed, people with loss are part of everyday social experi- are at risk. Emotionally they cannot let go, ence and determine what happens in society they remain embroiled with death and there- at large, especially after the acute conflict has fore do not engage with life again. come to an end. The psychic counterpart to Depression, increased susceptibility to disease loss is grief – which is the way in which we and excessive medication and substance deal with loss. The course of the mourning abuse are typical symptoms. After violent con- process determines whether the loss is inte- flict it is essential to deal with the losses and grated and psychologically accepted and can the dead and to allow for grieving to take thus become history, or whether it continues place; this is at the core of individual coping to affect life negatively. and the reconstruction of society and peace- building. ( Sheet 4: Dealing with the past; The two phases of mourning Sheet 11: Disappeared and murdered per- The mourning process can roughly be divided sons). into two phases. In the first phase it is a ques- tion of acknowledging and accepting the The core of the psychosocial Deza/John Paul Kay (Photo Filter) loss. Initially the loss is often denied; those approach: empowerment who have lost loved ones may try to strike a Empowerment and disempowerment are core deal with fate, for example, offering some- concepts of psychosocial efforts worldwide. thing very valuable in exchange, if only their These terms are used in very different political loss is undone. They feel lonely and aban- circles. Some put more emphasis on self- doned. This phase is dominated by anger reliance, the elimination of social welfare and it ends with an acknowledgement of the structures and the development of market loss. The next phase of the mourning process forces. Others focus on overcoming and elimi- entails returning to a reality which no longer nating social injustice and on expanding the contains that which was lost. People then opportunities for individuals to shape their reflect on the lost relationship; they remember own lives. Both interpretations underline the the strengths and weaknesses of the loved capabilities and the responsibility of the indi- one. Those who grieve process the signifi- vidual. Both lines of thought were developed cance that the loss had for their own lives, in the USA in the 1970s. Barbara Solomon’s and transform it into a memory without a book «Black Empowerment: Social work in future (Volkan, 2000). The feelings in this Oppressed Communities» appeared in 1976. phase tend to be closer to what we generally A year later «To Empower People» was pub- regard as grieving. The length of an uncom- lished by the neo-conservative thinkers Peter plicated mourning process varies, but it is Berger and Richard Neuhaus. Internationally rarely shorter than 1 – 2 years. this concept has been further developed, par-
  • 18. The psychosocial approach: conceptual framework ticularly by organisations linked with the women’s movement. «Empowerment» is wide- Different aspects of women’s empowerment ly used in international cooperation, though I Personal empowerment: self-confidence, self-assurance, self-respect, often without a clear definition. opportunities and greater freedom I Legal empowerment: formal legal security, making use of existing laws, «Empowerment» contains the word «power», influence on legislation, reproductive rights which has many different meanings, including I Social empowerment: visibility and social presence, participation in agency, strength, capability, competence, public life, respect by other members of the community, networking authority, vigour etc. The following dimen- I Political empowerment: participation in political groups and political sions of power are key to the empowerment organisations, influence on political institutions, participation in interna- concept. tional political processes, participation in UN conferences I At the individual level, power can be I Cultural empowerment: power to shape cultural definitions, influence the understood as «power within». People are symbolic order; maintaining or expanding women's culture and position able to recognise their own situation as in religious systems shaped by adaptation, dependence and/ I Economic empowerment: economic literacy, property and means of or oppression, and they develop a wish to production, income and decision-making power in reference to money, change. They understand that they have reduction of dependence, risks and stress, economic organising, social the possibility to influence and shape their security, influence on economic policies own lives – that they have the power to Adapted from: Rodenberg and Wichterich, 1999 act, to make decisions and to solve prob- lems. I Empowerment includes «power with», i.e. the realisation that individuals are not To achieve empowerment, the nature and alone but are part of a group and that extent of disempowerment first has to be change can take place when people work closely analysed. Disempowerment is the together. This power involves thinking, act- product of the process of destruction, at both ing and networking with others in a social the individual and the social level. It may context. have a sudden and traumatic beginning, or it I The third level is concerned with the may be entrenched in culturally determined changing of social power relations. It is a power and relationship structures. question of oppression and marginalisa- tion and of reducing the power of domi- Empowerment is only possible if this destruc- nant groups (power over). The goal should tion is recognised. People who have under- be participation in power in societal gone great suffering have certain resources to processes. help them survive and can be resilient. However, in order to mobilise people’s Empowerment is not limited to developing strengths it is important to not deny their more positive feelings about oneself and gain- weaknesses. By coming to terms with the losses ing insight into one’s situation. It also means and the adverse life changes and by facing doing something about it. It means actual par- the feelings of helplessness and despair, they ticipation in the social process with a realistic can develop and use their own resources in a prospect of changing existing power struc- better way. Disempowerment and empower- tures. ment are therefore always related to each other.
  • 19. The psychosocial approach: conceptual framework Resources Psychosocial Working Group www.forcedmigration.org/psychosocial This group which consists of leading US- American NGOs and specialised universities suggests a conceptual framework and ele- ments for best practice standards in psychoso- cial interventions. The website provides fur- ther literature. The Psychosocial Working Group is on the website of Forced Migration Online that provides access to relevant docu- ments, manuals und guidelines in working with refugees and displaced persons. Becker, D. (2000) Dealing With the Consequences of Organised Violence in Trauma Work. www.berghof-handbook.net/articles/becker _handbook.pdf Bracken, P. J., Petty, C. (eds.) (1998). Rethinking the Trauma of War. New York: Save the Children. Keilson, H. (1992) Sequential traumatisation in children, Jerusalem: Magnes Press, Hebrew University. Rodenberg, B. and Wichterich , C. (1999) Macht gewinnen – Eine Studie über Frauenprojekte der Heinrich Böll Stiftung im Ausland (Gaining Power – A Study of Women’s Projects of the Heinrich Böll Stiftung). Berlin: Heinrich Böll Stiftung. SDC (2003) Are We Contributing to Empowerment in Latin America? Discussion paper. www.deza.ch/ressources/resource_en_ 24242.pdf Volkan, V. and Zintl E (1993) Life after Loss – The Lessons of Grief. New York: Scribner. Deza/Samer Mohdad (Photo Filter)
  • 20. Sheet 3 Psychosocial aspects of development work in virulent conflicts I Every project is inevitably part of the conflict and must continually monitor and analyse whether its activities are still appropriate to its rapidly changing surroundings or whether they contribute to an aggravation of the conflict. I The acute conflict intensifies the mechanisms of stigmatisation and marginalisation of the direct victims. Great care must there- fore be taken in project work not to aggravate this exclusion process any further. I To ensure that staff members can work effectively in the acute con- flict situation, they must be pro- vided with basic knowledge on the effect that fear, trauma and loss have on people and how to address these issues. I In addition, staff members need to confront the issue of dealing with their own fear at regular intervals within the teams. Concealing fear not only endan- gers staff members' safety of staff members, but also under- mines their motivation and effec- tiveness. I Fear, the effect it has on people Deza/Ana Feric and ways of dealing with it are a central issue of work with tar- get groups in conflict areas. Working in and on conflict The context of international co-operation is becoming increasingly deter- mined by fragile social and political conditions and by violent conflict. Programmes and projects can try «to work around the conflict», that is, try to circumvent it, or they can consciously take account of the conflict and minimise its risks «working in the conflict» and/or make a direct contribution to transforming it «working on the conflict». Working around the conflict is a common approach, but it is eventually doomed to failure because projects are inevitably part of the conflict. If this fact is overlooked, the real situation of the population is not recognised and only those least affected by the conflict will benefit.
  • 21. Psychosocial aspects of development work in virulent conflicts The Swiss Agency for Development and Fragmentation and exclusion: Cooperation (SDC) strives to work both in and the problem on the conflict. In the framework of Conflict- The consequences of threat and fear Sensitive Programme Management (CSPM) its People live in a constant state of insecurity. focus is on the prevention of violence and the Bewildering and unexpected things are hap- transformation of the conflict. Two central pening all the time, but it is difficult to under- questions arise here. stand why and what they could mean. At the I What is the nature of the conflict (main same time, one always has to be prepared for features, virulence, prospects of develop- the worst. This all-pervasive fear erodes social ment work/change)? networks and interferes with communication I How do the programme and the conflict and understanding the meaning of things. affect each other? People no longer speak about their own suffer- ing and are impaired in their awareness of the The first question is concerned with assessing suffering of others. They often do not take part which of the intervention measures can reduce in communal activities and stay away from violence and exploring how much scope there groups. Even among the like-minded, dialogue is for the programme. The second question becomes more difficult. investigates whether project activities may inadvertently aggravate the conflict (Do no The change in social structures and social roles Harm) or how the programme can contribute Virulent conflicts change social structures. to a positive change in its course. People take on new roles and lose old ones. Women often have to do men’s work, men In the interest of transforming direct, structural can lose their influence as head of the family and symbolic violence, SDC supports the and children sometimes become soldiers; many empowerment of marginalized groups. In become impoverished, others suddenly become virulent conflicts, however, empowerment is a rich. These social processes sometimes release delicate and complicated matter, because feelings of excitement, but often they lead to chronic fear and traumatic experiences reduce feelings of confusion, uselessness and a lack people’s ability to act, communicate, and of self-esteem. Some people can no longer change community dynamics. live up to their former role expectations, while others fulfil their new roles so well that they are in conflict with the image they previously had of themselves. Deza/Toni Linder (Photo Filter) The marginalisation of the victims Mistrust, an increasing shortage of resources and the growing polarisation of power all contribute to increasing the dynamics of exclusion. The threat of marginalisation and exclusion for direct victims is higher than for anyone else. They are isolated and stigma- tised, because the neighbours fear that, if they help, they will be «contaminated» and become the next victims. Friends and neigh- bours often feel helpless and do not see any- thing they could do to offer support in view of the victims’ overwhelming suffering. Exclusion and stigmatisation of the victims is an expression of the fragmentation and
  • 22. Psychosocial aspects of development work in virulent conflicts destruction of the collective social structure. between the population and the outside world People become used to the injustice, the sight or strengthen the connections. The withdrawal of dead bodies and the increasing loss of val- of governmental bodies, project workers, ues. Mistrust and fear take over and «might is political representatives etc. from areas of right». Basic ethical principles and human conflict not only leads to a shortage of values become more and more eroded; many resources, but also increases fear and hope- experience this as an elementary loss. lessness and the feeling of being left alone and forsaken. This is the reason why the pur- Linking and empowerment: suit of development objectives should not be what is to be done? the only basis for deciding whether or not a Working in conflict areas calls for flexibility. project should be continued. It is important The main questions concerning the nature of for the social and emotional survival of the the conflict and the interaction between the population to maintain social bonds, relation- conflict and the programme must be re-ad- ships and links to the outside world. The dressed regularly, in order to adjust the project maintenance of networks must also be recog- activities accordingly. To make this possible, it nised as a useful contribution for future work is important to advance the understanding of in the aftermath of the conflict and should the causes of the social and mental fragmen- therefore be included as an objective in the tation and acknowledge them. It must always project's logical framework. be an additional aim of project interventions in areas of conflict to counteract fragmenta- Managing fear tion. This is the only way to actually facilitate Mistrust of everyone and everything, com- empowerment. In awareness of this fact, the bined with silence about one’s own vulnera- following aspects should receive priority bility, is an appropriate survival strategy for attention. people living in an unpredictable and violent environment. The price of this is social and Encouragement of communication and emotional isolation that in turn reinforces fear keeping in touch with the outside world and mistrust. In order to interrupt this vicious When interaction between the members of a circle, project work must endeavour to create community or region becomes more sporadic, spaces where people may show weakness or even breaks down completely because of and express their feelings. People should be the fear, mistrust and restricted mobility to which invited to talk about their fears without infring- people are subjected, the encouragement of ing on their intimacy, but also without remain- communication and the transfer of reliable ing on a superficial and non-committal level. information becomes a relevant part of proj- The purpose of such conversations is to be ect intervention. Staff members should keep in able to talk about fear, planning as good a touch with as many people as possible, and protection as possible from whatever is threat- encourage communication amongst the mem- ening them on the one hand, and overcoming bers of the community by creating new self-isolation and loneliness on the other opportunities of getting together and also ( boxes entitled «The effect of conflict on making use of the existing less formal spaces feelings» and «Possible ways of managing of social interaction for their work. This helps fear»). It should not be expected that such to stabilise the fraying social structures and talks will eliminate fear. They can only make promotes exchange and dialogue, especially fear more bearable and more manageable. among members of the same networks or among the members of the same district, town Helping people understand what is or village. Before opposing sides can talk to happening to them each other, dialogue among the members of When staff members respond to the current the same community needs to be nurtured. situations of participants during their project It is always important to establish contact work, they must proceed with care and
  • 23. Psychosocial aspects of development work in virulent conflicts sensitivity to ensure that they neither endan- and to talk about their experiences in a suit- ger themselves, nor the people to whom they able manner ( Mental health in emergencies, are talking. It is sometimes not possible to Sheet 15). speak openly about traumatic experiences, even if people would like to. The conflicting Coping with changes in social roles parties could interpret the discussion of such Changes in social roles will always be unset- issues as an attack on their politics and pun- tling for the people involved. They have to ish the activity correspondingly. In such cases learn new skills and endure greater or unac- staff members should approach matters less customed forms of stress. These changes directly and not talk openly about the kidnap- always affect their self-image and identity. ping of community members in a group dis- cussion during a health project, for example, Team members in conflict areas are always but perhaps broach the issue by discussing faced with changing roles, particularly gen- the effects of stress on pregnancy or the gen- der roles. When practical solutions are being eral effects of fear on the behaviour and discussed, e.g. if women have to cope with development of children. If someone has the burden of extra work or generate more recently been arrested or disappeared and income, the psychological effects of these people in the community are afraid to talk changes must be dealt with as well. Women openly about it, instead of talking about the frequently find the additional responsibility prevailing situation, staff members can dis- rewarding and empowering. However, they cuss what happened in a similar case in almost always feel insecure as well, some- another area, and the feelings of the people times even guilty, because they have had to there. It has a relieving and stabilising effect give up their former existence which corre- on people living in difficult and fearful situa- sponded more closely to society’s expecta- tions to be supplied with simple information tions of their role as a woman. Role changes on the effects of traumatic experiences on that are solely perceived as a loss are even children, adults, families and communities more difficult to adjust to, e.g. the father who can no longer fulfil his role as breadwinner. Empowerment processes will only work if acknowledgement of the loss is coupled with The effect of conflict on feelings the questioning of traditional roles, i.e. if it is I Dissociation and suppression of feelings may sometimes be useful in order possible to make these role changes an issue to avoid shame or to endure a dangerous situation. Later, however, which can be worked through. these feelings must be acknowledged if people are not to lose their ability to feel altogether. Working with victims I Strength is important, but it is sometimes necessary to risk showing The support of widows and widowers, orphans, weakness. One can best protect oneself if one acknowledges one's families of the disappeared, victims of rape weakness even in a dangerous situation. etc. is usually referred to specialised psychoso- I Even in the direst circumstances, light-heartedness, laughter and falling cial projects. However, these projects are in love are permissible. This is not a betrayal of those who suffer, but is almost always only located in areas with large natural and healthy. numbers of affected people, in urban centres or I Feelings of guilt are frequently not so much the expression of actual refugee camps. The question then arises as to guilt, but more a desperate attempt to reduce one's powerlessness by what to do with the families directly affected increasing one's responsibility: «The more responsible I am for my but living outside the reach of organisations misfortune or, the more I can find the reasons for my misfortune in my that offer specialised support. own behaviour, the less I am a helpless victim». However, this kind of «self-empowerment» converts external destruction into self-destruction, Many development projects are not designed which makes it all the harder to combat. to support the individual. However, it is advis- able, not just for humanitarian reasons, to
  • 24. Psychosocial aspects of development work in virulent conflicts expand project strategies to include work with those directly affected. Victims are overt Possible ways of supporting people directly affected symbols of the conflict and are therefore stig- by the conflict matised and isolated. By dealing with them, I Breaking through the isolation. Establish contact, ensure that project team we make it clear that we are not prepared to members or others pay regular visits, integrate victims into community ignore the consequences of the conflict, the new activities. dimensions of exclusion and marginalisation. I Acknowledging the suffering. Introducing activities and looking for solu- Such work gives the project and its team tions to the problem should always be only the second step. Initially, staff added motivation and authority to talk pub- members should get involved with the victims and their feelings. This licly about the costs of war. requires active listening, i.e. listening with empathy, respect and the desire to understand the victim’s situation by not denying, but rather Direct victims can be supported in many dif- acknowledging the destruction and injury she or he has suffered. ferent ways. Whatever form the support may I Establishing social networks. Build up networks with institutions that can take, the helpers must always at least be will- provide the necessary resources (emergency aid, legal aid, grants and ing and able to listen to the victims and to loans, skills training, agricultural advice, referral to specialised medical acknowledge their suffering ( Mental health services etc.). in emergencies, Sheet 15). It is not possible to I Ensuring that further support is provided to the victims by the community. complete a mourning process during virulent Community members should be helped to understand the experience and conflict. The families of those murdered should feelings of people who have suffered violence or loss. Community work nevertheless be helped to carry out their death should focus on reducing their exclusion and extending their support. rites and mourning rituals as well as they can I Monitoring human rights violations. Detailed records of human rights vio- and to give voice to their feelings of loss. lations must be compiled to support the defence of human rights during ( Sheet 11: Disappeared and murdered the conflict as well as the rehabilitation and reintegration of the victims in persons) the aftermath of violent conflict. Comprehensive information on the nature and extent of the violations is required if a society is to be able to deal Supporting staff in working with the conflict after the end of the war ( Sheet 4: Dealing with the with fragmented communities past). Coping with risk and fear Staff members in areas of conflict are fre- quently exposed to high risks. They are in danger of being arrested or abducted, get caught in the crossfire or are pressed by the conflict parties to supply them with informa- tion. In an environment of this kind, their work is accompanied by constant fear which, in the long run, has a considerable influence on their well-being and their work motivation ( chronic fear, Sheet 2). The Archives of Chile's Vicaría de la Solidaridad The Vicarìa de la Solidaridad of the Catholic Church in Chile provided SDC works extensively on the protection of its legal advice for victims during the Pinochet dictatorship. In 1976, the year staff. It concentrates on analyses of risks, it was founded, the Vicaría was already dealing with 11’000 cases. Month draws up guidelines on how to deal with con- after month they documented hundreds of arrests and compiled evidence flict parties and dangerous situations and pro- which was published abroad. This work was continued under extremely vides relevant training. This support is essential difficult conditions until 1992. After the dictatorship, the extensive documen- to protect staff members from threat. It is tation of the Vicaría was an important basis for truth commissions, court equally important, however, to train staff to trials and the reparation efforts of the government. Without the work of the cope with chronic fear. Vicaría, the peace and reconciliation work in Chile would have been much more difficult.
  • 25. Psychosocial aspects of development work in virulent conflicts In the offices of many development and relief Possible ways of managing fear organisations, it is unusual to talk about emo- If staff members are not accustomed to talking about their feelings, execu- tions at an official level. However, when the tive staff members will have to set a good example. Senior staff should safety of staff members is jeopardised, feel- broach the issue of fear in official meetings, so that they can signal to ings are definitely no longer a luxury, but other staff members that it is legitimate to express feelings. The introduction become an integral part of self-protection. If of a new culture of verbalising emotions requires a continued effort and on fear is not sufficiently understood and inte- behalf of executive staff a certain level of preparation and knowledge grated, it becomes a risk factor in itself. about how to organize such conversations ( Sheet 7: Staff). People who suffer from chronic fear and deny I Take up the issue of fear in your team sessions, just as naturally as if the fact are frequently no longer capable of you were talking about security. Begin by explaining why you find it assessing situations reliably. They either over- important to talk about fear, and elaborate on how chronic fear can estimate the risk, or take bigger risks each impair staff motivation and have an effect on their safety, and on how time without being aware of the fact. This is it affects family life and teamwork. Afterwards, and in all the meetings why it is necessary to create space for dia- that follow, ask the participants what they themselves find disturbing, logue in each project and in every office, so what they are most afraid of. Draw up a list and let the group members that staff members can not only discuss risks select one experience of fear that they would like to talk about in greater at regular intervals, but also reflect on their depth. It is important that everything said should be taken seriously. If fears. staff members feel they are being criticised, it will impede open discus- sion. Acquiring knowledge and skills I Always discuss a specific situation that causes fear in order to gain a In conflict situations, staff members may try deeper understanding of exactly what gives rise to fear among staff not to become involved with the fears and members. People must subsequently be helped to stand by their feel- experiences of the target population. By ings, even if they cannot immediately do anything to change them. This avoiding involvement, they wish to protect emotional exchange is not merely a means of developing more effec- themselves in two ways: on the one hand, tive forms of action, but already has value in itself and is an aim of from the danger to which they may be sub- such talks in its own right. But the main point of such an exchange is, jecting themselves by associating with those of course, above all, to develop ideas on how to cope better with the who have been targeted by the conflict par- situation and assess the amount of risk that is really involved. Staff can ties, and on the other hand, from confronta- discuss more effective measures for protecting themselves, whilst retain- tion with immense suffering and strong emo- ing at least a minimum of control over the situation. tions. It is particularly difficult for staff mem- I The more individual staff members know about their own fears, the eas- bers who have themselves been through expe- ier it will be for them to work with their partner organisations or target riences similar to those of the target popula- group. They will then find it easier to recognise how others feel, how tion (e.g. intimidation, abduction etc.). If staff they might react to fear, and that it relieves and protects them to talk members are expected to react to the experi- about it rather than to keep it to themselves. ence of the population in terms of linkage I Frequently, external pressures aggravate conflicts and tensions among and empowerment, they themselves must first the members of a team. Staff members often fail to recognise the con- of all feel capable of coping with these issues text in which such emotions are developing, so that the conflicts and at least have learnt to acknowledge and become more intricate and it becomes increasingly difficult to find a endure their own insecurity and fear. They solution for them. It is particularly important in situations in which staff must be given the opportunity to take a closer members are exposed to risk that they should be able to give each look at their own difficult experiences and other mutual support and protection. For this reason, it is important to gain sufficient understanding of the effect of deal with team conflicts, if necessary with the assistance of external political violence on individuals and commu- supervisors. nities. Only when staff members have given enough thought to the consequences of rape or the effects of threats on families and on the behaviour and feelings of schoolchildren, for example, will they be ready and able to have discussions of this nature in the community. A
  • 26. Psychosocial aspects of development work in virulent conflicts Meinrad Schade short workshop is, in general, not enough in the way of preparation. Instead, staff mem- bers should be provided with the opportunity to reflect and acquire further knowledge at regular intervals with the support of resource persons. This will help them to develop strate- gies and techniques of taking up relevant issues with individuals and communities. ( Sheet 7: Staff). In this context also the trainings in mediation offered by SDC can be of help (www.sdc.admin.ch Services Courses).
  • 27. Psychosocial aspects of development work in virulent conflicts Resources Anderson, M.B. (1999) Do No Harm: How Aid can Support Peace – or War. Boulder: Lynne Rienner Publishers. DFID/GTZ (2005) A Guidebook to Safe and Effective Development in Conflict, Nepal. www.gtz.de/de/dokumente/en-Guidebook- SEDC.pdf An excellent guide to analysing projects, bringing together principles of good develop- ment practice and «Do No Harm». SDC (2005) Conflict-Sensitive Program Management (CSPM). Mainstreaming the Prevention of Violencein the International Cooperation. www.deza.ch/ressources/resource_en_ 24650.pdf Volkan, V. (2003) Das Versagen der Diplomatie. Zur Psychoanalyse nationaler, ethnischer und religiöser Konflikte (The Failure of Diplomacy. On the Psychoanalysis of National, Ethnic and Religious Conflicts). Giessen: Psychosozial Verlag. Deza/Toni Linder (Photo Filter)