Priya Kumar Ravi
Department of Humanities and Social Sciences, Indian Institute of Technology Kanpur, Kanpur, 208016, Uttar Pradesh, India,
Cult Med Psychiatry. 2015 Sep;39(3):428-48. doi: 10.1007/s11013-014-9423-6.
Through the use of concepts such as traumatization and posttraumatic stress disorder (PTSD), the distressing experiences of survivors are understood in psychology and psychiatry primarily as the behavioural symptoms resulting supposedly from an incomplete emotional and cognitive processing of traumatic events. Due to such an exclusive focus on the intra-psychic processes, besides the survivors' healing facilitated by cultural beliefs and symbols, their trauma-related distress associated with the cultural interpretation of loss is also generally ignored. This paper illustrates the utility of the social constructionist paradigm in understanding the survivors' experiences of suffering and healing within the cultural and socio-political context of violence through an ethnographic study among the poor farmers of Nandigram, India, inflicted by violence from the state government as it tried to forcibly acquire their land to build a chemical factory. How the traumatized selves experience intense distress resulting from disruptions to a sense of wholeness and how this wholeness may be reformulated through culturally valued beliefs are highlighted in the themes of suffering ('experience of PTSD symptoms', 'betrayed self', 'overwhelmed by loss', and 'biographical disruption') and healing ('moral re-affirmation', 'sense of togetherness', 'sense of security due to change in political environment') presented in the vignettes.
通过运用创伤化和创伤后应激障碍(PTSD)等概念,在心理学和精神病学中,幸存者的痛苦经历主要被理解为创伤事件情感和认知处理不完全所导致的行为症状。由于只专注于心理内部过程,除了文化信仰和符号促进幸存者的康复外,与文化对损失的解读相关的创伤性痛苦通常也被忽视。本文通过对印度南迪格拉姆贫困农民的人种志研究,说明了社会建构主义范式在理解暴力的文化和社会政治背景下幸存者的痛苦与康复经历方面的效用,这些农民遭受了邦政府的暴力,邦政府试图强行征用他们的土地来建造一座化工厂。在这些小故事呈现的痛苦(“创伤后应激障碍症状体验”“被背叛的自我”“被损失压垮”和“人生经历中断”)和康复(“道德重新确认”“团结感”“政治环境变化带来的安全感”)主题中,突出了受创伤的自我如何因整体感的破坏而经历强烈痛苦,以及这种整体感如何通过文化上有价值的信仰得以重新构建。